Self-Worth as an Early Radiology Trainee

Your value as a person is never just your job performance, but even your value as a resident isn’t just what you bring to your early efforts: after years of steady skill and knowledge acquisition during school and internship, the R1 step backward into novicehood can be emotionally challenging.

For better or worse, it’s in many ways a fresh start.

And, in the beginning, you are going to be wrong so much.

Day to day, some attendings are harsher than others, and some cases are simply more challenging than others. A lot of cases are negative/normal, but there will inevitably be countless situations where you swing and miss. Recency bias is a hassle we never truly escape (so we all suffer from it forever), but it often happens to comic effect at the beginning of training. There’s a reason why a classic radiology rite of passage is to miss an important finding and then overcall it on subsequent cases.

So it’s important to not confuse your value with that those inevitable growing pains and sometimes frustrating feedback during the early learning process. Everyone involved in medical education should acknowledge that a trainees need to learn while working means a down payment on future “value” even if you’re not really “helping” today. That’s why you’re there, and that’s why your attendings are there too. Everyone is on the same team with the same goal of you one day becoming an outstanding clinical radiologist.

So don’t take the forced transcribing or the need to edit your drafts too much to heart. You’re likely to run into at least one attending who basically deletes everything you do or seems overly pedantic (note: they might be). Instead of being frustrated, try to bring a healthier growth attitude to those exchanges. Have a sense of humor (please, please, I promise it’s more fun this way).

Yes, your work right now might not be up to snuff yet.

It might even be “bad“–but you are not bad. You are learning.

Never confuse someone’s negative feedback as a mark or a reflection of your value. You aren’t just your job even at the height of your career, let alone on your first day.

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