So that's a different scenario, it's really hard when the patients are sick, and I really struggle with that one. >> Mm-hm. >> I mean, I, in this one I tried to kind of lay back, but it, but it's really hard. What do you do? What do you think in these cases? >> I think, I agree with you, it's really hard,on the natural instinct does sort of try to jump in and take over, because we're very confident in how managing these patients has a lot of experience with it. >> Mm hm. >> And it's, it's anxiety provoking this, sort of sit back and wonder if they're going to make the right decisions. >> Mm hm. >> But I think when you are comfortable with with a trainee and you know that they have the experience. The strategy that you had is sort of stepping back and being completely absent, like I don't even think I knew you were there, is wonderful. >> Yeah. >> Because you're still there if they're, if they need help but you're really allowing them to, to run the show. Something that I do sometimes when, when it's a more junior trainee is, is, is I, I physically separate myself, so I'm not right around the bed. >> Mm-hm. >> But I'm actually behind the trainee. >> Mm-hm. >> So that way I'm right there if they need a question, but I try to remain silent- >> Yeah. >> In case it seems like they struggling, and I might you know, whisper something into their ear- >> Yeah. >> If it seems like they need help, but then it's still coming from them, as the leader of the scenario, you know, they're, they're then still the one saying you know push at B or give the Boulis or you know, and and and as far as he rest of the team is concerned I'm not involved at all. >> Yeah I think hat can be really helpful, and I and I do think the positioning is important because, if you know those junior residents, you're right, I'll kind of be, I'll be behind them. >> Yeah. >> And with a more senior resident, I'll still sometimes just go and sit down. We actually have these little small stools, and I'll sit so I'm almost on the ground and I'll be out of the way and out of the line of sight. >> Mm-hm. >> And I also think, you know,having watch these other videos, your line of sight with where the patient is matters as well. >> Absolutely. >> Because you don't want the patient to be looking to you, like that [INAUDIBLE] the boss with, with Josh, but trying to get seeing out of the line of sight with the patients, and that they're thinking more of the resident. >> Yeah. >> I think that can be another way of, of thinking about it. And then, do you ever use the nurses to, kind of, help you? >> Oh, yeah, absolutely, so sometimes you might, you know, I might stand with with one of the nurses who's, like, doing the documentation. >> Mm-hm. >> Or doing something and actually, whisper something to them and then they suggested, you know, or, or, in it, in it it it works well. [LAUGH]. >> Yeah, it did, you know, well it's like we know what's coming I'll be like, could you get this drug? >> Absolutely, absolutely right, absolutely you know, in, in my scenario, there's often family members or parents present as well. So sometimes, you know, to allow the, the trainee some autonomy with the team. >> Mm-hm. >> With the nurses, with the actual patient I'll sort of step aside. >> Mm-hm. >> And go talk to the parents so I'm still there if they need me. but, you know, I introduce the team to the parents and introduce the, the trainee as sort of like the team leader. And and then am there to answer questions for the parents, but then let the trainee run the scenario. >> So, that works well sometimes too. >> I think that, I think that's true and then just kind of letting it play out in some ways. >> Absolutely because it not like you have to do something, sometimes you can wait a few minutes and let, see if they can get there, get there and do that on their own and then only intervene if you really need to. >> Yeah. >> I think that's pretty helpful. >> I think sometimes these situations it's important to remind ourselves that some of this is stylistic. You know, some of these things there are algorithms so we need to follow. But some of these things, you know, if they might chose to do something in a little different order. Then I might, or might choose to use, some, a drug a little bit differently than I might, and, and a lot of times that's okay. >> Yeah, it's perfectly safe. >> Yeah. >> Yeah, I think that's true, that's one of the big things I think that the residents say. >> Mm-hm. >> Is that they, they want to have, you know, if it's a style thing then let them do their style. >> Right. >> If it's a safety thing, then absolutely they want to do the right thing. >> Right. >> But I think that definitely comes out from what the residents say, that's really good, thanks very much. >> Yeah.
