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"sociology"
California Emergency Physicians with Dr. Ruth L. Selvidge: Karla Velarde, Winter Shadow 2016
This January I shadowed Dr. Ruth Selvidge, an Emergency Department (ED) physician at Natividad Medical Center (NMC) for a week. NMC is a Level II trauma center and it is located in Salinas, California. The ED at NMC consists of a triage area at the front where patients are first reviewed by physician assistants and nurses. Based on this first examination, the patients are either discharged or they are sent to the back of the ED for further examination by the ED doctors. This is where Ruth steps in. Her job consists of examining these critically ill patients and determining the proper treatment. Ruth is usually accompanied by one or two ED doctors during her shifts, but there are some instances where she is running the ED by herself. She has 23 years of experience and was recently assigned as the temporary Assistant Director of the ED.
During this externship I shadowed Dr. Selvidge and discussed the cases with her. I learned about filing charts, illnesses and diseases, the scribe program at NMC, residency programs, and what a day looks like for an ED doctor. I learned a lot because Ruth always took the time to review the cases and explain their differential diagnoses. I observed interesting cases because, as Ruth put it, I brought a “black cloud” to the ED since every time I stepped in there were more trauma cases than usual: car accidents, gunshot wounds, stab wounds, among others.
Ruth informed me that the hardest part of her job is the humanitarian aspect. She explained that recently doctors are in front of a computer far more than with patients, due to the way information is archived.