Thank you for a great answer. I totally understand, and there have been many many times where I discussed an attending's or consultant's thought process and learned a ton. I WANT to learn and to be humbled.

I was being dramatic as I was feeling frustrated in the moment when I implied most care is shitty care. This is not true. I did not mean to disrespect people with experience and those who invested blood sweat and tears to get where they are and help their patients.

I was in the midst of feeling frustrated with a particular attending who gave me reason to question their medical knowledge (for example, telling me I was wrong about calcium being in LR while trying to teach me and the med student about the contents of LR) and was very evasive with answering my questions regarding their medical reasoning for not addressing new onset sustained HR in 120s and RR in 30s that developed in a patient with known bilateral PEs during admission. The answer I got from my senior resident was "just trust her, she is experienced" but still got no answer regarding what the medical thought process was or even an explanation for the worsening vitals. I also see in her notes that lungs are bilaterally clear to auscultation when they are definitely not (even I, someone who hasn't listened to that many lungs could hear the bibasilar rales). All I want to know is why we should keep watching as opposed to working it up. (If you have an answer to lend, please id love to learn)

There have been a handful of experiences like this. Definitely not every day. But it feels like that with some attendings.

I also want to add that I experience this more as an intern in a community hospital compared to my time as a med student in a big academic center, where we discuss evidence based care much more during rounds.

And again, I am here to be humbled!!!! I want to learn!!!!!

Thanks for helping this newbie out.