Currently, I don't work with a resident. I know a lot of attendings love working with residents and I do believe in teaching and how important it is. But I just don't want a resident. I've made the decision to work alone for several reasons:
1) I care too damn much
Don't laugh, but it's true. It's so important to me that the resident I work with has a great experience, that I end up spending massive amounts of time teaching them, which is time that I don't really have to spend. And I feel guilty giving them any scutwork. So having a resident always resulted in my being way behind.
2) I like to know my patients
Whenever I have a resident, they end up knowing their patients better than I know them. And that makes me uncomfortable.
3) I don't trust them
This may be something specific to PM&R, but I seriously don't trust the residents. Sometimes I would get a good one that I could trust, but I can't tell you how many times I have asked them to do something and they never did it. Something important.
4) I need my space
If I am feeling stressed out or sick, I can't deal with having a little shadow. I want to murder the little shadow.