One thing that really bothered me during residency was when I did something that a patient didn't like, and then the patient told on me to the attending when I was out of the room. I can think of two occasions when this has happened and it pissed me off bigtime.
I remember there was one interaction I had with a patient where I actually thought I was completely hitting it off with him, then he complained to the attending about one specific thing I did. That especially bothered me because I felt like I had completely misread a situation. Sort of like in school when you think someone likes you and they totally don't.
The patient was a young guy with long hair who kind of had a bit of a hippie look to him. He seemed like a very nice, laid back guy. Let me reproduce part of our interaction and tell me what you think I did that upset him so badly.
Mr. Hippie: "I have pain in my mid-back, right below that bump."
Me: "You mean your scapula?"
Mr. Hippie: "I don't know what it's called."
Me: "It's called your scapula." [types this into note]
Mr. Hippie: "Okay."
Me: "So is there anything you take for the pain?"
Mr. Hippie: "I smoke marijuana."
Me: [continues typing into note] "Does that help?"
Mr. Hippie: "Sometimes."
Me: "How often do you smoke marijuana."
Mr. Hippie: "Maybe two or three times a week."
There is a knock on the door. It is the attending.
Me: "Excuse me for a moment."
I go outside and tell the attending about the patient. Since there's another patient waiting and we're getting really backed up, he agrees to further evaluate Mr. Hippie's back pain while I see the next patient. We both go back into the room together.
Attending: "Hi, I'm Dr. Attending. I'm going to take you into a different room to examine your back further."
Mr. Hippie: "Oh. Okay."
Me: "Oh wait." [laughs] "You forgot all his paperwork." [hands Attending a stack of papers that Mr. Hippie had filled out]
Attending: "Oh great, thank you very much."
Me: "Bye, Mr. Hippie. It was very nice meeting you."
So can you figure out what horrible thing I did/said that so greatly offended Mr. Hippie?