So I am in a CMA internship with the hope of using the company to pay for my imaging studies degree. I really wanted to come in and WOW them but so far, that hasn’t happened. I pick up everything very quickly, that isn’t the problem. The problem is socialization. I really like my coworkers and I try to match their tone and subject topic. I feel they tolerate me. I know coworkers aren’t my friends. They are very polite and kind. They have all worked together for years so I really do feel like a new character on season 5 of a show.

My manager told me last performance review that I was talking too much, and it was affecting work, and that I needed to work on filter with the clients, apparently I told someone during a A1C check they had big hands. The thing about being an intern is that I have an internship profile so I can’t do the day to day work things like send off controlled meds for doctor approval, answer phones, send messages, ect. They want me doing only clinical things but unless someone needs a test run/ I’m rooming someone/ I’m giving a shot/preparing a shot/ or A1C then I am just sitting there looking over my notes. We are talking literal hours of re-reading the same notes. I was previously in kitchen work where there is ALWAYS something to do. I imagine it is an environment mismatch.

I had always suspected I had ADHD and was diagnosed as a child but stopped taking the medicine as a pre-teen. This performance review was the kick in the butt I needed to get diagnosed. I am on Adderall now. I am much more focused. I started speaking a lot less. I figured well great! I am doing better. It seemed like my coworkers were being more cordial to me. I just got done with phlebotomy training (2 days, so I can do it in a pinch but absolutely not a master and need more training).

I recently had another performance review and I was told that maybe being a CMA wasn’t for me. My manager was really kind. She said that I made too many conversations with the patients when I was rooming them and not everyone wanted my life story. I asked if I had any more complaints and she said no, that the patients seemed to really like me. So I don’t know what to do with this information. I was a little bummed because I thought that I was just being friendly. When my Mom had cancer it always made her feel better to be greeted cheerily and have a small chat. I asked if my rooming time was too long and she said that my rooming time was average and didn’t need any speeding up. She said that I still have 3 months in the internship but she was considering seeing if I can be transferred as a full employee over to phlebotomy.

I really like phlebotomy and being a full employee means a pay raise and I would get more training to where blood draws would be second nature. I can’t help but feel a little bummed. I thought I was doing so much better. My second plan was to become a travel CMA so my self confidence has been mildly affected. She said that I was very smart and that the company does not want to lose me but maybe being a CMA just isn’t for me. I feel pretty petty. I think maybe I just won’t talk unless spoken to and I will just say hello to patients and get straight down to business. Forget about asking about how their day is going. The funny thing is that I know once I do this everyone would like me more in the office. I genuinely don’t know how much quieter I can get and why do my coworkers get to talk about how their days are going but I can’t?

I am polite, I am not rude, and I keep on light subjects. I am a little baffled because I thought CMA would be perfect for me. Any advice about what to do? I am seriously just about to stop talking all together since it seems not skill, not intelligence, but socialization is what I need to work on and I don’t know what to say or where to go. I seriously thought I was improving so much. Thank you!

3 comments
  1. I’m not sure why your manager complained that you talk too much when your patients like you and are okay with it. You’re not doing anything inherently wrong by talking, unless you were making patients uncomfortable, which you said is not the case. You said your manager is nice but I am very confused about why they would ask you to switch specialities over something so insignificant. It really doesn’t seem like you’ve done anything wrong to me. Maybe try making the small talk with patients about their life instead about you?

    I personally disagree with your manager since literally everyone in the world talks to their coworkers so you absolutely haven’t done anything wrong. In my life, I have been called both a “chatterbox” and “too quiet” so I have come to realise that people’s opinions have nothing to do with me. If talking was hindering your ability to do your job, that would be an issue but that doesn’t seem to be the case. Maybe ask your manager how you can continue to do your job well while still building rapport with patients?

  2. Many patients are fine with chitchat, and if you ask about them they’ll either respond positively, which is a good sign, or say very little, which means they don’t care to have a lot of talking. I think the area where you might be running off the rails is talking about YOURSELF too much. Patients don’t need all that info (nor do co-workers) so unless they specifically ask, I wouldn’t say much at all about yourself.

    Phlebotomy sounds cool, so that may be an improvement for you, but either way you should probably reduce the amount of sharing about yourself that you do.

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