Clerkship Update: Urban Family Medicine

Clerkship Updates! I have just completed a month in Urban Family Medicine and I absolutely loved it! It definitely solidified my interest in and passion for Family Medicine. Most of my days were spent at a private Family Medicine clinic. I also spent time at a Dermatology, ENT and walk-in clinic, a senior’s residence and palliative care center.

What I learned from this rotation

This rotation was fantastic! There was frequent, useful one-on-one teaching and feedback which helped me to grow in my knowledge and clinical skills. I was constantly challenged to think more and more independently. I had the opportunity to manage complex patients and multi-complaint visits. I developed some new skills/knowledge in Dermatology, ENT and how to manage geriatric patients.

What I enjoyed most

I very much enjoyed the one-on-one teaching, the positive learning environment, the variety of cases I saw and the variety of work environments. I loved interacting with the patients and looked forward to going to work each day!

What I struggled with the most

The greatest challenge for me on this rotation was coming up with management plans for the more complex patients. However, by the end of the rotation, I felt that I had a better grasp of how to do this.

My take home message

Urban Family Medicine was a fantastic rotation and was definitely one of my favorite rotations. I loved the variety of cases I saw, interacting with patients of different ages and  getting to see patients who have been followed by the same physician for years and who know their patients very well. I also enjoyed the flexibility and variety of work environments. I really look forward to a future practice in Family Medicine!

Next rotation….Out-Patient Psychiatry. Stay tuned!

Featured image: Family photo 2017

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Clerkship Update: In-Patient Psychiatry

Happy 2019 dear readers! I hope you had a fantastic December holiday!

Clerkship Updates! I have just completed a month in In-Patient Psychiatry and I have to say that it was an extremely humbling and eye-opening experience! My rotation consisted of following patients in the psychiatric unit, doing consults and reassessments in the ER, reassessing medical patients with psychiatric symptoms on a number of different wards, as well as interviewing and assessing families in Child Psychiatry.

What I learned from this rotation

I went into this rotation with trepidation because I felt I did not have much experience managing mental illness but I learned so much from my patients about their life-stories, hardship and resilience. I was humbled by what they have been through and how far they have come. I was surprised by how attached I got to some of my patients and how much emotion I felt towards them. These were people from all walks of life. It could be me, it could be you. A very humbling experience. I also feel that this rotation really helped me improve my interviewing skills which will be very applicable to my interests in Family Medicine.

What I enjoyed most

Seeing my patients get better and discharged from the hospital, particularly after a long admission! I also really enjoyed the human side of medicine on this rotation. Many of my patient interviews were simply about getting to know the person in great detail, which was really a wonderful and sometimes emotional experience. The teaching and support during this rotation was also excellent, with plenty of opportunities to share our reactions and feelings about the rotation.

What I struggled with the most

The greatest challenge for me on this rotation was wondering if I was really helping my patients significantly. But I was amazed how many patients appreciated simply being listened to during their moments of crisis and how the hospital was actually a refuge and place of stability for them.

My take home message

My In-patient psychiatry rotation was really great. I learned so much from the staff and patients. I am realizing now more than ever that it is really important to reflect on each day and process the feelings you have about what you see. It is human nature to feel the pain others have and so I feel it’s important to process these feelings in a way that works for you. Some suggestions include reflection, art, music, talking about it or writing about it.

Next rotation….Urban Family Medicine! Thoroughly excited! Stay tuned for more updates. Wishing you all the best for 2019!

Featured image courtesy of medium.com

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Christmas morning!
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Christmas morning!
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Birthday girl!
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Family time in the Laurentians!

 

The Big Reveal: My Specialty Choice…and Tips for Choosing a Specialty

After months of reflection, prayer and exposure to different medical specialties, I have finally made a decision on which specialty I would like to pursue! I have to say that I am very excited to be at this point and feel very clear-minded about the path forward!

Choosing a medical specialty is not easy. There are so many of them to choose from! Many are interesting and potentially rewarding! This blog post will not only announce my specialty choice but also give some tips to help you with the decision process.

So without further ado….

I have chosen to go into…..FAMILY MEDICINE!

Why Family Medicine?

  • Getting to work with patients of all ages from babies to elderly
  • Variety of work contexts: clinics, hospital, ER, long-term care homes
  • Good work-life balance
  • Flexibility of practice: one can build a practice based on preferences and also needs in the community
  • Opportunities to work in both urban and rural areas
  • Good job outlook: family doctors are needed everywhere
  • Building long-term relationships with patients
  • Being involved in every aspect of my patient’s care (holistic approach)
  • Having generalist knowledge on a variety of disciplines (I find almost everything in the field of medicine fascinating!)
  • Intellectually stimulating
  • Opportunities to do minor surgical procedures
  • Opportunities to be involved in public health

These are just some of the many reasons that Family Medicine has grasped my attention and my passion! I am thrilled to be pursuing it!

Tips for Choosing a Specialty

  • Keep an open mind: I started off with keeping an open mind about the variety of specialties out there.
  • Do your research: I read up on the various specialties and talked to staff physicians and residents in the field about their experiences.
  • Wait to go through your clinical rotations first: Although reading about specialties is helpful, they do not always give the full picture on the lifestyle and work environment of a particular specialty. Therefore, I feel it is important to actually go through the clinical rotations before committing fully to or dismissing a particular specialty. You may be pleasantly (or unpleasantly) surprised!
  • What can you live with (or not!)? Through the course of this year, I have had the opportunity to be exposed to most specialties and obtained a taste of what I liked and did not like in each specialty. There is no perfect specialty but there are aspects of each specialty that I knew I could either live with or not. Similarly, I reflected on what aspects of medicine were important for me and needed to be in that particular specialty for it to be a good fit.
  • What are your priorities? It is important to factor in your priorities, for example, how will going into this specialty affect other important aspects of your life, such as your family life? Hobbies? Commitments? For me, I knew my family and church life are extremely important to me so I needed a specialty that would allow me to continue to devote my time to these aspects of my life.
  • Say “no” to being pressured: For some people, choosing a specialty becomes clear very early on while for others, it takes more time. Avoid the temptation to feel pressured into a decision. Only you can make the decision. Try not to let someone else make it for you.
  • What are the community needs? Another important aspect to consider in your specialty choice is the needs in the community. What resources for our patients are lacking and where could you step in to fill in the gaps?

I hope you find these tips useful in your decision making process. If you have further questions about clerkship rotations, specialty choice or anything else you would like to discuss, feel free to comment below or reach out to me at thepotentialdoctor@gmail.com. It is always a pleasure hearing from you!

Suggested reading materials: The Ultimate Guide to Choosing a Medical Specialty by Brian Freeman

Featured image: courtesy of Kunal Chopra

Clerkship Update: Rural Family Medicine

Clerkship updates! I just completed my 4-week rural family medicine rotation and I absolutely loved it! My rotation was a mix of clinic, ER and wards. I had the opportunity to see patients of all ages. While on the wards, I was responsible for admitting patients, rounding on them myself each morning, writing prescriptions, ordering tests and coming up with management plans. It was a very rewarding experience!

What I enjoyed the most

I loved working with patients of all ages and the variety of cases I saw each day. You never knew what would come through the door and it forced me to think on my feet! I also was pleasantly surprised at the variety of contexts you could work in as a family doctor. I had always pictured it as being more of a clinic setting  but while on this rotation, I was amazed at what family doctors do in the ER and how much they were responsible for running the wards.

Interestingly, I always thought that working in a clinic would be my preferred setting and while this is still the case, I also found that I enjoyed working in a community hospital (as opposed to a large academic hospital). The staff were great to work with and I really enjoyed the team work and inter-professional collaboration.

The town I worked in was beautiful and I really enjoyed my drive into work each day (which ironically was a shorter commute than driving into my previous urban rotations!)

One of the best things about this rotation was the great work-life balance. I was able to apply myself fully at work during the day and still get to spend a good amount of time with my family and friends.

What I struggled with the most

My greatest challenge on this rotation was communicating and charting in French. But despite my linguistic errors, I found patients and staff to be very understanding and I feel I have improved significantly in my French during the course of this past month.

My take home message

I absolutely LOVED my rural family medicine rotation! There was plenty of variety of cases which were intellectually stimulating. I loved the flexibility of working in different contexts. I also very much like the idea of building long-lasting relationships with my patients and the holistic approach of being involved in all aspects of their care.

Next up is Inpatient Psychiatry. I am looking forward to this rotation because I feel this is the area of medicine that I have the least experience and knowledge in, so it will be a great opportunity for me to build my skills and abilities in taking care of patients with mental health issues.

In other exciting news, I have decided what specialty I will be going into! Stay tuned for my next post, the big reveal!

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The town where I did my rural family medicine rotation (picture taken in the summer courtesy of http://www.tourisme-monteregie.qc.ca)

Featured image: Our little munchkins excited for Christmas!

Clerkship Update: Pediatrics Inpatient

Clerkship updates! I just completed a 4-week rotation on the pediatric wards and it has been one of my favorite rotations so far! My schedule consisted of 2 weeks of day shifts and 2 weeks of evening/night shifts plus 2 weekends. During the day shifts, my day consisted of teaching sessions/lectures, rounding on patients, writing progress notes and discharge summaries. My night shifts mostly consisted of admitting patients to the ward and writing admission notes. I also spent one amazing afternoon in the newborn nursery where I had the opportunity to refine my skills in conducting a newborn physical exam.

What I enjoyed the most

I very much enjoyed working with children of all ages and worked with a fantastic team of staff physicians and residents from different specialties (pediatrics, family medicine and pediatric neurology). There was also excellent teaching during this rotation with plenty of support. I felt I grew in my history taking, physical exam skills as well as coming up with a differential diagnosis and management plan. I felt that having had my own children really helped me communicate with young children and relate to the anxieties that parents have about their sick children. Also, although I used to dread the night shifts, I decided to change my attitude about it and focus on the positive aspects of working at night such as avoiding rush-hour traffic and getting to spend the mornings with my children, go on walks with them, or surprise my son at school at lunch time.

What I struggled with the most

My greatest challenge during this rotation was having to communicate in French. Many of the patients and families I encountered were Francophone and did not speak much English so I was forced to put my French language skills to the test! It was not easy getting a history or communicating plans to families in French but it certainly gave me plenty of practice! I definitely feel that I am improving!

My take home message

Pediatrics is a fantastic field if you love children and interacting with families as a whole. I also find the environment to be very positive and supportive! When it comes to night shifts, working strange schedules in medicine can be a challenge both mentally and physically. However, trying to find ways to adapt, adopting a positive mindset and getting creative with our time can ease the strain and pleasantly surprise us!

This ends my very first block of third year!  I am very excited to be starting my rural Family Medicine rotation next! Stay tuned!

Featured image photo credit: lakeviewpediatrics.net

Beautiful Canada Geese

As we were driving from a friend’s house this evening, we came across this beautiful sight a few minutes from our home. Beautiful Canada Geese singing in chorus on a lake, likely taking a break from their southward migration for the winter. I couldn’t help stopping to take it all in!

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Canada Geese, Quebec

Beautiful Fall

Fall is without a doubt my favorite season. The scorching heat and humidity of summer starts to taper off, the mornings become cool and refreshing and the colors of the leaves turn into a breathtaking array of stunning beauty. I never cease to be amazed year after year!

Featured Image: Saint Lazare, Quebec by potentialdoctor.com