Clerkship Update: OBGYN Part 2

My very first clerkship rotation was in OBGYN outpatient clinics which I posted about here including some tips for surviving clerkship in general. This past month was a continuation of my OBGYN experience. The first 3 weeks were based in the birthing center where I had the opportunity to take part in a variety of interesting tasks:

  • Interview and examine pregnant patients in triage
  • Assist with vaginal deliveries and C-sections
  • Round on post-partum patients
  • Conduct consults in the ER

My last week was Gynecology-based where I got to assist with some gynecology surgical procedures in the OR, round on post-op patients, see patients in Gynecology/Early Pregnancy clinics and conduct consults in the ER.

What I enjoyed most:

I very much enjoyed interacting with pregnant patients and helping them through the beautiful, life-changing experience of welcoming their child into the world. I was also grateful to come out of this rotation with tangible, practical skills like delivering babies and suturing.

What I struggled with most:

The environment was fast-paced and quite stressful. It was difficult seeing patients experience pregnancy loss, particulary having gone through the experience myself. The schedule was exhausting with evening/night shifts and 2 weekends back-to-back. I definitely struggled with balancing work and family life and missed the kids a lot.

My take home message:

OBGYN is a great speciality in many ways. There is plenty of variety in terms of the work, it is rewarding bringing babies into the world and being a part of patients lives during such critical moments. For me personally, the demanding lifestyle was not a good fit for my family life, but I am grateful for all that I learned during this rotation and that it helped to clarify my interests more definitively. Although this was the toughest month for me since I started med school (there were definitely moments of self-doubt), I can say that difficult phases of our lives make us stronger and better able to tackle even greater challenges. Whatever obstacle you may be facing in your life right now, know that you can overcome it! Keep going!

Feature image photo credit: advocarepremierobgyn.com

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Second Year of Medical School…Done!

It’s official! I am done with the second year of school and officially half-way through medical school! The past few months have been a whirlwind of activity as I completed my rotations in Surgery, Anesthesia, Ophthalmology and Radiology! This was definitely the most challenging block for me in terms of schedule and the overall demands of the rotations.

Some of the most rewarding experiences were learning how to bag-mask and intubate patients as well as put in IV lines. It was very hands-on and there were moments when I literally felt like the patient’s life was in my hands! I also enjoyed using slit-lamp biomicroscopes to look into the inner world of the eye. What a magnificent and breathtaking part of the body. It was moments like these that reminded me of the miracle and beauty of God’s creation!

I also had the opportunity to do a night shift shadowing an OBGYN resident in the Birthing Center. I had the privilege of assisting on 2 deliveries which was amazing! During the past few months, I have been praying for more clarity regarding what specialty I would like to go into and I am happy to announce that I have narrowed down my list significantly. I will have to keep you in suspense for now, but stay tuned for the big reveal at some point over the next few months.

The past 2 weeks were filled with numerous exams, lectures and small groups to prepare us for clerkship which starts at the end of July. One small group about learning in the clinical setting particularly stood out to me. The main idea was that clerkship is not about performance but about progressive learning. Meaning that the priority is not about impressing with our knowledge but rather about having a willingness to learn and progress along a continuum. I think this is true for many things in life. We will never be perfect but we can have an attitude of humility that there is always room for improvement. We will make mistakes, but we will get better with time! Persevering and refining our skills (in any field) only makes us better and more capable of serving those around us.

So what’s next? Five weeks of vacation to rest, recuperate, have fun with friends and family as I look ahead to the third year of medical school…CLERKSHIP!

 

 

Spring, Updates on Rotations…and Looking Ahead to Clerkship!

Hello everyone!

The past few months have just flown by! We are slowly starting to see the signs of Spring after a long Winter! One of my favorite things about this time of year is seeing the green shoots of plants in the garden trying to make their way up out of the recently frozen ground, their tips emerging strong and ready for the next season! I also love hearing the honking sound of the Canadian Geese making their way back as the weather gets warmer!

Med school has been great! I completed a fun 2-week rotation in Pediatrics where we got some hands on practice taking a history and doing physical exams on patients ranging from a few months old to teenagers! I was based at 2 locations: a pediatric clinic as well as the Children’s Hospital where I shadowed a fantastic pediatic nephrologist. I felt very at ease with parents and young patients, perhaps because I have two little ones of my own. So as I spoke to parents, I thought about how I would want to be treated if my own kids were sick.

My next rotation was an 8-week rotation in Internal Medicine which I am just about to wrap up. I found it quite challenging at the beginning when faced with the complexities of the diseases I encountered on the wards and witnessing very sick patients compared to my previous patient encounters. As time went on, I began to feel more comfortable on the wards. At this point in our training, we still play mostly an observational role, but it was a really good experience getting to interact with patients, write up admission notes and work through differential diagnoses. Even just getting more familiar with the hospital’s electronic medical records was reassuring for me!

Aside from the invaluable experience we are getting as we transition to clerkship, I am also enjoying getting to know my classmates in more depth now that we are working in smaller numbers and it is easier to get to know people.

In other exciting news, we just received our schedules for Clerkship! Here’s what my next 2 years are going to look like:

  • Year 3: Obstetrics, Pediatrics, Elective, Family Medicine, Psychiatry, Internal Medicine, Surgery
  • Year 4: Electives, Emergency Medicine, Public Health, Geriatrics

In the lead up to clerkship, I have had mixed feelings…both excitement and fear. My main concern has been the longer work hours and how that would impact my husband and kids. But my husband continues to reassure me that we will “figure it out” as we have always done! I continue to rely on God’s strength to keep me positive and motivated! And I am thrilled to see my kids thriving and happy. They are so curious to know what I am learning, “What did you do in med school today, mummy?” I love it!

All-in-all, I am really looking forward to Clerkship in this next phase of our medical training. In the mean time, I am getting ready for my next 8-week pre-clerkship rotation which is a combination of…Surgery, Radiology, Anesthesiology and Ophthalmology. Here we go!

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It’s beginning to look a lot like Spring! Some green shoots in our garden!
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Still a lot of snow in the mountains though…picture of the Laurentians from my mother-in-law’s house in the woods
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This is the study spot that I sometimes sneak away to while we’re at my mother-in-law’s house in the woods. It used to be my husband’s bedroom during his childhood summers.
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And I just had to throw this in because I think it’s so cute…our Superwoman!

Featured image: My view from the train during my daily commute to med school.

Med school update…Loving my clinical rotations!

Hello everyone (and welcome to those who just recently started following my blog!)

The month of January has been a month of transition as I moved out of the classroom and into the hospitals and clinics. This new phase of my training is called “Transition to Clinical Practice”. It is to prepare us for third-year clerkship by giving us exposure to real-life medical settings. At this stage, we do not yet have the  level of responsibility of a third-year student but we are still considered a part of the team which is great!

The first 2 weeks were quite the adjustment as no longer was my medical ‘world’ centered around campus but rather in various hospitals and clinics around the city. I ultimately decided to switch from driving to public transport which was an adjustment in itself! But now I feel much more settled and have come to enjoy the pleasant 1-hour train ride to and from the city. I am using the time to study and catch up on emails.

My husband also came up with the excellent idea of listening to audiobooks which I have been doing during my drive to the train station, subsequent subway commute and walks to the clinic/hospital. It has all turned out really well because I am able to come home earlier than last semester since I do not get stuck in traffic! There is always a bright side to new changes, even if they throw us off at first!

Here are my impressions of the rotations I have done so far:

  1. Family medicine: I liked the variety of cases that I saw and that the family doctor/resident has to have such a breadth of knowledge on many subjects. I am looking forward to gaining more exposure in clerkship.
  2. Neurology: I absolutely loved this rotation! I met wonderful attending physicians, residents and patients. I had a variety of experiences from doing consults in the ER to rounding on patients in the wards, to taking a history and examining patients in the clinics. I also had the chance to visit the electrophysiology lab where the Nerve Conduction and EMG studies are performed. There were plenty of opportunities to review CT and MRI scans. Overall, I found this to be a very intellectually stimulating experience. In addition, the patients I met were truly inspiring and humbling as they battled with debilitating and life-changing conditions. Since there are no core rotations in neurology in 3rd year, I am considering taking an elective in neurology in 4th year.

Other than school, the family is doing very well! We have instituted a new family tradition which is for each of us to say something we are grateful for every night at bed-time.  I also have a journal on my bedside table where I jot down a few things I am grateful for every night. This is really helping me to remain thankful and positive despite the busy and demanding weeks!

What’s next? My next rotation is pediatrics which I’m looking forward to! Will post an update on that in the next few weeks.

Keep striving towards your goals! Be positive in the moment and don’t wait to reach your destination in order to find happiness. It’s about the day-to-day living and what things we can be grateful for on a daily basis!

Thanks for reading!

 

Med School Update…And a Trip to Kenya!

As I write this, I am sitting on a paving stone step, listening to the wind blow through the slender pointed leaves of majestic eucalyptus trees towering over me, forming a blanket of protection against the omnipresent African sunshine. My family and I are thrilled to be spending the Christmas holidays in my home land…Kenya, where I was born and raised.

It has been 7 years since my husband and I were last back. And this is the kids’ first trip to Africa. They have loved every moment of it, from the perfect weather, to the friendly people, to the delicious food, to getting to meet cousins, aunts and uncles for the very first time. Words cannot express the joy in seeing my own children embrace the culture of the country where I grew up and of which I have so many beautiful childhood memories. It feels like I have come full circle!

During our 2 weeks here, we have been staying at my mum’s house in Nairobi and the kids have already reignited the bond with their Gran who they hadn’t seen since 2014. We have been having a wonderful time and I am not sure the kids will ever want to leave at this rate!

And what about med school? The last block (Neurology) was fantastic. Without a doubt, one of my favourite blocks! The last month of school was quite intense with block and anatomy exams, presentations and standardized clinical exams. It is bittersweet to have come to the end of my “classroom” learning (already!) but also very exciting to be starting TCP (Transition to Clinical Practice) in January. My rotations will be in 3 main blocks:

  1. Family Medicine, Pediatrics, Neurology
  2. Internal Medicine
  3. Surgery, Anesthesia, Radiology, Ophthalmology

TCP will run from January to June and then, after a one month summer break, I will begin my 3rd year clerkship rotations at the end of July.

The next few months will be quite an adjustment for our family due to the long hospital hours. I will have to be strong being away from the kids so much but I know they are in good hands and we will work through this as a family!

In the meantime, we will enjoy our last week of vacation here in warm, sunshiny Nairobi before heading back to snowy Canada in the New Year. Merry Christmas to all my readers and thank you for reading! I hope to continue to hear from you in 2018! Whatever dreams you may have, continue working towards them and never give up! All the best!

Parenting Principles that Transformed my Life…Discipline is an Act of Love

A few weeks ago, I started a new series on parenting principles based on several parenting books I read over the summer (plus my own parenting experience so far). The first principle in the series was speaking positively about our children, affirming them while avoiding harmful and destructive criticism. Today, we move on to the second principle.

Parenting Principle Number Two: Discipline is an Expression of love

  • Do we really need to discipline our kids? This is a tough one! Some days, it’s so much easier to just let the kids behave however they want. But I have to remind myself that this is not true love. While it may be easier in the moment to not discipline my child, this is not in their best interests in the long term.
  • What are some strategies for disciplining kids? Each parent will have their own strategy and values regarding discipline but what I have found works well for our family is outlined in Brittany Ann’s book “Teach Your Children How to Behave”. The basic concept is teaching your children how to make the right choice rather than simply ordering them to “do” or “not do” something.  We as the parents then follow through with consistent consequences if they make the wrong choice. I am seeing the value of teaching my kids this from an early age.

Disciplining children is tough! It can make us feel like mean parents (yes, I have been called “mean mummy!”) and it can be tempting to take the easy route. As difficult and emotionally wrenching as it can be to discipline our kids, it is worth it for the long term character building of our children and demonstrates how deeply we love them!

 

Gratitude: Appreciating the Big and the Little Things

One of the things that I wanted to improve on from my last year in medical school was learning to slow down and appreciate the little things around me. I loathed the fact that mornings were rushed and it seemed like we were always ordering the kids around and rushing them out the door. With better time management and changes to our parenting approach, the mornings during the past week have been beautiful. I know that not every morning will go smoothly but I am simply grateful for those that do. This morning I felt grateful for 4 things:

  1. Brushing my little girl’s hair: I had dreamed of doing this ever since I was a teenager. After my first pregnancy ended in a traumatic miscarriage, it sometimes seems like a dream that both she and my son are actually here in my life.
  2. Getting hugs from my dear son: As I was getting things ready this morning, my son suddenly stopped me and said, “Mummy, I want to do something”…he then enveloped me in a deep, long hug. Moments like these make the challenges of motherhood seem more than worth it!
  3. Being in medical school: As I looked over the voluminous material I need to learn over the next few weeks, I simply sat back and drank in the fact that although it’s a challenge, I am doing what I have been wanting to do for so long…and I love it!
  4. My Heavenly Father: I love the scripture in Psalms that describes God as a “Father to the fatherless” and a “Defender“. Having lost my father unexpectedly when I was 5 years old, I truly have seen God be a Father to me through the years. Despite the ups and downs, He has always been there for me. He is my hope and everlasting peace!

Take a moment to stop and reflect. What are you grateful for today?

Featured image courtesy of versiondaily.com