Clerkship Update: Internal Medicine and General Surgery

Clerkship updates! It’s been a busy past few months! I completed one month each of Internal Medicine (CCU/ER consults) and General Surgery.

What I enjoyed the most

I really enjoyed doing consults in the ER because I felt it really allowed me to hone my history taking and physical exam skills as well as come up with management plans. I met so many interesting patients and learned a lot from the fantastic staff and residents I worked with. In General Surgery, I had the opportunity to become more comfortable in the OR (I was initially terrified of going in there!) and practice useful skills such as inserting foleys and suturing incisions. I also had the opportunity to participate in laparoscopic surgery by assisting with guiding the camera, which was fun! I also developed a new appreciation for how difficult it is for patients to undergo surgery: the anxiety before surgery as well as the sometimes excruciating pain and post-op recovery.

What I struggled with the most

Internal Medicine and General Surgery have definitely been the most demanding in terms of work hours and I sometimes felt like I was floundering. I had managed to keep my mindset positive and motivated during my previous rotations but for some reason, I had moments of doubt and anxiety over the past few weeks which I can’t fully explain. So, I sat myself down, worked through my thoughts, prayed, and confided in family and friends about my struggles. I have emerged stronger and more motivated!

My take home message

Internal Medicine and General Surgery are great specialties despite the long hours. They each bring different perspectives and add richness to one’s medical training. The past few months have reminded me how important it is to guard one’s thoughts and to rely on others when we feel weak and downtrodden. Despite the challenges, I am excited to be pursuing a career in medicine and thank God for his ever abundant blessings in my life!

Featured image courtesy of BM Hospitals

When the Fog Lifts

The other day, I was on my daily commute to the hospital for one of my clinical rotations. The train chug chugged along and as it neared one of two bridges, I turned my head expectantly to view the expansive water and distant hills. But on this particular day, the view which I have come to treasure, was blanketed by an unrelenting fog. I could see absolutely nothing outside of the window. It was a disconcerting feeling. What was happening behind the fog? When would the fog lift? As the train made it to the other side of the bridge, the water and hills left behind, the fog gradually lifted, trees and buildings slowly appeared and my view of the outside world became crystal clear once again.

This two minute experience got me thinking about how similar life can be to this event. There are times in our lives when our path forward is clear. We can feel confident enough to proceed on our journey. There are other moments, when things become less clear, our confidence may become shrouded in uncertainty and we wonder where has the path disappeared to? One thing I do know. The fog eventually lifts, and we will see clearly again. It just requires patience, determination and the will to never give up.

I recently completed my second Psychiatry rotation and have just completed my first 2 weeks of Internal Medicine. Both have been great learning experiences with amazing staff physicians and residents. On some days though, I feel truly tired. I wonder if I have the strength and ability to become a good doctor. Or I struggle to balance medicine with family life. Doubts try to creep in. But I also feel so grateful to be in a position to help people so directly in their moments of crisis, illness or fear. It truly is a humbling and privileged position to be in! And even on those cloudy, unclear days…the fog eventually lifts!

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View from the train in winter-time

Featured image: View from the train in summer time, late evening (potentialdoctor.com)