Third Year of Medical School…Done!

I can hardly believe that I am done with the third year of medical school! Despite the ups and downs, I am very happy with how much I have grown and learned during the course of this year.

These last 2 months, I have been busy with Internal Medicine Wards and Surgical Subspecialty rotations (Urology and Vascular Surgery). They were hard work but also a great learning experience overall!

All my electives for fourth year have been booked and confirmed (Palliative Care, Endocrinology, Family Medicine, Clinical Allergy and Immunology).  I will also be doing my Geriatrics and Emergency Medicine rotations during fourth year.

Now is that time of the year when we start thinking about the residency match! I cannot believe that this time next year, I will be starting residency! (As a recap, my plan is to apply to Family Medicine which I am very passionate about!)

For now, I am looking forward to the next month which is a month of summer vacation. I am excited to spend more time with my hubby, kids, extended family and friends. I am so grateful for their support and encouragement through this past year (which was undoubtedly, one of the most difficult I have encountered!). I thank God for the strength and grace He gave me throughout the year!

Thank you to all my readers for continuing to follow and support my blog. It is always appreciated!

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Breakfast on the deck, beautiful sunshine, birds chirping and a cute bunny skipping through the grass!
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Residency match timeline!
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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!

 

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

Clerkship Update: Pathology

I just completed my 2-week rotation in Pathology and I really enjoyed it. My days consisted of a variety of activities such as grossing specimens in the lab (that is, examining and cutting them in preparation for creating microscopy slides), looking at slides under the light microscope and electron microscope, plenty of studying as well as attending autopsies, tumor boards and rounds. I also had the opportunity to observe intraoperative consultations which is when a surgeon excises a sample during a surgery and asks the pathologist to make a quick slide (better know as a “frozen” section) in order to have a preliminary diagnosis, usually in the context of cancer.

What I enjoyed most: 

First of all, I think microscopes are just so cool! Secondly, I had a fantastic team to work with! I also liked the flexibility and variability of the day with a lot of autonomy and self-directed learning.  For example, my main interests for this rotation were renal and gynecology pathology so I was able to tag along with the residents and staff physicians specializing in these areas.  I particularly enjoyed “sign-outs” when the staff, resident and I would sit at the teaching scopes (several microscopes connected to a main one so that you are all viewing the same slide) as this is where you get a lot of useful teaching on how to identify various structures. I also really appreciated that I got to brush up on my anatomy! The schedule was fairly light and I got to see my kids more often than in other rotations which was great!

What I struggled with most:

I missed patient contact and also sometimes felt helpless in cases where we diagnosed cancer since the clinical management is not done by the pathologist.

My take home message: 

I think Pathology is a great rotation for  medical students to consider regardless of your interests because it exposes you to a different side of medicine and will increase your understanding of various disease processes which is very useful to know in the clinical world. For example, I now have a much better understanding of glomerulonephritis, nephrotic syndromes and gynecology-related cancers. I also have a much better idea of how to interpret pathology reports and the amount of work that goes into creating one! I would currently rank Pathology as a “medium” as a future potential specialty for me because I still have to reconcile the fact that there is not much in the way of patient contact. However, it really resonated with me in terms of the intellectual aspects and I loved the detective work behind it.

My next rotation is an elective in Medical Genetics which sounds fascinating! Stay tuned!

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My assigned desk…reading up on some renal!
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My little monkeys climbing trees in the backyard. Love them to bits!

Featured image: lookfordiagnosis.com

Excited…Tomorrow is the Start of Clerkship!

Tomorrow marks the first day of the next phase of my medical training…clerkship rotations! I am filled with excitement…if not a little nervous! I am so grateful for the wonderful summer break I have had with family and friends. I felt the bond with my kids growing especially strong over this summer and despite the usual challenges of parenting that sometimes leave me wanting to pull my hair out, it has been such a joy to see them thrive!

Knowing that our lives are about to get very busy with me working long hours at the hospital and a lengthy commute, I sat the kids down to let them know that they will not see mummy as often. They were sad but said, “We’ll miss you but we’ll always love you!” This really warmed my heart, especially with how attached I am to my kids!

I know there will be days when I question whether my absence is detrimental to their well-being. I know there will be days when my heart is aching to be with them. But I am trusting that they will be well and that I will not give in to the overwhelming feelings of mummy guilt. I am so grateful for my wonderful husband who I know will take excellent care of them when I’m not there.  I pray for God’s grace to continually strengthen our family through this new phase of our lives.

To my dearest hubby and children, I love you dearly. It is truly a joy to be going through life with you all by my side!

So, onward we go to clerkship! Thrilled to be starting with Obstetrics!

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Last week of vacation before clerkship starts tomorrow!

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.