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!
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!
Lunch break on campus!
Getting ready to scrub in on a surgery!
Surprised hubby at work for ice-cream after an exam
My precious angels…growing up so fast!
Summer creativity on the deck!
The kids love doing science experiments!
Fun at an air show!
Visit to Mont Tremblant…fun on the beach
Special mummy-daugher moment…visit to Mont Tremblant
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!
Featured image: My view from the train during my daily commute to med school.
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:
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.
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!
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:
Family Medicine, Pediatrics, Neurology
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!
This week was refreshing as we started the final block of the Fundamentals of Medicine: The Nervous System and Human Behavior. The previous block (Reproduction) was surprisingly one of the most challenging blocks for me due to the sensitive nature of some of the topics such as complications in pregnancy. It was difficult to listen to the lecture on miscarriage having personally experienced the trauma of a miscarriage 7 years ago. It felt like I was reliving the experience and I found myself thinking about my dear, sweet, unborn child that I never got to meet.
Moments like this plus settling my son into Grade 1, helping him with homework, occasionally managing on my own while my husband was away, plus the pressure of exams, made things seem overwhelming at times (there were definitely plenty of tears). But I continually remind myself how grateful I am to be in medical school and how much I enjoy it. And in those moments when I was really down, I thank God for his indescribable peace and grace that sustained me. I thank God for my wonderful husband, who despite experiencing his own stress and pressure at work, continues to support me and stand by me on this journey. I thank God for my family and friends who continue to pray for me and motivate me. Sometimes I feel as if I am a marathon runner who has supporters running alongside me shouting, “Keep going! Don’t give up! Keep your eye on the prize!”
One of my dearest cousins used to tell me that nothing worth having in life ever comes easily. This needn’t scare us about trying things and stretching ourselves beyond our comfort zone! It is worth the effort, tears and sweat in the end!
I am truly excited to be learning about the human brain, nervous system and behavior over the next few weeks. This week in the anatomy lab, I had the rare privilege of holding a human brain in my hands. I hope this will not be too gruesome for some of you to read but I had to write this to express my sincere appreciation for the magnificence of the human body and for those people who donated themselves for our educational learning. To be holding the essence of this individual’s personality, memories, hopes and dreams in my hands made me reflect on how important each life is.
Featured Image by Potential Doctor: Sunset view of Montreal after a hike up Mont Royal
Today was a very special day as my classmates and I celebrated a milestone in our medical training…The White Coat Ceremony! It was a beautiful and inspiring ceremony as we reflected on the next phase of our training, the moments when we will get to experience the triumphs and challenges of helping our patients navigate their illness.
In January, we will be transitioning into clinical practice which is when we will begin observational hospital rotations (alongside lectures and small groups) before beginning our official rotations in the 3rd year of medical school. I am very grateful that our curriculum offers us this opportunity to gradually transition into the world of clinical practice as we wrap up our Fundamentals of Medicine block in December.
Today was a reminder of the immense challenges ahead, but also what an incredible privilege it is to be in this profession.