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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Clerkship Update: Medical Genetics

I just completed my 2-week rotation in Medical Genetics and it was an incredible experience. My first week consisted of clinics where I got to meet pediatrics patients with a variety of genetic conditions. During my second week, I was assigned to the in-patient service where we were consulted  by the neonatal and pediatric Intensive Care Units to evaluate newborns and toddlers.

What I enjoyed most: 

This is a very intellectual specialty that requires extensive reading around cases. I very much enjoyed coming up with a differential diagnosis of possible conditions. The best part of this rotation was getting to spend an hour or more with each patient as we require much of this time to work through family histories in great detail as well as conduct a very thorough physical exam looking for dymorphologies, skeletel dysplasias, and any other abnormalities that could signal a possible genetic condition. I also appreciated refreshing my knowledge about the different types of Genetic testing such as FISH (Fluorescent In Situ Hybridization), aCGH (array Comparative Genomic Hybridization) and karyotyping.

What I struggled with most:

There is a vast amount of information to know in Genetics such as various syndromes, which definitely poses a challenge! Genetics deals mostly with diagnoses and counselling of patients. Although being able to provide a diagnosis for a child’s condition was very satisfying and would assist parents in learning how to manage the condition going forward, it was also emotionally challenging to not have a cure or solution for their condition. I wished there was more I could do for these families!

My take home message: 

This rotation increased my knowledge and understanding of congenital conditions which I feel will be important to consider when  assessing patients in the future. Medical Genetics is a fascinating field and this rotation increased my appreciation for the molecular intricacies of the human body. It was also humbling to witness how just one single DNA mutation could result in severe disease. It reminded me that having good health is something we cannot take for granted.

Featured image: Plethrons-Basics of DNA

Clerkship Update: Neonatal Intenstive Care Unit

I recently completed my 2-week rotation in the Neonatal Intensive Care Unit and it was a fantastic experience. The format of this rotation was such that medical students were integrated as part of the NICU team, attending sign-outs, rounding on patients, managing patients (physical exams etc), writing admission notes, progress notes and discharge summaries. We also took part in consults from the Obstetrics department and observed the resuscitation team who were prepped and ready for babies delivered by C-section.

What I enjoyed most: On this rotation, I had the wonderful opportunity to work with a a great team of staff physicians, residents, international medical students, nurses, nurse practitioners, nutrionists as well as various consultants. I very much enjoyed the teamwork! And of course,  I loved the patients (the babies) who were the real heros of the unit. I also really appreciated that we were assigned our own babies to manage and this afforded us plenty of autonomy and self-directed learning. On most days, we also had about 1 hour of teaching which was very beneficial.

What I struggled with most: Having to present my patients on rounds was quite intimidating some times but by the end of the 2-weeks, I felt much more confident, even if my management plans were sometimes off-track!

My take home message: The NICU was a fantastic experience and my favorite rotation so far. I am yet to do my core pediatrics rotation but I certainly enjoy working with the pediatric population. Since I also enjoy working with adult patients, I would currently rank pediatrics as a “medium” on a scale of low-medium-high, as a future potential specialty for me.

My current rotation is an elective in Pathology which has been very interesting and a different pace from clinical rotations. I will share my experiences on this in the coming weeks!

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Hubby and I on a date. We went on a nice long walk up Mont Royal, had lunch at a new vegetarian restaurant and went to see Mission Impossible: Fallout. We had a blast!
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We saw this piece of artwork on a park bench and thought it was quite unique (plus I had to take a picture of it for my daughter who loves giraffes!)

 

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!

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!