It has been 3 weeks since I started clerkship and it is going very well so far. I started off with Obstetrics/Gynecology outpatient clinic where I had to give two presentations on cases I encountered during the rotation. I was also exposed to various diverse clinics:
Obstetrics: following pregnant women at various stages of their pregnancies, interpreting prenatal screening tests, measuring fundal height, finding the baby’s heart beat with doppler ultrasound (one of my favorite parts of this rotation!) and taking GBS samples
Gynecology:managing endometriosis, menorrhagia, performing pap tests and colposcopy
Gynecology-Oncology: managing patients undergoing treatment for ovarian cancer
Diabetes: managing pregnant patients with Diabetes Type 1, Type 2 or Gestational diabetes
Fertility clinic: managing patients trying to conceive via IVF or IUI.
Ultrasound: observing the routine ultrasounds for pregnant patients performed at 12 and 20 weeks of pregnancy as well as measuring nuchal translucency.
My reflections on this rotation: I found this to be a generally fast-paced,diverse environment with plenty of opportunities to do some procedures.
What I enjoyed most:I very much enjoyed the patient contact and sharing the joy of pregnant mothers awaiting the arrival of their little ones. I also enjoyed the clinics where I had the most autonomy to interact with patients on my own. My favorite clinic of the rotation was without a doubt Obstetrics!
What I struggled with most: There was a steep learning curve as I generally only spent one day in each clinic and every clinic runs differently. I had to learn to adapt quickly.
My take home message:I learned so much from this rotation and felt that I improved in my history-taking and charting skills. I will wait until my OBGYN inpatient rotation to make a final decision about choosing this specialty but on a scale of low-medium-high, I would put Obstetrics and Gynecology as a “low” because I have much less of an interest in Gynecology than Obstetrics and there are alternative routes to practising Obstetrics (more on that later!).
My coping strategies on rotation:
I have a 2.5 hour daily train-commute which can be exhausting but I am using this time to study, read my Bible, decompress after a long day and also to read other topics/books that are of interest to me.
I make use of technology to stay in touch with my family and keep connected. For example, since I have to leave very early in the morning before anyone is awake, I Face-Time my hubby and kids every morning once I arrive at the hospital so I can see their adorable faces before I start my day. This is so energizing for me!
I have some prayer time during my 10-minute drive from my home to the train station (and on the way back as I reflect on my day). This plus reading my Bible on the train daily has kept me in a very positive state of mind despite feeling physically exhausted.
I aim to complete my reading/studying on the train so that once I am home, my focus is fully on my family.
It is challenging to find time to exercise so I wake up 15 minutes earlier every 2 days to have a short workout and then have my longer 35 to 45 minute workouts on the weekend.
Stay well hydrated and fed throughout the day. I carry granola bars in my white coat pocket or scrubs and carry around a bottle of water when feasible. This does wonders for your energy levels!
I had one particularly bad day last week where I felt extremely tired and did not feel my performance on rotation that day had been good at all. We have to remember that despite the really difficult days, there are better days to look forward to and it is all part of the learning process as we hone our skills.
I am currently on rotation in the Neonatal Intensive Care Unit and it has been both challenging and fantastic! I can’t wait to share with you my experiences on this rotation over the coming weeks!
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!
The second block of medical school is complete! We just spent the last 5 weeks learning about lung structure, function, diseases, diagnoses and treatments, interspersed with a few lectures on clinical method, epidemiology and genetics. My favorite parts of this block were the anatomy and histology labs, and learning how to interpret chest X-rays and CT scans. We also learned the basics of how to perform bedside ultrasound. I love how hands-on the curriculum at my university is!
In mid-October, I had the wonderful opportunity to shadow a pathologist and two pathology residents for half a day and I loved it! The atmosphere was very welcoming and I was allowed to sit in on some cases at the microscope. Fascinating!
During one of my clinical sessions at a private Family practice, I got to perform my very first physical examination on a patient. I was a little nervous at first (especially since I have very cold hands) but the patient was very gracious as I stumbled along trying to figure out how to use my stethoscope and the blood pressure machine.
My final exam on this block was tough but I felt good about it overall. The week before the exam, I started to recognize signs in myself of feeling a little burnt out so I took a break from studying and went for the women’s fellowship at our church during the week. It was so rejuvenating to exercise with the ladies, chat and study the Bible. What I was challenged about most was resuming my daily devotional time with God (particularly first thing in the morning). I have to admit that with the busyness of school and family, I have not been as consistent with my quiet time. I was reminded how important it is to have daily reflective time alone to recharge and gather my thoughts! Whenever you suspect that your life may be going out of balance, acknowledge it and try to address it as best you can. Medical school is demanding and it’s important to take care of your emotional and spiritual needs too.
The other item that challenged me during the bible study was to reflect on what things I can improve on in my character. There is always room for improvement. For me, the 2 areas I would like to work on are patience (particularly with my children) and humility (it is important to remain teachable, humble and remember that every person is valuable).
As I start Block C of medical school (Circulation), I am so grateful for all that I have learned during the past 2 months! It’s been both challenging and fantastic!
I have just experienced my first three weeks of medical school and it has been amazing! The first week was a series of orientation sessions to get us familiar with the medical program while the second week was the official start of classes.
I would love to share my experiences with you!
What I love about the program: Fantastic classmates, passionate teachers, fascinating material, plenty of support, small group sessions, mentors, a focus on wellness, and the opportunity to shadow physicians right from Week 1! So far, I have had some exposure to family medicine, obstetrics and pathology. I loved being in the birthing center where I got to meet a patient who had just given birth by cesarean section. There was something so profound about being with someone at such a life-changing moment. I have also enjoyed my histology labs where we have been identifying different types of cells and tissues. Interestingly, it seems that pathology is moving away from using microscopes and instead using very high resolution images on the computer screen.
Challenges: The biggest challenges so far are being away from my children and the 2-3 hour daily commute. Traffic has been much worse than anticipated so I am making the most of my commute time to listen to lectures and also to decompress at the end of a busy day. I am very grateful to my husband for his tremendous support in helping out around the house and with the kids.
Surprises: The orientation and first few days of class focused on physicianship, the social aspects of medicine, indigenous health and the disparities in healthcare among the aboriginal population. Where as I thought we would be diving straight into hard science and performing dissections in the anatomy lab, it was interesting to learn about the social side of medicine and how so many factors affect health. I have also been pleasantly surprised by the vast array of backgrounds that my classmates have. It is such a diverse group!
Strategies for survival: I have had to adjust my study methods compared to the last time I was in school. The material is too voluminous for one to completely master every detail so I am learning the art of determining what is the most essential and what fits into the big picture of becoming a doctor. So far, I am mostly using the lecture material and my own created flashcards to summarize the material. Upper year students have also created some useful summaries that they have graciously handed down to us newbies.
Tips and advice: An important tip that I have heard from many seasoned medical students and doctors is to not neglect my life outside of medicine. I am trying to create a positive habit early on of having protected time for my husband, kids, devotional time, adequate sleep and exercise. I will also try to keep up with one or two hobbies, some friends and family. There are several activities and organizations on campus I am interested in joining but I will have to be selective and not take on too much. Flexibility is important and I realize that I may not always be on top of things, but I will do the best that I can and enjoy the adventure!
Although I am only at the very beginning of my training and there is much more to come, I am really enjoying medical school so far and feel so grateful to have been given this opportunity!
Excited to share with you my first guest post over at The Zeit which is a blog with great information on healthy living for your mind and body. My guest post is about tips for embarking on a new adventure. Hope you enjoy reading it!