As I mentioned before, surgery is a tremendous learning experience. I’d contend, though, that the amount of clinical and “book” knowledge is met or even exceeded by the so-called “shadow curriculum” – the socialization into the life of medicine that goes far beyond the words in a textbook. It’s why you can’t simply read everything and know what you need to be a doctor. Continue reading
medical students
Wedge
Turns out you don’t have much time to blog during surgery. At my school, the surgical rotation is split in three: two weeks for a “subspecialty” rotation, which for me was anesthesia, and then three weeks each for paired general surgery services. My pairings were trauma and laparoscopic GI surgeries, better known as “GI-Lap.” Continue reading
“Go To Sleep, Or I Will Put You To Sleep”
My first taste of surgery, the first two weeks, was on the anesthesiology service. Anesthesia was awesome. It’s a “surgical” specialty that has magical hours: my day usually ran from 6:30 to around 5 in the afternoon. Compared to trauma, where the hours can only be described as horrible (we’ll get there), this was a cakewalk. A typical day: Continue reading
Big Pimpin’
Yesterday I told you about the move to a pass-fail system. Regrettably, the change does nothing to ameliorate the other major stressor of being on the wards – pimping.
Pimping is an old method of Socratic-teaching-gone-wrong where a senior doctor instills his or her worldly knowledge in you by asking question after question until you can no longer answer, then humiliates you by either explaining the answer like you are a toddler or by requiring you to look it up and present the topic the next day. Or hour, if life really sucks. Continue reading
Finally Finishing First Year
A week after our final physical diagnosis exam was our last “end of block assessment” of first year, which is fancy med school terminology for “final exam.” Like our other tests in first year, it was remarkable only for how long it was (fourteen-ish hours over three days) and for how absurd some of the questions were. Continue reading
Of Neuro and Mud Runs
I haven’t written in quite awhile because I was busy. Busy training for PROBABLY THE TOUGHEST EVENT ON THE PLANET, otherwise known as the Tough Mudder.
(Okay, maybe I wasn’t grinding out ten-mile runs or doing burpees at five in the morning. More realistically I was eating Doritos and watching Game of Thrones). It’s also probably not the toughest event on the planet; that distinction likely belongs to the Death Race, a 48-hour monstrosity that includes chopping up an oak tree stump with a hacksaw to reach the starting line and psychological torture like eating a bag of onions and counting out $500 in pennies while squatting in an icy pond. Continue reading
If Only The Neuro Exam Was LAST Week
…Said no one, ever.
I know last week I wrote a fairly graphic account of what it’s like to do a pelvic and butthole exam for the first time. Also, there’s no way I can ever top that on this blog, so don’t expect it. We actually finished our reproductive unit before the end of April; the practice exam itself was just rescheduled till recently. Our current unit is called Brain, Behavior and Movement, and covers head and brain anatomy, neurology, psychiatry, and the musculoskeletal system.
When we finish “BB&M,” we’ll be done with first year and start rotations. Woof. Continue reading
The Exam That Shall Not Be Named
This post is not PG. Just… yeah.
Up until this point, most of what we’ve done in medical school could have been taught as part of some unusually advanced undergraduate human biology or physiology major. Yeah, the heart and lung exams were probably out of scope, but learning about how the body works is still in the realm of possibility for someone not in medical school.
Until this week. The Exam That Shall Not Be Named. The genitourinary exam. Continue reading
A Student Sherlock
Two weeks ago, our medical school had its “Cadaver Ball” – a med school prom of sorts, traditionally held to commemorate the end of first-year anatomy. Although we now carry anatomy through the summer (ugh), the tradition of Cadaver Ball remains a spring event. Continue reading
Two Med Students Walk Into An Exam Room….
As mentioned in a previous post, our physical diagnosis class has now moved from seeing simulated patients to performing physicals on real patients. Instead of talking to standardized patients in a videotaped exam room and getting feedback from an experienced medical student, we have graduated: now, we are responsible for seeing hospitalized patients, whom we know nothing about, performing a history and physical, and presenting the findings to a Real, Important Doctor.
That’s scary, by the way. Continue reading
crashing resident 