bggrthnjsus
Member
taking my AP/CP pathology board exams in 2 weeks. kiiiinda terrifying. have a pretty good AP training from my residency but CP is an absurd topic that should be its own residency.
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Physician-Age: Calling all students and doctors
- Thread starter Adam Blade
- Start date
I don't know what you just said but I am super excited about all the dermpath I'm going to learn.
Lamel
Banned
Finally decided on my school for next year, it's good to know I will be starting in the fall!
Temple is a good school, and the med school building is amazing. Med school in philly will be awesome, congrats!
Temple is a good school, and the med school building is amazing. Med school in philly will be awesome, congrats!
Where you going man
Two weeks of finals to close out the first year of medical school
Grades don't really matter, right? Isn't it just P/F + Honours?
What decides placement is standardized testing like STEP, or am I talking out of my derriere.
Edit: Forgot some schools keep internally tracked rankings.
rhythmicswindle
Banned
I was wondering if anyone here is familiar going from the United States to Europe to study medicine. I'm currently a year away from receiving my B.S. in Biochemistry with a minor in Microbiology. I spoke with someone who is going to med school in Spain. She told me that there was a program at Autonoma de Barcelona that was in English and is somehow branched with USC or something along those lines. I've been curious since then and have been looking around to learn more, but all I've come across is a B.S. in Medicine, and what tests I would have to take after graduating to practice in the U.S. I'm not sure if I was misinformed but hopefully someone can help me out?
My school still had a GPA system with letter grades. It sucked.
Grades in themselves do not matter, how you do compared to your peers is very important
This is a terrible idea. Go to med school in the U.S. If you want to do residency here.
Lamel
Banned
I'll keep it anonymous on here, but it' a US MD school in the northeast!
Matching for residency in the USA from a foreign school is so much harder. You will have limited pickings to begin with because foreign schools are discriminated against heavily in that process. If you have the chance to go to a US med school you'd be a fool to go somewhere abroad.
Unless you're Canada, apparently. In which case, I think you stand on equal footing.
Good luck! I start path residency in July. We are on opposite ends of the journey, lol.
Patrick Bateman
Member
I just realised that neuroanatomy is hell.
I liked intestines, bones and muscles. Why has neuro got to be so hard? ;(
That there's a state exam in 2 months doesn't help, either..
I liked intestines, bones and muscles. Why has neuro got to be so hard? ;(
That there's a state exam in 2 months doesn't help, either..
IAmtheFMan
Member
Because it's awesome. That's why.
Particle Physicist
between a quark and a baryon
Yeah, I am not a neurologist or neurosurgeon, but man I loved my neuro classes. I just thought it was so cool.
Patrick Bateman
Member
I just find it very hard to comprehend.
Screw the general anatomical atlases, but get something dedicated towards neuroanatomy. Also, lots of hands-on with with the actual cadavers.
What books are you using?
Particle Physicist
between a quark and a baryon
I had an amazing professor who made his own software to help teach us. It was great. I don't think I would have been able to learn it as well as I did if it weren't for him.
Patrick Bateman
Member
Trepel.
Particle Physicist
between a quark and a baryon
Almost done with intern year. Holy fuck, it's been a huge learning experience but I have learned to cherish sleep. Damn has it been exhausting. I don't know how you guys did it before duty hours were instituted. More power to you.
andthebeatgoeson
Junior Member
Once I finished residency, I realized I wasn't always tired. It's great. And I was restricted to 80. Imagine the guys who did q2 and stayed till 8 PM post call.
My theory was that they slept during the day. I just can't get them to admit it.
Just under 6 weeks man, hope you have a vacation block before pgy2
Edit: are you going to tell us what specialty you're doing now?
andthebeatgoeson
Junior Member
Gonna be hard for him to post his specialty. He got hit with that 10am post call phone call.
'WTF happened last night?'
Do you interns even stay overnight, now?
*scust*
'WTF happened last night?'
Do you interns even stay overnight, now?
*scust*
IAmtheFMan
Member
I was still under 80 hrs, but I didn't have the overnight restrictions like there is now with the no working more than 16 hours continuous thing *I think?* I still took overnight call as an intern but we at least had a cap.
During PGY-2 it was way harder doing Q4 (one month was Q3 because of another resident's personal issues) with no cap but they still wanted us out by 30 hours post call. My worst night was 14 neuro consults with 2 stroke alerts and 3 neuroICU admissions). Even with the 30 hour restriction, that didn't change the work we had to do; we just had to compress all that shit into that time and we kept getting these mixed messages of "why isn't this done on the patient" and "why aren't you leaving the hospital yet?"
It was funny; during my fellow years the overnight restrictions for interns came into place, and our interns who had never done overnight call started their PGY-2 (which still was okay for 28 hours continuous) and were shell-shocked and completely unprepared to deal with overnight call and no cap.
I am not familiar with the overnight call system. In my program you are either working 6a-7p (8p on ICU blocks) and sign out to a night intern/team who comes in at 7p(8picu) and leaves at ~9-10a. The sign out times of course depend on things like getting your work done, tucking a patient in, etc. If you get a 6:59 admission you have to do all the work, in which case the note looks like something that came out of gomerblog
Tribes of Trusty
Member
Oh god.
In november this year, I am going to prescribe medication and treat patients in the hospital.
Oh god.
In november this year, I am going to prescribe medication and treat patients in the hospital.
Oh god.
hockeypuck
Member
Your priorities are not in the right place. In the first few days (weeks? months?) of internship you are nothing more than an overeducated secretary. You are an order monkey. And your entire job will entail around getting patients out of the hospital, ASAP.
The excellent intern will perform the following actions in this order, every morning:
1) put in orders during morning rounds, carefully listening to what the senior resident is saying and getting those orders in. Roll a COW, jot things down furiously, log into every bedside computer, just get shit done on the fly.
2) after running the list with the team, at 0800h on the dot you will starting paging every consultant and getting all the consultations running. The slowest link of any type of clinical progress involves human-to-human communication. Anything that involves talking to another medical provider, you get that done first. Page the renal fellow at 0805h, and you'll be grateful if you get recs before noon. Wait 'til 1400h to start paging consultants? You are a dumbass.
3) get all the discharges out. Sign the order, finalize the summary, print all the scripts. Outstanding interns will have had everything ready the night before, save the discharge order itself.
4) put in the rest of the orders that weren't picked up during morning rounds
5) follow up labs, imaging, micro, procedural tests, pathology results. By now AM labs should be rolling in
6) answer all the floor pages as they come in. Stack them up, and you'll regret it.
7) after all that is done, THEN work on those damn progress notes. No one actually gives a shit about your shitty notes. You copy and paste 90% of the previous day's notes anyways. You're no one important and your opinion is worthless.
Being time efficient is fundamental to your training as it will then allow you to have more time to
The poor intern will prioritize writing progress notes first, since that's what they practiced on the most during the latter half of medical school but failed to realize that those are not key to being an excellent intern.
This is accurate. No one gives a shit about your note. Your subjective will be "no overnight events, no complaints this AM"
You might adjust the general in physical exam to include if the patient was sleeping or awake when you walked in.
Your assessment/plan might change day to day, maybe even include hospital day and antibiotic day but soon you'll realize you won't even have to if you just put (5/30-) at the end of the sentence.
For each patient it takes me approximately 5-15 minutes to write the note, put in AM labs, and update the sign out.
on an average day that we round at 8 and finish at 10, I will have all of my work done by 11. The rest of the day is waiting for consultants to write a note or waiting for an admission.
Lamel
Banned
andthebeatgoeson
Junior Member
Went thru my depression during residency. Everyone, including myself, was clueless on what was bothering me.
Best way I can describe the feeling...
So you're skipping residency then? Cause brother/sister, you ain't seen nothing yet.
IAmtheFMan
Member
July 1st when you're...
A med student going into Intern year:
In the middle of your residency:
Completing your residency:
When you're an attending at a teaching hospital:
Lol I guess I'm kind of in a unique situation. I feel like I'm graduating residency because of the gap year and because intern year sucks.
Are you at a teaching hosp or private?
Congratulations, everyone. As someone whose partner is entering 4th year medical school, I admire your resilience and dedication to your field and have incredible respect for the volumes of books you must absorb literally every week. I can't imagine what you all must be feeling now that you're done with this era of your med-school education!
Totally. As someone whose partner just finished residency in her own country, and who wants to go through it all over again in the USA, I'm just like... you people are crazy, LOL. She's studying 12 hours a day and she still feels like she needs to do more.
Again? I guess you can just imagine it as one of those surgical residencies where, after you finish with gen. surgery, you do another residency for your specialization. =)
I sat in on a study session once while they were prepping for a second-year exam - not the step 1 or step 2, just one exam of many they needed to take for that one class - and they started at the beginning of what must have been a 1200+ page, information-dense textbook and they finished it the following day, 4 wall-length white boards full of tiny notes and diagrams. My boss, head of the Anatomy Lab, was sharing her story about how she got her PhD in Anatomy and neuroscience and said she considered going into med school but felt she wasn't smart enough. I was like...seriously?
I'd buy all of you a round of your favorite beverage if I could.
Basically, she completed a radiology residency in her home country of Mexico, but feels like she was not properly trained to handle being a radiologist in the States. So right now she's studying like mad for Step 1, with the goal of doing a rad residency again here in the US. It's been an intense process. I really admire her tenacity.
Being in medical school is almost like those scenes in the Matrix where they download information into their brain. Except it takes a lot longer and we have to do a shitload of work to get the information in there. But seriously, you go into a topic knowing nothing and then 2 weeks later you know "everything". It's a wild process.
Yeah. Being with someone that dedicated and focused definitely makes you rethink your own priorities and how much more you can always do because you see someone breaking through self-imposed limits every day.
And to think how much more you have to know as opposed to MDs from years before, when medical knowledge was guaranteed already dense. You have teachers who are PhDs in one specific field teaching everything they know to med students who have to learn it from multiple PhDs in their respective fields. It's madness, I say. Madness!
Patrick Bateman
Member
I always find it hilarious, especially in BC and micro when they tell you "We've found this enzyme/channel etc. 5 years ago, we don't actually know what it all does, but it must be super important thus we ask you in the exam about it!!"