Well, I survived 8 straight days of inpatient IM. I’m not going to lie, it’s been a little rough. At my hospital, the interns are responsible for admitting patients and typing up all the notes. This can be a little overwhelming when you also have complicated patients with sh*t hitting the fan and nurses paging you about what you want to do, in which case my answer 90% of the time is “Uhh..let me verify with my senior”. Speaking of the seniors, I honestly have no idea how us interns would survive without them. They have been AMAZING. They’ll help us with notes, admit patients when we’re too busy, and generally just try to make things easier for us. In such a cut throat world like medicine I’m so glad that there are still some good people out there.
On another note, I’m still a little weirded out by being referred to as doctor. I specifically tell the nurses to call me me by my first name. I even feel weird parking in the doctor’s parking lot, or going to the doctor’s lounge to get food. I feel like such a fraud, I’m sure the medical students rotating with us know more than I do.
For the M4s out there auditioning this year- you can help the residents out a ton by seeing patients with us and writing notes. We currently have a fourth year student auditioning with us and she’ll see up to four patients and have the notes already done by the time we finish rounds and noon conference. You guys have no idea how much it helps us out, especially when we’re getting slammed with admissions. Being a team player is a BIG deal. Of course, we’ll put in a good word for you with the chief and program director when they ask for our feedback. I also try to point out some of the interested cases to the M4s so they can see something different than the standard chest pain or heart failure workup.
Anyway, today is my first day off and I don’t get another one for another 8 days, so I’m going to go enjoy myself (read: do laundry, pay bills, basically do adult things), even though all I really want to do is sleep all day. Yay, intern year!
For the past week, I’ve been in orientation with my co-interns, including those in IM and EM. It’s been pretty chill. We got training in our EMR system and got set up with our dictation device, Dragon. We also had a white coat ceremony, where we each got our shiny, new, long white coats! Yesterday we got our pagers (boo) and were taught how to use them and return a page. I’ve gotten to know a bunch of the other interns, and I can say that we’re a laid back group of people. I’m excited to work with them!
Now that it’s July, we officially start residency. Even though I’m am FM resident, we still have to do 3 months of inpatient IM, which is what I start off with. You can’t see my face but I’m super excited to be starting on inpatient medicine, no really, just…so excited…
I ended up getting the weekend off, so I don’t have my first day until Monday. This kind of worries me in that the other two interns on IM start over the weekend and I’ll have a lot of catching up to do on Monday when I get there. Since I’m FM, I haven’t had to do a real IM rotation for a while, and only did one as an M4 and just our standard core IM rotations as an M3. I feel kind of screwed, and the panic is actually fueling my desire to cram as many internal medicine topics as possible. The other two interns working with me are actually IM interns and I will be the only non-IM intern on the service. This means they’ve probably done at least 6 months more of IM and IM subspecialty related rotations compared to me. Fantastic.
Anyway, I just wanted to say good luck to all the other interns out there who are starting residency. We can do it! Also if any seniors or attendings have tips for surviving intern year, let me know!
First off, sorry about the radio silence. The last couple weeks leading up to graduation were all a blur. From trying to hang out with classmates one last time, to getting my recertification in PALS, BLS, and ACLS, to having family flying in, plus coordinating my entire move to my new residency location, a lot of things went on the backburner (like blogging). But now I’m back, with more free time than ever!
Secondly, I’m officially a physician!!!
It feels weird just typing that. I mean, I knew I was going to be a doctor after 4 years of medical school, but it’s still such a weird feeling. I haven’t even changed my email signatures yet; I can’t get myself to. They still say I’m a medical student. The other day I got asked by my insurance agent about what my official job title is, and I hesitated before saying resident physician. There’s just a lot of responsibility that’s implied with that title and I don’t feel qualified. I was a medical student a month ago! The imposter syndrome is real, and I haven’t officially started residency yet.
In other news, I finally added my account-related instagram to the side bar. I’ve been anonymous for the past 4 years, but now that school is over and I care a lot less about people knowing who I am, I figured it was officially time to show the face behind the blog. So hi, thanks for reading and following, and stay tuned for what I’m sure will be posts about me freaking out during intern year.
For those of you who are unfamiliar with the curriculum at Nova Southeastern University, we have this thing here called Interdisciplinary Generalist Curriculum where M1’s and M2’s get paired with a primary care physician and shadow them. Last year, I was paired with a pediatrician and the experience pretty much solidified my decision not to go into pediatrics. This year, I’m shadowing a Family Medicine doc. The other day was kind of awkward:
>> Dr. S and I walk into the patient room.
Dr. S : Hi there, I’m Dr. S and this is NB, a second year medical student here to observe. What brings you in today?
Patient: Well I’m starting nursing school and I need to get a TB test.
Dr. S: Okay cool. Oh….wait a second. –eyes patient’s belly– Are you pregnant???