Intern

First week as an intern

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!

Medical Student to Intern

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!

Life After Medical School

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.

ACGME Match Update

A couple weeks ago, I flew out to attend my fiancé’s Match Day celebration. It was kind of fancy- it took place in a nice hotel, with a brunch-like spread of mini quiches and smoked salmon on little toasts. Even as an outsider, I could sense how incredibly tense people were. Everyone started off with catching up with their classmates and meeting their families. Once things settled down, the Dean and some faculty members of the school gave a few speeches about how proud they were of the class and that in a matter of minutes- everyone in that room was going to know where they were going for residency training. Once it started getting close to the official envelope opening time, the students all gathered together with their academic groups alongside their faculty mentor. One by one, each student’s name was called and they were handed their respective envelope. They were instructed not to open it until specifically told to. After a couple minutes, everyone chanted and counted down from 10…9…8…7…

My fiancé completely destroyed his envelope trying to get it opened. The result: he matched back home, in Southern California! Although this means we’ll be doing long distance again, we’re both super grateful to have matched at our top training programs. Now I’ve got my own list of To-Do’s for the next month:

  • Find a place to live/sign a leasing contract
  • Find a mover (my program will pay for part of my move! Yay!)
  • Order my long white coat. It’s nice that they actually have a women’s fit option with an adjustable two-button back belt…Pretty sure I’m the only person excited for this.
  • Acquire dog. Yes, I am finally getting a dog. I could never justify getting one during medical school- board exams, class exams, other school obligations, rotations, interview season- I could never find the right time to get puppy and raise it. But now, I actually have the time! Moreover since my fiancé is going to be far away from where I’ll be doing my residency, not to mention my close friends and family, I think it will be nice to have some company. If everything goes according to plan, I’ll have a new pup around the second week of June!
  • Start selling things. I have so much…crap. Anatomy flashcards, embryology and biochemistry books, old class notes, shelf exam study materials, the list goes on and on. I feel like it would be a huge waste to just toss everything, and I really want to make some more room on my self, so I’m thinking of selling them to other students. If you’re an incoming M1 or a current student, please subscribe for updates as I’ll be publishing a post with a list of things I’ll be selling!

For those curious, Nova also had a Match Day celebration. Although much less formal than other schools, everyone who RSVPed was able to receive their envelopes and open them with friends and family. I heard it was a lot of fun!

Congrats to my classmates! We’re almost done!

-NB