Pediatrics

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,Β 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.

My thoughts on IGC and Peds

Here at NSU, we have this thing called the Interdisciplinary Generalist Curriculum (IGC). It has a fancy name, but it’s shadowing, plain and simple. You’ll get matched with a primary care physician, a family med physician, or a pediatrician. I was pretty excited to get matched with a pediatrician since peds was on my “maybe” list in terms of specialities I’m thinking of going into.Β  You’re supposed to go to your IGC preceptor’s clinic/office once every three weeks, which totals up to 4 times a semester. You’re expected to stay at least 4 hours, but most physicians, including mine, realize that we get the point after just a couple, so they’ll usually let us out early.

In terms of what we get to do as students, it really depends on your physician. I have some friends who get to do full histories for all the patients and then report back to the doctor. Others don’t get to do anything and just follow the physician around, open doors for them, tell the nurse we need more dental referral forms in room 3, etc. I’m in the latter situation. The most involved thing I’ve done was probably when my physician (we’ll just call him Dr. Z) told me to place my stethoscope on this kid’s back and listen to both of his lungs.

Awesome, I get to do stuff!

I listened to the kid’s lungs. Dr. Z asked me if I heard a difference between the two.

Me: Uhhhhhhh…..no…

Dr. Z: Okay, well he has bronchitis in his left lung, so you should hear a distinct difference from his left lung and his right lung when he takes breaths.

Me:

tumblr_lyf7auMC7k1rn95k2o1_250

Now that my class has finished all 4 sessions of our IGC sessions, I thought it would be a good idea go over how the program has changed my perspective on the field of pediatrics, and anything else that I think is worth mentioning.

First of all, I’m crossing peds off my list. I like kids and babies but my God I cannot handle the parents. On my first day, there were these two boys that came in with their mom. The older one had ear pain in his right ear. Dr. Z checked him out and said that he can see pus and that he definitely has an ear infection. The mom then asked Dr. Z if he could take a look at her younger son too since he was complaining about a plugged up ear earlier that week. The kid (who’s about 4 years old) starts bawling and freaking out. Dr. Z is trying to reassure him that he’s only going to take a look in his ear when the mom grabs the kid by the shoulders and yells, “ARE YOU A COWARD!? DON’T BE A COWARD! LET HIM LOOK IN YOUR EAR! COWARDS DON’T GET TREATS. YOU’RE NOT GETTING A TREAT IF YOU KEEP ACTING LIKE A COWARD”.

What the heck? Don’t yell at your kid like that!

Other parents refused to get their kids vaccinated for things they should be vaccinated for because they didn’t want to “risk them becoming autistic”

CaogEdw

Kid’s don’t know what’s going on. They depend on their parents to make sure they’ll be okay. But when parents make less-than-ideal health choices, I worry about their kids. I think I would be constantly frustrated as a pediatrician.

In that sense, the IGC experience was a good way for me to get exposed to that field. It’s a little disappointing that I didn’t like it as much as I thought I would have, but at the same time, I think it’s important to figure out what you like. I guess peds isn’t for me!

-NB