Switch Up

I’m on the home stretch of my second rotation of third-year! Which means that I get to show “the powers that be” how much knowledge I’ve accumulated while on this rotation via my Shelf exam this Friday! How exciting is that?? Like, when else will I get the amazing opportunity to impress upon myself how much I’ve learned in Obstetrics & Gynecology? There’s no better way to do it than to take a standardized 110-question exam within a 2-hour-and-45-minute time window on a Friday afternoon! I just feel like — okay, I’ll cut the BS 😂.

Yeah, my Ob/Gyn shelf exam is this Friday and yes, I’ve been feeling the pressure of it as of late. I really want to perform as well as I know I can, especially since the exam plays a large role in my grade for the overall rotation. I learned that first-hand in my Internal Medicine clerkship where I did okay on my shelf exam but not as well as I would have liked, which ultimately impacted my overall clerkship grade that — in a way — contradicted the positive feedback I received from my evaluators. It really proved to me that shelf exams will play a determining role in my grades, no matter how well I may perform in the clinic. So with that said, I’ve been working particularly hard on studying for this upcoming exam from day one of this current clerkship. I’ve also been using the whole reframing mindset that I’ve practiced in the past, where I’ve been working on viewing this exam as a welcoming challenge to overcome as opposed to a stressful barrier on my path that is stopping me from achieving my goals. It’s gotten me this far, why stop now? And honestly, the fewer unwelcome surprises that are thrown at me on the exam, the better. They can miss me with all that. With all that in mind, I’m just going to keep working hard on reviewing my material this week and perform to the absolute best of my abilities on Friday!

I was quite studious this past weekend, only breaking away from my studies to hang out at Melissa Harris-Perry’s house for her annual homecoming celebration and to further celebrate Wake’s homecoming with other alumni & friends at a nearby venue. Before the weekend started though, I journeyed through another week full of unforgettable experiences at the hospital! I continued to work the night shifts that I told y’all about in my previous post up until Wednesday morning. During those nights, I was afforded the opportunity to deliver some more placentas, bringing my placenta count up to five! I also tagged along with interns and residents in managing patients in the Emergency Department, checking in on laboring patients, and interviewing patients coming in to the triage unit. There were also stretches of time during the shifts where things slowed down, so I was able to (thankfully) get quite a bit of studying done. Ultimately, I managed to witness and assist in the live births of 14 newborns during my time on the Labor & Delivery service! But, unfortunately, I was not able to deliver any one of them with my own hands 😔. It was an overall great experience nonetheless!

Just when I was starting to get used to the night schedule, I had to switch up my circadian rhythm yet again in order to start my experience on the Gynecology surgery service this past Thursday. In the two days that I was on that service I scrubbed into multiple procedures, those of which included a vaginal hysterectomy, an abdominal hysterectomy, a bilateral oopherectomy and ROBOTIC removal of endometriosis lesions. Yes, ROBOTIC. It really looked like the physician was playing a video game on the machine…except that the stakes were massively higher. And in case you were wondering, hysterectomy = removal of the uterus, oopherectomy = removal of the ovaries, and endometriosis = endometrial tissue found in areas outside of your uterus. The procedures were very interesting to watch and assist in. I also found myself asking a thousand questions while observing the procedures, those of which were answered by the very patient surgeons.

During one of the operations, I found myself thinking about just how much I still don’t know about the human body and medicine in general even after studying it in detail for the past two years. It both astonished me and bummed me out at the same time…but then I quickly reminded myself about how much more I actually do know compared to my college self and even my first-year med student self. I’ve learned an unbelievable amount of information in these past couple of years and it’s important I keep reminding myself that I’m more knowledgable than I perceive myself to be, because I have a strong feeling that I’ll continue to experience these skeptical thoughts about my knowledge base throughout my medical education and even during my residency years. This is why having friends outside the medical field is essential; you realize how smart you actually are when you see that they have no idea what you’re talking about lol. It also works well for them, because when they talk to you about their area of expertise, you’ll most likely look at them with utter, hopeless confusion. I say all this to say that it is of the utmost importance that I have confidence in my abilites and my growing knowledge, because without confidence I’ve already defeated myself. With confidence however, I’ll be much more likely to obtain better results, enjoy more opportunities of quality learning, and provide higher quality patient care which will in turn lead to safer patient care! If you’re a fellow health professional student reading this, please take this advice to heart and recognize that you’re more powerful than you may allow yourself to realize! If you’re reading this and are not a student in healthcare, please take this message and apply it to your life as well! Don’t unnecessarily put yourself down if you know that you’ve been working hard towards your goals!

I’m finishing this rotation up on the Female Pelvic Medicine and Reconstructive Surgery service, which I sincerely hope is just as cool as it sounds! Please feel free to wish me luck on this last week and on my shelf exam! 😁

“No one can make you feel inferior without your consent.” – Eleanor Roosevelt

– Black Man, M.D.

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