Leap Of Faith

The time has finally come.

I’ll finally be submitting my application to residency programs this week.

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People who have gone through this process always told me that the due date would sneak up on you fast. And whaddya know, it did just that. For the longest time, September 15th was a date that seemed so far out into the future. I had filed away the date in my brain a long time ago and slowly began working on my application little-by-little. Although I was aware of the approaching due date, I don’t think it really hit me that it was coming up so soon until about a week ago. Thankfully I had been working on my application all summer, so I didn’t have a freakout moment or anything once the realization hit me. But with that being said, I spent all of yesterday finalizing my application so that I could print it out, review it all one last time in PDF form, and officially submit it at some point this week. My letters of recommendation have also been trickling in, which I’m very thankful for. In regards to where I’m applying to, I’m looking at programs across the East Coast, with most of them being concentrated in the Southeast region of the U.S. I initially had over 30 programs on my list, which I’ve successfully whittled down to 18. Man I swear, I can’t wait to finally submit this application so that I won’t have to think about it anymore!

This upcoming week is also the last week of my Peds Heme/Onc AI. 😔 I must admit, I’m not ready to finish up this rotation just yet. I’ve learned A TON about cancer therapies, treating various blood disorders, how to effectively communicate with the families of cancer patients and how to write my patient notes in a more effective manner. My team has been absolutely wonderful to be around, and I’ve loved the time I’ve spent with the patients on the floor. I’ve also surprised myself on how well I’ve been able to manage my emotions during the rotation so far. There have been some really sad moments as well as some very happy moments, all of which have been memorable. We even had a taco party for one of our patients, much to the delight of both him and his mother! Along with the experiences I’ve had here, I’ve found that I am quite interested in the pathophysiology of cancer and the innovative ways that are being used to treat the various types of cancer that exist. As of right now, I can definitely see myself working in this sub-specialty in the future! However, my mind is still open to other possibilities and it will remain open as I continue to get through fourth-year and work through my various electives in residency.

In addition to caring for my patients last week, I got the opportunity to attend the Department of Pediatrics session of the Dean’s Research Symposia Series as well as another Schwartz rounds, a multidisciplinary forum focused on discussing the experiences that various healthcare providers have gone through. The research symposium was styled like a TED Talk, where pediatricians in various specialties spoke for five minutes at a time about some of the research they were doing. The topics ranged from things like obesity, food insecurity and literacy promotion to NICU clinical trials, palliative care and medical education. It was pretty interesting to see such a plethora of ideas being presented and reminded me of just how vast the field of pediatrics is.

The theme of this month’s Schwartz rounds was focused on medical error and how the healthcare professionals on the panel dealt with it in their careers. It was powerful to watch them talk about their experiences with error and learn how it has impacted the way they practice medicine as well as their own personal lives. As much as I want to believe otherwise, I know that there will come a time in my life where I’ll unfortunately make a medical error. When that time comes, I’ll be able to draw from the experiences of these professionals to help me cope with the emotions and consequences that I’ll face. Especially after having attended that session, I believe that it is incredibly important to be in an environment where you feel comfortable enough to share experiences like this with others without feeling judged. Medical professionals have to deal with this unrelenting pressure of having to be perfect, which is unrealistic because we are all human. Because of this pressure, people in healthcare are naturally afraid of admitting mistakes, which can ultimately have negative consequences for the patients. By admitting errors, working to resolve them, and making sure that they don’t happen again in the future, medical professionals will ultimately be delivering healthcare in a safer manner. It is also worth mentioning that it is much better for your mental health if you feel that you can be open and honest about your mistakes with others. I’m really glad that I was able to attend and learn from this session!

Alright, gotta go now. I hope that you start your week off on a positive note!

“How wonderful it is that nobody need wait a single moment before starting to improve the world.” – Anne Frank

– Black Man, M.D.

P.S. – That finals match in the U.S. Open between Serena Williams and Naomi Osaka was WILD. Definitely one of the craziest tennis matches I’ve ever seen. Oh, and Drake and Meek are friends again. I just figured that was worth noting lol.

Lessons In The NICU

This week flew by so fast man.

And I’m already at the halfway point of my NICU rotation.

Like, how??

kevin hart jokes GIF by Kevin Hart: What Now?

Between the long hours at the hospital each day and the great learning experiences that I’ve been fortunate enough to enjoy, I guess it’s easy to see why time has seemed to pass by so quickly. My mornings are primarily spent pre-rounding, pre-charting, rounding with Radiology, rounding on patients with my regular team, and finishing my notes. I’ve learned so much about routine care in the NICU just by paying attention to other providers during rounds and keeping up-to-date with my assigned patients. Although I had an idea of what day-to-day patient care looked like, it amazed me just how many calculations need to be done on a daily basis in order to adequately maintain the status of these infants.

After eating whatever I manage to come across for lunch, I typically spend my afternoons checking on my patients, finishing up whatever notes I have left, attending various learning sessions, and/or observing/participating in various procedures. As a matter of fact, my colleague and I actually performed a ventricular tap on an infant who was suffering from brain swelling and increased cranial pressure due to her overproduction of cerebrospinal fluid. The Nurse Practitioner supervising us walked us through the procedure, but we were literally the ones doing it. Can you believe that I actually stuck a needle into the baby’s fontanelle (“soft spot”) so that my partner could draw fluid from her brain? Wild man, just wild. Can’t lie though, it was pretty cool…..until I realized that I had to be immobile with the needle for about 15 minutes as my partner SLOWLY drew the fluid out of the baby’s head at a rate of about 1 mL a minute. We had to draw out 15 mL.

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The little kid took it like a champ though! What a soldier.

I spent part of another afternoon with a Neurologist and a group of third-year med students who were learning how to perform an effective neurological exam on a newborn at the bedside. That ended up being a really good review, and I also learned about the 5 S’s for the first time. Best believe I took notes on that. And speaking of third-years, I got the chance to orient another group of them to their Pediatrics rotation earlier on in the week. Like, I was one of the people giving them tours and tips during their rotation orientation! Talk about having things come full circle!

There were other various afternoon learning sessions that I attended during the week such as lectures on antibiotics and ventilators, interdisciplinary meetings about the next steps for our patients’ care, and my partner’s talk about abdominal wall defects. I even gave my own presentation about the development and usage of the HeRO score in a clinical setting! (The link lets you download my powerpoint, in case you were interested in the topic for whatever reason. It’s pretty interesting, but then again I’m biased. 🤷🏿‍♂️) However, the two sessions that I’ll probably take the most away from were the Medical Improv session and the Brenner Schwartz rounds. The Medical Improv session was actually a fun group activity that took the idea of improvisation and applied it to clinical settings. All the various healthcare providers in the room practiced using affirmative phrases such as “I appreciate you said that” & “yes, and” on each other in order to get an idea of how much more effective conversations can be. We also used negative statements such as “yes, but” and “no” to capture the feelings that patients can get when providers use them without thinking twice about it. We all had a good amount of laughs from the activity, and it made us more aware of the different ways that we can build rapport with patients as well as with our colleagues and other people in general.

The Brenner Schwartz rounds was a multidisciplinary forum that focused on discussing the experiences that various healthcare providers have gone through. There was a panel made up of two nurses and a Neonatologist, all of whom talked about various “best days of their lives” in their careers. It was neat to hear each of their stories and how much of an impact some of their patients have had on their lives and careers. Listening to their stories also motivated me to begin documenting my best experiences with patients so that I can look back on them whenever I’m having a tough day in the future. But then I quickly reminded myself that I have a whole blog to look back on whenever I’m having a tough day lol. But still, having a place where I have my patient encounters documented wouldn’t hurt. There are a good number of experiences that I just haven’t written about, simply because I don’t have the time to write them all out in the manner that I would like to write them out in. But even with that said, I’ve been able to touch on many of my experiences at one point or another in prior posts. Who knows, maybe I’ll end up creating a separate section on the blog dedicated to patient encounters at some point in the future…

That’s all I got for this post! Even though I don’t have to spend my time studying for a Shelf exam, I still managed to find a way to keep myself busier than I would’ve liked to be…so with that said, I’m gonna go and get some work done.

You all be sure to have a spectacular week!

“Opportunity is missed by most people because it is dressed in overalls and looks like work.” – Thomas Edison

– Black Man, M.D.