Stepping Back Into Step

Well I must say, I like being a fourth-year so far.

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Yeah I know it’s only been a week and all, but man has it been chill. It has actually been one of the most relaxing weeks I’ve had in a while. I mean, I did have to go through my Procedures OSCE (Objective Structured Clinical Examination), my final CPX (Clinical Practice Examination), and ACLS (Advanced Cardiac Life Support) training over the course of the week, but even with those things in place, it’s been a chill week overall. I haven’t had to study for another looming Shelf exam nor have I had to prepare myself for a shift in the ED/clinic/OR/wards. I literally have been able to calm all my nerves down and relax for a little while….sort of. I may not have another Shelf exam coming up, but I do have this little thing called Step 2 CK that I’m gonna have to pounce on in less than a month. With that said, I’ve had to mix my relaxation with the initial phase of my preparation for the exam. This means that I’ve been forcing myself to complete UWorld question blocks for the past few days while reviewing material that I’ve learned all throughout the year, just like I was doing for Step 1.

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In addition to beginning my Step Study Block, I’ve been having to make time to fulfill my duties as the External Affairs Committee Co-Chair for the SNMA. There’s quite a bit of work that goes into this position and I’m still grappling on how to be as efficient and effective in this role as possible while continuing to put forth my best efforts in my studies. I’m sure that as time passes, I’ll grow even more into this new role and I’ll also figure out ways to complete the things I need to do in a more efficient manner. There’s just so much paperwork that I need to keep straight but as long as I keep my organization game A1, I should be good. Plus with a Co-Chair as good as mine, I’m confident that our committee will be strong and healthy well before our quarterly National Leadership Institute, which is where the Board of Directors of the SNMA meet. This first one will be taking place at the end of June in Minnesota. I ain’t never been to Minnesota, nor did I think I would ever have to travel there. But then again, never in a million years did I think I would ever be blogging. Yet here I am. Just ty-ping my thoughts away.

So yeah, gist of this post is that I’m liking my final year of school so far, I’m still busy even when I’m not, I’m glad to be done with the testing I had to do this week (OSCE and ACLS went fine. This CPX was definitely my best performance yet, but even with that said I definitely screwed up a few things…and it wasn’t that easy of a test. I’m pretty sure I did alright on it overall…but I’m still gonna pray on itย ๐Ÿ™๐Ÿฟ) and I’m starting to crack down on this Step 2 studying. I’m so not looking forward to four straight weeks of question blocks and review…but whatever, it’s gotta be done. Plus, I’m going to be with my girlfriend most of the time so that should already make these next few weeks better than last year’s Step Study Block!

Alright, back to studying I go. I have a couple hours to get some in before I attend Wake Forest’s annual SNMA graudation banquet tonight. Wow! I’ll be a graduate in that banquet next year! ๐Ÿ˜†๐Ÿ˜†๐Ÿ˜†

Be sure to have an awesome week!

“Never limit yourself because of others’ limited imagination; never limit others because of your own limited imagination.” – Mae Jemison

– Black Man, M.D.

P.S. – Okay this is really random, but I got a professional massage for the first time in my life a couple days ago. Maaannn have I been missing out! And I also watched Deadpool 2; it’s freakin’ hilarious. You definitely gotta check it out. But be warned, there’s a lot of gruesome action scenes. And very crude humor. Lots of it.ย ๐Ÿ˜‚

The Spirit of Ambition

Throughout my third-year, my classmates and friends had been telling me how great and wonderful the Family Medicine rotation was. After having heard all of these glorious praises on a continuous basis, I found myself itching to begin this rotation to see why everyone had loved it so much. Now that I’ve been in Family Medicine for a week, I can absolutely confirm how awesome this rotation is! The residents and attendings are incredibly kind, they get along extraordinarily well with the other members of the healthcare team (who have also been very friendly towards me), the work hours are very med student-friendly (thanks to the outpatient nature of the specialty), there is built-in study time in our schedule (LOOK AT GOD), all of the noon conferences have quality lunches, the student lectures have been interesting & informative, we’ve been able to receive faculty feedback from non-graded patient encounters, and there is unlimited free coffee in the lounge for us to drink! And those are just the things that I could think of off the top of my head!

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In addition, I’ve been able to take advantage of the opportunities I have to further improve my focused history-taking and physical exam skills as well as my assessment and plan-making abilities. I’ve received great feedback so far that has allowed me to understand what I’ve been doing really well and what I could continue to improve upon. (I apparently have the habit of filling mid-conversational silence with random words like “Great, great….awesome…” or “Okay, okay…nice…” whileย I’m talking to patients. Lol, I’ve never thought about that…) I welcome all the high-quality feedback that I can get because as you know, I’m actively working to become the best physician that I can be. I want to be beyond good at what I do; I want to be excellent at my craft. Far-reaching goals such as this have forced me to push myself harder than I would necessarily need to otherwise, and I’m, in most ways, proud of that.

However, I’ve also come to realize that because of my ambitious nature, I can be overly (and probably unnecessarily) critical of myself at times. Even though I know that I’m doing alright in the whole process of gathering data from a patient, coming up with an assessment, differential diagnosis and plan, and presenting the information to someone else in oral and written format, I just feel like I could be doing so much better. I know my skills will continue to improve with practice and time and all, but I guess I just want to already have the skillset and knowledge that the attendings around me have. I have to keep reminding myself that they were once in my shoes and that it took them a long time to get to where they’re at currently. Hell, they probably had the same thoughts that I’m having about badly wanting to better themselves and wanting to be as knowledgeable as their own attendings and upper-levels. With that said, I’m just gonna have to keep grinding and improving while making sure that I don’t criticize myself to the point where I become demoralized. I didn’t make it all the way to this point just to kick myself down…the fact that I’m a medical student continues to be an achievement in itself, and I must never forget that.

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Overall, it’s been a real chill week in the clinic and I love the positive vibes that I’ve been feeling in the air! Like, I was assigned an evening clinic shift and a Saturday morning clinic shift this past week and not only did I enjoy the time I spent with the residents, attending and patients there, but I actually found that I had stayed a little later than I needed to both times! I swear man, the people you work with can seriously make or break your experiences in any given rotation.

I have a few more things to say before I end this post but I also don’t want to spend the next hour typing when I could be studying for this notoriously difficult shelf exam (I feel like I’ve been saying that about every shelf exam I’ve ever taken) that’s coming up in less than three weeks. So in order to compromise both of my desires, I’m just going to quickly word vomit what I wanna say.

I attended a global health session where current fourth-year students talked about their experiences in various global health electives. I had gone to the session because I’m interested in taking a newly-formed immigrant health elective next year and the student who was in the trial run of the elective this year was going to speak about her experience in it. However, after listening to the experiences of the other students who went to countries such as Japan, Costa Rica, South Africa and Spain in order to complete a rotation in a specialty of their choice, I’m now more amenable to pursuing an elective in another country at some point next year! But then again, I may not. Who knows?

There was another session where the Chair of the Department of Family Medicine came to talk to us medical students on this rotation about health policy and advocacy. In our discussion, he talked about the incredible importance of being involved in legislature as healthcare providers due to the fact that there is very little representation of us in the government. He also touched on being an advocate for primary care and we discussed reasons as to why medical students may or may not choose to go into primary care. It was a thought-provoking conversation and made me more aware of the influence that we as medical students and future physicians can potentially have on decisions made in the government.

Okay, I’m pretty much done now. I’m excited to start another week of Family Medicine and to FINALLY fly over to California on Wednesday to attend AMEC!! I’ll be finishing up my remaining responsibilities as one of the National Future Leadership Project Fellows and will be assuming my position as a Co-Chair of the External Affairs Committee of the SNMA, a position that I was appointed to just last Monday! It’s LIT!!ย ๐Ÿ˜„๐Ÿ˜Ž๐Ÿ”ฅ

“To understand the heart and mind of a person, look not at what (s)he has already achieved, but at what (s)he aspires to do.” – Kahlil Gibran

– Black Man, M.D.

P.S. – I got my Surgery shelf exam score back and although it wasn’t a bad score, it wasn’t as great of a performance as I would have liked, considering the fact that I poured a TON of energy into preparing for it. Sigh. C’est la vie.