Follow along as I start the next chapter in my life! Also featuring anything interesting I stumble upon that I want to share.
1) (Referring to burn lateral to her breast abscess)
- Me: What’s this other sore from?
- Patient: Oh I was barbecuing and I bent over too far.
- Me: How much do you drink a day?
- Patient: 2 40’s and maybe a shot or two. I try not to overdo it. I have kids.
-12 hour days are doable now
-I’ve been waking up at 4:30 every morning for gen sx, no biggie
-I’m dictating like a champ
-I haven’t pissed off my PD yet
-My in training exam was meh today
-I’m no longer nervous in the OR, except sometimes with the sagittal saw. How are you supposed to hold that thing, anyway?
Yeah. Also Detroit is crazy, and I think I’m going to start writing little blurbs about patients I encounter. You can’t make this shit up. Also maybe I can force myself to study Coughlin and Mann/read more journals and then summarize what I learn in my blog as like a TEACHING THING, to the 2 people that read this. Idk, just talking aloud.
Thanks for keeping your blog updated! I just finished my first year, and it's really helpful getting some insight into the whole process. Congrats on matching! May I ask what your general stats were/class standing? It seems like even the top students in the class don't end up with a match
I was just outside of top 1/3. But sometimes it’s luck of the draw, unfortunately. Usually when someone doesn’t even end up with a program after scrambling, though, they sort of deserve it.
I lucked out with not being on call this weekend (my other co-resident on service is) so I got a 3 day weekend. Good way to start residency, I think. The first day was pretty hectic. I couldn’t get my ipad to work and was trying to figure out the computer system. I got 5 consults throughout the day and we had like 10 people on our list. Plus the students were doing a workshop? idk. But I had an upper year round with me the whole day and I think a couple saw people for me as well. They really helped me out. I ended up staying until 9 o clock dictating, but the next 2 days were not nearly as bad. I don’t mind working 12 hours, but 15 hours is a bit much for me to handle lol.
So I think I’ve got rounding under control. I did pretty well on Thursday just me and one student and getting 4 consults. I’m extremely organized but even for me it’s hard to keep up with the daily “to-do list” when you have to call back attendings and put in orders, etc. Once I’m on surgery and clinic it will hopefully be a little less hectic. I’ve been a little lonely and sad this weekend and almost would rather be working, but I think I’m just getting into the swing of things.
So since match day, I finished all my requirements and had April and May off. I enjoyed my time in Philly with David and went on a cruise with my family. We had graduation May 13th so that was fun. But then everyone forgot to congratulate me for graduating once he proposed on May 22nd :P “Oh you worked your ass off for 4 years? That’s okay I guess but OMG YOU HAVE THIS SHINY RING ON YOUR FINGER AHHHHHH.” I’m just being greedy and want TWO congratulations, haha. He did it while we were on our trip to Frankfurt an Paris, which is amazingggggg. Then we moved out of our apartment, which was an absolute nightmare, and then we just hung out in his new apt until I had to move to Michigan. I also went to my best friend’s bridal shower and bachelorette party. Now I’m in Michigan, awaiting orientation to start tomorrow. I’m pretty much unpacked but still need to buy some more stuff. I’m low on cash ugh. No one tells you the months between school and residency you will be the most broke you’ve ever been. Even after taking a small relocation loan. July 11th (my first paycheck) can’t come soon enough. Also not getting paid for any orientation, which sucks ass. I can understand not to get paid for BLS/ACLS since those are courses you have to take, but the other days I’m pretty much working.
So how do I feel about being a PGY1? Scared out of my mind that I’m going to screw up, which I know I will. Many times. I just don’t want to let anyone, especially my residency director, down. I know I’m organized and willing to study on my own, so that minimizes the fuck ups I’ll have. I’m nervous about consults. I’m nervous about the first surgery I’ll do. I’m nervous about screwing up dictations. I’m nervous I won’t have enough time to work out/cook healthy dinner/skype with David/decompress every day.
Here I go.
Congrats on your match! I'm sorry to ask such an elementary question after all these about matching and residency, but I'm still in undergrad, heavily interested in podiatry. The only concern is I have a problem being around surgeries and the blood and all that. What do you recommend? Did you or anyone you know have this problem as well?
You will most likely get over it. I myself have never minded blood but I used to absolutely hate needles. Now I’ve given tons of injections and it doesn’t bother me at all. Also the first time I saw a picture in podiatry school of a nail avulsion it really grossed me out, but once you actually do the procedure yourself it’s not gross at all. I would recommend shadowing as much as you can and making sure you can eventually handle being in the OR because that’s what you would be doing every day in residency.
So where did you match?! also how many scrambled, and how many eventually didn't get residencies in your class? were the scramblers surprises, as in they were students from all across the board academically/ranking wise, or where they generally the ones who struggled during the four years. Thanks.
I don’t want to say where I matched, unless you come off anon. I believe 11 people from my school scrambled, and only 3 don’t have spots right now. I’d say half were probably in the top half. I’m just guessing. A couple were no-brainers. But there are so many reasons to scramble.
Can you or your boyfriend describe the scramble experience? No one ever really talks about it until your fourth year and you are going through it yourself or seeing classmates go through it. Thanks in advance.
It was so incredibly frightening. And stressful. Even though I got a spot, basically anything that happens to him affects my life almost as equally since we are planning for marriage in a couple of years. The night before, we both made sure we had a hard copy and a digital copy of our application/class rank/clinical evaluations/transcripts. So when he found out, he immediately went to our externship coordinator’s office, which is where most of the other scramblers went. Then he just tried to email programs his app as fast as possible, starting with a program he externed at and then Philly programs and then everywhere else. I also helped him at the same time by emailing at the same time on his behalf as well as faxing in the library to programs that were fax only (which was like 5/25 programs). Everything with the scramble is word of mouth. If fellow students have connections with a program (ex: if they externed there, have friends who are residents there) then those students can call and vouch for you. Same thing with clinicians in our clinic. I would say 8/11 of the scramblers got a spot by that Saturday (Match was Thursday). I’m not sure what is going on with the other 3 students, but I’m confident they will get something by July.
So I think he got his spot because a) a couple of clinicians called up for him and b) he did a medicine rotation at that hospital and the director of the podiatry program talked to the attending he worked with on that rotation. He didn’t even have to interview with that program.
What dodo if no match? Reapply, or consider med school abroad?
Your best option is to do a mentorship http://www.aacpm.org/contactpod/program.asp which will give you some training as a medical assistant in a podiatrist’s office. You don’t have malpractice insurance, so you really can’t do anything more than that. Idk how much you get paid, but probably not a lot since you’re not bringing revenue to the practice. Then you have to visit programs throughout the year and reapply/reinterview, broadly. I’ve heard of people reapplying to 50 programs. Most of the reapplicants did well this year, so you have a decent chance at getting a spot the 2nd time around if you do the mentorship.
So the good news is I matched at one of my top choices. The bad news is my boyfriend didn’t match and I’m stuck in Michigan by myself. But he luckily got a spot in Philly that night. It was an absolute disaster and I just couldn’t stop crying. I think I’ve finally come to terms with it, although I have no idea what went wrong. I had to drive him to Harrisburg PA on a whim that day only for him to get a call from a different program while we were in the car saying he could go to their program. Then I had to see everyone in my class the next day and I wasn’t sure what I was feeling, so it was just awkward. I think I’ve stopped crying for now. I’m a little stressed with finding an apartment (I have to drive from here to Michigan to look for apartments which won’t be fun) as well as applying for my license. It’s a LOT of paperwork. And more money I don’t have.
So I think once I feel financially stable (or more stable) and am settled in my apartment, I will feel okay. This is just really stressful. We will try to see each other once a month, I guess. I know I can be independent if I really want to, so it will be fine. And I will get really good training at my program. Since it’s only for 3 years, that’s all that matters I guess.