How you can make a difference as a medical student on rotations

We play a small but mighty role in the lives of our patients!

It can be pretty hard sometimes to find your place as a member of the “team” while you’re on your rotations. Speaking from experience, it’s hard to feel like I’m making much of a difference. After feeling good about the patient encounter and presenting everything to the attending (including the correct diagnosis for the patient), they come in and ask all the same questions and do all the same physical exam! Of course I understand why, but I can’t help but feel a little undermined at times. If you’re in a big hospital on a team with interns and residents then you might feel even more useless, because the students in training do all of the real work. I remember feeling lost in the shadows my time on a hospitalist team. Technically I was following my own patients and would present on them, but after rounds I was pretty out of the loop, unless I forced myself into it (and I didn’t want to be that girl). So it can be pretty frustrating. But rest assured, there are ways that you can impact your patients unlike any other person, as well as make a huge difference for your care team.

We’re eager and fresh in this new environment. We haven’t been jaded by the system and we only want to do the best by our patients. Our hearts tug when we hear bad news; we give people the benefit of the doubt; we believe it when they say they’re taking their medicine. This is such a meaningful thing that patients actually notice! There’s a difference in the way a medical student talks to them versus an attending. We show them the compassion, care, and empathy that they truly need and sometimes don’t get. There are times we can do more for them than all of the medications and tests that the residents are ordering. We have the time to sit with them and get to know them more personally. This especially goes if you don’t have to write notes after your patient encounter. More practically, there are many things you can do to be a rockstar team member: print rounding reports, gather new data on patients, do extra research on topics you or the residents may be pimped on, etc.

I’ll always remember on my OB/GYN rotation, there was a patient whose child had to be transported to another hospital while she had to stay to recover. It was so hard for her to be separated from her child. I came in during pre-rounds and was a soundboard for her to express her feelings. I told her that she was going to be a wonderful mom and that the time would soon come for her to be reunited with her child. I stopped in again later in the day, and as she was being discharged, she thanked me so much for being her rock as she waited for the go-ahead to leave the hospital. And she gave me the biggest hug. She said people just came in and out of her room all day and no one cared what she was going through. In that moment I felt like I did more for her than any of the nurses or even my attending–who really just signed her discharge papers.

So just remember that even though you might not have access to the computer record to look up patient info, or you might be the third person to take the same patient history, you really can make all the difference in a patient’s life. Our worth as medical students is unfortunately defined by how good our oral presentations and differential diagnoses are. But our worth as physicians is really in the connections we make with patients and in the rapport we build with them. That’s what makes all the difference. While learning to be good clinicians, we are also learning to be good doctors.

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The medical tag

15 questions to learn more about me and my blog

Check out my answers to the 15-Q medical tag to learn more about me and my blog! 

  • Who are you?
    I’m Ijeoma Okoye, a 23 yo first generation American, and third year medical student at the Medical College of Georgia. I like sunsets, long walks on the beach, and the occasional ratchet turn up.
  • When did you start studying medicine or premed courses?
    I began premed studies in 2011 at the University of Georgia and matriculated into med school in 2015 directly from undergrad.
  • What made you choose the medical field?
    Both my parents work in healthcare, but really it wasn’t until high school when I decided to pursue medicine. The only subjects I liked were math and science–I was your typical nerd. I only liked math because I was really good at it, but with the sciences I actually enjoyed the study. I contemplated pharmacy because of all of the chemistry but then considered my personality–how much I like talking to patients, how I wanted to be challenged, and the level of autonomy I wanted in my career–and I landed in medicine.
  • How did you come up with your blog name/username?
    My life has been a balancing act since college as a pre-med, and I don’t think it will ever stop. I think it’s something all pre-health and health professional students can relate to–this constant juggling between our identities as students, leaders, siblings, friends, regular people, etc. It just resonates. My content is also reflective of this balance and I feature people who can speak to the same.
  • How would you describe your blog?
    I’d describe my blog as the perfect blend between encouragement and entertainment for the health/pre-health professional student. I write very casually and lightheartedly but I cover things that are important to touch on in this journey into the healthcare field. I’m honest and transparent with my followers. As a minority blogger, it’s especially important to me that I put myself out there so that other minorities on the ride with me stay encouraged by seeing my journey.
  • What’s your favorite quote?
    – In life, you get out of it what you put into it
    – In all things, we are more than conquerers through Him who loved us
  • Best memory in medical school?
    My roommate and I hosted Christmas parties for our class during our first and second years of med school and they were always so much fun! Med students party way harder than I expected. Must be something about the stress….
  • What’s one course you struggled with?
    I struggled with GI a lot. Whether it was the anatomy with the blood supply or the physiology with all of the different hormones, or the drugs, it was just so hard for me to wrap my head around. I ruled that specialty out very quickly. Even while studying for STEP1, it was always my lowest section and unfortunately I don’t think I ever really conquered it. No success story this time around lol
  • What’s your favorite book?
    I’ve read very many great books, even just in my time in medical school. I think my favorite would be The Alchemist. It’s timeless.
  • What do you do in your free time?
    What free time? HA. No, I’m kidding I do try to make free time and these days when I get some time I will read, blog, exercise, clean, cook, watch a TV show/YouTube videos, call my parents, bother my roommate, call my boyfriend, look up new hairstyles, or hand out with friends if they’re also free.
  • What do you want to major or specialize in?
    I want to do primary care, and leaning towards Family Medicine right now. But I also want to own a gym and do personal training on the side.
  • Who do you look up to?
    My sister, my mother and father. I’m so blessed to not have to look far for role models.
  • How do you study (productively)?
    First step-put my phone on do not disturb and turn my notifications off on my laptop. Second step-establish my game plan for that chunk of time, always keeping it realistic. Then I just jump in. First and second year it was one lecture at a time, one slide at a time (our school does a lot of powerpoint) taking notes on paper or electronically as needed. Now that I’m in third year, it’s watching videos/taking notes, supplemental readings, and boat loads of practice questions
  • How do you stay motivated in medical school?
    I’m self motivated for the most part. But when that eventually fails, I’m motivated by those around me, so I will study with someone and feed off of their energy. If that fails or I don’t want to be around anyone, I think about my future patients and how I need to learn this stuff for them. When that fails, I pray for strength. Sometimes I feel like even that fails and at that point I just need to take a step back, breathe, maybe go for a walk, and come back to it (maybe even the next day).
  • What are your best tips for future medical students?
    First of all, don’t compare yourself to anyone else, because we are all meant to follow different paths to our end destinations. If medicine is truly the path for you, you will get there as long as you keep working hard, surround yourself with the right people, and cancel out any negativity or doubt that tries to come your way. When you get to medical school, buckle up! This is not for the weak hearted. That phrase that the hardest part of medical school is getting in is a lie! But you will learn so much about medicine and about yourself; all of your labors will not be in vain and you’ll find that it is indeed so, so rewarding.

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Hello from the other side!

Post STEP: How the day went, some test details, and how I feel now!

I’m officially on the other side! Who knew this day would ever come. I am so elated to be done with this beast that’s been riding me all summer. And before I even get on with this post, I really want to sincerely thank everyone who reached out to me through all mediums leading up to my test, and even during my test. It helped SO much to go into the exam knowing that I had so much support and so many people rooting for me!

Like I said in my last post, I had let go of all the negative energy the night before my exam, so I was feeling pretty calm as I got in bed and even when woke up the next morning. I had everything packed to the tee and just as I was saying goodnight and ready to get in bed, my mom offers to pray for me. If you’ve ever heard any African pray then you know that took an extra 15 mins away, but I wasn’t complaining! I went to bed feeling very anointed. It took me a while to fall asleep–not because of anxiety, but because my body just wasn’t used to being in bed so early. But regardless, I slept fine, and woke up well rested before my alarm went off (also thanks to my mom who thought I was oversleeping).

From there, the day went smoothly just as I had rehearsed (yes, I had practiced this day a few times in the past with various practice tests). Everyone’s messages and prayers kept me calm and there were some residents at my center taking STEP3 who gave me some encouragement too. I locked all my stuff away (including my sweater which was “too thick” to bring into the room SMH), and led me to my seat and then I was alone. I was like oh boy Ije this is it, it’s happening, this is the moment you’ve been waiting for. Then I prayed, then I started, and then I finished–literally in the blink of an eye 8 hours went by. I was in a vortex. Quite anti-climactic I must say. When it was over I was thinking so this is what all the hype is all about huh.

And I don’t say that because I slayed the test and I’m walking out like it was nothing (absolutely not!!), it’s just that it wasn’t the big scary monster everyone makes it out to be. The test itself wasn’t any different caliber of questions from the thousands I’d seen from Q-banks and NBME exams (some of them were just out there though; I think they made up some diseases that don’t exist lol). I used the same skills, knowledge, and brain power that I had been acquiring. Only difference was that this was the real thing. I couldn’t just finish and check my answers afterwards and learn from my mistakes. This was it. Period. So that obviously added a different air to everything, but I tried not to get caught up in that so it wasn’t as nerve-wracking.

The exam is 7 blocks of 40 questions, and each block had its own feel to it. Some were heavier in things I was unsure about and some went by more smoothly. I only had to use the calculator once, and it was baby math. I had prepared to go ham on some statistics questions! But again, not complaining. The pharm was straight forward, the anatomy was all over the body, and it had more embryology than I expected. There were very few, if any, first order questions–knowing the diagnosis only gets you so far. Overall I don’t know how to feel in terms of whether or not I met my goal score, especially after looking up answers to questions I remembered that stumped me (which I was warned not to do but still did anyways). What I do know is that I did my absolute best and now its out of my hands. I was locked in focus throughout the entire thing. I hated the times when I was torn between answers and changed them, because I know that’s a dangerous game for me to play. But as each block ended, I put it behind me and moved on, because that was all I could do.

So now that it’s over, I feel very accomplished. This was a big step (no pun intended) for me and I made it through! I’m proud of myself for having the discipline to sit my butt down for 15 hours a day to study, because that work ethic is what brought me through to this point. On the flip side, I feel like I’ve sort of lost myself a little. I came home from my exam and just sat down in the living room in silence because I didn’t know what else to do. And I couldn’t even remember what the pre-STEP me would have done with her free time. It was weird. But with time I’ll ease my way back into being normal again. I got a month to not think about it until our scores come back! I’m just going to enjoy the free time that I have until third year starts in 2 weeks. Good bye classroom, hello hospital!

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My Take on Black History Month

Reflections on the month past, from my perspective

black-power.jpgAt this point in my life, Black History Month isn’t about the focused history lessons and bulletin boards around school anymore. We don’t get assigned famous African Americans to do projects on or do an obligatory reading of the I Have A Dream speech. When I think back over the month, no one was really required to think about the time as special, especially those outside of the minority group with little routine exposure to black culture. For me, it feels like as I get older it’s up to me and fellow minorities to keep it relevant for those around us–rightfully so. I’m thankful to be part of organizations like SNMA that celebrate and promote black history nationally, and to be friends with so many others that used their social media platforms to do the same on a smaller scale.

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With Dr. David Satcher, former US Surgeon General and keynote speaker for the 50th anniversary celebration.

A couple of weeks ago, my medical school celebrated 50 years since its desegregation in 1967. So Black History Month had a much deeper resonance for me, as I shook the hands of Dr. Frank Rumph, a man who made it possible for me to sit where I’m sitting now. Fifty years ago, he and Dr. John Harper (who passed away in 2016) decided to accept the invitation for admission and get their medical training from MCG. I’m not sure if the weight behind that sentence really comes across. For context: MCG accepted black people because they were going to lose federal funding if they didn’t, not necessarily with wide open arms. These men knew their journey wouldn’t be easy and yet they had the courage to take that step and persevere as pepper flakes in a sea of salt. Both would later go on to work with admissions to ensure the door stayed open for more students of color.

 

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With Dr. Frank Rumph, member of the first desegregated class at MCG

I attend a predominately white med school and I’ll admit that sometimes it’s just exhausting feeling like you have to choose your battles, watching everything you say and how you react. And sometimes you feel like you’re belaboring a point when you want to br16995949_10212733505594990_332141279675699729_n.jpging up topics that are close to home. It makes you naturally turn towards those who look like you because you know that they will understand, and you don’t have to use filters when you talk to them. I couldn’t imagine being in school during a much more racially tense time and not having someone to turn to outside of one other classmate. The stress of constantly having to hold my tongue and watch my back would wear me out. Dr. Rumph and Dr. Harper stood strong, pushed through, and were successful despite the odds against them. I’m inspired to do the same.

Black History Month was a wonderful time to celebrate and pay homage to those who came before me–in medicine and just life in general. With all that’s going on in the world, I’m reminded that it’ll be a while before I feel fully accepted in this country. But being able to remember those heroic individuals who made life as I know it possible gives me hope and resilience as I continue along on my journey. I’m so grateful to God for placing trailblazers on this Earth and equipping them with the tools needed to weather their storms. The past 28 days were dedicated to them. Unfortunately most will tuck these notions away until this time next year, but I implore students to use their leverage to make sure that doesn’t happen–especially those in leadership of ethnically based organizations. Minorities are here to stay, and our issues and emotions are just as relevant and valid as the majority. 

“You can’t be hesitant about who you are.” – Viola Davis

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