Trauma Surgery: Expectations vs. Reality

When I signed up for 2 weeks of Trauma surgery in my third year, I just knew it was going to be action packed. I wanted to get out of my comfort zone and be pushed to work under pressure. I even figured doing it at my institution would be the best place because we’re the Level 1 trauma center in our area. I really imagined it being a highlight of my clinical rotations. ABCs, ex laps, chest tubes, gun shots, all of that! I was ready. So just imagine the look on my face (well, the thoughts in my mind since I’ve learned how to save face) when my classmate and I meet our resident on the first day and he says “you guys don’t go to the OR on this rotation.” All my dreams were crushed.

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We work with the resident who manages the patients on the floor. It’s our job to read up on the patients hospital course and answer the question What’s keeping them in the hospital? So I just get to read about all the crazy stuff that happens as opposed to being let in on all of the action. Basically feels like any other inpatient medicine service. We get to the hospital early to pre-round, then round with the trauma team, then follow up on what we need to do for the patients based on rounds. At this point, we (medical students) are sent home and the resident stays behind to man for floor. We don’t have access to put orders in so it’s really hard to be useful.

So am I learning stuff? Absolutely. Management of the complex injuries in patients with gun shots, stabs, falls, electrocutions, etc with different hospital teams coordinating their care is super educational. Right now, I have 5 patients that I’m following, and each of them are teaching me something different. However, it’s definitely not the experience I was hoping for. I guess it’s still a part of trauma surgery. But when you don’t plan on going into surgery, you really want to see as much surgery as you can. So that was disappointing. I did get to go to the OR once and that was for my patient who needed debridement of his foot wound (exit wound from a 14000 volt electrocution). I got a really good lesson/review about burns from my attending that day. (In case you didn’t know, there’s no such thing as 1st, 2nd, 3rd degree burns anymore–they’re changing the terminology to superficial/deep partial thickness and full thickness burns).

With my shelf exam coming up on Friday, I’m actually really not pressed to be in the OR very much anyway since I use every free moment to study, and each day is basically a half day. If I had this rotation toward the beginning of my 8 week surgery stent, I’d be pretty unenthused about it. I’ve just never heard of a surgery rotation where you don’t…go to surgery! But anyway, please keep me in your prayers for my shelf exam this week! I’ll write another post about my study resources/schedule for my preparation, but for now it’s back to work!

Thank you for reading! Enjoy your week! Subscribe on your way out if you haven’t already!

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How to be the most efficient with your study time

In third year, you lose control of your schedule and are left at the mercy of your dead fuck my life GIFattending and residents. With the early mornings and early evenings, by the time I get home, I only have a few hours to study. Especially if I go to the gym, things are even more constrained. And I’m not the type to stay awake late, I’m surely in bed by 11. So, when I sit down to study, I have to be efficient. Here are some tips to help you maximize your time.

First and most important is to make a SCHEDULE. Before you sit down to study, you should already know what you’re about to accomplish. This way you keep yourself on track and can sense if you’re getting behind. You can do this day-to-day with to do lists, but to be most successful, you want to make this schedule at least on a weekly basis. On Sunday, you can generally map out what you plan to accomplish that week. Then each day, before sitting down, review that plan and make amends based on the amount of time you have to study that night. Particularly during third year, when you already know what resources you want to get through, you can actually plan out your study schedule entirely before the rotation starts, then make changes to it as you go along (this is what I do).

phone call GIFWhen you sit down you need to minimize distractions. Turn your computer notifications off and put your phone on do not disturb. I usually keep my phone in another room or on the floor out of my sight. You can check up on messages/DMs/snaps during a break, but never mix your studies with your social life if you’re trying to be efficient. If you aren’t in an ideal location, plug your ears or listen to your favorite background noise with headphones.

Take advantage of your time during the day to decrease the amount of other random things you need to do at night when it’s study-time. Respond to emails, online shop, do busy work for school, work on the application, etc. Do these more mindless things before trying to squeeze in studying during the day–which actually requires brain power. So when it’s time to focus on studying, you won’t have so many little tasks to complete beforehand and waste time.

Lastly, you need to intentionally prioritize your studying. Seems intuitive, but if you don’t believe that your readings/questions/review/etc. are top priority in that time period, you will easily find distractions and reasons to do other things. You might find yourself cleaning something, constantly getting stuck on instagram, fiddling with another hobby of yours, or caught up on the phone with friends/family. So when you say the next 2 hours you are going to finish X, Y, and Z, you need you be firm and really mean that!

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Hope these tips help you next time you prep for a study session! Have a wonderful week, and Happy Valentines Day in advance!

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Life in the fast lane

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Me trying to catch up with life

We’re 3 weeks in to 2018 and I already feel like my life is propelling way too fast. During first and second year it was just one day at a time, one block at a time. Last semester for the most part was just one rotation at a time. But now all of that has changed! A week into January, we had to declare our specialties to our school and got advisors in our fields to help us moving forward. I proudly declared Family Medicine, which I’ll probably go into my reasons in another post. Then 2 weeks later they opened up the portal for us to plan out our entire 4th year! We have to determine when we want to do electives, away rotations, and our core rotations for the year. It’s a tad overwhelming for someone who barely even has a list of residency programs she’s interested in. I thought that would be my first step, but nope!

In the midst of all that, I submitted my application for STEP2, which cost me $1895 (should be illegal the way people make money off of us). I’m still traumatized by STEP1 and I’m already planning for the next test, which really shouldn’t be as bad from what “they” say. Meanwhile I’m only 3/8 weeks into my surgery rotation (which I have surprisingly been loving!) and I’m just trying to get through my UWorld sets and pages of Pestana’s each night!

Ish is getting REAL y’all! Everything is snowballing. Today I’m thinking about my surgery shelf exam, tomorrow I’ll be checking my email for the notification that I matched (in Jesus name). I’m excited to keep moving forward, but a piece of me kind of wants things to slow down again so I can wrap my head around it all and feel a little more control. I just feel this sense of unpreparedness, but everyone just says that everything is going to work out so not to worry. Easier said than done if we’re being honest. I’m a medical student, it’s kind of my nature to worry.

But these are problems that I’m grateful to have. Honestly, I couldn’t ask for better problems. I’m confident that in the end, everything will indeed be just fine, even if the path from A to B doesn’t look very clear at all at the moment. In the meantime, I’m still forcing myself to take things one day at a time, because I don’t have the energy to spend on stressing myself out, especially when I serve an awesome God. *kicks feet up*


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Dear young lady watching,

I want to remind you that you were set on this earth for a purpose greater than yourself. You are not here by mistake. And the dreams and goals that lie in your heart are not there by happenstance. To reach your goals it will take an enormous amount of effort, but be confident that you are equal to the task because you have a higher power in your corner that can move mountains. You can’t give up because whether you know it or not, there is a #youngladywatching you! There will be voices in your head and doubt in your heart but you cannot let those penetrate into your destiny. Failure and rejection may come, but those things don’t determine your worth. Stay kind, remain humble, and always try to leave people better than you found them.

As a woman, and even more-so as a minority woman, you are likely to find yourself discredited, belittled, muted on your journey to and through medicine, especially within male-dominated specialties. You may not look like the majority of your classmates,  professors, or preceptors, but know you are not alone! You may, like me, find yourself sitting in an operating room lounge surrounded by white male surgeons who move around like you don’t exist. The desire to pursue a highly competitive specialty may be met with skepticism. People will doubt your abilities and judge you simply by the way you look. But it’s important to know again that you are not alone. There are women going before you, and with you, reminding you that all things are possible for those who work hard and believe. I serve as an example of one, and I hope that just my presence and journey through medicine will inspire another young lady to choose medicine and stick with it.

  • 22% of academic medicine professors are women.
  • Women make up 22% of surgeons in the US.
  • African-American women make up 4% of physicians in the US.
  • African-American women make up 2-5% of surgeons in the US.

The path to medicine, though arduous, culminates into the most noble and rewarding profession. And there’s a lot of maturation that has to take place before I’m even worthy of those two little letters behind my name. I’ve grown so much in just two and a half years of medical school, and I look forward to more challenges and failures, but also more wisdom and success. The best thing is that I’ve learned to put my wellbeing first and actually enjoy this crazy ride, and I encourage you to do the same.


This post was inspired by two family medicine physicians Dr. Lauren Powell and Dr. Kristamarie Collman who recently began the #youngladywatching movement on Instagram to empower women in medicine. I’m the young lady looking up to them and I wanted to uplift those watching me. Search the hashtag to find more inspiring stories!

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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Have a wonderful week! Subscribe on your way out if you haven’t already!

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Life and Death

A week of palliative care has shown me a lot

I’ve spent a week on my palliative care rotation and boy has it been heavy. Palliative care is focused on quality of life and relief of symptoms, especially towards the end of life. I’m assigned to a nursing home, so not only am I exposed to end of life issues, but I’ve been able to learn about geriatric/elder patient care in general. I did a puzzle with a 94 year-old in occupational therapy and I saw a patient around the same age in her last days of life. It’s been quite the ride.

Earlier in the week I was part of a very delicate conversation concerning one of our patients nearing the end of life. It was a team meeting with the patient’s son and grandson. Our medical director asked questions like “how do you envision a good death for the patient?” and “what are your goals for the end of life?” They were trying to think about what the patient would want, as he could no longer speak for himself. Such a delicate time for the family.

Dealing so much with death and end of life has actually made me reflect a lot on life and how we all want to life full lives. And even at old age, after living a full life, death can still come suddenly to a family. There’s never really any way to prepare for that conversation. But it’s a reminder to live each day to the fullest and take advantage of all the ways you can make a difference in people’s lives. To pursue your passions and not put a hold on your goals for life. Because at the end, we aren’t all going to be blessed with the opportunity to plan out how we or our loved ones will leave the world.

As a future physician it’s nerve-racking to think that I’ll have to have these kind of conversations with patients and their families as soon as my first year out of school. So I’m happy to be getting the small exposure I am now so that maybe when I’m more important I’ll be able to guide a family through such a vulnerable time as this.

One more week of palliative care, then Family Medicine. Stay tuned. I’m excited for the week ahead!

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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.

I hope you enjoyed the read! Please subscribe on your way out if you haven’t!

Precious-medical student & creator of popular med student Vlog “White Coat Chronicles”

Popular YouTuber answers questions about how she maintains her social media presence while in school

Check out her YouTube Channel – White Coat Chronicles here!

Why medicine?

Growing up I knew that I wanted to be in the medical field, simply because that was what I was surrounded by in my family. My mom is Nurse, both of my sisters are Nurse Practitioners, and my brother is a Pharmacist. Initially I wanted to become a Physical Therapist. I loved sports, and I still do, so I thought Physical Therapy would allow me to combine two passions: sports + medicine. I shadowed a Physical Therapist during my junior year of high school and I realized that PT was not the path for me. I felt I could have much more of an impact through pursing a doctorate in medicine, so I made the decision to attend Augusta State University, which had a medical school (MCG) affiliated with it. Looking back, choosing Augusta State was the best decision I could have made. Immediately during my freshman year, I started shadowing in the emergency department at the teaching hospital and I just fell in love with the field. Emergency Medicine is the specialty I want to pursue.

When did you start your vlog? What inspired you to get started? 

I started my vlog during my first year of medical school, at the start of second semester. During first year, I began to watch other medical school YouTubers. I didn’t even know that was a thing until I started medical school lol. It was cool seeing them document their journey, and I felt it would be nice to be able to look back on my own journey and my experience through medical school as well. I also wanted to be able to show an authentic medical school perspective. I think a lot of people have a certain idea in their head of what “med school life” is like. Medical students are diverse, and we’re not always in our books 24/7 (although we do study A LOT). Life continues while you’re in med school, and I try to stress that in my vlog. It’s important to make time for yourself, your friends and family, and to continue to pursue your hobbies. I don’t want to look back at my 4 years of medical school as a time of stress, hardship, and isolation. Don’t get me wrong, med school is TOUGH, but it is also manageable, and there are times to wind down and have fun.

Lastly, I wanted to start this vlog for the pre meds. Admissions is no easy feat. Students get discouraged by their advisors if they don’t have certain stats, or sometimes they don’t even have an advisor to seek advice from. I try to provide the best pre med advice that I can through my channel. 

How do you find time to record and edit videos with your load as a medical student?

Most of my videos are “a day in the life” type of vlogs. Which means I literally film whatever I have going on that day. If I go to class, I film that. If I go to the gym, I film that. If I go to the coffee shop, I film that.  So I don’t do anything extra for my videos (I honestly don’t have the time lol). I try to get creative with the angles I film and the music I put in the videos, but I make sure that what I film is manageable, and it has worked thus far. If I do a sit down video, then I typically save that for an early Saturday morning. What’s most important is that I don’t allow YouTube to cut into my study time. When I’m done studying in the evening, I’ll spend a little time editing. I never carve out time during the day to edit, because school comes first. Editing is done during my down time. To make things even more simpler, I do all the video editing on my iPhone using iMovie. I film with a Canon G7x, then transfer the files to my phone. SUPER convenient. I can literally edit during a lunch break at school. When I’m done editing on my iPhone, I upload it to my MacBook to add the music.

How did you build your fan base & What advice to you have for other students trying to build their presence on social media while in school?

I believe consistency is key. I started my channel January of this year and I put out a video every single Sunday during Spring semester, with the exception of one week. If you’re consistent and you have good content, then your channel/blog/social medical account will grow. When I do sit down videos, I take the time to research the topic I will discuss to make sure I’m providing my viewers with the best information possible. Quality is very important. Before I started up my channel, I did so much research about YouTube (this was during Christmas break). Camera choices, video titles, thumbnails, how to edit, etc. For me, if I was going to put myself out there for so many people to see, then I had to come correct. So my advice is to make sure you’re consistent with whatever platform you’re using, make sure the quality is up to par (do some research on other youtubers, bloggers, instagrammers, etc), and lastly, just be yourself. I’m a very chill and laid back person and I think my viewers can see that. I’m grateful that people have gravitated to my channel.


What has medical school taught you about yourself?

Hmmm. This is a good question. Medical school has made me truly value time. With time being so limited, I make a conscious effort to only give my time and energy to things that are worth while. I’m now more appreciative of the quality time that I get to spend with family or friends.

What piece of advice would you give yourself as a first year med student? As a premed?

As a med student: Don’t compare yourself to others. Everyone has their own unique capabilities. What works for someone else may not work for you and vice versa. I’ve always felt this way, but even more now that I’m in med school…. why look at the next person’s grade? Your classmates grade or study habits should not affect you in any way. Are y’all submitting a residency application together? Taking STEP together? No. So stay in your lane and follow your own path. I see comparison a lot, and honestly it can be detrimental. We have all made it to medical school for a reason; we are all capable. Embrace your strengths and push forward.

As a pre med: Just trust the process and keep your faith. When it comes time to apply, the application process is LONG. You submit applications as early as June, and can wait to hear for an acceptance as late as April the following year (in my case). Don’t get so bogged down with the wait and the different scenarios of “what if”. I was blessed and fortunate to be accepted the first time I applied into my top choice school. The waiting process really taught me patience and my faith grew stronger during that time. God is able. 

Check out her YouTube Channel – White Coat Chronicles here!


New rotation, new location–one week down!

Update on OB, life, and embarrassing moments from the week

First week of OB has been awesome! It started out with me being in the wrong place for orientation, which is exactly the type of thing that I would do. People think I’m really smart but in reality I don’t have much common sense. Everything ended up working out though of course. Anyways, being in a rural area as the only student with my preceptor and no residents means that I get to see all the patients and scrub in/assist with all the surgeries. I work with different preceptors throughout my time here which I personally enjoy because I learn even more. And I live right across from the hospital and 2 mins from the surgery center/clinic, which is so great for my sleep, and car. And there’s free breakfast and lunch in the doctors lounge, which I have access to! So I can’t complain.

My first day was GYN clinic which was full of women young and old with all sorts of things going on. From annual physical exams to possible ectopic pregnancies to infertility, I met so many school requirements in just one day. Coincidentally, I watched my preceptor insert an IUD (intrauterine device for contraception) in clinic, and after we finished she trained me on inserting it using a model. Then the next day I was working with a different preceptor doing GYN surgery and there’s a woman also getting the same IUD (under anesthesia)! Literally my the doctor just gave me the IUD and said “OK you’re gonna put this in.” I was praising God in my head that I had just learned about it the day before so I was able to do it with confidence. I worked with the same physician the rest of the week and not only do I scrub in each time, but she lets me operate the camera when she’s doing laparoscopies and she even let me do part (a very small part, she’s not crazy) of a D&C (dilation and curettage). Anything I want to do I just ask! Thursday morning I was in L&D (labor & delivery). I was in my first C-section and all I can say is WOW. I was just blown away. I might have even forgotten to blink. It was weird though because we were talking to mom casually meanwhile I’m looking at her insides. I was thinking if only you knew what was going on on the other side of this drape… The rest of that day was OB clinic which was pretty un-stimulating for the most part bc it’s just monthly check ups and labs. The girl we were supposed to deliver from L&D decided that her cervix wasn’t going to dilate till 8pm so I missed that chance. My preceptor just had me read and present all the fetal heart tracings so I got pretty good at those, and I watched ultrasounds, which I’ll eventually have to do as an assignment. Then Fridays are apparently office OR days so I was back there again–saw stage 4 endometriosis which was pretty gross and so cool at the same time, also sad bc it was preventing the patient from getting pregnant.

I’ve been able to stay on top of my studies without losing sleep also which I’m proud of. We have assigned readings, videos, and online quizzes to do and I also try to squeeze PreTest questions in as well. As for other parts of my life, I got 2 workouts in this week–we’ll shoot for 3 this week. I haven’t explored the city much outside of going out to dinner with my roomie. I got lots of great news this week including winning this scholarship I applied for back in June! And also, my birthday is coming up on Wednesday! So over the weekend I had a brunch with some of my college and med school friends and had so much fun! My parents also took me out for breakfast so I appreciated that very much.



All in all I’m having a blast to far, and I’m excited to see what this week has in store! Being me, I’ve already racked up my share of embarrassing moments in just 4 days and I’ll tell the top 3 stories for your entertainment pleasure…

Pass the Scissors:
So I’m with my preceptor the first day in the OR and the nurse tells me to get ready to pass the surgeon the scissors–simple enough. Up until this moment I had never passed a surgeon anything so I didn’t know there was a special format. So it took me like 3 repositions and the nurse kept saying “no not like that, turn it the other way”. I just felt like an idiot! Then after the procedure my preceptor showed me the proper way to pass instruments, and she was nice about it so I didn’t mind.

I got fully scrubbed in then I touched the overhead light without the sterile cover thing and then everyone just looked at me like yeeeeeeah you’re not touching anything this time.

A way with words:
This nurse in L&D was asking me about the size of a patient (who was having her c-section that morning) and I didn’t know exactly how to describe her. She specifically wanted to know about her body size. But what I said was she’s like your size…like with her arms and stuff. And honestly she did have similar body size as the nurse in terms of arms and shoulder breadth. But I quickly realized that I basically just told that nurse that she was the same size as a lady giving birth that morning. I think I severed any possibility of a future relationship with her.

Hope you enjoyed the read! If you did, take the next step and S U B S C R I B E today!

Have a wonderful week,


Experience is the best teacher

Peds experience, my Shelf prep, and what’s next for me

6 weeks of Pediatrics blew by so fast! I learned so much and really put myself out there. Clinically, it was fantastic because I had a perfect blend of outpatient (2 weeks) and inpatient (2 weeks) experience along with nursery (1 week) and subspecialty (Heme-Onc, 1 week). Personally though, I’ve been feeling more unlike myself. Once inpatient started, I lost touch with just about everything. My days were on average from 6:30-5 and I’d be pretty pooped by the end and wanted to use the little energy I had to study for my Shelf exam*. I felt like I couldn’t even sacrifice the time to go to the gym, which is so unlike me! The gym clothes I kept in the car eventually got thrown to the back seat so I wouldn’t have to think about them lol. Eventually I hit a low point of true exhaustion, which was inevitable honestly with my level of sleep deprivation. I feel like because this was my first rotation and first Shelf exam, I just had to give it my all. And it’s in a primary care specialty (and I want to do PC) so I just wanted to shine. Even when I started newborn nursery I had so much more time on my hands, but I still spent it studying because at that point I was 2 weeks out from the Shelf and I was going to be in Miami the weekend before so I felt pressure to really grind it out to keep the study guilt away. And by the grace of God I made it through! And now I’m ready to start my OB-GYN rotation in rural Tifton, GA. I’ll get into more logistic detail of my Peds rotation at the end (and my Shelf prep!), really just for other med students who wanna know. I won’t be mad if you just scroll down to the end.

One highlight of Peds was in the nursery helping a mom breastfeed her newborn after I had spent some time with our lactation consultant. It was just really cool to translate those techniques I had learned to another mom. Another highlight was seeing a patient I took care of in outpatient my first week again in the Heme-onc clinic in my last week! It was actually the little girl I mentioned in my last post. A low point was getting pimped** on diabetes my first week on inpatient and not being able to come up with the answers. I felt so embarrassed because I remember it was something simple but I was just so nervous I couldn’t think, I could just stand there and sweat lol. I bounced back though so issok! Another notable moment that was a high and low was putting in an NG (nasogastric) tube in a kid. It was a cool “procedure” to do, but the kid was so miserable that I was pretty traumatized. I’ll probably never forget his screaming and the look from his parents like “wtf are y’all doing to my son.”

Finding balance in third year is so much different from first and second year. Whoever has the secret needs to let ya girl know because I’m still trying to figure it out! It’s so much easier when you just have 4 hours of lecture material to get through and you can control your schedule however you want. I was just a full time student. Now I feel like I have TWO full time jobs! I really love working with patients all day and not being in class; thinking about them gets me out of bed in the morning. And then I come home and everything shifts and it’s like I have to start my night job *eye rolling emoji*. But I will say that I definitely learned from my experience and will make a conscious effort this next rotation to be more balanced so I can be just as happy at home as I am at work. Actually, that in itself will be its own challenge because the house I’m going to be living in is basically from the 1800s (exaggerating, but its supposedly old and dingy). I’m just going down there with an open mind and my usual positive attitude and we’ll see how it goes. Luckily I have Verizon, so even though I’ll be in the middle of nowhere, at least I know I’ll have service! I’m excited though, to get out of my comfort zone and embrace a totally different setting than I’m used to. That’s really the reason I chose (yes I did this to myself) to go rural for a couple of my rotations.

Back to Peds though: I just wanted to break down the day-to-day and also my Shelf prep for other students with Peds in their future or wanting to compare (and also for me to refer back to later tbh). I started with outpatient, which ran just like any clinic. I worked with different preceptors each morning and afternoon, which had it’s pros and cons, both having to do with learning different styles and preferences. We saw patients ourselves and had to write the notes on each patient–again, pros and cons. It’s a great skill to learn, but you wanna also see more patients so you can learn more. Inpatient was rough with the 6:30am handoff from the night team. Afterwards you had a sliver of time to research any new admissions you picked up and go pre-round on your patients before morning report and rounds began soon after. The first week rounds took about 2-2.5 hours. The second week it was 3-3.5 hours just about everyday (comfortable shoes are a must!). We had different attendings each week, so more different styles. I probably learned the most shelf-wise from inpatient because of the exposure to so many complex patients. Newborn nursery was about the same–7am to research patients and do pre rounds. I became numb to babies crying once you un-swaddle them to do your exam. You also learn to be gentle with your language because moms don’t want to hear anything that sounds even remotely negative about their baby. Lastly, Heme-Onc clinic ran like outpatient primary care did. I saw patients on my own then with the attending. You learn a lot about chemotherapy regimens and anemias. There are sad cases and also really cool survivors stories too. One day I sat with my attending as she cried for one of her patients. It takes a special person to work with that population of kids. Overall though, it was a pretty dope experience.

I started Shelf studying on day 1 with Online Med Ed videos, which I created my own notes on, and a chunk of Pre-Test questions daily. There’s ~900 Qs to get through between PT and UWorld so I pushed myself to get through them all + my missed questions, which I was able to do. I added Q bank notes to the relevant OME sections. Once I started realizing what my weak areas were, I supplemented with those chapters in BRS. I originally wanted to read the whole BRS but for me that was just unrealistic. I’m a reader, but I need to read something multiple times, so I wouldn’t have fully benefited from reading that whole book, especially if I started in early in the rotation. You gotta know yourself. The notes I had by the end were pretty golden. I went through the Emma Holiday review twice in the week leading up to the shelf (one time was on a drive from Atl). In the end I definitely felt prepared going into the exam. A lot of questions still stumped me and threw me for a loop, which I expected from speaking to other 4th years, but I definitely did my best and really put my all into preparing, so we’ll see how it turns out!

Ok I’m done rambling now! Hopefully I figure this whole balance thing out soon so I don’t have this much time between posts. I’m still human though, still learning and growing, Experience is the best teacher..

Much love & thanks for supporting me. Next stop, Tifton!

The LORD is my rock, my fortress and my deliverer; my God is my rock, in whom I take refuge

– Psalm 18:2

*National exam students take at the end of each rotation. At our school, we have to make a certain score cut off to be eligible for an A in the rotation.
**being asked questions on the spot