Rotation 1: Surgery

I started off third year with Surgery. It wasn't my original choice, but I convinced myself that it would be a good idea to get a hard rotation out of the way early on. I knew there wasn't a huge chance I would choose surgery as a career so it would function as way to get familiarized with the hospital and be comfortable seeing patients, charting, and just figuring out what 3rd year is like.

Ready with my clogs and pager. Please page me! (Please don't.)

I had one month of cardiothoracic surgery and one month of general surgery. I ended up liking the rotation a lot, especially general surgery. CT had some really cool surgeries, but I felt like I grasped general surgery much better. CT was especially challenging with regards to management as most of the patients are in the ICU. Although I did get to see open heart surgeries, LVAD placements (don't cut the LVAD wire! (loyal Grey's Anatomy fan reference there), lung removals, and esophagectomies (yep, pretty much get rid of the esophagus due to the cancer eroding it. I got to hold the stomach up while it got stapled). General had more "bread-and-butter" cases that I thought were more within my scope - bunch of hernia repairs and gallbladder removals; I also scrubbed in on plenty of colorectal cases which are so complicated! I got to do plenty in the OR too: suturing, being in charge of the camera during laparoscopic procedures, putting in Foleys, retracting, etc!

"Practicing."

The hours sure are long, but the days go by so quickly. The one really hard thing is carving out time to study. There just isn't enough time after you come home and eat because you have to be in bed soon after that in order to wake up at 4am! I did okay on the shelf exam, but not great, so I will be adjusting some study strategies for my next rotation.

End of rotation assessment:
I didn't expect to like surgery as much as I did. However, I found that I enjoyed reading up about patients' conditions and their management much more than being in the OR. I also think the structure of the rotation prepared me well for the rest of the year. It was definitely cool for 8 weeks, but I find myself more intrigued by the medicine than the procedure. Good effort though, Surgery!

Fam came up after my shelf and we went to Tahoe for the weekend!

USMLE Step 1

It sure has been a busy few months. Second-year finals ended in late February, which meant it was time to start studying for boards. The medical licensing exam has three parts: one you take at the end of second year, one you take in fourth year, and one you take during intern year. Step 1 is really important because you can't move on to third year and residency programs really look at the score to determine your competitiveness.

I decided the best thing for me would be to study at home. I didn't want to have any responsibilities besides studying. Plus, it would be nice to be treated like a princess for 2 months!

Words of encouragement around campus.

Studying wasn't actually too bad. I had made a schedule which broke down my days into 8am-6pm on weekdays and 8am-2pm on Saturdays, with Sundays off. I usually ended up taking the entire day on Saturday to finish up questions and whatnot, but for the most part my schedule worked and kept me in check. I had gone through all of First Aid throughout the year so that my study period could be focused on review and question banks.

The holy grail.

I also decided it would be a great time to pick up a new series to read! I read the Abhorsen books throughout my study period and I fell in love with them. It's got a perfect balance of modern-day and fantasy weaved in to what are essentially coming-of-age stories. Garth Nix is my new favorite author. (I eventually read Shade's Children as well. That wasn't my favorite, mostly because it was more science-fiction than fantasy. If you enjoy dystopian futures, then it's worth a read.)

Study break: hike

Study break: restaurant

I felt pretty good during my study period. I was doing well on questions and felt I had a good grasp on the material. I did fairly well on my practice tests. They were still a little below my ideal goal, but I figured I hadn't reached my peak yet and all would be swell come exam day. However, the test was absolutely brutal. It didn't help that I slept a grand total of 2 hours the night before. I didn't think I would be nervous but I lay wide-awake, tossing and turning. By some miracle, I had enough adrenaline pumping through me to make it through the entire 8 hours without feeling sleepy, but I did not feel I did my best. It was going to be a hard three weeks until the scores were released.

By that time, we had already had orientation and I had started my surgery rotation. The gossip is that you get paged the morning your scores are released if you failed. Of course I got paged and my heart just sank. Of course the page had nothing to do with me. I was still feeling shaky at the end of the day when I got home to check (I didn't have the guts to check while I was at the hospital). And I couldn't believe it: not only had I passed, I had scored above my goal! Such a relief.

HOORAY!