Almost Halfway Finished with Intern Year!

Still smiling!

I thought I was going to put out a lot more content following my last post, but that clearly didn't happen. Honestly, it hasn't been from having a lack of time since I'm currently off service and have had more free time over the past month and a half than I have had since starting residency. I think I've mostly just been experiencing writer's block, which is super weird given that I've had a lot of new experiences that really wouldn't have been too hard to write about. Oh well, I'll use this post to catch everyone up, and then I'll type a couple of new posts today to let everyone know what's currently happening in my world.

Physician Swag!

When I ended my last post, I was just about to begin my emergency medicine rotation. My first day was a complete culture shock! My first shift didn't start until 930am, so coming from the surgery world of 3am wake ups, it was super odd being able to sleep in. The work load was also much less intense. A couple of weeks prior to starting, I was informed that the service would also include internal medicine call which would begin on my first day. What this meant, is when my ER shift ended at 530pm, I would grab the night pager and head upstairs to function as an internal medicine resident until 6am. My first night was not only super busy, but a complete 180 degree turn from surgery life. We were swamped with new admissions, and notes had to include a lot of information that you typically don't see in surgery. For example, if a patient came in with something simple like a fractured hip from a fall, we didn't just workup that one problem, but we focused on what seemed like every co-morbidity the patient had. Whether it was their blood pressure or an episode of asthma that last occurred years ago, we left no issue unaddressed. That first night was a huge adjustment from my typical focus-based notes, and it was even harder considering the first half of my day was spent functioning as an ER resident, and that I had not been on an internal medicine rotation since my third year of medical school. Nevertheless, I quickly learned to adapt after receiving a few calls and texts from attending physicians the next day when I was post-call, LOL.

Relaxation before work

What I will say that I found to be the most shocking about call on a different service was actually leaving at 6am. During my surgery months, call doesn't typically end until after morning rounds, so you can imagine my disbelief at doing sign out at 530am and being out the door by 6am. Even better, during my ER month I had multiple full 24 hour days where I wasn't scheduled to work. That's right, full days where I wasn't groggy from being post-call and could actually sleep in and still have an entire day of productivity mixed with relaxation. I even had shifts that started later during the day, so a few times I ended up sleeping in, waking up to explore the city for an hour or two, and then getting ready for work. It was really nice being out in the sun each day and doing simple things like walking to the park and watching the calming river.

Post-Boards Celebratory Drink

I guess the best thing about having an emergency medicine month, was the extra time I had to study. Last week, I took the final board licensing exam required for me to obtain a full unrestricted medical license (I'm currently under a training license), so I needed all the extra study time I could get. This exam (COMLEX Level 3) differed from the other ones I had to take in order to graduate from medical school because it was a two day exam that took place over 8 hours each day, and instead of only multiple-choice answers, it included fill-in-the blank responses and questions where you had to select multiple answers. It was definitely long and stressful, but since the two days aren't required back-to-back, I was able to sit for the first portion on Monday and have a couple of days to breath before taking the second portion on Thursday. I won't receive my score until February, but I am so glad to be over the board exam hurdle! Plus, whoever it was who decided to place a Prometric testing center in the same building as a whiskey bar is a true MVP, because a drink was very much needed after making it through 16 hours of testing in one week.

On-Call Selfie

Right now, I am in the middle of an internal medicine month, and it hasn't been too bad. The hours are pretty consistent, and there are a lot of daily lectures and other learning opportunities. Oddly, this month has shown me how much I really enjoy and miss surgery, so I am itching to be back on the general surgery service next month. I'm also learning that I don't do well with free time, and I seem to be happier and more productive when my schedule is busier (I'm weird, I know!). The good news is in a little over two weeks, I will finally get my first true break of the year since I will be off New Year's week, prior to going back to general surgery, and I can't wait!!!!

That pretty much sums up the past month and a half. I know I always say I'll be coming out with more posts shortly, and then get too busy to post, but this month will be different. Not only is my five-year blogiversary approaching (stay tuned for a sweet surprise!), but my writer's block has resolved and I have a lot to say right now. Plus, I'm currently in the middle of working a 24 hour call shift, but rounds are over and my patient list is tidy, which means I actually have time to type a few future posts right now :) Stay tuned and I hope everyone has an amazing weekend!

Intern Year Update: What Month Is It Again?!?!

Random pic of things you run into while in South Philly lol

I've been super busy, making it a while since my last post, but thankfully everything is going great. I'm even happier now than when I first started intern year, and I think I'm finally starting to adjust to my new role. Last week, I finished my fourth month of general surgery, and tomorrow I will be off service for two months while I complete both an Emergency Medicine and Internal Medicine rotation. It will definitely be a change in pace as I won't have to wake up at 3 or 4am every day, and I'll have a lot more free time than what I'm used to, but I gladly welcome the change. Plus, I'll be taking my two-day final medical board licensing exam in December and it's officially residency interview season again, so the change will give me time to both travel and study.

When the surgery team runs 10-15 deep

As for surgery life, I truly can't get enough of it! Over the past few months, I've had the opportunity to scrub into some awesome cases, work with wonderful individuals, and every day I am blown away by how much I am not only learning, but actually retaining. When I first started, I could barely remember a patient's name, but now I sometimes surprise myself with how much information I am able to provide about any given patient when asked. I even got to place my first chest tube recently, and ran my first trauma. The past few months have been super fast paced, and it seemed like there was something new every day that gave me the chance to learn and constantly stay on my feet. I won't lie and say that the past few months have been all happiness and smiles, as the hours have been long and the stress levels always high, but even during the rough moments, it's hard not to smile at the fact that I am getting the chance to live my dreams right now.

Love my daughter!

Outside of working and devoting most of my time to taking care of my patients, I've also made sure to continue to make time for my personal well-being. Whether it has been flying to see my daughter during a golden weekend, or going to the movies on a post-call day, I always make a little time each week to do something that makes me happy. It's amazing how one day of normalcy can brighten up an entire week!

Things I do when I have free time

Tomorrow, I start the first day of my emergency medicine month and after my shift I will continue to stay to complete a full twenty-four hours since I am also required to take internal medicine call this month. I haven't even started yet and it's already a drastic change as I had today off (my first non post-call weekday off since starting residency in June!), and I don't begin my shift until 9:30 tomorrow morning. Usually, I've pre-rounded, rounded, and finished up a quick case by that time! Working somewhat regular hours is definitely going to be a huge adjustment for me, and I'm not looking forward to actually having to sit through traffic in the morning, but I'm excited to submerge myself into a different subset of medicine and learn something new.

That pretty much sums up my life for the past couple of months. Nothing too fancy or exciting. Just working and taking time to enjoy the rare moments when I actually get free time. Since I won't be working super crazy hours over the next couple of months, I plan on posting a bit more, so if there's anything you want me to write about, feel free to let me know. Otherwise, I hope everyone reading this has a fantastic week!

Giveaway Alert!!!!

Back in 2016, I had the pleasure of being one of the very first #scrubstylists for Maevn Uniforms (see original post and review HERE), and I am super excited to collaborate with them again as they celebrate reaching the 20K follower milestone 🎉 Even better? One of my own lucky followers is going to win a set of EON scrubs in the size and color of their choice! ⠀⠀⠀⠀⠀⠀⠀⠀⠀

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To enter, the following rules apply:

◼Make sure you're following both @maevnuniforms and @minoritydoctor on Instagram

◼Like this post on Instagram (extra brownie points if you head over to FB and give the "Aspiring Minority Doctor" page a like)

◼Tag a friend on this post on Instagram who you think might benefit from a pair of awesome free EON scrubs

◼Must reside in US only

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***Contest ends September 5, 2018 at 11:59pm EST. Winner will be selected randomly and no purchase required. Disclaimer: I received the pictured scrubs for free from Maevn Uniforms.***

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Thank you Maevn for these awesome free scrubs and for giving me the opportunity to pass along the wealth! #scrubstylist #maevnuniforms #scrublife #doctor #doctorstyle

Update: Month Two of Intern Year

Happy Thursday! I can't believe I am nearing the end of my second month of intern year! The past two months have been somewhat of a blur, but I am continuing to learn a ton, and even with all the hard work of surgery life, there are a lot of fun times too.

I started off the second month of intern year at a completely different hospital where the general surgery service is run by one intern and two senior residents. The volume is a lot smaller than the location I worked at last month, but I was definitely thankful to have had a super busy first month where I saw and was able to do a lot with help the entire day. At this location, I am the only person covering the floor while the two senior residents and attending physician spend the day in the OR. This was super scary at first, but I am a lot more skilled and able to handle whatever is thrown at me more so than I was during my first month.

A few general surgery intern essentials

The only drawback to this month has been the travel. The hours are a bit better since I can turn off my pager by 6pm and be done for the day, but it's a lot different when I'm on call. During the days I am on call, I come to my main hospital and work a full day, but then I leave around 5pm in order to go to the hospital where I worked last month and I spend the night there handling the surgery patients while taking in new admits and consults. It's just myself and a senior resident at night, so things can get a bit busy sometimes. When the interns arrive in the morning, I head back to the hospital where I am working now and have to round on all my patients, type up the notes, and then I can finally be post-call. Last month, I knew all the patients going into the evening, so I could relax and maybe take a small nap, but now I spend more time making sure I learn my patients when I am on call. Every now and then I get lucky with a couple of hours of sleep though, so I really can't complain.

Next week, I'll be starting at a busy hospital and trauma center where I will spend the next two months continuing general surgery with trauma on my call nights. Although my program has multiple hospitals, I kind of enjoy switching it up every now and then, and I'm looking forward to some new experiences. Plus, I have yet to place a chest tube, so I'm hoping I will meet my program's requirement of five within the next couple of months.

Golden weekends involve having fun and wearing sparkly dresses

As for maintaining work-life balance, I still take full advantage of being post-call and the rare days off. I haven't been on call as much this month as I was previously, but I was blessed to have a golden weekend last weekend, and I will have another this weekend. This past weekend, I enjoyed a night out clubbing where I danced and got super sweaty, hung out with some of my GA-PCOM family, was treated to an awesome meal at a great restaurant by my roommate and his girlfriend (can you believe I've lived here two months and never had a chance to really talk to the person I live with?!?!), and I even went to the movies and saw Crazy Rich Asians. It was an amazing and very much needed break, and I am so very thankful that this upcoming weekend will also be another golden weekend!

That pretty much sums up the past month. Although the change isn't drastic, I'm starting to realize that as each day passes, I am growing as a physician, and I really am enjoying the surgery life and all that comes with it. I'll make sure to keep everyone updated as I find time, but I appreciate all who continue to follow along with me on this crazy journey. As a thank you to all my wonderful readers, I'll be hosting a giveaway in my next post, so stay tuned!!!!

Work-Life Balance as a Resident Physician

Post-Call Glow

I promised my next topic would be on work-life balance in residency, so this post will be about how I am currently trying to maintain this balance during intern year with a few tips for those of you who will be in my shoes in upcoming years. Even though I'm only a month into residency, I currently live for my post-call days and the rare times I actually get a day or weekend off. It's during these times that I can actually feel (and look) like a normal human being again while getting caught up. Also, since my daughter usually spends her summers away and hasn't started to miss me yet, I've been able to have some extra fun without worrying about making the flight to see her on my days off.

I had the blessing of not only having a day off during my second week for the 4th of July, but a post-call day that Friday and a full "golden weekend" off. I was definitely excited for the chance to explore the city during the holiday, and what made it even better was having a friend from my GA-PCOM family in town to experience all the fun with. We went to a block party on the parkway, listened to some great music, and ate lots of yummy food from some of the food trucks that lined the street.

As for my Golden Weekend, I was super excited that Atlanta United was coming to town to play, and with tickets only being $29, I was definitely in attendance. Plus, my friend had never been to an ATLUTD game, so it was a good first experience. We had great seats, the stadium was outdoors with a gorgeous view of the Delaware river, we won the game, and although the Philly fans were a bit intense, they were actually pretty nice for the most part. There were even fireworks after the game (pictured above) which we were happy to see since we both had early work schedules and were too tired to stay up for the fireworks that occurred on the 4th of July. Afterwards, we got a chance to walk around the city to check out the nightlife, talk, and have a few drinks. It was much needed, and I felt so alive! The next day, I slept in (so wonderful!) and took a walk to the Spruce Street Harbor Park where I people-watched, ate more food, and enjoyed a day out in the sun.

Hanging out with my mentor

Since that weekend, my only time off has been during my post call days, so I've made sure to take full advantage of making the most of my free time. My favorite post-call day so far was when I got the chance to spend time with my mentor Dr. Velma Scantlebury while helping out with a dinner she was hosting for the Mandela Washington Fellows. This was a group of young African leaders who are only in the US for six weeks, so it was nice getting to meet them and hear their stories. Plus, I'm always up for free food and it was nice having some time out by the pool.

#ATLUTD #UniteandConquer

Right now, I am currently on day 14/19 without any time off unless I am post-call, so it has been extremely important that I maximize my free time to the fullest extent. As a resident, a lot of time is spent in the hospital taking care of everyone except yourself. It's easy to fall into the typical work-eat-sleep cycle, and not making any time for yourself can eventually lead to burn out. Keeping this in mind, I've made a list of things that have helped me stay sane so far. I'm sure this list will change as I get into heavier months, but so far, here are my general tips for post-call and free days:

#1: Try not to waste the day sleeping
This is probably the hardest thing to do on my list. After working 24-28 hours with very little or no sleep at all, the first thing anyone wants to do when they get home is hit the bed! It can be easy to sleep the day away, and before you know it, it's time to go back to work. I refuse to spend my entire time as a resident just working and sleeping, so I make an effort to sleep when I can while on call (even if just a 15-30 minute nap) and set my alarm to wake up when I'm post call. No matter what time I get off work on my post-call morning, my alarm is set to 230pm. So far I've been managing 4-5 hours of post call sleep, but I do have upcoming days where this will be less (such as when I attend morning general surgery grand rounds).

#2: Work tomorrow? Go to bed early
I love sleep, but if I slept all day on my days off, I wouldn't be able to sleep at night. Not a good thing when I'm typically waking up at 330/4am. So, as mentioned above, I make sure to wake up by 230pm on my days off, and I aim to go back to bed by 9pm. On days where I am truly sleep-deprived, I'll go to bed even earlier to ensure I get at least a full 7 hours of sleep (my optimal amount). This allows me to wake up feeling refreshed and ready for a new day.

#3: Have a To-Do list
It helps to have a plan for your days off. I try to keep a list of things I need to take care of, and I knock them out during my free time so I don't start to feel overwhelmed. Even if the list is something as simple as "watch Hulu, read a chapter, call daughter", it helps to have a plan.

#3: Indulge in some self-care
I am all for self-care and sometimes it's the little things that can make a big difference. On my very first post-call day, I went to the movies. Mostly to keep myself awake, but also because watching movies is something I enjoy doing. I even include blogging as part of my self-care, because I find it therapeutic. There's nothing wrong with treating yourself to a massage, pedicure, or even fancy take-out during your time off. I've done all of these when post-call, and it's a great morale boost.

#4: Get the "Adulting" out of the way
Bills and other responsibilities don't stop just because you're busy or tired. The best way to conquer them is to knock everything out when you have time off. I've utilized post-call days for grocery shopping, paying bills, and doing laundry. Things are usually less busy during the week and grocery store lines are a lot shorter. I even meal prepped the other day for my current string of back-to-back call days since I somehow managed to spend my cafeteria meal credit for the month. In the coming months, I'll utilize the time for doctor appointments and such, so that I can use my personal days for other things like making trips to see my little one and (hopefully) interviews.

#5: It's okay to not be productive
There will be some post-call/off days where you just don't feel like doing anything at all, and that is okay. Yesterday was one of those days for me. I was post-call with probably only a total of one hour of sleep in 27 hours, and I just wanted to be in bed all day. I still set my alarm for 230pm, but instead of being out and about, I stayed in bed, ate snacks, and watched Hulu all day. I think the only productive thing I did was wash clothes, and I was asleep by 8pm. Doing nothing was much needed, and I woke up feeling refreshed, and ready for another day on call.

That's all I have for a list right now. I will be post-call again tomorrow morning and Wednesday, and I already have some "adulting" items to take care of. The good news is I'll be off both days this weekend, and I will definitely be taking advantage of it. My motto is "work hard, play harder", so I am very much looking forward to another golden weekend that will only involve fun, self-care, and being around people that make me happy. If you're a resident or attending, I'd love to hear some additional tips, and to everyone else, I hope you have a wonderful week!