A Little Sunday Inspiration :)

Overcoming the odds to become your favorite Plastic Surgeon

I originally posted this on my social media accounts, and realized afterwards that it would've made a great blog post. Re-posting it here since I realize I have a few readers that aren't on social media. Hopefully this will help inspire anyone fighting through feelings of imposter syndrome or constantly being doubted.  I'll make sure to type up a regular update post soon and I wish everyone reading this a fantastic week :)

For anyone out there working towards a dream and facing constant discouragement, here's a little inspiration: ⁣

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When I had my daughter during my sophomore year of college, they said I would probably drop out or not graduate in 4 years...Graduated with my class and on time⁣

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When my undergraduate GPA took a hit in the midst of leaving an abusive marriage, taking on a full course load and working multiple jobs, they told me I didn't have a chance of getting into medical school...Took a few years, but got the short white coat and started medical school in 2014⁣

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After I got into medical school, they told me I would never pass my board exams and go on to graduate after previously taking the MCAT four times and never achieving a high score...Passed all my boards on the first try, graduated without issues, and now I'm a fully licensed physician⁣

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When I said I wanted to publish a book, they told me the niche was too small and only a few people would buy it...Currently admiring the hundreds of copies sold and great reviews⁣

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After more than one unsuccessful residency match cycle, they told me I should give up my dreams of becoming a surgeon because it would never happen, and that my chances of matching into plastic surgery as a medical school graduate and DO were basically zero...Matched into a categorical integrated plastic surgery residency and currently on the way to becoming a Board Certified Plastic Surgeon⁣

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Now when I say I'm going to accomplish something...they stay quiet ⁣

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But anyway, the whole point of this post is to say don't let anyone discourage you from going after your goals. A lot of times a person will tell you that you can't do something based on their own personal limitations, biases, and inadequacies. When someone tells me something is impossible, that just translates as having to work harder, taking a little longer, and muting out all the naysayers to achieve it. Be your own champion, let the haters talk, and make sure you let them watch you work and overcome the odds.

Still Kicking! An Update

Still here!

I'm back! First, my extreme apologies for the huge lack of posts this year. I tell myself that no one actually reads my blog (which helps me be more open and personal with what I write about), and it doesn't actually matter if I post or not, but clearly that's not the case. My mentee passed along a "formal complaint" today that some of you have felt a bit ghosted by my lack of posts and updates, so I promised I would do a brief update.

A text from a friend today that pretty much sums up the 2021 residency season for me

For those who are wondering, I have not given up on my surgery goals. I have submitted my completed applications, and since the Electronic Residency Application Service (ERAS) officially opened to programs at 9am EST this morning, I am officially back in the residency program waiting game. Unlike prior years, I will share my experience with the entire process on my blog BUT you will have to wait until after Match Day in March 2021 to read about it. I don't want anything written to interfere with my chances, so while I plan to write frequent dated posts throughout the process, I will not actually hit the publish button on them until everything is all said and done. I will continue to post about things outside of this application season, and I am always happy to take requests if there is a topic you'd like me to address. What I can tell you regarding this season is I have only applied to surgery programs, and I continue to remain positive and hopeful that everything will work out the way it should.

Post work glow :)

As for work updates, I am still enjoying my work as an urgent care physician. If it weren't for my love of surgery and the fact that I deeply miss being in the operating room, I would be completely happy with this lifestyle. I work an average of 3-4 days a week, pretty much get to pick my schedule, the attending physician level pay is a plus, and I usually have time monthly to take a quick getaway or have a staycation for a few days. Plus, working in the urgent care setting offers a ton of variety, I still get to perform small surgical procedures in addition to suturing, and I rarely have to type up notes at home.  

 

Me and my not so little one

For those of you who care about mommy updates, my daughter continues to do well. She is currently attending school in-person, remains an Honor Roll student, and in a little less than 3 weeks, she will be turning 14 years old...Can you believe it?!?! This blog has been around for half of her life! She still remains very supportive of my surgery goals and loves to speak things into existence by telling all friends about her "surgeon mommy" :) My daughter remains the biggest reason why I continue to push forward and I hope to continue to make her as proud as she makes me.

I voted! Have you?

Despite being in a pandemic, my life hasn't changed much, so I don't have too much in the way of updates. I continue to stay pretty busy with work (COVID testing and telemedicine services have added a new layer to what I do), and I'm always keeping myself occupied with new activities. My recent hobby has been testing out new vegan recipe ideas, so I hope those of you who follow me on Instagram haven't been rolling your eyes with all of the food posts in my stories, LOL. I've also been trying to make a better effort at promoting my BOOK since a few people recently were super surprised that I wrote one, so don't be surprised if you see a few shameless plugs in each of my posts. Other than that, the most important thing I will end with is I don't care if it's via absentee ballot, mail-in, early voting (like I did last week), or in-person on Election Day, please do not forget to exercise the right that so many fought for you to have. GO VOTE!!!!

      

I Am Not Okay

I am not okay.

As a black woman, mother, and physician during the era of COVID-19, to say I am tired and overwhelmed at the moment would be an understatement. In just the past two months alone, I (and so many others like myself) have had to navigate the many emotions involved with trying to understand the loss of so many black lives. Black lives lost by being shot by police while peacefully sleeping at home (Breonna Taylor), being shot by civilians while taking a daily morning jog (Ahmaud Arbery), not being able to breathe due to asphyxiation caused by an officer compressing an individual's neck with his knee (George Floyd), and lives lost due to the many racial health disparities that continue to plague this country (the thousands of black individuals who have died as a result of COVID-19).

The only way to truly understand the loss of these lives is to acknowledge the longstanding history of systemic racism within this country, and actively work to change the system. Unfortunately, I do not see this change occurring any time soon. What I see instead, are those who refuse to acknowledge their privilege, but are okay with the status quo, as long as it does not directly affect them. Individuals who are absolutely silent about the murders of black people, but are vocal about the looting and protests. Biased preliminary autopsy reports released to protect murderers and deflect from the victim's primary cause of death. Individuals who try to justify these murders by bringing up something the victim may have down in their earlier years (we all have a past) or by saying that these deaths could have been prevented if the victims simply acted a certain way. I see myself, fearful that I would have the same demise as Sandra Bland, a few weeks ago, when I was not only followed for 15 minutes by a police officer, but then pulled over and questioned about why I was driving in a certain neighborhood (I was going to visit my parents, and doing nothing wrong...hence the lack of finding a reason to give me a ticket). I also see people who don't believe that racism exists simply because they have not experienced it in their small bubble of a world.

I think what gets to me most though is the apathy, indifference, and ignorance displayed by some of my peers/colleagues. Being completely silent about these injustices speaks volumes to me. Focusing solely on the protests and riots while ignoring the root causes behind them tells me exactly where you stand. Saying you're not racist, but being quick to say things like "all lives matter" (which if were true, we wouldn't have to remind you that black lives are included in that too), "these people" (we know who you're referring to), or referring to those who are protesting as "thugs" shows me your thinly veiled racism. And if I'm being completely honest, asking me to explain to you why people are upset, highlights your privilege and shows me your lack of motivation to do the work and find out for yourself.

During this time, I worry that things will only get worse for people of color. That if a surge of COVID-19 cases occurs in the next few weeks (yes, we're still dealing with a pandemic!), Black Lives Matter protesters will be blamed and not the many people who decided to party it up for Memorial Day weekend (and let's not forget those who protested with rifles about being quarantined and having to wear a mask). I also worry that while some are trying to prove they are allies at the moment, in a few weeks they will forget about these events and go back to life as usual.

If you're wondering what emotion I feel the most right now, it is sadness. I am sad that no matter how many degrees, accomplishments, or accolades I have, I will always be judged first by the color of my skin. Sad that I have thoughts of being thankful that I am not raising a son during this time (I would be even more heartbroken), and even sadder for my five brothers and the other men in my family who will always have it worse than I do. I am sad that I have to have these painful conversations with my daughter who will likely grow up to raise a family and experience the same fears that I have now. Sad that I have little faith in a system designed to "protect and serve" and even sadder that I felt compelled to write this post.

So if you really care to know, I am not okay, haven't been (unfortunately events like the ones mentioned above are nothing new), and probably won't be for a long time. I am exhausted from constantly hiding my sadness behind a smile, exhausted from having to be pleasant in order to make others feel more comfortable (or else I get labeled as "aggressive" or an "angry black woman"...but that is a totally different topic), exhausted from dealing with individuals who smile in my face, but make it clear in other ways that I am not wanted, and exhausted, because even through all of the current turmoil, I still have to fulfill my duties as a physician even if that means caring for and saving the lives of those who hate me.

I think I'll leave it at that, but please respect my need to vent during this time. This post was not meant to be informational, but instead it was written as a way to somewhat help me process a very small amount of my inner thoughts. It's just all a bit too much to deal with right now.

“To be a Negro in this country and to be relatively conscious is to be in a rage almost all the time. ” - James Baldwin

I wrote a book! Atypical Premed Available Now!!!!

Click the picture to buy now!

I am excited to announce that I finally wrote and published my first book!

I have teased about writing a book over the past few years, but for various reasons I never finished the process. Well, it's a new decade and a great reason to stop procrastinating, so I finally got it done.

Writing this book was certainly not easy! I not only wrote the book, but completely self published meaning I was responsible for making sure every aspect was complete from finding an editor to book cover design to even creating the ebook and finding a distributor (please don't punish me on the ebook formatting...that was the hardest part!). I have developed a new respect for all authors out there, especially ones who self publish. It was a completely new world for me, and I was definitely out of my comfort zone, but I am happy with the final result.

So what is the book about?  

Atypical Premed: A Non-Traditional student's Guide to Applying to Medical School is filled with advice, tips, and my own personal experiences to both guide and encourage students from all backgrounds who are interested in pursuing a medical career. Whether you are overcoming low GPA and/or MCAT scores, a single parent, changing careers, involved in the military, an older (or even younger) student, or involved in anything else that does not fit the typical view of an entering medical student—if you plan on applying to medical school, this book will have something for you.

In full disclosure, I will also say that the majority of my book comes from previous blog posts that have been edited to reflect my current status as a physician. This means you can still find answers to your most frequently asked questions within my blog since I have always been an advocate for affordable and/or free resources for premedical students. I am also open to feedback and suggestions so that I can create updated editions in the future to reflect the needs of current premedical students.

So surreal having a book with my name on it!

Help Atypical Premed reach #1!

Atypical Premed is available now in both paperback and Kindle ebook versions on Amazon, and can be purchased by clicking HERE. The book will also be available through major book retailers such as Barnes & Noble in the coming weeks (or you can request it directly at your local bookstore to get it faster), and I plan on putting out an audiobook version in the coming months.

For those of you who may already be medical students or physicians, my book would make a great gift for your mentees. For the premedical students, my book is an excellent starting point to helping you on the path to becoming a physician, and it was written by someone who has already went through the process (me!). I would be more than honored if you all would buy my book, take pictures of yourselves with the book, and post using the hashtag #AtypicalPremed. I not only want to hear your stories, but I want my book to reach those who may need it the most. I would also love it if those who buy the book would leave me a 5 star review on Amazon so that others may find it too (note: Amazon gives more weight to verified purchases when leaving reviews).

Win a free signed copy of Atypical Premed!

Giveaway Alert!

If you're tight on money, I have great news! I am offering the ebook version of Atypical Premed free for the next 24hours, and will have a few more free promotion days over the next couple of months. The ebook is also free indefinitely for Kindle Unlimited subscribers. As for the paperback version, I am giving away signed copies of my book to five lucky readers. All you have to do is the following:

- Follow me on Instagram
- "Like" the post on Instagram with the above picture of me holding the book
- Tag two friends in the Instagram post with this picture
- Extra points if you comment under this blog post and tell me what makes you an "Atypical Premed"

*Giveaway ends Monday, January 20, 2020 at 12am EST
*Multiple entries allowed with additional tagged friends
*Winner will be randomly selected and announced in both my Instagram comments and story section in addition to receiving a DM

Thank you so much for inspiring me to reach another goal, and I hope you all enjoy my book!

Featured on CBS46 News Atlanta

My first television appearance!

Happy New Year!!!! Last week I was given the opportunity to discuss the recent flu spike and its impact in Georgia on CBS46 News. 

I honestly had no idea I would be doing a news segment when I went to work that morning, and only had a few minutes to prepare for filming which took place in between seeing patients, but I'm always more than happy to educate my community. 

It was definitely a fun experience, and I look forward to doing more in the future. I am including it on the blog so that I have a fun memory to look back on. Plus, who knows? I may even get a chance to become a featured medical correspondent on national news one day ;) 

Click here to watch the full segment and let me know what you think: https://www.cbs46.com/news/flu-cases-on-the-rise-across-georgia/article_0d930d26-31a0-11ea-b505-cf0bcac45363.html

Life as an Urgent Care Physician

Managing more than just colds and coughs!

Since I've started practicing, a lot of you have reached out to me wondering what it's like working as an urgent care physician, and what a typical day entails. This post will hopefully give you a glimpse into my current role and answer a lot of your commonly asked questions.

How would you describe urgent care?

The best way to describe urgent care would be something along the lines of "Emergency Medicine meets Family Medicine (with a sprinkle of Surgery)." I manage patients from 3 months old to 100+ years old, and I get to do a little bit of everything. Whether I'm treating an asthma exacerbation, performing vaginal exams, managing fractures, suturing lacerations, doing incision and drainage procedures, or treating something as simple as a UTI (just to name a few), urgent care pretty much does it all. We don't treat super complex things like heart attacks or other life-threatening issues, but oftentimes these patients will come to the urgent care instead of going to the emergency room, and it is my job to stabilize them until EMS transport arrives to take them to the emergency room. We perform x-rays, EKGs, place splints and boots, and can even provide IV hydration if needed. We then refer to specialists for ongoing management if a patient requires continued care. Urgent care offers a great deal of variety and I think it's a really great way to keep clinical skills current while avoiding burn out.

What are the hours like?

Urgent care offers a very flexible lifestyle and the hours are pretty nice. The practice where I currently work has two locations, one that is open 9am - 1030pm seven days a week and the other that is typically open 9am - 8pm (with slightly earlier closing times on Fridays and on the weekend). At the location with longer hours, shifts are 9am - 4pm and 4pm - close. The other location usually just has one shift that lasts the entire day until closing time. I usually work until about an hour or so after closing time since we have a rule that as long as a patient walks in the door before the official closing time, they will be seen. Usually someone will walk in around 10:28pm with something more complex to deal with, which means I'm working until at least midnight or whenever that patient is fully managed. Despite this, the hours are still insanely better than any day in residency since I never worked less than a 12 hour shift on any given day during my training. 

What is the patient load?

I typically see an average of 20 patients per shift, but this number can vary by more or less depending on the day. It is a job that requires quick thinking and efficient management, but I have never felt super overwhelmed. Sometimes a ton of patients will all come into the waiting room at once, and other times it is a more steady flow of about 3 patients per hour.

Is there help?

When I work, I am the only physician on staff, so I am responsible for seeing and managing all the patients. There is a front desk person that checks everyone in, a medical assistant who does triage and any procedures I may need done (such as x-rays, injections, strep tests, giving IVs, etc.), and at the busier location, I also have a scribe who follows me into the room and types up the majority of my notes so that I can focus on patient care. During my training, I often split my work with at least one other individual and I usually had more senior residents and attending physicians to step in if I needed help. Urgent care differs in that I do not have anyone to split the load with, but I never truly feel alone as I can always call up one of the other physicians in the group for advice, to provide a second set of eyes on an x-ray image, or to even come in if I feel swamped and need help (thankfully I have not had to do this yet *knocks on wood*). Our medical malpractice insurance company also provides helpful resources such as UptoDate for free, so I always have access to the most current medical information and treatment guidelines for my patients.

How is your work-life balance?

My work-life balance now is spectacular compared to how it was during my training. Before I worked no less than twelve hour shifts per day at least six days a week with every third day consisting of a full 24 (which almost always turned into a twenty-eight) hour shift. Right now, I work an average of three days a week with shifts that range from seven hours to eleven hours. The most hours I have worked in one day since starting urgent care was 14.5 and that is only because I picked up another physician's shift and worked a double. I work less than half of what I did during my training, am more than fairly and doubly compensated, and I have time to explore my passions and do some of the things I love outside of medicine. Even better, we are asked for our desired work schedules in advance of each month's schedule being made, so I am able to plan trips and spend more time with my daughter. The work-life balance is without a doubt one of the best things I've got going for me right now, and it will surely be missed if I end up going back to residency.

What new insights have you gained from working at an urgent care?

Believe it or not, I have learned a lot working in urgent care and not all of it is medical. The main thing I have learned is the power of collaborative relationships. I don't think I truly appreciated the power of collaboration during my training (probably due to fatigue and the type of environment I was in), but now it is more evident than ever and a daily necessity. Whether I'm speaking to a radiologist about a patient I sent for an outpatient CT scan, getting advice from a specialist, or working with my staff to make sure a patient is fully taken care of, I am so appreciative of the collaboration that urgent care involves. It has also enhanced my teaching skills as I am frequently educating patients on things like why I will not prescribe antibiotics for their colds or the importance of seeing their primary care physicians for follow up care. Medicine truly is a team sport, and it sometimes takes many individuals working together to ensure a patient gets the most appropriate care. Additionally, working at an urgent care has strengthened my critical thinking and self-directed learning skills, and the beauty of having work-life balance has taught me a lot about self-worth and recognizing the signs of burn out. Lastly, I've gained more insight into my self as an individual. Whether it's been learning to trust my own inner knowledge base or recognizing my limits as a physician, I continue to work on myself daily and being in the urgent care setting has truly allowed me to continue to learn and grow as a physician.

I hope this sums it up and answers most of your questions, but if not, feel free to ask away in the comments below!

The Training Wheels are Off and the Doctor is In: An Update

My glow is back!

So many changes have occurred since my last full post! Over the past three months alone, my life has made a complete 180 degree turn, and I couldn't be happier at the moment. It was only six months ago when I found out yet again that I didn't match into a categorical general surgery spot, and it was so stressful worrying about how I would be able to pay bills, take care of my child, and still continue to live my dream of being a physician. I never could have imagined how smoothly everything would come together for me, and I can't help but feel anything other than blessed and thankful. I've finally settled down enough to write about my recent experiences, so this post will serve as a quick recap for your viewing pleasure :)

Goodbye Philly!

A few days after I officially finished my intern year, I packed up my belongings, sold what wouldn't fit in my car, and I made the long drive back from Pennsylvania to Georgia. During that time, I had no real plan on what I would do for work as I didn't have any jobs lined up, and I was still waiting to hear back from a couple of residency programs I interviewed at for open PGY-2 positions. I only knew I wanted to be back in the south and that I would figure out everything later. During the last week in June, I took the time to relax, hang out with a few friends I made while living there, and enjoy some sight seeing in Philadelphia one last time before I was gone for good!

Badge Official!

During my final week in Philadelphia, I submitted the application to obtain an unrestricted medical license in the state of Georgia (I had to wait until my final day of training to officially have a complete application), and I received the approval email around three weeks later. This approval meant I could finally start working as a general practitioner, and I immediately applied for various jobs in my area. I also spoke with an old classmate who connected me with an awesome urgent care physician who told me his clinic was looking for a new physician. Just a few days after this conversation, I had a chance to check out the clinic and interview with the owner. I started training the following week working alongside other physicians as I couldn't fully work on my own until my DEA license was approved. Luckily the approval took less than two weeks, and my training was paid, so it was a super smooth transition. By the first week of September, I was working full shifts as the only physician on staff, and as we near the end of the month, I am starting to feel a lot more comfortable with my new role. I guess you can say the training wheels are officially off since, for the time being, I am no longer a resident physician, but a fresh urgent care physician.

Mommy-Daughter Time!

This new position is such a welcome change from the stress of residency life. I am no longer working insane hours, I have great work-life balance with much more free time, and I actually get to spend time with my daughter. I agreed to let her continue to stay with my parents another year to enjoy band, her friends, and her dwindling time in middle school, but being only six hours away from her by car (and one hour by plane) is way better than the two flights or twenty hour drive it took from the northeast. We pretty much get to see each other in person now whenever we want, and it's kinda fun making random trips in the middle of the week to help with homework or just relax with my little one.

Third time's a charm?

This new chapter in life doesn't mean my long-term goals have changed just yet. I am still one stubborn individual, and I submitted my ERAS application for yet another go-round of the residency match cycle. Having to re-apply sucks, but the bright side is I didn't have to struggle to pay for my applications this cycle, and no matter the outcome, I know I will have a job this time next year. In the past, I've been pretty quiet about the process, but this time around I will share more about it on the blog to help out my medical student readers. I'll also write a post detailing urgent care life since people close to me have asked a lot of questions about it. As for now, I'm going to use the next few days I have off to relax, and I hope everyone reading this has an amazing weekend!

Intern Year: Chapter Closed

Graduation selfie :)

Yes, I realize this post is well over a month late, but I've been so busy lately that I actually forgot I never posted about this accomplishment until my graduation certificate came in the mail the other day. But as of June 24,2019, this girl has officially graduated and is no longer an intern!

I'm pretty sure graduation was my first time getting cute since starting LOL

It was weird being in another graduation so soon after my medical school graduation which took place a little over a year ago, but since my internship was a one year standalone program, I was technically graduating. I debated going, but realized it would probably be the last time I would see a lot of people I spent the past year with, and I wasn't going to turn down the opportunity to get a little cute and enjoy some free food and drinks LOL. Plus, it was a graduation for all of the residency and fellowship programs at my institution, so I wanted to cheer for some of the senior residents I worked with over the year. 

Happy to have served a one of the Chief Interns :)

It was a very intimate ceremony with the program directors taking the time to talk about each of the graduating residents and tell where they would be heading for fellowship or to start practicing independently. The interns were called up last, and it was nice hearing my name being called and walking across a stage again. Plus, I was given a large plaque to commemorate my role over the past year as one of the Chief Interns :) It was a really nice evening and a pleasant end to a long year.

"Last Day of Intern year" Selfie

Unfortunately, graduation did not mean that intern year was officially over, because I still had a full week of work ahead of me with call. It's funny because I started the very first day of intern year on a Sunday working a 24 hour call shift, and I ended my intern year by starting on a Sunday morning and working a 24 hour shift until Monday morning. I was even more amused that I would be the one acquainting the new incoming interns bright and early as they rolled in Monday morning. They looked super scared as I walked out the door at 6am and said goodbye to the program forever, and I couldn't help but smile at the fact that I was probably just as scared when I first started, but somehow managed to make it through and truly grow as a physician. It's amazing how much one year can change a person.

My official internship completion certificate

I should and probably will write a post about lessons learned from intern year, but right now I am just enjoying the close of another great chapter. Plus, I still need more time to gather my thoughts about the past year so I can write about it in a way that doesn't scare off anyone. I'm also in a transitioning phase right now that has kept me pretty busy, albeit in a good way, but I'll make sure to get back on here soon with ALL the updates. I'm sure everyone is wondering where I am right now, what I'm doing, and what's next for me, but you'll just have to stay tuned. I promise to share more. Just not today :)

Recap of SBAS 2019: NYC

During the last weekend in April, I had the pleasure of traveling to New York City and attending the 29th annual meeting of the Society of Black Academic Surgeons (SBAS) hosted by the Weill Cornell Medicine Department of Surgery and New York-Presbyterian Hospital. It was an amazing experience!!!! This meeting not only gave me the opportunity to network with phenomenal black leaders in surgery, but it refreshed my spirit and truly confirmed my love for surgery.

Road trip with my mentor!

I was blessed to have the opportunity to travel to the conference with my wonderful mentor, Dr. Scantlebury. She had been urging me to attend the conference since last year when it was held in Birmingham, Alabama, and I was thankful that the conference was again being held at a location that wasn’t too far from me.

SBAS Women in Surgery

This was my first time attending an SBAS meeting, and I couldn’t wait to soak up all it had to offer. We arrived in New York just in time to attend the first session which was a two-hour financial wellness summit that included a ton of relevant and useful information. Following this, was a women in surgery reception and opening welcome reception where I got the chance to interact with so many awesome individuals. Before this point, I had never shared a room with so many people who not only looked like me, but who all shared the same love and passion as I do for surgery. It was truly both beautiful and inspiring.

#BlackExcellence

In true surgical fashion, the next day started bright and early. Breakfast was served at 530am and we were all on the bus at 630am to head over to Weill Cornell where a full academic agenda was planned. The morning spent there was full of great talks and research presentations. I enjoyed every presentation ranging from laparoscopic donor hepatectomies to the use of GoPro in the operating room as a way to evaluate and improve performance with video-based feedback. I also got to be a part of a group picture with everyone in attendance (above). Seeing this inspires me every time I see it! We then headed back to the hotel for an afternoon lunch lecture and more great scientific sessions.

An Evening of fun at the Pratt House!

Later that evening, we all headed to The Harold Pratt House for an evening of great food, music, and dancing. The featured musical guests were the George Gee Swing Orchestra and Lindy Hoppers and they made for a great atmosphere. It was also awesome being able to socialize and make new friends. I even ran into one of my surgery attendings who didn’t recognize me at first outside of my normal everyday scrubs look, and even better was the amazing food! I ate a little bit of everything that night ranging from custom-made tacos to trying knish for the first time.

The next and final day was my favorite of the meeting. During a mentorship lunch, I had the opportunity to sit with leaders in surgery and have an open discussion on various topics. I felt completely comfortable asking questions and it was great feeling supported. Following the lunch, a Resident and Medical Student breakout session was held that discussed everything from ascending in leadership to negotiating contracts. One thing that stuck out to me the most from both this session and a previous session was the fact that there has yet to be an African-American female to serve as a department chair in surgery. Now I’m not saying this is what I’m striving for, but it definitely wouldn’t hurt to try ;) It was also really fun engaging with the medical students and answering their questions while giving tips for success in their upcoming surgery rotations. It wasn’t too long ago that I was in their position, so it was cool being able to help ease some of their anxiety.

So many great moments!

The final event of the 2019 SBAS meeting was a black tie dinner that still has me smiling. The speakers were Dr. Mae Jemison and Dr. Louis Sullivan. For those of you who don’t know, Dr. Jemison is a physician, engineer, NASA astronaut, and the FIRST woman of color to travel in space. Dr. Louis Sullivan is the Founding Dean of Morehouse School of Medicine AND former Secretary of the US Department of Health and Human Services under the George H.W. Bush administration. There literally are no words to describe how phenomenal both of these individuals are or the impact that they have made on history. Their speeches were extremely engaging, inspiring, and probably some of the best that I’ve ever had the pleasure of hearing (and I mean that, without exaggeration). Hearing them speak was a prominent ending to a great conference.

Following the dinner, was an evening of dancing that allowed for even more fellowship and gave everyone the opportunity to cut loose one last time. You haven’t lived until you’ve swag surfed with a room full of department chairs, program directors, attendings, residents, and medical students who all share a love for surgery, and I’m happy that someone was able to catch this moment of fun (as shown below).

View this post on Instagram

#aboutlastnight #SBAS2019 NYC Dope's DJ Cosi and Marc Smooth providing the entertainment for the Society of Black Academic Surgeons. What and incredible night. These Surgeons and their guests know how to party.

A post shared by NYC Dope! Dance Party (@nycdopeparty) on Apr 28, 2019 at 10:17am PDT

This was my first time attending a SBAS meeting, and it definitely won’t be my last. I was engaged intellectually, formed lasting bonds, and it was the first time since starting intern year where I felt supported, inspired, and hopeful of my professional aspirations. It was much needed, and I will forever be thankful for the experience and all it blessed me with. If you’re a medical student interested in surgery or surgery resident, then I highly recommend attending one of the annual meetings, so you can experience the same joy I did. Below, you’ll find a video highlighting past SBAS meetings with the NYC highlights occuring at the 1:45 mark. Hopefully I’ll be able to attend next year’s meeting at the Medical College of Wisconsin, and if so, I hope to meet some of you there!

The Magic of SBAS- Black Surgeons Defining Excellence from Dr. Hassan A. Tetteh on Vimeo.

Match Week 2019: Part Two

So incredibly blessed to have this amazing woman in my life!

Now that I've explained the SOAP process and gotten all the negativity out the way in Part One , I will use this post to focus on the good that came out of Match Week :)

If you've been following me for a while, then you already know that my biggest inspiration and mentor in surgery is Dr. Velma Scantlebury, the first black female transplant surgeon in the United States. I am extremely blessed to have her as a friend, and last week she showed me the importance of having people in your corner who not only support, but encourage and uplift you.

Despite how open I appear on this blog, I'm actually pretty reserved emotionally and tend to not reach out to anyone when I'm upset or going through things. I've also been told that it's pretty hard for people to read me especially when I always appear to be happy and smiling. Last week was no different, as I continued to carry a smile, and didn't let people know that I was going through the SOAP process unless they specifically reached out and asked. Dr. Scantlebury was one of the very few people I reached out to regarding my lack of matching, and I was happy I did.

Not only did she offer words of encouragement from the very start, but while she was in town for a speaking engagement on Thursday of match week, she took time out of her very busy schedule , waited for me to get off work, and came to see me. She treated me to an awesome dinner (complete with an unexpected live band), and we prayed together, discussed strategies for continuing in surgery, and she was honest and straight up with me about the tough road ahead. It was comforting to talk with someone who had gone through the process (you can read more about her story in her new BOOK, which I will do a separate post on at a later time), and it was nice not being alone to deal with my sadness that evening. I left with a true smile and was even more inspired to accomplish my goals.

Best daughter ever!!!!

The absolute best part of last week was getting to see my daughter! I hadn't had a full two-day weekend off since I took my vacation week at the end of January, and I was missing her and my other loved ones. I had a late flight booked for Friday evening, but due to a delay, I had to pick an earlier flight. I wasn't upset about this at all though because I was able to leave work early, and the three hour delay in Atlanta before my connecting flight meant that I got to have dinner with my amazing guy! It was a great start to the weekend, indeed :)

Seeing my daughter's smiling face made all the stresses of that week go away, and even though we literally video chat every day, she had plenty to catch me up on. Spending time with her and my family was much needed, and as always, there were lots of laughs and good times. I even got to have brunch and celebrate St. Patrick's Day with my family since I booked a late flight back to Philly, and miraculously my flight made it back to Philly on time! I was pushing it with a flight that arrived at 1am, when I had to be at work for 530am, but I made it and was sooo happy I wasn't on call that day because I was super tired!

St. Patrick's Day 2019 - Finally got to celebrate a holiday with the little one

Okay, Back to the Match. What's the Plan??

While the weekend was great, I still had to come back to Philly and deal with the reality of not matching. To be honest, I'm not as upset about not matching at this point, because I'm blessed to be in a position where I have options. My current plan is to continue to look for and apply for preliminary general surgery positions as they become available AND network my butt off. If that doesn't work, then I plan to work, do research, and apply again for a spot next year. The crazy thing that they don't tell you in medical school is that after completing a PGY1 year and passing all three board licensing exams (check!), you are eligible for a full unrestricted medical license in most states. What this means is I could have a career as a general practitioner or I could essentially moonlight the entire year as a physician at different hospitals, urgent care centers, etc., and make quite a bit of money while doing research and other things to strengthen my application. Most places pay around $80-150/hour for a 12 hour shift, and while residents will typically moonlight during their non working hours, I could dedicate a regular work week to just moonlighting. I know a few people who have done this and pulled in six figures, so it's a huge relief to have this as an option. With a daughter who I send money to every month to cover her many expenses and student loan payments, this is a much needed back up plan. Unfortunately, it won't allow me to be in the OR, it would be rough going back to a resident's salary after making money, and I would still be limited at some hospitals due to not having board certification, so it's just that - a backup plan.

Outside of the above, I honestly don't have a full solid plan in place at this point, and it looks like I will be spending yet another year of my life in limbo. What I do know, is I still love surgery and I would hate myself if I didn't try again. And oddly enough, I continue to feel nothing but calmness and I still have the faith that everything will work out the way it should be. I also can't complain when there are thousands of medical students out there currently unmatched who don't have the same options as myself. Those are the people who my heart hurts for and who I hope are able to secure residency spots in the coming months. I'm already blessed to be working, getting the chance to operate almost every day, and living my dream as a physician, so I really can't complain. I'm just going to keep pushing and be mindful that if this road were easy, every one would be doing it.

That pretty much sums up my Match Week 2019, and I am ending this post with a huge thank you to all those who reached out to me over the past two weeks. I really appreciate the social media DMs and emails from friends and even complete strangers reaching out just to say that they were thinking of me and hoping the match went well. I honestly didn't even think anyone would remember that I was still going through the process, so it really meant a lot to me. Hopefully I'll be able to share great news with everyone soon, but for now just know that I'm going to continue to keep grinding and pushing for my goals, and this smile isn't going anywhere :)

Match Week 2019: Part One

Last year's email since I didn't receive one this year

If you've been following my blog for a while, then you already know I did not initially match into a categorical residency position last year. Instead after a day spent going through the AOA Scramble (click HERE for the original post), I ended up signing a one-year contract for a general surgery based Traditional Rotating Internship with the intent to re-apply for a categorical surgery position and hopefully match this year. Welp, the 2019 Match is officially over, and even after going through the NRMP SOAP process, I remain unmatched. This post is not meant to be a sympathy or sob story though, but rather a recap of my Match Week experience. Afterwards, I will follow up with a post on why I continue to feel blessed and remain positive despite any odds that appear to be stacked against me.

The Start of Match Week

Going into that Monday, I actually knew that I would not be matching this year. The interviews I received were from programs not participating in the National Resident Matching Program (NRMP) match, and the final program I interviewed at called me three days before the match to let me know that they would not be offering me a position. While I was initially upset at the news, I was also extremely thankful to have been given a heads up so I could prepare for a rough week ahead.

Unfortunately, since I am a resident, I could not take off work during match week to go through the process. I came to work Monday morning around 530am, rounded, wrote notes, and while I let my senior resident know that I would need time to make calls, I was still tasked with covering a case in the OR that morning. Fortunately, it was an enjoyable case that only took two hours (I love a good mastectomy), and I was back in my call room in time to log into the NRMP system and obtain the list of unfilled programs so that I could submit my applications before the programs could start reviewing them.

The SOAP Process

I was definitely not prepared for how different the entire SOAP process was from the DO match! For one, I NEVER received the "You did not match" email, which I thought was completely odd. Fortunately, I knew which website to log into because I received the email last year when I unranked all my ACGME programs after signing my TRI contract, but I thought it was extremely weird that it never came. Also, during the DO scramble, the list of unfilled programs is released at 10am, and you can directly start calling programs at 12pm. In the NRMP match, you are not allowed to have any contact with programs outside of submitting your application through Electronic Residency Application Service (ERAS) and then waiting on them to contact you. You simply are given an allotment of 45 programs to apply to and you go on to submit your application the same way you would when applying normally. Afterwards, programs are allowed to call and do phone interviews and the first round of offers occur at 12pm the next day, followed by a second round 2 hours later and a third round the following day. The SOAP then ends on Thursday at 12pm, and applicants can contact programs directly in a similar fashion as the DO scramble, or if you're one of the lucky ones, you have a known spot secured just in time for Friday Match Day celebrations.

NRMP/ERAS HEADACHE

The entire SOAP process this year did not follow the typical schedule at all! Even worse, there were absolutely no categorical general surgery positions listed, which meant that the best case scenario for anyone interested in surgery going through the SOAP this year would be matching into a one-year preliminary general surgery position. Starting from the beginning, when submitting applications on Monday, it took what seemed like forever just to submit one application. Apparently, this was the case for many people, and ERAS ended up extending the time for applicants to submit materials before program directors could access the applications. Unfortunately, the system still continued to experience issues and was shut down completely later that evening. The next day, there were even more issues especially with programs not being able to access applications, so ERAS was shut down once again. It was completely nerve-wrecking waiting for phone calls (especially while being scrubbed into cases) only to find out at the end of the day that none would be coming. The technical difficulties also caused ERAS to take away one of the SOAP rounds and gave programs less time than usual to review applications before submitting offers. It was a pain for everyone involved.

When the final round concluded on Thursday, I had not received any interviews or offers, and all I could do was wait for 3pm to occur (that's when they released the list of unfilled programs) so I could start cold-calling programs around the country. Unfortunately, many of the places I called either did not pick up the phone, had a busy signal, or had already filled their empty spots. I also sent emails to many programs, and did not receive responses. I think this is when the reality set in that I was officially unmatched. I can't quite describe what my feelings were at this point, but if I had to put words to it, I would say it was a mix of feeling rejected, sad, angry, numb, and relieved all at once. I was sad being at work around the surgery residents and attendings who don't have to worry about their surgery dreams disappearing, angry at what I felt at the moment had been a waste of a year, numb to the pain because I was at work and needed to focus on my patients instead of my own feelings, and I was relieved that the SOAP process was over.

Fortunately, the negative feelings didn't last long, and I ended the week with plenty of reasons to feel happy and blessed. I figured it would be better to separate the negative from the positive, so part two of this post will highlight some of the reasons for my positivity, and I'll also be sure to give further insight into the next steps on my journey...