Sunday, February 8, 2015

Shelf Woes

WE HAVE MOVED TO: A Theory of Living  


As any third year medical student can tell you, shelf exams are a bummer.  You spend your 4-12 weeks learning all you can about the way Ob/IM/FM/Surgery/whatever is practiced in the real world, then at the end of it, in the last week or two, you're supposed to pour a book's worth of knowledge into your brain.  The incredibly frustrating thing is that what is done in practice vs what is done on a test doesn't always match up... but you're expected to know both versions.

All in all, though, I've found them largely easier than first and second year tests (except the Surgery shelf, that was hard).  That probably has something to do with the fact that, even if the above issue crops up from time to time, you've more or less run around a hospital for several weeks practicing what's on the shelf exam.  That's real time learning and experiential learning.

Anyway, I say all this to explain that I have a shelf exam on Friday and will be largely absent from here until then.  Good luck to other medical students with Shelfs.  And especially good luck to second years.  It hasn't quite hit yet, but second year starts to get a little dark some time in the next month or two.

Wednesday, February 4, 2015

Noncompliance

I think one of the most frustrating things to deal with in the medical profession is noncompliance amongst patients.

I can understand when patients are not compliant with diet and exercise regimens or with quitting smoking.  Even though, in many cases, those are the bigger problems and ones that most need getting fixed, I can appreciate that those aspects of a person's life are profoundly hard to change.  As someone who works hard to find time to exercise and hates the most vegetables but forces them down anyway, I find myself personally frustrated with patients that won't do the basics to improve their diet and exercise, but at least I get it.  Quitting smoking and losing weight are statistically two of the hardest things in the entire world to do.

Sunday, February 1, 2015

Ophthalmology Rotation Review

I did an elective in Ophthalmology a while back.

Looking back, I know that I did it for a lot of the wrong reasons.  Fresh off my fantastic surgery rotation, I was essentially looking around for specialties that would allow me to be a surgeon without suffering through a miserable surgery residency.