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Lessons I Learned in 3rd year

May 31, 2008

#1–When patients and drug reps ask about where I am in my education, I say I am done with the science part of medicine, sitting in a dark room stuffing my noggin with every bit of medical minutiae I could fit in there. I have moved on to the art portion of medicine, namely gaining the experience of how & when to apply that knowledge. And NO, I am not a fucking intern. Thanks to Gray’s Anatomy, I have to explain where I am in my education in reference to intern year. FYI, currently, I have one more year to go, then I graduate, and yes…then I am an intern. And apparently I will discover the appeal of the gross on-call room.

#2–Everyone wants to know what you are going to do and the whole story behind the choice. If you don’t have the story, you sound flaky. As for what I want to do, I don’t know yet. Not surgery. Not anesthesia. Definitely not radiology. Probably not FP, peds, or OB/GYN. I might do something with IM, PM&R, or Psych. Thats all I know.

Other medstudent: “So what do you tell docs you want to be then?”

Me: “Interventional Cardio”

Other medstudent: “Why that?”

Me: “Well if I say anything primary, including IM, I get the speech about how I’ll never make enough money to pay off my loans. If I say PM&R, they might ask me why, and all I can say is “I just think it sounds neat.” If I say Oncology, they’ll ask if there is a story there and then I have to launch into my mom’s story and its just such a serious conversation when first meeting someone. So I say IM- Intervent Cardio, b/c
1) IM is general enough to where whatever the rotation is, it could apply somehow and they don’t feel like they are wasting their time teaching me,
2) “Cardio” makes me sound smart, and
3) “Interventional” b/c they always respect the desire to do billable procedures.”

#3–The key to preventing burnout is to find humor in your work. Thats probably why I like psych so much. In FP, you get fat old men who won’t take care of themselves, but then complain that they hurt all over and want you to fix it. It pisses me off, especially if a rectal exam is involved. But with psych, I find it hard to get mad at someone who is wearing war paint and says they didn’t take their meds b/c they crawled away.

5 Comments leave one →
  1. May 31, 2008 3:05 pm

    Thanks for sharing your experience. It is very interesting. Don’t be bothered by the specialty question. It happens all the time! 🙂

  2. June 3, 2008 12:15 am

    Very nice blog.Keep up with the good work!

  3. June 3, 2008 2:49 pm

    Yesterday in the middle of a psych practice test, I realized…I really like this! I’m going to be a psychiatrist. It scared the shit out of me. A Guinness later, felt much better. I think I’m going to blog about it.

  4. July 5, 2008 9:33 pm

    Re #2: I have the same problem. And if I say “well, I pretty much like everything so far”, they say “oh, so general practice then?”. And then I feel the need to say “well, GP is completely different”, and then get into the whole “do you want to be Just A GP or do you want to Specialise”. By then I have lost interest in the conversation and can’t be bothered going down the “well, a GP is also a specialist, and I may or may not want to be one but have not yet decided”, and try to make a dash for it…


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