Well, my ambition to be on this blog more often certainly…stumbled a bit, shall we say. The hours with surgery played a role in this, as did my Mac glitching out and being in for repair (I hate blogging on my phone) but honestly, my absence had a name, and that name was thus;
To all the lucky students who go to schools who don’t have the NBME, it’s an American board exam for clerkship that, in my program makes up about 30% of a rotations mark. So, while it’s not the end all be all, it certainly is important, and something you want to pass.
Oh and it’s also actually the worst exam ever.
The NBME is 2:45 minutes and 110 questions and you’d think that would be plenty of time but let me tell you, you would be wrong! The questions are long case based questions where you have to grab one or two pieces of information out of a huge paragraph, or consult a long list of lab values, and that eats up your time! I genuinely finished my exam with 1 minute to spare, so I certainly wasn’t reviewing any of my answers, I can tell you that! I came out of that NBME feeling like there was a 50/50 chance I’d passed, and given that everyone going into the exam was all “as long as you study there is no way you can fail,” I kind of felt worse about that feeling.
What if I’d failed the exam that no one fails?
I didn’t, by the way; I passed 🙂
And trust me, I feel good about that, but the fact that I have another one in six weeks – and apparently Peds is actually worse than surgery 😕 – makes me just feel so “ugh.” At least having one down does mean that I know I have a study strategy that will work for the exam; in my case UWorld, and making flash cards from UWorld to study with, so I think I’ll try that again and maybe supplement with First Aid for Peds as I’ve heard it’s every good in the last week like I did with Pestana for surgery 🙂
But yes, I’m actually done a whole rotation!!! And I’m even 2 weeks into a new one, and I will say this; medicine and surgery really do have different schedules and days. For example; I’m typing this as I lay on a couch for my Peds call. I came in for 9am, and rounded on 5 patients and did work associated with that that was done by noon. Then I wait to be called to the ER, which hasn’t happened yet on the shift (this does vary from shift to shift, in the interest of fair disclosure). So I study, and look up DIY videos I’ll never do (though I am thinking of making a fairy light headboard) and wonder what to do with all this time.
To contrast, surgery; I got in at 7:30 and tried to round with my resident on 20-40 patients, maybe got through half. Then we rushed down to start the first surgery on the board, and in the hour or 2 between those we tried to finish seeing patients, running needed orders and tests and seeing ER consults. Food was optional 😜
The obvious difference, that I didn’t realize until I have 2 rotations to compare it to, is that surgery – the actual act of being in the OR – eats up so much freaking time!
And honestly? I miss that OR time.
I liked that pace, how we hardly sat and how there was that contrast between the OR, the wards and the ER. I really don’t think I could do medicine without the OR time, and I’m really happy about that because it looks pretty positive for OBs (fingers crossed 😉 ).
But seriously, Peds has been a lot better than I thought. I just finished my 2 weeks of rotating clinics and I didn’t hate it the way I feared I would, so that’s a bonus. Tomorrow I start my 2 weeks on the wards, before moving to 2 ER weeks and then 2 neonatal weeks(and the exam that shall not be named 😉 ).
In other views, I’m still failing utterly to get my travel pics up (I miss my computer!!!) but if I can figure out how to load pics onto the mobile form of this site once again I will try to get some of the one star I’m especially proud of up and when I get my computer up I will put up the travelogues because honestly, I have so much fun making those posts and remembering everything I saw 🙂