#pediatrics residency

[dr-scarlette-witch]

12.11.2023

Happy Diwali to those who celebrate🪔

It stuck me that this would be the first Diwali that I am celebrating away from home and I was feeling a bit glum. Had some food at Starbucks and went to the hospital to get some work done at the MRD. It is one of the most primitive yet the most interesting place to exist. Since it was a holiday there were few staffs working around and the place was free of noises. Then I did my evening ward rounds, most of the patients I was taking care of were stable and I got off work soon. So currently I am just sitting at home back to being the glum self again.

#phtooftheday #medstudlife #studyblr #studysthetics #medstudynotes #study mood #pediatric resident #pediatrician #med blog #desi medblr #indian medblog #new medblr #indian medblr #medblr #med studyblr

[paganminiskirt]

When you’re arguing about characters who committed crimes under extenuating circumstances one thing people like to say is “yeah it sucks that all that happened to them but they still were an adult making choices. 😕” So there’s something kind of funny, in an off-putting way, about having those sorts of conversations re: Eveline and seeing people go “yeah it sucks that all that happened to her but she was still a- wait no fuck” and then wholeheartedly make the case for the full culpability of a seven year old human trafficking victim

#it’s giving never work in pediatrics or child care #eveline baker #resident evil 7

[intrainingdoc]

Wonderful to be distributing our new print book by pediatric cardiology fellow Dr. Ogie M. Ezoke, MD on Amazon and Barnes & Noble: tinyurl.com/girlinabowtie.

Our mission at Pager Publications, Inc. is to amplify the voices of trainees in medicine.

#medblr #nurseblr #pablr #residency #pediatrics #book

[a-young-doctors-journey]

PICU Thoughts

My brain is not wired for this.

Inpatient medicine?

A totally different world.

I'm trying, I really am. But things slip through the cracks. I almost put a patient in benzo withdrawal because my default midazolam order is set to "one time ED" and I signed the order without a second thought.

Luckily my attending noticed that the q6 midazolam order was missing, and caught the mistake in time. But seriously, it's scary.

#picu #inpatient medicine #residency life #med school #pediatrics #icu life

[byebyeholocene]

if very, very hypothetically i were to write a prongsfoot Hospital AU with the entire marauders cast as surgical residents/interns etc... would anyone be there for it 

#prongsfoot #marauders au #hospital au #doctors au #i've been binging greys anatomy again lol #but imagine sirius black as a cardio surgeon come on #james is in pediatrics obvi #starbucks #lily as an obgyn resident #remus is in general under mcgonagall

[eirianerisdar]

No F this I am done

Some people don’t deserve to be parents

I am on yet another day and half shift and this 12 day old baby just came in with her bilirubin sky high and her weight super low (she’s still at birth weight and had lost weight since her fifth day of life) because THE FREAKING SHITS THAT CALL THEMSELVES HER PARENTS had been only breastfeeding her for 10 minutes every 3 hours and topping up with 20ml of formula BY CUP AND NOT BY BOTTLE and she’s so severely dehydrated she’s PEEING ONLY ONCE EVERY TWELVE HOURS

AND GUESS WHAT THE TOILET STAIN OF A FATHER SAID WHEN I WAS LIKE WHAT THE HECK DO YOU THINK A 12 DAY OLD BABY CAN DO WITH A CUP OF MILK

He was like Huh? I thought it was ok. The baby didn’t like drinking milk it’s not my fault

THIS IS THEIR SECOND CHILD HOW IS THE FIRST EVEN FREAKING ALIVE

#medicine #paediatrics #residency #pediatrics #how obsessed must you be with breastfeeding to starve your child for it #they thought giving a bottle meant the kid would never return to breastfeeding apparently #I’m so mad #I can’t yell at them in the ward because professionalism but I told the dad off very sternly #the mother’s not here because only one gets to stay with the baby #I’m like you don’t get a freaking choice feed effing formula now #medical happenings #my post #this shift started out ok initially and I even posted a new chapter #but like 16 hours in this happens and I am reminded paediatrics also gets a steady stream of cases #from FREAKING IDIOTS WHO SHOULDN’T HAVE PROCREATED #END YOUR FREAKING LINE #like the worst thing is this isn’t prosecutable because they’ll claim stupidity and the evidence points to that #dunno man I’m just gonna try to sleep it 12:30 am watch this they’re gonna call me im half an hour saying her bilirubin is stratospheric

[prohoetips]

I'm taking a course on lactation right now and boy lemme tell you

I forgot the extent to which my traditional medical education has made me used to "high yield" format content

The amount of useless rambling, non-necessary examples, and weird tangents going on in these lectures is excruciating. I haven't had lectures this...poorly geared...to adult learners in years

#medical education #lactation #residency #pediatrics

[benevadeca]

Watching Alice in borderland season 2 and showing chishiya's doctor backstory like bitch. This guy who looks like he should be in high school musical? Ur telling me he's supposed to be done with medical school as a practicing physician?? Wack

#mine #lb #FAKE #i do love that his medical knowledge has been relevant not even once #like ig hed be old enough for residency but i. dont think its the student's job to tell parents hey ur kid fuck their kidney transplant #but pediatric medicine???? come ON #alice in borderland

[lifeinmedicine]

On Being an Attending (hey look Ma I made it!)

Somehow, after four years of college, four years of medical school, three years of residency, one year of chief residency, and three long years of fellowship, I have finally made it to this point—I am now an attending!

And I am freaking out.

What I previously thought of as the finish line, I now realize is just the starting line. Yeah, tell that to your 15 years of hard work. But as I sit here on my last day of freedom, ready to start my first real job tomorrow, I have so many conflicting thoughts and emotions.  

First off, I took a glorious two-month break between fellowship and starting my job. Everyone recommends taking some kind of break, given this is the first and likely only time you will have a vacation with no clinical or academic obligations. And though I don’t regret this time off, I also feel like I have forgotten every ounce of pediatric cardiology that was previously cemented in my brain over the last three years. I sometimes catch myself in the shower or while I’m brushing, just rehearsing, “Hi, I’m Dr. Misra, it’s so nice to meet you. What brings you guys in today?” as if I have completely forgotten how to talk to patients. I recently google image searched basic echo views to test myself on something I could do in my sleep, just two months ago.

I know I’m being irrational, and I probably felt this way after every small break I had in the different steps of my medical training, but now my medical knowledge counts more than it ever has, and this insecurity is definitely at the forefront. I hope everything is just muscle memory and I’m sure it will come back to me as I get thrown in different clinical situations. But I do worry that the small nuances I knew about subtle echo and EKG findings are now lost to the abyss of my scattered and nervous brain.

As a senior fellow, you feel like you are the top of the highest totem pole. Junior fellows come to you for advice and help, attendings give you independence and back it up with, “well, you’re going to be an attending in a few months so…” and you feel you have earned the right to speak openly with unbridled confidence about your management decisions and clinical reasoning. By this point, you have become an expert at being a trainee—it is, after all, what you have been doing for almost half your time on Earth.

And now, you are placed in an entirely new role with new responsibilities and all that glorious confidence has vanished. You go from feeling like you are at your prime, to all of a sudden feeling like a newborn babe in this field. Right at the cusp of starting, what feels like, the most important step in your career.

This rapid fall from grace brings me to my next anxiety—I don’t want to look or sound stupid. When I interviewed for this job as a third-year fellow, I was confident in what I knew, what I wanted from a career, and just overall felt confident in myself. I currently no longer feel that way, but I want to do myself and my skills justice as the person they hired, and the potential they saw in me. I know I will need to ask for help throughout my career, and am not afraid to do so, but what if I ask stupid questions that I should clearly know the answer to? The need to impress others is deeply ingrained in me from years of medical training, and the fear of looking or sounding dumb has always been a huge motivation to keep learning and getting better. That may be morally incorrect, and I sincerely hope that as I grow and mature my motivation takes on more genuine and pure reasons, but this is the sad reality of medical trainees. And right now, as I start my career as an attending, that external motivation has never been stronger.

And then there’s the weight of your clinical decision making, and the responsibility you have to your patients and team. The buck stops with you now. Yes, you will always have help and resources, but now your decisions matter, you have the final say in what happens with your patients, and that safety net is gone. What you diagnose, and what you miss, is all on you.

The imposter syndrome is real folks. All of a sudden, I’m supposed to teach and speak with confidence about clinical matters I’ve had limited experience with, and have full assurance in what I am doing even though inside I feel like I’m going to pee my pants. People will look to you, as the attending, for answers and next steps, even though you just graduated, and were looking to others just a few months ago. I know I’ve experienced this imposter syndrome when I become a resident, and again as a fellow, but this time it feels profound and with bigger implications.

I’m sure in the beginning I will over-order clinical tests, over diagnose, and be extremely conservative with my treatment plans, for fear of missing something or messing up. I want desperately to just assume that cool confidence I had in clinic as a senior fellow, seamlessly handling a full patient load independently, reading echos and finishing notes on time, feeling great in my own skin, and portraying that put-together doctor that everyone wants for their kid. I know I will get there eventually—it’s in me, it always has been, and I can do it again—but getting there will take time. There will be the clumsiness with the new EMR, the awkwardness with navigating a new team, and learning the flow of a new clinic and my place within it. Compound that with the mental gymnastics of balancing the weight of new responsibilities, and you have the perfect set up for an anxious but eager young attending who just wants to impress everyone and never make any mistakes. It’s like wearing a neon sign that says, “I promise I am a badass, no you didn’t hire the wrong person. Just give me a second, I’ll get there again.”

But wanting to be perfect is unrealistic and I know it. And no one is expecting perfection from me except me. And all of this is just another growing pain in my journey through medicine. And I’m sure all these anxieties are necessary to being a caring doctor who is always willing to do and be better for their patients. I’m sure everyone who has been in this position has felt this way, and all those in the future will feel it too.  

I’m nervous as hell, but I’m excited too. This is what I’ve always wanted, and there are so many opportunities and adventures that are in my future. I just have to keep reminding myself that this is the first step of many in my career, and to take time to appreciate everything that has led up to this point. I may never be ready for tomorrow, but whatever comes I will fake it till I make it, and keep pushing.

#pediatrics #residency #medicine #fellowship #attending #pediatriccardiology #cardiology

[emgoesmed]

11/9/2022

Tranquil study challenge day 27

27. What do you do to calm yourself down when you feel anxious?

If I'm anxious about something I have no control over, I try to think about something else, go for a walk, take some deep breaths. If I am anxious over something I can change, I try to take action directly to solve the issue. Honestly I don't really have any foolproof methods for calming down, anxiety sucks.

Today, I am grateful for learning so much on my internal medicine rotation! Today is my last day and I'm kinda sad about it. The interns, residents, and attendings are all so knowledgeable and amazing at teaching. As a student, I feel like I can participate with the team and I am encouraged to do my best. Everyone focuses on patient care as the most important thing. It's really cool to work with such a diverse group of people and patient population.

Today, I choose to balance work with relaxation. I'm definitely starting to feel tired and burned out and homesick, and I'm not really looking forward to starting a new rotation on Monday.

Today, my goals are:

submit ECG analyses (2)

submit de-identified patient encounter requirements (3)

uworld (20q)

watch Emma Holliday high yield internal medicine youtube video

run + try to organize a workout schedule? maybe?

practice NBME (unlikely lol)

#emgoesmed #med school #med studyblr #med student #ms3 #clinical rotations #internal medicine #im gonna miss this rotation #tbh would consider applying for residency here #this is the most enjoyable rotation so far #although i do miss the pediatric patient population #i really like the culture at this hospital

[dr-scarlette-witch]

07.11. 2023

I was down with a bad flu last week. But I continued to push through my duties. I was too tired to walk back home and decided to take autorickshaws everyday and those 2 mins ride were the best past of my day. Also not to forget about how my mom updates me everyday on my cat and the garden. Currently these are the little things that I live for.

#phtooftheday #medstudlife #studyblr #studysthetics #medstudynotes #study mood #study with me #study motivation #study inspiration #studystudystudy #study notes #pediatric resident #pediatrician

[myscrubslife]

Life Update:

I’m going to be a newbie resident of Pediatrics starting from December 1st 💙

And I get to do my residency with my med school best friend, kind of like JD and Turk from [Scrubs] which is awesome!

#doctor #medblr #med school #scrubs #jd and Turk #pediatrics #paediatrics #residency

[intrainingdoc]

New on in-House, poetry by pediatric resident physician Holly Ingram, MD, MPH.

"Shots at two months

are Hep B part two,

But Rota, Hib, DTaP,

pneumo and polio are new."

https://in-housestaff.org/pediatric-vaccine-schedule-2023

#medblr #pablr #nurseblr #medical school #residency #med student #poetry #pediatrics #vaccines #vaccineschedule #medhum #meded

[queerhawkeyes]

this in home child mental health services program wants the gender clinic to record lectures so they can use them to train new clinicians, and I said I would do one, even though I now have to somehow find time (and more difficult, space) to record an hour long zoom thing in. but we’ll get paid to do it which is always a bonus because usually I only get paid if it’s a school training. and then I got another email with a schedule for the fall of these mental health meetings/trainings and my name signed up to teach on the september slot even though I’ve literally never been to one before and did not volunteer myself. but I guess I am now doing those as well. and next week is the american psychological association conference and my presentation is not ready.

not sure when my job became like 1/3 training psychologists and making powerpoints but at least the other 2/3 is telling people how to force their landlords to follow the law and explaining probate court forms.

#wait actually I trained some pediatric residents last month #but it is somewhat unfortunate that I have ended up on a heavily psych oriented team #because now I feel like it's too late to be like oh and I'm anti psychiatry by the way #but I am okay being paid to talk to clinical psychologists because I am poor #but I think your entire field is deeply flawed even though you individually are delightful #human crap sack tire fire

[miss-sassmaster]

Wow !! Pediatric neurology??❤️😯What made you choose this specialisation?😃

Hey @tmedic

I always knew I wanted to do something in pediatrics. I've spent this entire year doing adult neurology (it's part of what you have to do to be a pediatric neurologist) and I very much made the right choice to work with kids.

The neurology part, well, I didn't figure that out until I was already in my pediatric residency. You see, I always liked the brain. My major was psychology with a neuro track, I liked the neuroanatomy part of my anatomy class the most however the person who taught the neurology in medical school was a nightmare and specifically had it out for me and another girl in my class (a story of another day) so my 23 year old brain decided bad instructor causing bad feelings = neurology bad.

And so I avoided it for the rest of medical school any way I could.

I matched to pediatrics and 4 months in I made the discovery that I loved neurology. It was the stuff I was most excited to see and think about and got the greatest sense of accomplishment when I could help make a diagnosis and actually help a child. Most of the cases from residency that impacted me hard and that I'll always remember are the neurologic ones.

It's kind of history from there and now I'm in a pediatric residency program almost done with my adult year and about to really start my pediatric neurology training and I am pumped. The training for pedi neuro is different than all other pediatric specialties in that way but it's really great and I wish more people had the chance to explore it!

#ask sass #pediatrics #pedi neuro #residency #medblr #neurology

[a-young-doctors-journey]

Starting in the PICU Monday...

and I'm getting nervous! I looked for "pediatric ICU"-style vlogs on YouTube but there are none... how can that be?! How am I to prepare?

The hours are terrible, that much I know. Not looking forward to that, but my co-residents all really liked the four week rotation because apparently you learn a lot and become rather autonomous. So here's hoping that that'll be true for me too.

#medicine #picu #pediatrics #residency life #residency #new rotation #icu life