unique jargon of our chosen profession. What was to follow was an application of that which we had just survived.
The fourth quarter at Keystone was devoted to a number of separate pursuits. The first order of business was the final course of the year, an eclectic undertaking known as Clinical Medicine. The second item on the agenda was preparation for Part I of the National Boards.
Clinical Medicine was an overture of what was to follow for the next two years. It was an introduction to the various clinical clerkships, as well as the one and only course in medical school that concerned itself with such skills as taking a medical history, examining a patient, and applying the knowledge that had been gained over the past two years to the
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Interestingly, Keystone was one of the medical colleges that minimized the value of the National Boards. In fact, professors in virtually every course mentioned there would be certain material on the boards they didn 't feel was important enough to present in their lectures. In spite of the institution 's obvious disregard for the National Boards, passing Parts I and II of the exam was still considered a prerequisite for graduation from Keystone.
To the trained observer, there are certain signs on a medical school campus that can be used to tell the time of year. For example, the appearance of frantic students who smell like cadavers indicates the season is fall. A truly astute observer can even tell if it is early, mid, or late fall by how frantic the student seems and how powerfully the essence of cadaver fills the air.
In the same manner, the trained observer knows it is spring by the sudden blossoming of a new class of second-year medical students, who bedecked in the short white coats that are the trademark of the upper-year medical student, can be seen trying to figure out how to open their new black medical bags.
In a sense, wearing our new white coats for the first time, even if it was only to make sure Seymour and Ira got the sizes right, was more awkward than any of our previous experiences in medical school. So too was filling up our black bags with the new medical
With the observations, the goal was to become aware of what is in store for the future both within school and after graduation. First person observed was Sharon, a dental hygiene student at PIMA, in her 5th semester. To begin her visit, Sharon ensured she had all the necessary paperwork and materials needed for the visit prior to procuring her patient from the lobby. After sitting the patient down, she reviewed his medical history with him and took his vitals, she then turned her light on for an instructor. Once the instructor arrived, she presented the patient and had the instructor sign off on the paperwork. After the instructor left, Sharon quickly began to continue with an oral cancer screening (OCS), noting any findings. From there, she took periodontal probing depths (PPD), gingival margin to cementoenamel junction readings (GM to CEJ), clinical attachment loss (CAL), and periodontal description. Immediately after writing all her notes she turned her light on for an instructor to come evaluate her findings, which is called check in. When the instructor came into the room he sat down and had Sharon read off her findings to him while he did his own exam on the patient. From there, Dr. Burnett came to evaluate the patient. Unfortunately, the 3 hours had pasted by the time all this was done, so the patient was scheduled at a later date for his prophy.
Dr. Green and Dr. Carter were nearing the end of the first year of their medical residency in the emergency department of County General Hospital. It had been a long year and a long week. They had been on duty for the last 12 hours and things were not slowing down.
Christmas break is over and the Spring Semester has begun. The seniors are acting a little sluggish and are starting to avoid their work. A phantom disease, something that has never been diagnosed among anyone, is now taking over the senior class. Senioritis has now kicked into effect. Teachers know that this epidemic is going to run through the halls every year starting around this time and that it is inevitable. This ‘disease’ has been invading schools for many years. Every year students get this so called disease and often ruin their last year of highschool or college. Students can see many effects to know they have senioritis, can do many things to avoid it, and only one thing to get rid of it.
Walking down the bright, white hallways gave the same feeling of walking through a maze because everything looked the same. Lingering in the air was the ever present lemon like scent that originated from the massive amount of cleaning wipes the hospital uses. Everything was clean and clear. I got it! I walked at a faster pace as I finally remembered where the department was. I rounded a corner and gave a relieved sigh as I spotted the bright green sign that read “Obstetrics” above a pair of wooden double doors. I reached for the tan colored telephone that was adjacent to the double doors.
Georgetown continues to foster the tradition of broad-based knowledge combined with practicality to be a successful and contributing member of society. At Georgetown, I will be able to pursue many of my passions, primarily biological sciences and political science. Ever since elementary school, my goal has been to become a physician, not only because of my interest in human anatomy but also because of my desire to help others. I selectively picked Georgetown because it does not have “pre-med” as a major. The Early Assurance Program within Georgetown College intrigues me as it provides ambitious pre-med students with an opportunity to receive assurance of their admission to Georgetown’s School of Medicine by the end of their sophomore year.
I had been instructed to introduce myself to the patients, so I started with the first room and began to work my way down the long and dimly lit hallway. Popping my head into each room, I quickly muttered my name and half of a greeting before rushing over to the next one. Many of the patients in the unit didn’t acknowledge me, and for that, I was grateful. It wasn’t until I had gotten to the last room, in fact, that I was even met with a
Medical Student Clinical Rotations – I worked in diverse outpatient specialty clinics with a team of health care professionals obtaining a detail patient medical and health histories, executing physical examinations, relating the finds to supervising physician and participating in a discussion about lab and image tests as well as best treatment options. Furthermore, I was responsible for
I hold my breath in anticipation: the moment had finally arrived. What lay behind this door would be formidable, to say the least. However, knowing this only increased my excitement of what was to come. I glanced at my teammates, and a familiar combination of eagerness and anxiety met my eye. Ever-so-cautiously, we open the door and see our patient, awaiting our arrival – the test had begun.
The first and second years of medical school are the pre-clinical years. M1, the first year, focuses on expanding on subjects learned in undergraduate studies. The courses taken in the first year are Basic Immunology & Microbiology, Brain & Behavior, Cell & Tissue Biology, Essentials of Clinical Medicine 1-2, Human Development, Medical Human Anatomy/Embryology I & II, Neuroanatomy, Medical Biochemistry, Medical Genetics, Physiology I, and Physiology II. Term-based learning is used and it is a type of instructional method that uses theoretically based and empirically grounded strategies to ensure that small groups working in classes that have high student-faculty ratios are still learning effectively. The three major phases of Term-based learning are preparation, readiness assurance, and application. The curriculum for the second year, M2, focuses on bridging the gap of being able to clinically apply the fundamentals of molecular medicine learned. Knowledge of pathology, microbiology and immunology, and pathophysiology of the patient is taught through didactic lectures, term based learning and laboratories. The courses taught in the M2 year are Clinical Microbiology/Immunology, Clinical Pathophysiology, Essentials of Clinical Medicine 3-4, General/Systemic Pathology, Medical Pharmacology, and Psychiatry. After the second year of medical school, students take Step 1 of the USMLE, which is a standardized test. In the
There are many differences between my first semester clinical site, at UCH Denver, and at Penrose, this semester’s site. The teaching style of the technologists is different, acquiring clinical history for every patient is required, and there are children and infant patients in Penrose. These create a stark contrast between the two clinical sites.
“Eric Rodriguez? Doctor Gray is ready to see you,” a petite woman shouted. The assistant was dressed in fresh Tory Burch flats, so new her rubber soles were tracing black skids, leaving residue on the freshly polished floors of the doctor’s linoleum. All black scrubs, buttons popping at the seams, her effortless grin wrinkled her cheeks and forehead in excitement. She lead me down a dark hallway lit from the dim opening of a white room at the end of the hall. The door clanked and hinged until it was overhead, sending echoes throughout the office. The pungent smell of disinfectant and rubber gloves grew prominent immediately after the door latched. I smiled. Carefully scurrying through the door, I reached the step on the bed. Lying rather uncomfortably on the examination table while shielding my eyes from the tremendous glare that reflected off the fluorescent lights, I fidgeted nervously, my hand tremor heightened by my level of anxiety, desperately trying to ignore the gloominess of the situation. My heart beat a little faster as I sat there for a moment and took the whole scene in. I attempted to stay focused on staying warm in the
For me however, fall marks the beginning, not January. Fall is when summer leaves us and a new school year begins. I shed my summer shorts for a backpack weighed down with books and make an effort to show off what’s left of my fading summer tan. Fall is when all-nighters are pulled and teachers find a way to drown us in homework. “Homework” by Allen Ginsberg seems to depict the stress a new school year causes. Many students struggle to “find the off switch” in their personal lives (Students Lack School-life Balance,Vicki Abeles) during a hectic school year, including myself. Fall not only brings unwarranted stress but a potentially golden opportunity to redefine myself. If I opt to do so, fall affords me the chance to cast myself in a different light to my peers, my friends, and my teachers. For me, fall brings both immense potential but also robs me of the carefreeness of
I left my car and walked towards the staff entrance, waving at some nurses who were just finishing their shifts. It was a cold and gloomy day, but the welcoming heat from the front corridor made my muscles relax. Momentarily after gathering my belongings—lab coat, name tag and clipboard—I made my way down the long, narrow hallway towards the introductory interview room. I knew my patient would be waiting.
During my terms as an intern and RMO, I have demonstrated exceptional clinical experience that is required for a successful junior doctor working as a resident or registrar. During these terms I had many opportunities to complete patient admissions. I would correctly identify a new medical patient that requires admission and commence my clinical work up. This process entailed taking thorough but time efficient histories, performing examinations, problem list formulations, creating differential lists, ordering investigations, requesting consultations and generating management plans.
I began my first day at Harbin Ophthalmology on August 10th, so far that first day has been the most eventful. I walked in, introduced myself, and was given a tour by a Technician named Carmen. As we walked around the office I was introduced to many people - most of which I’ve memorized their names. I was given a locker to keep my belongings and shown how what their process is for getting patients through. No one was exactly sure what they needed me to do that first day so much of my time was spent shadowing Carmen as she was examining patients. Forty minutes after I had arrived the Office Manager Stacy met with me to discuss what I would be doing, how long I would be interning with them, and what hours I would be working everyday.