{Pediatrics, Updates & More Step 1 Tips}

{Updates}

Happy Halloween my friends! I started my surgery rotation last Monday and man was my first day a whirlwind. I got to see a laparoscopic cholecystectomy {when they take the gallbladder out}, a level one trauma patient, an incision and drainage of a hematoma and even put my first foley catheter in.  By the end of the day (730PM) my feet were aching and I was starving! I made a quick pit stop at Target and grabbed a bucket and Epsom salts LOL! Surgery so far has been grueling, but exciting. Yesterday I got to scrub into a wound vac for someone with necrotizing fasciitis! It was exhilarating but super smelly!

I just finished up peds and I absolutely LOVED it and wanted to give you guys a peek into my daily routine and post some tips! BUT, first — engagement pictures, because I miss seeing my hubs with my long hours on surgery. We are still deciding on wedding plans, more to come soon!

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{Pediatric Clerkship: Typical Day}

The set up of the pediatric clerkship is the following: 2 weeks on inpatient floors either in Royal Oak or in Troy, 4 weeks in an outpatient clinic, 1 week in the NICU, and 1 week on a sub-speciality (peds cardiology, GI, infectious disease, heme/onc, etc). 

Inpatient floors: This entailed showing up to the hospital by 630 AM and prepping for rounds. We’d get up to date on all of our patients and then round around 8AM unless we had grand rounds. During the day we had the chance to go to some of our patients’ procedures and keep an eye on the kids on the pediatric floor. We also had noon lectures!

Outpatient clinic: My day started by going to a case review — a lecturer presented a real case and we worked through it as a group. During the case, we reviewed high-yield principles, lab and diagnostic studies. This was SUPER helpful for the shelf exam. Afterward, I headed to the residents’ clinic and saw patients until noon. I’d take a break for lunch and listen to another lecture given by the residents or attendings. I really enjoyed a few of these that covered child abuse and were given by one of our child abuse specialists. I spent the rest of the day in clinic taking care of some adorable kiddos.

NICU: Rotating in the NICU was one of my favorite parts about my pediatric clerkship. We got to be part of the OR team during deliveries of high-risk premies, twins and emergency c-sections. I learned all of the important things to check right after the baby is born including APGARS, getting them all warm and toasty and, obviously checking for the ABC’s. Although there were a lot of sad things during this week {babies born to moms addicted to various drugs}, I also learned a ton about fetal medicine. During this time I learned the newborn exam and completed a tested encounter on one of the adorable new babies. My days on the NICU went from about 6AM-3/4PM.

Subspeciality: I spent a week with the infectious disease team and rounded on lots of little sick buggers. Some had serious infections {even a case of atypical Kawasakis}, while others had minor viral illnesses. It was super interesting to spend time with the ID docs because I got to round on the floor and spend time in their clinic at Beaumont as well!

One of the topics from Grand Rounds!

One of the topics from Grand Rounds!

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How adorable are the pediatric floor doors?

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On our first day of peds we did a scavenger hunt that included finding as many Beau the Bears as we could!

{Step 1 Tips}

  1. Nail down a schedule as early as possible. Below you’ll see a snapshot of three weeks of my schedule — don’t be intimidated. Just make something that works for you and ensures you will hit all the topics and questions you need to get through. Keep in mind I also prepped before my dedicated time by trying to study my weakest subject areas — immunology, biochemistry, and pharmacology. Don’t forget to pencil in any dates that you can’t study {personal events, etc} and time to exercise, eat and sleep!

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Link to my full study schedule: step1studyschedule

2. Pick your “golden” resources and stick to them. DO NOT try to use tons of resources during dedicated study time because you will very quickly get overwhelmed. Stick with what has worked for you over your first two years of medical school and don’t get intimidated by what your classmates are doing — remember, everyone has a different way of learning. For me, my main resources were UWorld, First Aid, Pathoma and Sketchy Micro.

Well, that’s all for now lovelies. Stay tuned for a giveaway soon and some more life updates during my time on surgery!

X/O A