July 1st 2011!!!!

So July 1, 2011 just passed and thus began my life as a resident. A lot of things happened before my start date including taking ACLS and ATLS certification classes, getting my LONG WHITE COAT (oh yeah baby baybay!), sitting through 1.5 weeks of orientation by the general surgery department, meeting the other surgical interns, learning about my schedule, having my ortho orientation, lots of free dinners and outings, and finally getting my pager and my ID badge. It has truly been a whirlwind, but I must say that the thing I’m most excited about is what I saw on Hopkins’ website on June 30th (see below):

Something about seeing it on their website made it a lot more official for me than even having the long white coat, lol. Anyways, during that orientation time they gave us a 1hr long lecture on social media and what we can and can not post on the internet. The general idea is to basically NEVER EVER NEVER EVER NEVER EVER mention ANYTHING about a patient. Even if I have completely deidentified a patient in my description, its still somehow a HIPPA violation. They gave me enough examples about residents being let go over social media issues that I certainly was scared into submission. So I will continue to blog but I really can’t talk about patient care at all. I do however plan to describe as much as possible about what it is like to be an orthopaedic surgery resident.

So how did my first day of work go? It was actually extremely cool. I got into the hospital around 4:45am along with my fellow ortho intern in order to work on the list. Normally it takes a seasoned intern about 30 minutes to get the patient list ready for the day. However since this was our first day, we wanted at least 1 hour to figure everything out and make sure our computer log ins worked. We got the list done and then met with our chief resident who divided the patients up among us. He thankfully didn’t assign the interns any patients and instead told us to follow a PGY-2 to see how its done. The first patient I saw we walked into their room and the PGY-2 introduced himself has Dr. So and So. For the past 4 years I’ve been introducing my self as the medical student or Student Doctor Brooks. This time however I said Dr. Brooks and I felt as if I had told the patient a lie. I know I graduated last month, but I still felt like I had to earn the title of Doctor, lol. Over the course of the day it got a little easier to say Dr. Brooks but the feeling of speaking incorrectly didn’t go away. After we saw our patients I watched the PGY-2 write a note for each of them. Hopkins is now completely electronic so instead of the quick hand written progress note that I wrote when I was a Sub-I here, we actually had to sit down and type everything out…times are a changin.

After the notes were written, we met with the chief again to give an update on our patients. Then we went to Boards, which is a session in which the on-call-resident presents all of the patients they saw overnight in the ED including their X-rays and the attendings have the opportunity to pimp the resident. When I start my ortho rotation in a couple of months I will be sitting in from of all those attendings doing the same thing….yeah scary, lol.

After Boards, the PGY-2s, 3s, 4s, and chiefs went to the OR and I immediately learned what interns primarily do…we take care of the floor. I vaguely understood this as a medical student but not really because as a student you go to the OR in order to spend as much time with the attendings who would be writing your evaluations. But now as an intern I write orders, write discharge summaries, order meds for discharge, check labs, and see consults down in the ED. If I’ve taken care of all of this THEN I get to go to the OR. Its going to be hard to get used to this new role but I’m sure it will be second nature very soon.

I really want have many interesting things to blog about this month because I am technically on PM&R which isn’t an ortho or general surgery rotation. In August when I start ortho I will have a lot more to say. Let me end with telling you what my schedule will look like for my intern year:

PM&R (1 month) –> Vacation (2 weeks) –> Orthopaedic Trauma/Oncology (2.5 months) –> Radiology/Pathology  (1 month) –> Vascular Surgery (1 month) –> Surgical ICU (1 month) –> Plastic Surgery (1 month) –> Surgical Oncology (1 month) –> Trauma Surgery (1 month) –> Pediatric Surgery (1 month) –> Anesthesia (1 month)

5 Responses to July 1st 2011!!!!

  1. Kenel says:

    Wow! doctajay!!

    You are quite the inspiration. I hope to follow in your footsteps in medicine.

    Also, since the day we last corresponded, I never thought I’d say this: God bless!

  2. Peter says:

    Hi Doctajay,

    Somehow I stumbled upon this blog through a google search of something else. I just did both my master’s and undergrad here at Hopkins and am currently in the process of applying to med school (AMCAS verified today). Something that I’ve been worried about is how a medical career and my walk with God will work together and this blog has been amazingly encouraging. Thanks!

  3. DoctaJay says:

    No problem Peter! One thing I would say is that often times, especially in the sciences people who truly worship God are made to seem weird, while our colleagues will worship sports, music, netflix, and just the world in general. If you are considered weird because of your relationship with God then that is the best thing to be. The Bible calls us to be a peculiar people (1 Peter 2:9); I can whole heartedly say that you can be an amazing doctor and an amazing Christian at the same time. Good luck with the application process!

  4. Kenel says:

    Just a quick clarification: I was a nonbeliever for a very long time. I had shared with this author about my Chrisitan views and struggles. The indefatigable DoctaJay sought to encourage me (even given his busy schedule in fall 2009). But what is more amazing is that, he and his wife worked through challenges as students but always having this guiding light to lead them both. I have found this most impressive!

    And though since our last correspondence, I’ve made significant progress to better understand the scriptures, I didn’t think it was possible given my callous heart toward the nuances of this world we each must navigate. Hence, the reason why I didn’t think I could ever say: God bless to anyone!

    I have a similar story with my wife, but I found it incredibly challenging to manage both a marriage and grad school. Perhaps, I was not praying hard enough. Perhaps, once I reached grad school I stopped thanking God. Time management is something I pray God will teach me.

    I am incredibly inspired by their accomplishments! And their success became even more beautiful with the addition of a little one. Quite the inspiration, indeed.

  5. Sophia Daniel says:

    I am so very very inspired I have gone back and read old posts. My exam is in 2 days I am so scared and nervous, I actually developed a fever yesterday probably from over anxiety and studying. I must say reading your blog has given me a lot of hope and calmed me down. I am a christian but my walk with God has not been the best. It has been off and on. I wish I was more commmitted, seeing what he had done in your life. I hope some day I will have testimonies.
    I have worked very hard and I hope and pray for a positive outcome. Thanks for ur blog.

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