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)