Tag Archive for 'md'

better late than never?

Tada! She’s alive! Ugh. I’m so bad. If I can’t blog when I have all the time in the world, what’s going to happen when I’m back on the wards and have no time at all? Well, we’ll see. Maybe I’ll have more to write about since everyday will be a new adventure. Yay.

What have I been up to? Absolutely nothing. Seriously. Nothing at all. Which sucks because when I decided to lengthen my break from school, it was so that I could do some clinical review work to make myself feel more confident when I return. Well, the powers-that-be made it sound so awesome…like they were going to totally hook it up…but when the time came, all I got was nothing. Don’t they know how hard it was for me even to ask for help in the first place? Why must they make me fight for it every step of the way? Well, I didn’t fight hard enough because *gasp* I thought they were actually going to keep the lofty promises they made me, so I ended up doing shit during my time off. What a waste of my time! I’m not getting any younger here!

Well, I’m not that dumb. I didn’t sit on my ass and twiddle my thumbs while I waited. I got cracking on studying. Big time. I’ve lost count of how many books I’ve read, but I’ve read at least one book for each rotation, plus Bates, plus Step 2 Secrets, plus others in the time I had off. I don’t know if I retained much. I probably still can’t tell you the difference between croup, bronchiolitis, and epiglottitis, but at least I can make some wrong guesses that don’t sound completely stupid. I got ambitious and tried to set up Step 2 at the last minute, but without having done third year first, I wasn’t going to be able to study enough to do well enough for my standards in less than 60 days, so I gave up on that. If only I’d come up with that idea say 6 months ago? That would definitely have been enough time. But silly me, I was still waiting on my miracle from the administration. Stupid. Stupid. Stupid. Me.

I’m not whining. I don’t care anymore. I’m just trying to finish it all up now. No more breaks. No matter how scared or overwhelmed I feel. It’s time to just plow through. I’ve got more Chanels to buy, dammit and I can’t afford them with my stipend money! Just a word of caution to other MD/PhDs out there: don’t expect any help returning to your clinical years. Actually, you should expect sabotage. They will do everything in their power to make it harder for you than for everyone else. I guess it’s punishment for being such overachievers. So if you want anything from them, demand it and don’t stop until you get it. There is no being meek or being afraid of seeming too demanding. If you don’t get in their faces, you just get totally and utterly screwed. Like me. Don’t be like me. You deserve better.

one step forward, three steps back…

The good news (I think): I’m finally almost done with my dissertation revision. I could have it done by the end of this week if my thoughts didn’t keep fluctuating and then focusing on how ephemeral life is. That and the fact that all I have left to finish is the discussion. One section doesn’t sound tough, but it is the section that needs the most work and the one that is the most difficult for me to write.

The bad news (or maybe not so bad if you really think about it): I’ve been asked to consider stopping my clinical work (read: my third year) and starting up again with next year’s class so that I would have my dissertation completely behind me and be able to start completely fresh instead of jumping back in with now super-experienced third years with only psychiatry under my belt. I have mixed feelings about this particular strategy. On the one hand, I do need that extra time to “prepare” myself as best I can by reviewing things like the physical exam and clinical reasoning, which I never was very good at in the first place. Also, since I’ve already done one rotation, I can take my last block off and study for Step 2, which I need to do well on since I’m going after Radiology. Oh yeah, and if I were to really return on rotation 5 as planned, I would be so far behind that I would not have any time to do any away rotations during my fourth year before having to apply to programs. I really believe that this extra year will be advantageous to me in helping me become the best possible Radiology applicant I can be. And, of course, I’ll have no more dissertation hanging over my head. On the other hand, now I’m going to be yet another year behind. One more year of not being done. Of not moving on with my life. Of not earning enough money to afford as many Chanel handbags as I want (though, really, in the grand scheme of things, I realize that life is far too short to spend coveting overpriced designer handbags). Oh yeah, as if it wasn’t hard enough to join the current class I’m in, I’ll have to do it all over again with a new batch of people. Not to mention that I’ll have to start the warm-and-fuzzy doctoring class all over again. I suppose I’ll just make sure to take on an early case since I’ll know what they’re all about.

Hmm…now that I’ve listed out all the pros and cons, it’s perfectly clear that taking the rest of this year off and starting again next year really is the best thing for me to do. Now, it’s not set in stone yet. There’s going to be some headbutting between bigwigs over this plan, but we’ll see where it goes. Until it’s decided, I’m sure as hell going to enjoy my carefree days. There’s nothing like tasting just a tiny bit of the third year of medical school to make me appreciate the finer points of doing nothing 10,000% more than I ever did before.

do you have what it takes?

Really? Do you have what it takes to be an MD/PhD? Before you rattle off your sky high GPA and MCAT scores at me, let me tell you about the requirements they don’t tell you about or sugarcoat because they know you’ll go running for your life.

1. Have an inquisitive mind. Sounds like a good skill to have, right? Something that’s really indispensable if you’re planning to pursue research? Well, yeah, it is. But what they neglect to tell you is that no one is going to listen to your ideas. No one at all. You might even get yelled at. Because you’re just a peon and how dare you think you have anything new to add that some seasoned PI hasn’t already thought of.

2. Work well with others. Research is all about collaboration. Nobody gets anything done by doing everything themselves. You just can’t possibly know everything there is to know about everything. What they don’t tell you is that collaboration as a grad student means checking your ego at the door and groveling at the feet of collaborators who hold your already tenuous fate in their hands. Oh, so sorry, I’m not available the entire month of April for your studies.

3. Be able to think on your feet. A good skill to have that applies to many aspects in life in general besides research. But when it comes to research, this skill takes on a whole new level. You need to be able to think on your feet while being bombarded with questions designed to destroy any credibility your study may have had and humiliate you until you have not a shred of ego left by know-it-alls who have nothing better to do than to destroy you just because they can and not because they’re interested in teaching you some far-reaching lesson about research.

4. Creativity, ingenuity, perseverance are musts. Because shit just doesn’t work in research. And you’re going to have to spend many sleepless nights figuring out why your shit doesn’t work and how to make it work if you ever want to finish your PhD. There’s no such thing as dropping your doomed project and moving on to something that just might work. Nope. You’re going to spend 3-4 years (or more!) chasing the same pointless project because your PI doesn’t want to admit that his idea was wrong.

5. Be prepared to be wrong. Because you often are. But you’re often not as well. But even then, you still are because you’re just a lowly grad student and even the lab tech knows more than you. So yeah, be prepared to be wrong, even though you very well may be right. And don’t even think about defending yourself because doing so is just going to get you yelled at.

So there you have it from the inside. Do you still think you have what it takes? If so, then good for you! We need more people like you in research. If not, just stick with med school. You’ll get enough abuse there.