We finally get to see real patients this week! We’ve already had two exams and are halfway through Anatomy. We will be practicing parts of the physical exam we have learned so far on clinic patients. I like that they’re letting us do it now when we’re still suffering through Anatomy, because it reminds us of why we are in med school (not for the lingering formaldehyde smell).
Do any of you have tips for
hiding incompetence a first-year going to clinic for the first time?
Well, it could have been worse.
It was tough but overall I think it was fair. The way my school does it is half the class goes to the lab and does the “practical,” while the other half takes the “written” multiple choice section. Then they switch. Each section has 60-70 questions, and we need a 70% to pass.
For the practical, we have to rotate through the anatomy lab from station to station and identify different structures on the cadavers. Some questions involve more application of what the structure does/what function would be lost if I cut this structure (it’s a nerve, what does it innervate, etc.), others are more straightforward (what is this muscle). There were also some freestanding bones we had to identify and whether they were right or left. And lastly, we had to be able to read some x-rays and identify the highlighted structure on the film. We get one minute at each station (timed, with a lovely beeping at the end of the minute).
We then had to wait for the other half of the class to finish the written portion and then we switched. Our test also covered relevant embryology lectures, but most people overlooked them because anatomy takes up so much study time. I had to guess on a few of the embryo questions myself, but there weren’t too many so I’m not that worried.
Maybe it’s just the exhaustion (and that I haven’t seen my grade yet), but I’m feeling pretty good. This first test makes up the smallest percentage of our grade for the module and now I know what things to focus on for next time.
The only thing that stands between me and pigging out while watching the EMMYs: a 3 hour Anatomy exam. No biggie.
“For if you remain completely silent at this time, relief and deliverance will arise for the Jews from another place, but you and your father’s house will perish. Yet who knows whether you have come to the kingdom for such a time as this?” - (Esther 4:14)
Whether God is calling you to be a catalyst for saving someone from physical death or being a catalyst for saving someone from spiritual separation from God, when you move forward in obedience, empowered by His strength, bolstered by His power, and confident in His provision, you will see Him accomplish great and mighty works through you.
How marvelous that He allows us to participate and be the hands and feet through which He works.
“For we are God’s workmanship,” Paul reminds us, “created in Christ Jesus to do good works, which God prepared in advance for us to do” (Ephesians 2:10). God created Esther for a purpose, just as He has created you and me for a purpose…“for such a time as this” (Esther 4:14 NIV).
Lord, I am wide open to receive Your instruction. I know that You have created me with a purpose and a plan in mind. My greatest purpose is to glorify You in all that I do. Help me to pay attention when You send me on assignment, and help me not miss it. I know I was born for such a time as this.
In Jesus’ Name,
(Source: instagram.com, via spiritualinspiration)
Trust me those were not fresh scrubs 😫
Seeing people wear scrubs to class/in public during first and second year who weren’t come from or going to do stuff in places where scrubs are required (aka the hospital) always felt extra pretentious to me.
I get they’re comfy. But like… You haven’t earned those scrubs yet. Or something. People see you and assume you’re off to save lives but really you’re just getting a pizza rolls and studying by yourself.
That smell is no joke, better to spend a few extra minutes changing into scrubs than stink up the lecture hall for a few hours.
The kids in my class use obviously old scrubs from goodwill or ones that dont match the institution’s official colors. One gentleman in my class also uses lady scrubs “because they were only 10 bucks.” Another guy wears spongebob scrubs. Some kids just wear the scrub pants but a tshirt/vneck to class and put the scrub top only when about to enter the lab. Most people in my class arent trying to pretend theyre useful (they also know when they smell bad so it’s not really an issue).
But yeah only 3 people have shown up in fancy scrubs and a whitecoat (seriously?), and it was only once. The collective stinkeye from the rest of the class carried the message.
So the way our dissections work is we are split into 4 groups. Group 1 dissects and in the next lab session they present to groups 2-4, and then group 2 dissects, etc.
I’m in group 4, which means my first dissection was today. We got lucky (ha) and had to dissect the brachial plexus! Nevermind the fact that we didn’t really know what we were looking at, it is known to be the most tedious of the first dissections.
Other medblrs have mentioned how messy things get while dissecting. I was skeptical, because up until now, all the dissections were fairly clean and superficial. Then it happened. I was clearing out the fat off a nerve,when backsplash occurred. Adipocytes and mystery juice flew at me. Luckily I was able to dodge out of the way and avoid being permanently traumatized.
We managed to clean out a lot of the nerves and arteries in the upper arm, but then we remembered we also had to clean out the cubital fossa/elbow area. By that time a few TAs and even the professor had told us we had cleaned it enough, so we decided to call it quits.
So now we have a slew of exposed muscles, but little to no idea what they are. We’re gonna go back and figure things out before it’s our turn to present. It could have been more successful, but at least no one fainted our got splashed.