I'm now a nearly two months into internship and what a ride it's been so far. My program is better than most when it comes to hours, but my longest shift thus far was 33 hours. We have a night float system, but we still do 24 hour calls occasionally. The ACGME rules allow for the extra 6 hours for transfer of patient care, bringing the total to 24 + 6 (or 30) but my program supposedly abides by a 24 + 3 rule. In other words- 27. It's like they think we won't realize we're working more than 24 hours if instead of saying that the shifts are 27 or 30 hours, they say "24+3" or "24 + 6." Managing my medication on long calls is tough, and I have to make sure I don't flip into hypomania so I HAVE to take my evening dose of Seroquel, even if I'm going to be staying up all night. I take less of a dose, and make sure I get sleep when I return home. So far, so good. No hypomania. Just exhaustion- like all the other interns.
I keep my illness a secret from other people- sneaking pills from inside my Coach wristlet- and I don't think anyone I work with now would ever guess in a million years that I'm hiding something. If you met me now, you'd have no idea. It's nice to be out of medical school because my hospitalization is now a nearly three years in the past. I just tell my peers that I did a research year if it comes up that I was in medical school for 5 years. Of course when I was interviewing, I didn't lie- when asked I said I was on medical leave and then did research. But now, there's no reason to discuss this with my new friends. I just say research year, leave it at that, and I don't have to answer uncomfortable questions anymore.
It's great- sure I do struggle- but I'm so happy to have made it. Sure, there are sucky parts of internship. I had a 24 hour call last night and a nurse called me at 2:30 am to say the BP was 180/80 when it had been that way all day. But, despite these annoyances, I don't regret going to medical school.
Showing posts with label internship. Show all posts
Showing posts with label internship. Show all posts
Thursday, August 26, 2010
Saturday, May 1, 2010
DONE!
Yup, I am officially DONE with medical school. My graduation is in mid-May but in my mind I've already finished- yesterday was my last "working" day of med school.
I'm headed off to internship in a little over a month which is a scary thought. I matched into my top choice advanced program and one of my top choice prelim programs. To those of you reading the blog who aren't familiar with this terminology- "Internship" is the first year of residency which lasts from 3 (ie Internal medicine/ Family Practice) to 7 (ie neurosurgery) years. In "categorical" programs, internship is included, whereas in "advanced programs" it isn't, meaning, as in my case, you have to apply separately for a Preliminary year. Radiology, Ophthalmology, Anesthesiology, Neurology, Dermatology, etc, are examples of programs that sometimes require a separate intern year.
It sucks because I have to move twice- but I'm happy with where I matched so it's worth it.
I had to take my illness into account when formulating my match list. Mania, or in my case, hypomania, can actually be triggered by lack of sleep. And, being that it is perfectly legal to work 30 hours in a row, take 10 hours off, and do the same thing again, I had to pick programs with more humane work schedules. Now what I described is rather extreme- the maximum allowed shift is actually 24 hours, but then you're allowed 6 hours (in some places it's 3) for tying up loose ends, etc. People refer to this as "24 + 6" but I'm like, "whatever, it's 30." One program I looked at basically informed applicants that interns who go over hours do so because they are inefficient. That, to me, implied that interns' time sheets likely have them working < 80 hours with no more than 24+6 in a row, while the actual interns are in the hospital longer than that. I didn't rank the program.
There are programs that have a "night float" system which means that there is, as it sounds, a night shift. This means fewer 24 hour shifts for residents. Even thought night float can turn your schedule upside down and mess up your circadian rhythms, I found this to be preferable to a program where I'd be required to work "24 +6" on a regular basis. Both my intern and residency programs have night float.
I also had to think of the prescription drug plans available. I don't see a psychiatrist a lot anymore- it is basically just for crises and medication management- BUT I do take very expensive medications. Seroquel is the worst offender. I REALLY LIKED one prelim program, but had to rank it very low on my list because the prescription coverage was 400 dollars a year. (!!) And, residents had the same health coverage as one of the hospital unions. So much for collective bargaining!
I'm excited about moving on, but also a little sad because I'm leaving the house I've lived in for 4 years. I'll miss my roommates.
I'm headed off to internship in a little over a month which is a scary thought. I matched into my top choice advanced program and one of my top choice prelim programs. To those of you reading the blog who aren't familiar with this terminology- "Internship" is the first year of residency which lasts from 3 (ie Internal medicine/ Family Practice) to 7 (ie neurosurgery) years. In "categorical" programs, internship is included, whereas in "advanced programs" it isn't, meaning, as in my case, you have to apply separately for a Preliminary year. Radiology, Ophthalmology, Anesthesiology, Neurology, Dermatology, etc, are examples of programs that sometimes require a separate intern year.
It sucks because I have to move twice- but I'm happy with where I matched so it's worth it.
I had to take my illness into account when formulating my match list. Mania, or in my case, hypomania, can actually be triggered by lack of sleep. And, being that it is perfectly legal to work 30 hours in a row, take 10 hours off, and do the same thing again, I had to pick programs with more humane work schedules. Now what I described is rather extreme- the maximum allowed shift is actually 24 hours, but then you're allowed 6 hours (in some places it's 3) for tying up loose ends, etc. People refer to this as "24 + 6" but I'm like, "whatever, it's 30." One program I looked at basically informed applicants that interns who go over hours do so because they are inefficient. That, to me, implied that interns' time sheets likely have them working < 80 hours with no more than 24+6 in a row, while the actual interns are in the hospital longer than that. I didn't rank the program.
There are programs that have a "night float" system which means that there is, as it sounds, a night shift. This means fewer 24 hour shifts for residents. Even thought night float can turn your schedule upside down and mess up your circadian rhythms, I found this to be preferable to a program where I'd be required to work "24 +6" on a regular basis. Both my intern and residency programs have night float.
I also had to think of the prescription drug plans available. I don't see a psychiatrist a lot anymore- it is basically just for crises and medication management- BUT I do take very expensive medications. Seroquel is the worst offender. I REALLY LIKED one prelim program, but had to rank it very low on my list because the prescription coverage was 400 dollars a year. (!!) And, residents had the same health coverage as one of the hospital unions. So much for collective bargaining!
I'm excited about moving on, but also a little sad because I'm leaving the house I've lived in for 4 years. I'll miss my roommates.
Subscribe to:
Posts (Atom)