Saturday, August 16, 2014

Senior Status


The moving has begun, again! If it was not yet apparent, as a caribbean med student we do not have a 'home' hospital like the students that attend an american school in the US. Thus all our clerkship rotations are at school affiliated hospitals found throughout the states - mostly the east coast, the south and some central states such as Georgia, where I am currently residing for a month. The third year core clerkship rotations, those that are required by every medical school to be completed, can usually be done in one if not two places so the student can decide if and how much they would like to travel. I went between Florida and Maryland if you recall. Talking to other caribbean students this has been a common path.

The 4th year is completely different.

It is the year when you try and narrow down your interests if you have not picked a specialty already. These clerkships are called elective rotations and each individual is responsible to make up their own schedule based on their interests. For us, that usually means we move around to different hospitals depending on what they offer, their availability and scheduling... I will not get into the stress of making up that said schedule because that's besides the point. Yet, I will say that it is not an easy feat!

I will say that I finally have my 4th year scheduled!
Since my last post I have finished two one month electives, one in Michigan and one in Baltimore, MD. I am currently in Atlanta, GA doing a family medicine elective and will be heading off to New York for two months and then Louisiana for the last two months of my medical school clerkships. It seems I have so little left before I get to have that status as an MD. Looking back I can see how the process has shaped who I have become as a senior medical student. Last month I went back to Harbor hospital, where I completed the required 3 month Internal Medicine rotation last year. I worked with a Hospitalist doctor as a senior student. During my stay a new group students started their third year - including some friendly faces from Saba! I have to admit that I noticed a significant difference. By which I mean that there was a comfort level of navigating around the hospital, approaching patients, speaking up during rounds etc. For me, there was an evident difference in the level of knowledge between myself and the starting third years... Now! Let me explain myself before you jump to any conclusions. What I mean is this: I now realized how much information I have absorbed in the past year (and of course, there is a ton I still have yet to learn). It is really astounding to see the difference in which I approach certain problems, diagnoses and questions thrown at me. I find myself not overwhelmed like I first felt in third year. The knowledge seems to have become a second nature sort-of response. Anyways, ignoring my ramblings, what I mean to say is that I have surprised myself at how far I have come in just one year. The process is gruelling and pushes you to your limits but it really does work! I have no doubt those third year students will go through the same realization when they reach 4th year.

Where am I now?
Applications to residency programs are a month away! Yes, you read that correctly. One month. If you have been following my journey from the beginning, can you believe it's been 4 years?!
All the required board tests have been taken - and passed!! I am now finalizing the programs I am applying to, which has become a very time consuming task, albeit important. The personal statement is written; but it may be re-written over and over again in the next month. As a blogger and a person who enjoys writing, the personal statement has been something so difficult to be 100% pleased with because it forces me to summarize my passions, goals and direction in life in just one page. One page?! I am almost tempted to write one line: "Dear Program Director, please read my blog".

In any case, the end is in sight! Although it won't be smooth sailing until next March (when we find out to which program we matched) I can say I will try to make the most out of my travels and experiences.

Here are some pictures of Atlanta so far. Never did I expect it to be such an 'artsy' place!









Now time to go explore more of Atlanta.

sincerely,
IDL

16 comments:

  1. Hello,

    I have been following your blog with passion. I enjoy reading about your experience at SUSOM. I will start Jan 2015::)) . I have a question if you don't mind. I noticed that you started in Jan 11'. Could you in your busy schedule find time to provied a rough schedule of your ~3 1/2 years at Saba?

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    1. hey. Here is a rough outline but it will differ based on the ways in which you can schedule your 3rd and 4th year clinical rotations.

      Basic Sciences: Jan 2015 - August 2016.
      break, study and write step 1. Finish Saba research paper: by December 2016
      Begin clinical rotations January 2017 - give yourself approximately 2 years to finish this. (includes breaks, studying and taking all necessary exams).
      You should be able to apply for the 2019 Match and start residency July 2019. (applications will be due Sept 2018)
      hope this helps give you a quick overview!

      best of luck,
      IDL

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    2. *I did that schedule based on your start date at Saba... thought it would be more helpful for you.

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    3. that really helps!!! thank you so much!! I understand the basic science schedule pretty well. The only thing that seem vague is the clinical portion. How to pick locations and what not. On the saba website there are about 16 locations for clinical rotations. Do you know if there are more? Any suggestions on where to do the core rotations efficiently?

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    4. *actually you mentioned Florida and Maryland as your core rotation sites. Which hospitals in thoes states?

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  2. how much time did you give yourself after finishing Basic Sciences, to study for Step 1 and complete research paper?

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    1. About 3 months + a break. I was fortunate enough to have the opportunity to take it a little slower because of when I started (Jan semester)

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  3. Hi! This is such a great resource! Thanks so much for taking the time. I am considering applying to Saba, but just like many other aspiring applicants, I am worried about the strict pass rate. What would you recommend as studying tips? (studying everyday/speaking with mentors etc.?). And what is the attrition rate? If you could please answer these questions, I (and I am sure many others) would greatly appreciate it.

    Kind regards

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    1. Dear Anonymous, thanks for reading my blog! The short answer to your worries is do not go to saba thinking about the attrition rate and passing grades. Think about your determination and interest in medicine. You will definitely be studying everyday - everyone has different study habits and will figure out what works for them the best throughout each semester. The upper semester students are very helpful and approachable on the island so they can give you more uptodate tips about how the classes are!

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  6. Hi there!
    I would love to connect with you to get a little bit of insight on SABA. I'm currently an undergrad at the University of Toronto (BSc. Neuroscience and Human Biology) and am interested in studies at SABA. I was wondering about clinical rotations and if any were available in Ontario or any other province in Canada?

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    1. Hi Laila, there are ways to do rotations in Canada but you set everything up on your own. The saba requirement is that you have to finish the 3rd required rotations in the US but may do up to a certain number of weeks in Canada depending on the province (each one has different rules about IMGs). Many of my friends completed 4th year elective rotations in canada so it is totally possible.
      hope this helps!
      IDL

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  7. Hello. I have recently graduated from Ohio State University and I am considering applying to Saba, due to the cheap tuition, compared to expensive American medical school. I have read your blog and your experience has made me confident in my pursuit in medicine. Thank you.

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  8. Hello! Thank you very much for investing time into this blog. It is a really valuable resource and gives us a much better understanding from the POV of a Canadian (with no American citizenship) at Saba med.

    I've been reading a lot about the whole process about obtaining residencies and the type of tests one may expect to take (during school and residency) and I was wondering if you can possibly shed light onto my confused state!

    According to my understanding, many people use the J1 visa to obtain American residency positions. In order to obtain a J1, you must get a Statement of Need (SoN) from the Canadian government. However to get the SoN, you must write the MCCEE around the same time as the USMLE step 1. Is my understanding correct?

    As well (assuming a American residency), MCCQE one and two will be taken after graduation and after a year of residency, respectively. Once you complete your residency, you must leave America to go back to Canada for two years. My question is, what does one do for those two years? I am assuming at this point that we still have to take additional exams in order to practice independently in Canada.

    Could you comment on your experiences with the SoN, MCCEE, and both MCCQE's?

    Thank you so much for the time and effort you put on this blog, its been and continues to be an Invaluable resource for me.

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