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End of the Rotation on the Floors !

It has been nearly 9 months since I started my internship. When I started my internship, I was full of energy and I could do anything. Now It seems like that It is taking a huge toll on me. I feel exhausted both physically and mentally. I am glad that the vacations came on time. I have been back home in Pakistan and enjoying the company of my parents. They always teach me about life which I can not learn from other people. I can share with them a lot of stuff. Hopefully by the end of my vacations, I will share some stuff which I will acquire from them.  For now, lets talk about the Medical Floor. The hardest part of the IM rotations are the floors. During 4-5 months consecutively on floors. I learned that you can not control everything. Your job as an intern should be to learn but it is so different out there in the real world. Your learning should be done by the attending and the senior residents; more so by the senior resident. Some days I got really sick of the fact that a...

Tips for IM Interns starting floors

So, I will be rotating with my Chief resident this month. I am extremely Happy about that. First, he is a really cool and funny guy. Secondly, He teaches. The other day he showed me how to work on the floors. He gave me couple of tips which I will share here. 1- Do three rounds. One before the actual rounds with the attending, second after the actual rounds, third round before you leave for home 2- On you sign out sheet, write everything. Develop a system. Write N for notes, L for labs reviewed, AM for AM labs ordered on the sign out sheet. Cross these things as you move forward. 3- Call your consults early. 4- Start from the top floor (or the floor with the sickest patient/intermediate care unit) 5- When you are on one floor, do everything for the patients on that floor. After you are done ordering stuff, talk to the nurse and the social worker for those patients. Start discharge planning early. 6- When you are on a floor and you receive a call or page from another floor,...

Matched in Internal Medicine! Internal Medicine Intern! Intern year Goals!

Hello Everyone!  So, I tried my best last year. I gathered 6 months of US clinical experience by volunteering at two different hospitals in the US last year. When the time came, one of the Hospitals offered me a job. I am very excited to start my residency in internal medicine. My dream finally came true. I do not have to pursue pathology or psychiatry. Thank you to the Almighty God who helped me immensely at every step of my journey. Who knew a person with an attempt in Clinical Skills exam can match in IM?  Strangers helped more than friends. Even my best friend could not help me get an interview at the Hospital he is working at.  But I think about people who claimed to be my friends and it hurts when they decided to help strangers over me. I am bitter but I have forgiven them. Now, I do not know how will I interact with them! How will I talk to them when I will see them next time? May Allah help me build a mighty heart when the time comes. These days, I am j...
The problem is that I really do not understand everything. Why would they think that a particular field is better for me when I clearly have no idea about it ? On the other hand, I have no idea about the other field. Then again, Beggars can't be chooser. I have the credentials which suits the less competitive field. And Am I willing to waste so many years trying to get into a field in which I have small experience. Should I blindly take the path which is easier than the other path? Then again, my own ego would never allow me to rest in peace, if I go into the less competitive field. My own ego would always push me to achieve a different goal. Or will I be satisfied with my life? Am I willing to go back to my homeland, and start everything from scratch. Why would God want me to take this journey? Should I go back without even trying to find the shore! So many questions! 
Long time since we talked...... So, I cleared my step 2 CK and CS exam. I scored 231 in CK. Al though not a great score to cover my CS attempt, but I am hopeful that I will match this year. I have applied in lots of programs. Hopefully someone somewhere may realize that we are more than just scores . Well, I started contacting a lot of my friends and colleagues to help me with an interview call. I am also seeking help from strangers. Al though, I find this practise futile and useless. And to be very honest, they are reluctant to help me because I do not have the credentials. It is neither their fault nor mine, I can understand how problematic it could be for them. Interestingly, one of my friends told me that you can email the program director and tell him that you are my class fellow and you have heard great things about the program. CS is an exam which is totally unpredictable. Anything can happen to anyone. I may not be the brightest student or I may not have best of luck with me...
I took NBME 2 Online and scored 225. My target was to score more than at least 235. Now I have decided to postpone my exam and take it on 25th April In Shaa Allah! Now I am gona complete uworld for the third time and try to remember stuff from it.  Hopefully I will be doing 100-200 Questions daily! Hoping to score great on step 2 CK ! 

USMLE Step 2 CK T-17 day!!

Okay I am trying to sleep but I just quit trying and I had a mini toblerone. After 17 days, I will appear for my step 2 CK. Yes! I am pretty anxious about it and I am trying to become a morning person so that I can do okay on the test day. But it seems impossible. It is around 4;00am in the morning and I was trying to sleep. Tonight, the reason that I am more anxious is that I am going to take my NBME 2 online today. So, I'm pretty worried about my scores. Good scores will provide me with some kind of relief but I have decided to take the exam on April 17th no matter how well I do on the NBME. Inshaa Allah I will take it on 17th April. I don't want to delay it any further. It has been affecting my overall health and I have been sacrificing a lot on CK. I think ALLAH will help me achieve my purpose. I have full faith and confidence in GOD! For those people who are reading this, I want you guys to specially pray for me. I need your prayers and best wishes. I will try t update m...