A bear went over the mountain…

I have been here in Portland on my visiting rotation for one week now, and after telling people about my experiences thus far I’ve made a discovery.  It’s not earthshaking news or anything, just an observation about regions of our great country.

During this relatively short week I have met med students and residents and attendings (as a side note: I often can’t tell the three apart except for the ubiquitous med student short white coat… everyone treats each other as colleagues.. very cool)  Anyway, I’ve met these people and had many opportunities to chat with them about all sorts of things medical and otherwise.  Whenever we get to talking about our lives outside of medicine the conversation is dominated by discussion of hiking trails, camping areas, beaches, golf courses, ski slopes… you name it, one of us has been there, done that.  I’ve been getting advice on where to see the coolest waterfalls and what time to explore the coastal beaches – because these are the kinds of things that people in the Northwest do during their free time.  We like to be outside.  A lot.  We like nature.  And it’s great since there’s so much of it around.

Now compare that to the three years I’ve had in St. Louis and the countless conversations I’ve had with med students, residents, and attendings.  Activity suggestions tend to center around where to find the best bars (and restaurants).  Every once in a while they might stray into catching a Cardinals game.  But no one ever talks about hiking.  Or camping out.  Or even walking trails.  Certainly no suggestions for beaches or ski slopes, since they don’t even exist there.  No one really does anything outside in St. Louis, and maybe that’s why I feel so cooped up when I’m there.  Even walking around the block is a chore most of the year.

So, this just chalks up another mark in the "Come back to the Northwest ASAP" column, bringing the tally to about 572 and leaving the "Stay in the Midwest" column with a pitiful score of 3 (I do love Sen Thai, the Moolah and Chase theatres, and Cardinal Glennon).

More Honors

So I just got word that I honored my Internal Medicine rotation… for those of you keeping track (which is probably just me, really), that means that I honored ALL of my third year rotations!  I don’t know how often this happens, but I think I’m definitely in a minority in my class of ~150 people.  🙂  I am very proud of myself and very excited.  And to think it took me two attempts and a few months on the waiting list before I got into med school!

My friend Rich

This is Rich:

Picture(1).jpg

He’s in med school with me.  We’re taking a class together right now, and today we were out in Belleville, IL (about 30 min from St. Louis) to learn all about Basic Life Support and Advanced Cardiac Life Support.  We had an hour off for lunch and we were going to go to this little Mexican place Rich knew of, but they were closed due to a "Boil Order".  What is that you may ask (I certainly did).  Well, it means that the water pressure in Belleville was not high enough to ensure that contaminants would not leak back into the fresh water – thus all tap water becomes potentially contaminated and people are advised to boil it before using it.  This also makes restaurants close down, since they can’t very well clean anything in dirty water.  So everyone ended up going to Jack-in-the-Box instead.

Jill Cook, MS IV

Doesn’t that just look cool?  So different from MSI or MSII or MSIII – it’s in a league of it’s own. 🙂  And that’s me now because I just got done with my last shelf exam for my last required rotation of my third year of medical school.  From here on out it’s electives, pediatrics, fun times!

As an aside – it was actually kind of fun to show up for my exam this morning because the WHOLE third year class was present for exams today.  See, throughout the year we have all been assigned to different rotations with different schedules and so we’ve taken exams at all different times.  But today was the end of the year for everyone so we were all there.  I haven’t seen some of my classmates for a long time – the ones I never had a rotation with at the same time – so it was like a big reunion.  And now I’m heading off to a class picnic in the park and dinner out with some friends who I won’t be seeing for the next 3 months since I’ll be back in Seattle.

Portland, here I come!

I got a letter in the mail this weekend letting me know that I was accepted to do an away rotation at OHSU this summer!!  I’m still waiting on the UW to get back to me, but this acceptance boosts my spirits about being accepted at the UW too.  At OHSU I got my first choice, Pediatric Endocrinology and Metabolism, and I’m so excited to  be able to do this!!  I’ll be working with kids who have congenital and acquired endocrine problems – so common things like diabetes mellitus, slow growth, and early or late onset of puberty.. but there’s also the less common more exotic conditions like adrenal insufficiency, the multiple endocrine neoplasia (MEN) syndromes, and maybe even inborn errors of metabolism (PKU, galactosemia, glycogen/lysosomal storage diseases) – but those might be handled by the genetics department, we’ll see.

Anyway, I’m excited to see my schedule working out well so far.  Now I just have to figure out where to live for the month I’m down there… c’mon brasten, help a girl out – won’t you have a place in your beloved Portland by August?  🙂

Internal Medicine

Tomorrow is my last day of inpatient internal medicine at SLU Hospital.  🙂  Then I just have 1 month of outpatient internal medicine before my MSIII year is over.  Crazy how fast it goes… and how slow it goes.  I feel like I’ve been working here at SLU for ages, when really it’s just been 4 weeks.  My time at the VA just flew by, and I’m hoping that outpatient flies by as well (and that I get a lot of studying done!)

I’ve got my summer exams all scheduled now – I take the written USMLE Step2 (CK) on Monday July 11 and I have the standardized patient USMLE Step 2 (CS) scheduled for Thursday July 14 (or maybe it’s Friday the 15th.. I’ll have to recheck).  I’m at that point where I’m nervous about having enough time to study, but I also want to get them over with.

I still haven’t heard from UW or OHSU about my away rotation applications.  Supposedly OHSU started contacting students on May 12th, so  I might try to give them a call sometime next week if I still haven’t heard.  UW claims June 1st as their communication start date, so I’ll just wait with eager anticipation.

AJ got me a nice little stamp that says "Jill Cook MSIV" for me to use next year (well, in a couple of months) for when I sign my progress nots and orders and stuff.  It’s really cool, and even though my handwriting is fine so I don’t really NEED a stamp, I like it a lot and it makes me feel special.  🙂

Next Steps…

… toward doing an away rotation in Seattle

#1 Complete the UW visiting student application and send it off (check)
#2 Be sure UW actually receives the application (check)
#3 Complete very thorough online interactive UW HIPAA training module (check)
                         (HIPAA = Health Insurance Portability and Accountability Act)
#4 Send certificate of completion of #3 to UW (not check – have to do that this weekend)
#5 Wait
 – then hopefully –
#6 Get word that I have been accepted
#7 Do an away rotation in Seattle 🙂

… toward taking the USMLE Step 2 CK and CS

#1 Complete online portion of application (check)
#2 Pay approximately $1300 for the privilige of taking the exams (check)
#3 Complete paper portion of application complete with photos, signatures, and official school seals (not check, I hope I can do this tomorrow)
#4 Send all paper materials (not check, I should do it this weekend)
#5 Receive confirmation of registration in the mail with my super secret registration numbers
#6 Go online and register for the specific dates/locations I want to take the exams
#7 Study
#8 Take exams
#9 Wait
#10 Receive score reports
 – then hopefully –
#11 Smile and do the dance of joy for I have  done exceedingly well! 🙂

UW Got my App!

I just got an e-mail from UW saying that they received my Visiting Student Application! 🙂  This still doesn’t mean anything except that my $100 application fee is now theirs (ie: I don’t know if I got a rotation there yet) but it’s the first step!

Big smiles!!  🙂

Long day, stiff neck, glazed eyes….

I am currently sitting in the Med 2 conference room at the VA hospital.  I am on call today and so far I have had NO patients.  Believe me, I’m not complaining since it gives me time to get my "homework" done (I have to write out my History and Physicals to turn in to my Attending this week) but I have been sitting at this computer since 10:00AM (it’s now 5:00PM) with only about 1 hour break total (a few minutes at a time each).  That’s because I’m working onthat H&P – but now I’m finished with that.  Whoopee.  But now I also have a stiff neck and a little headache.  It’s because I don’t pay attention to how long I’ve sat here and hours and hours go by without me really moving at all…

But now I will.  Move that is.  Perhaps go get a snack.  Or go to the bathroom.  Or just walk up and down the stairs and watch my pedometer rack up the steps. 🙂  Yeah, that might be fun.

Only 4 more hours on call!  Then tomorrow’s a short day and I think AJ and I might go see a matinee movie since our weekend was cut short by this call day of mine.

Applications are in

So I got my away elective applications all sent off today – I printed and collated and signed many many papers last night and AJ helped me get them all set for Fed-Ex-ing to the West coast.  And now they are out of my hands and all I have to do is wait.  And wait – because I definitely won’t hear anything from them until mid-May at the soonest.

On a pleasant note, I got results of my 4th year scheduling and it all turned out pretty good.  I have July off, so I can go back to Seattle and study for and take my boards (Step 2) and have some vacation time.  I also have August and Septmeber free, and this is when I hope to do my electives in Portland and at the UW.  Then I’ll head back to St. Louis at the end of Septmeber and do my month of Subinternship in Pediatrics here, followed by a month of Child Psychiatry and then a month of Developmental Pediatrics.  Then I have about 6 weeks off for vacation (including Christmas break time).  I’m doing a month of Pediatric Infectious Diseases in February, followed by a month of a "Capstone" course in primary care (discussion/classroom based) and finally a month of Pediatric Spine and Orthopedic surgery.  Which puts me finishing the school year in mid-April, with graduation in mid-May.

Yay!

And as far as Internal Medicine goes, I’m currently finishing up week 1 of 4 at the VA medical center.  It’s going well so far – I have a lot of responsibility for my patients and so far they have all been really nice and talkative and not grumpy at all (which you can get a lot of at the VA, so I’ve heard).  After these 4 weeks, I have 4 weeks of inpatient medicine at SLU Hospital, followed by 4 weeks of outpatient medicine with a private doc.  Then I’m done with my 3rd year.  Wow.  So so fast. And next year should be so so good.  And it will go fast too, I’m sure.