An Introduction to Medaholic’s New Coblogger: Lizz

axolotlembryosAs many of you know, I have recently been looking for a coblogger for medaholic. Over the last year, I found most of my reaers were premed or medical students and that a lot of the new content on my blog wasn’t catering to them. In an effort to help medaholic continue to grow I’ve decided to bring on a fellow co-blogger Lizz to help me grow this blog! Here’s a brief interview so people can get to know her a bit better!

Hello. My name is Lizz, and I’m a medaholic.

Or, at least, I’m the new co-blogger at medaholic.

Who are you?

A: I’m 25. I majored in a computer science-y subject, and I work in the IT field. I hail from the alternatingly humid and frigid New England area. I love movies, Anki flashcards, Lifehacker, Reddit, Metafilter… Okay, let’s just say I love the internet. I used to have pink hair and three facial piercings, which oddly didn’t stop me from being successful in my corporate job. I think credit unions are excellent and I hate exercise.

Oh, and I want to be a doctor.

What stage are you at in your education?

A: Two and a half years ago, I was wrapping up a degree in a non-medical, non-science subject. Because I was working full-time, I was about a semester’s worth of credit short of graduating. Specifically, I still had to fulfill the free elective requirement – Three classes from a discipline outside of my major. Three more classes would mean another four thousand dollars in tuition, plus another semester’s worth of work, all spent on material that had nothing to do with my field. Naturally, I was less than thrilled.

The whole reason schools require you to branch out and take these classes is to ensure that you’re a well-rounded individual. Nobody really expects you to buckle down and take hardcore science or math classes, but they hope that you’ll at least hit up their foreign language or sociology departments. So while I haven’t actually checked this out or anything, I like to think that I’m the only graduate from my university to have volunteered to take Calculus I as a free elective.

The thing is, I had given some thought to pursuing a career in medicine, but I had almost no science background. I was one of those kids in high school who picked Earth Science over Chemistry, opting to cover the water cycle rather than water’s intermolecular interactions. My choice of Biology classes came down to picking the ones with the fewest dissections. With this in mind, I had no expectation that I was capable of doing the work and pulling off the grades necessary for a successful medical school application, so I needed a nice litmus test class. With Calculus, I figured I’d crash and burn and that would be the end of my premed aspirations.

Except, that spectacular flame-out never came. I got an A.

That A set me up with the confidence to run full-tilt at the science classes I had avoided, starting with General Chemistry I and II. They were a cakewalk compared to Calculus – In fact, to this day, Calculus I and II remain head-and-shoulders above the rest of the courses I took in terms of difficulty. Turns out my inner premed was more than capable of pummeling the hard sciences. More than that, Chemistry is almost certainly my favorite subject, and dissections are a blast. Without those three free electives, I might have gone my whole life without discovering this about myself.

Fast-forward through a few years’ worth of courses, extracurriculars, and MCAT prep. As of two weeks ago, my AMCAS application has been submitted and verified. The bulk of what medical schools are going to evaluate me on is set in stone. All I can do now is write a novel’s worth of absolutely killer secondary application essays and hope the interview invites start rolling in.

What will you be focusing on as a co-blogger?

A: Since I’m waist-deep in the medical school application process, I’m going to be talking about the advice I wish I’d been given on the way to this point. I devoured blogs like medaholic when I was making the transition from computer science graduate to pre-med post-baccalaureate student. Hopefully my advice helps guide and motivate y’all, but this blog will also give me the chance to chronicle my progress through this application cycle and beyond.

I’m also going to talk about my progress on a variety of goals. I decided to pursue medicine because I’m motivated and dedicated, and gosh darn it, I like being busy, which predisposes me to being the type of person with a hearty list of goals. Not only do they motivate me to improve myself as a person, but they also keep me from zoning out in front of Netflix for hours a day. Hopefully they’ll also help me stave off premed neurosis during this potentially 13-month application cycle.

What goals are we talking about here?

Get into medical school. Operation Get Accepted is in full-swing. Secondary applications come out next week, and interview invitations will hopefully be quick to follow. On the other hand, the earliest acceptances won’t come out until mid-October. It’s going to be a long year.

Learn more Spanish. Hablo un poco de español, as in I can say no sabemos quien es humano and other phrases of dubious utility. After I get my secondaries out the door, improving my spoken Spanish is going to be my next big project.

Lose more weight. Food is my favorite thing ever, and exercise is practically a four-letter word, so this one has been hard. But as of this writing, I’m down 34 pounds from where I was this time last year, so it can be done.

Save more money. It should surprise no one that a medical education is painfully expensive. In addition to building myself up as an applicant, I’ve been building my savings up to help defray some of this exorbitant cost. I’d like to keep a running tally of how much this cycle has cost me, as part of a financial reality check for you folks. If you’re planning on applying in a year or two and you’re not fortunate enough to have family who can foot the bill, I have one piece of advice: Start saving for your applications yesterday.

Anything else you want your readers to know?

A: I am so not perfect. In fact, I’m sort of a self-saboteur. I undermine my diet on the regular, binging on popcorn at the movies while thinking “This isn’t even that good!” When I procrastinate on Netflix, I’m mostly watching marathons of shows that I don’t even really like. I haven’t so much as uttered an “hola, como estas?” in weeks. Worst of all, I have about a hundred secondary essays I should be pre-writing! Oh lard. I’m going to go do that now.

Medaholic’s Take

I’m super excited to welcome Lizz aboard and know that she’ll be a great coblogger who will write about issues that you care about. I’m excited to see her posts about MCAT study strategies and applying for medical school in the United States. You can identify blog posts from her by looking for the author Lizz. I look forward to a new chapter at medaholic.com!

Studying In Medical School – A Timely Analysis

Today’s guest post comes from Ryan Nguyen, an osteopathic medical student who blogs at WhiteCoatDO. You can also connect with him on twitter via @RNguyenMed.

 “So how much do you really study?”

My non-medical friends often wonder where I’ve disappeared to for the past year, they’re fascinated by the idea that I spend just so much time studying. Sure, I had to put in a decent amount of work during college to even make it to this point, but my course load at UC Santa Barbara seems like a brisk walk in the park compared to the tidal wave of information that needs to be conquered for each exam now.

In an effort to quantify really just how much time I was studying, I tracked every single minute I spent preparing for one of my exams during the school year. What exactly did this mean? Every hour spent in-class, watching lecture playbacks, outlines powerpoints, or reviewing in group was written down. The exam, from my “Introduction to Disease, Immunity, and Therapies” block encompassed 2 weeks of material and roughly 37 hours of lecture material. To put that in comparison, a typical 4.0 unit class at UC Santa Barbara would cover about 30 hours of lecture material over a 10 week span. Medical school sure has a way of jam-packing information into a very brief amount of time.

In order to keep the data as accurate as possible I ONLY logged time that was spent studying. This meant I “clocked-out” any time I spent surfing the web or even going to the bathroom. For example, if I was at a coffee shop for 3 hours, I probably spent ~2.5 hours actually studying and 30 minutes for other things. After doing the actual studying and test-taking, the results were tabulated as follows.

What does this all mean?

I spent a lot of time studying

In total, I spent 76.8 hours studying for this one exam. That translates to roughly two hours spent dedicated to each hour of lecture material. On average, I would study for 4.8 hours/day, but there was a definite disparity between how much time I spent per day during the first week (3.5 hours/day) and the last five days before the exam (7.2 hours/day). Unfortunately, there’s no data on how many hours I spent studying as a premed, but I’m confident in saying my “light” 3.5 hour study days now would put some of my more “intense college study sessions” to shame. The only comparable experience is finals week in college, except the first year of medical school is finals week stretched out over a 9-month period.

I skip a lot of lectures.

One of the great things about WesternU COMP is the flexibility to learn at your own pace and style. Even with 37 hours of lecture material, I spent only 6.5 hours actually watching any lecture (in-class or via recordings). Professors provided powerpoints that encompassed testable material and I would fill in knowledge-gaps with resources from the internet (Wiki, Harrison’s, etc.). Even though I skipped the majority of my classes, I still spent a large amount of time (51.8 hours) studying by myself. This is one of the BIGGEST changes from college where skipping class was almost always detrimental to my grade. Now, I found more success tackling the material on my own.

One major note I’ll make about this study strategy is that as the year progressed and more of our lectures became clinically-based, I gradually watched more lectures. Not watching any lectures worked out in the basic sciences. However, at this point in our systems curriculum, I do watch every lecture (although rarely in person and almost always on 2x speed) in order to help learn more of the clinical applications of the material.

I use group review to break the monotony.

All those long hours of studying in front of a computer screen can get awfully lonely. Thankfully, I’ve found a study group of 3-5 classmates who I can group-review with before the exam. The amount of time spent reviewing the material was evenly split between group-study (16.5 hours) and self-review (16 hours). There were at least a few questions I got right just because of a connection one of my study partners brought up during our review sessions. Study groups can be very hit or miss, but can be worth their weight in gold if all the members get along properly.

Not Pictured: The Revolving Glass Door of Study Styles

After a year of medical school, I’ve found my study habits changing on a class-to-class basis. As I alluded to in the data analysis, one such example is the transition from watching barely any lectures to watching almost all of them. Some other strategies I’ve toyed with during the year include drawing things out for anatomy, making concept-based tables for biochemistry, self-quizzing with flashcards for pharmacology, making up patient presentations for neurology, and making absurd mnemonics for everything in between. Over the next few months, I’ll be going over a few of these study strategies on WhiteCoatDO.

Recharging the Mind and Spirit

It’s almost the end of my PGY1 (Intern) year and senior resident responsibilities loom nearby. Overall it’s been a good year. I got to see a lot of patients and be responsible for their care. Along the way I saw a wide variety of cases and learned to be a better clinician. I’m a better team-player and leader and I understand my role as a doctor more clearly.

But with having done nine months of 1 in 4 call and currently coming off a continuous 5 month block, I am tired. My life at home is disorganized with unfinished paperwork and dirty laundry piles. This blog has been in neglect. I have textbooks on my shelf that have gotten very little use this year.   It’s very easy to get caught up with your work life.

I remember reading Hot Lights, Cold Steel when I was in my 1st year of undergrad. In his book, Michael Collins describes how as an orthopedic resident he was working an upward of 80-100 hours of week to hone his craft. I remember I thought- “100 hours can’t be that bad, if given the chance, I’ll work as hard as I possibly can to make myself a great doctor.”

The truth is working 80 hours isn’t that hard. Working 90 hours or 100 hours isn’t that much harder too. The work itself is not the problem. The hardest part about working longs hours is the sacrifices you have to make with your limited time.

Out of the 168 hours of my week, approximately 60-90 hours are spent at the hospital each week. I spend about an hour commuting, and 1.5 hours for meals each day. I also sleep very little – averaging 5.5 hours a night/post-call which equals approximately 40 hours when rounded. On a busier week (80 hours) that would leave me with approximately 31 free hours in a week or about 5 hours each day.

The hard part about a resident’s life fitting the rest of your life into those 5 hours each day. You have to find time to do essential errands such as groceries, banking, shopping. You learn to make time for your significant other, family and friends. With what time you do have left, you try to read around your cases and improve your knowledge. If you’re not careful with your time, you personal life will come to a standstill.

Luckily, I have some time off before my PGY2 year starts to recharge a
nd refocus. It’s funny how our calendar year starts on July 1st, I don’t know of any other profession that follows a similar schedule. I’m hoping to revive this blog with a co-blogger and get around to outlining future posts. Finally, I’m going to sleep and get lots of it. I never appreciated continuous uninterrupted sleep as much as I do now.

June is always a good time to recharge yourself. A career in medicine can be long and arduous, but be glad there are breaks where you can reflect on what an amazing journey it’s been so far.

Supply and Demand

I just spent the last hour going through the 30+ applicant emails I received for my position of a coblogger. They were some of the hardest emails I have ever had to write.

In summary, there were many more qualified people than there were spots. Almost everyone was talented, ambitious and genuinely interested in helping others. I could see myself working well with many of them. I had to turn down many very qualified people. The decisions weren’t easy. I still have to select a final co-blogger out of the final few. It’s going to be a difficult choice.

I am humbled that so many talented individuals would want to work with me at creating content. I feel blessed and am grateful to my readers.

This whole process reminded me of medical school admissions, a game of supply and demand.

Every year, there are many more talented and caring applicants – many who would make fine physicians – than we have medical school spots. Many of these applicants end up pursuing their careers in the States or internationally (Ireland, Australia, Caribbean). It’s a real shame we can’t admit them all.

To everyone who may have recently been rejected from medical school, sometimes it’s not your fault. You did everything you could and the numbers just didn’t land in your favor.

I hope everyone I had to send a “rejection” email knows I feel the same way.

Note: The image is that of a Nuclear “MIBI” Scan used to assess the supply and demand of the heart