Internal medicine

Third Year Med Student At Your Service!

Tomorrow marks the beginning of my 3rd week as a third year medical student – y’all, it’s still surreal to me. I AM A THIRD YEAR MED STUDENT! It feels like I’ve reached the mecca, the promised land, the land of patients, and all I’ve been working so hard to achieve. Yea, I still have a long way to go, and a lot to learn on the wards, but my goodness, this is an awesome feeling.


My first rotation is Internal Medicine and it began with a one week orientation, where I  had lectures and also got to practice procedures – thoracentesis, paracentesis, lumbar puncture, ABG, ultrasound guided injections, central lines – all via simulation of course (shout out to the dummies haha). This past week, I was officially on the wards. My general medicine service has been interesting – my concern going in was that Internal Medicine is pretty much EVERYTHING, and I’ld need to know everything about everything; so far, my assumptions seem somewhat accurate. Thankfully however, my residents and attending have been really great at teaching. I get asked questions a lot, and I am perfectly okay saying, “I’m sorry, I’m not too sure, could you explain that” or “I’m not sure but I can look that up.” Because to be honest, I don’t know the answers to everything (Step 1 was 4 weeks ago, and feels like ages ago), and it can be like, omgosh, omgosh I’m supposed to know this but I’m drawing a blank.

It is to say the least, humbling.

But alas, it’s only been week one on wards, so I’m trying not to be too hard on myself. Some of the things I was nervous would happen, happened already multiple times – for example, getting asked a series of questions on EKGs, and reading several in a row (oh cardio, my arch nemesis). So alas, I suck up my pride, take my L’s and use each experience has a learning point. All in all, it’s been great thus far.

I also started UWorld questions again. It’s funny, after you take Step 1, you think FREEDOM! No more UWorld, no more studying! Only to start third year, spend $479 for a year subscription of this question bank (I am quite salty about this – why so expensive?!) and begin the whole process again. Oh medical school. The sad thing is, there’s no escaping it. The best way to study for shelf exams is UWorld questions and the way my school’s curriculum is, I’ll actually be taking 3 shelf exams in one week – Internal medicine, Psychiatry, and Neurology. Furthermore, since Internal medicine is a lot, and known to be notoriously hard, every upperclassman I’ve talked to said start UWorld medicine questions immediately. So alas, here we are. There are 1300+ questions for medicine alone and I have 7 weeks of Internal Medicine to get through them and learn, learn, learn. And of course, I have to get through Psych questions as well – I’ll have 4 weeks of that rotation, and 3 weeks of Neurology, before the shelf exams. To sum it all up, the studying continues.

And so does the fun.

Cheers to week 3!

The Right Medical Specialty For Me Is…

I know it’s most likely too early for me to be thinking about this BUT my future specialty has been on my mind for some time now. It all started with the Myers-Briggs personality test. I’m an ENFJ and I’ve known this for some time. Other famous ENFJs are Oprah Winfrey, Sheryl Sandberg (author of “Lean in”), Martin Luther King Jr., Barack Obama, and Abraham Lincoln. I’ll admit, it’s nice knowing I’m in such great company.


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ENFJs are natural-born leaders, full of passion and charisma. Forming around two percent of the population, they are oftentimes our politicians, our coaches and our teachers, reaching out and inspiring others to achieve and to do good in the world. With a natural confidence that begets influence, ENFJs take a great deal of pride and joy in guiding others to work together to improve themselves and their community…They find it natural and easy to communicate with others, especially in person, and their Intuitive (N) trait helps people with the ENFJ personality type to reach every mind, be it through facts and logic or raw emotion. Source

I recently got the bright idea to look up what medical specialties ENFJs go into and discovered we’re often found in:

This was found on the UT School of Medicine in San Antonio’s website, but other sites had similar results. That’s all good and well, except for one thing: my heart is set on Obstetrics and Gynecology (Well, it has been for past 3 years). Heck, even the few career mentors I have are mostly Ob/Gyns at different points in their career. Based on this mismatch in my Myers-Briggs suggested specialty and my current specialty choice, I set about doing my own research. What do my friends in med school think? Without bringing up the results of my Myers-Briggs test, I asked what specialty they could see me in. The results:

  • Internal Medicine (Majority)
  • Family Medicine
  • Pediatrics
  • Psychiatry

One friend mentioned they couldn’t see me as an Ob/Gyn based on their encounters with other Ob/Gyns (stark differences in personalities) and another, my “special friend” R. was completely surprised when I said Ob/Gyn, because my interests, according to him, seemed a better fit for Internal Med or Family Med.

Perhaps I’ve had it all wrong. Perhaps Ob/Gyn isn’t the right “fit” for me. I suppose I won’t truly know till my clinical rotations. Another factor to consider is lifestyle – will Ob/Gyn really support the work-life balance I want to have? Just some things I have to consider when the time approaches. I will say that the ENFJ career fit did have something I totally agree with:

The desire to go into academic medicine/ teacher personality

Yessir, spot on.


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