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Sooooooo... basically, 3rd year sux assballs

Discussion in 'Allopathic' started by Frank Nutter, Jul 6, 2012.

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  1. Frank Nutter

    Frank Nutter

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    brb patients actually have findings and idk how to examine them
    brb what is a SOAP note?
    brb my feet are on fire during rounds
    brb my attending lol'd and turned away during my presentation
    brb classmate i arrived with commended on being early because she happened to be spotted
    brb going to the gym, undressing in 10 mins, lifting 5 mins, dressing 10 mins, and leaving
    brb i have 15 new log-in user names and passwords for computer record systems
    brb i haven't eaten or pee'd in 6 hrs and i have a n ulcer and pre-renal azotemia
    brb brb brb brb brb brb
  2. dr zaius

    dr zaius MS-4

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    You didn't have SOAP notes drilled into you year 1 and 2?
  3. diagonal

    diagonal

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    ^and so it begins.
  4. dr zaius

    dr zaius MS-4

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    Haha just curious. It's probably just different formatting or something.

    I'm with you on everything else though.
  5. FunnyCurrent

    FunnyCurrent Ripe Prince of Westwood

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    Wow! Your med school did you a disservice.


    1. We are expected to know the complete physical exam. Most of us have performed it (at least) 50 times by now (end of 1st year for me). Also they hire actor-patients with pathology so we can hear/feel cardiopulmonary pathology, abnormally palpable organs, prostates, ovaries, etc.
    2. Not only do we write soap notes 1st year, we are expected to be able to present patients cogently. We're even "tested" on this during various group activities. For example, in PBL or in our clinical track the facilitator might simply say, "FunnyCurrent, please present the patient reviewing all information given thus far."
    3. Most of us have spent so much time in clinic we are used to standing constantly. I laughed the other day when one of the undergrad volunteers asked for a break to sit down.
    4. The rest of the stuff you listed will indeed suck
    Things won't change unless you act. Consider speaking with the curriculum director if you feel you have not been adequately prepared.
  6. Frank Nutter

    Frank Nutter

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    Yea, well, we do well on step 1. But I guess it's a trade-off. Anyway 3rd yr still sux assballs.
  7. dr zaius

    dr zaius MS-4

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    Yea, Frank. You heard the second year.
  8. MrBeauregard

    MrBeauregard MS-4

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    For real.
  9. FunnyCurrent

    FunnyCurrent Ripe Prince of Westwood

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    You're being sarcastic as I'm not even a second year yet. But really, it blows my mind that these things would be an issue. A large proportion of my class volunteers their time in clinic over the summer for this very purpose. We do it probably less out of altruism and more because they treat us like 3rd years and let us do some stuff and take the opportunity to teach. They let us examine the patient first so we can present our physical exam findings and they pimp. I'm only a between my 1st and 2nd year. Still, if someone feels they do not feel prepared or that the curriculum could be improved that is a case for students to drive the movement towards an improved medical education curriculum/system.

    Though I guess we can all just continue to bitch and moan about how medicine is taught. That's fine too. I bitch and moan plenty... but usually to the administrators when I think what they've done with an aspect of the curriculum is bulls***
  10. link2swim06

    link2swim06

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    It could be worse...last month at this time most us were deep in step 1 studying...
  11. link2swim06

    link2swim06

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    The real problem is third year everything goes from multiple choice to "fill in the blank" (aka verbal response). You can be asked a large portion of what you learned 2nd year and aren't really given choices.

    If you think you can answer all attending questions off the top of your head at the beginning of 3rd year then major props to you...but improving the curriculum isn't really going to make the majority always feel prepared.
  12. TallScrubs

    TallScrubs Dr. Mantis Toboggan

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    Dude, just skip third and fourth years--you're ready.
  13. myhandsarecold

    myhandsarecold

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    better learn your SOAP notes quick and offer to prewrite your intern's notes or at least write down vitals, meds on them because this intern hates lazy a** 3rd year medical students :smuggrin:
  14. red10

    red10

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    please come back when you're a third year and tell us all what a cake walk it is. First year is a completely different world.
  15. badasshairday

    badasshairday Account on Hold

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    Best Medical Student Award for third years go to those who do pre-writing of notes. :love:
  16. diagonal

    diagonal

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    Not only do you come across as a completely annoying tool, to those of us that have tread the waters of med school much longer than you, you come across as a naive idiot.
  17. FSU2013

    FSU2013

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    Ignore anyone who has posted anything that isn't sympathetic....they will be the attendings who have the attitude "we did it so you have to". Third year is a different ball game. Everything you did during the two first years leaves you woefully unprepared. I think my med school did about as good a job as one could expect, even still, it's a different game. All the SP's, time in clinic and mock H&Ps don't cut it

    Yes, standing that long sucks. I'm in the second month of my fourth year. It still sucks. Hopefully after being in residency for a few months, it won't suck as bad. No, going to clinic a day a week in my first two years and a few periods of a couple weeks at a time didn't make third year easier. It just sucks. Sorry. Also, there's no magic shoe that makes it easier. I kept looking for a shoe that left my feet not hurting after 16 hours. Some made them hurt less, but they still hurts. It's the cost of doing business.

    Notes take a little while to get used to. It's different writing a note on a standardized patient. Also, every rotation is different. What you are expected to include in IM is different from psych is different from surgery.

    Presentations are attending specific. Some attendings want to know the patients entire social history, others just want to know their CC and labs, others want your Ddx and workup. You'll figure out what different docs want quickly.

    I gained about 10 lbs during MS3. Trying to get back into shape now that im in 4th year. Just try to eat breakfast and snack healthy.

    The good news: Third year really is fun. It's more work than the first two years and it's different, but I really do think that it's better. There's a steep learning curve. You'll get it. Once you get it, you'll enjoy it more.

    Good luck!
  18. Aclamity

    Aclamity

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    thxbrothisisencouraging :(
  19. GladifImakeit

    GladifImakeit

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    I'd like to echo what some people have already said by reiterating the stupidity of an MS2 dismissing third-year as easy.
  20. FunnyCurrent

    FunnyCurrent Ripe Prince of Westwood

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    Ooooh watch out... even the bunny is coming after me.

    *Braces self for onslaught*

    lol
  21. GladifImakeit

    GladifImakeit

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    Yea, I doubt you're going to find many people taking your side in this thread, not even me.
  22. HelpPleaseMD

    HelpPleaseMD

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    I start rotations in IM next week. I am expecting the worse but hoping that it isn't so bad. I haven't even heard about the SOAP note till this week during orientation. sucks :(
  23. diagonal

    diagonal

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    [​IMG]
  24. MeatTornado

    MeatTornado

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    this is great advice

    terrible "advice" since i'm sure in clinic the attending dances around in circles if you sortof know something or can put together a remotely readable note whereas in real life people aren't as accommodating. also i'm assuming this is outpatient primary care right? that's going to be by far the easiest and most laid back ~month of third year.

    the best prep from preclinical years are learning how to do physical exam maneuvers and learning the info as best you can. none of this other stuff you do (that you complained about in another thread nonetheless) is going to help with third year.
  25. HelpPleaseMD

    HelpPleaseMD

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  26. KnuxNole

    KnuxNole Sweets Addict

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    this sounds like a high school chick post with the "brb" usage :p
  27. KnuxNole

    KnuxNole Sweets Addict

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    Damn, that sounds intense. It seems like most people don't get to see/do that much before clinicals anyways Especially seeing abnormal pathologies(EVERY SP in basic science were just normal healthy people).

    Clinical in 1st-2nd year is a joke. The attendings would be surprised if you knew what a history and physical was and jumped for joy. Standing around...how the hell does that happen in basic sciences aka the easy years? I probably did that like 2 hours a month maybe, i don't remember. Personally, it seems hard to even DO a SOAP note if you don't know what to do for a P at all without being laughed at.
    Last edited: Jul 6, 2012
  28. Mean Muggin

    Mean Muggin has 1 hell of a stink-eye

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    I think I'm in lurve...unless you're a male...in which case we'd chest bump (brah).
  29. KnuxNole

    KnuxNole Sweets Addict

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    Except when the pre-written notes are ALL wrong and attending chews out resident :scared:
  30. adaptation1

    adaptation1

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    .................



  31. JackShephard MD

    JackShephard MD

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    Med students!= great clinicians. That takes all of residency plus years after, so an M3 that can do a PE and write a SOAP note... Well, it doesn't mean much.
  32. thecgrblue

    thecgrblue Enjoyin' the journey

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    Have you tried Ecco shoes? (they are business-dress type shoes) Cost an arm and a bucket of legs, but most amazing things my dogs have ever experienced.
  33. TheNextLevel

    TheNextLevel

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    /.
    Last edited: Nov 1, 2012
  34. p30doc

    p30doc Ever true and unwavering Gold Donor

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    I second Eccos. They are quite good for when you need dress shoes. When you can wear anything brooks running shoes did me right. Standing still sucks especially in one place especially for long periods of time especially while wearing your white coat especially while hungry especially while nervous especially while tired.. essentially if you are a student.

    Third year wasn't that bad it flew by it had its great moments and it's not so great moments. Protip, when you are given the opportunity to go home take it every time and go quickly before the opportunity is lost. Never ask to leave though.
  35. xf3rn4nd3sx

    xf3rn4nd3sx NSURG

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    Yeah, third year kinda sucks. You'll get used to it though and it'll get better over time. Right of passage :laugh:

    As for the feet on fire, I can definitely sympathize. My feet used to kill me. Consider investing in a pair of Birkenstock, Dansko, or Clark's cloggs. I highly recommend a good pair of Birkenstock clogs. Most of the surgeons at my hospital also wear Birkenstock cloggs. They are a bit pricey, but are waterproof (no need to worry about blood etc), very durable (will last many years), and ridiculously comfortable. They are the only shoes I would want to stand in for over 10 hours. I swear by them.

    Lol as for your last point somehow I think your body begins to adjust over time, or at least mine did. After years of not being able to pee when I wanted to my body is now just programmed to go before and after work.
  36. sanityonleave

    sanityonleave Adrenaline Junkie

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    Perhaps I'm the extreme minority on this one, but I actually like 3rd year. There are definitely parts of it that suck, but there's also a lot of it that I really enjoy.

    I think the thing is to shift your expectations a little. I think you should have two goals for third year: 1) getting exposure to a huge variety of fields in medicine so you can figure out what you should do with your life, and 2) helping make your resident's life easier.

    I think #2 is the part people get confused about. You are completely unnecessary clinically -- the hospital would function and the patient's care would be delivered exactly the same without you there. What you can do (and actually be useful) is help take some of the workload off of the massively overworked residents. Some of that is scut, true, but if you look at it in perspective -- it's the one thing you can actually do that contributes. Just my 2c

    There's definitely some learning, but it's a distant third -- the fact is, I'm not going to learn enough OB/GYN during these 8 weeks to be able to reasonably use that knowledge without further training. Hence residency.
  37. MeatTornado

    MeatTornado

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    i definitely disagree. for the vast majority of med students those 8 weeks of ob are the only exposure they will ever have for the rest of your career to many ob/gyn issues and particularly to pregnant patients. if you don't learn it now you might never learn it.
  38. JackShephard MD

    JackShephard MD

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    I also enjoy a nice pair of Eccos.
  39. JackShephard MD

    JackShephard MD

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    :thumbup:
  40. NickNaylor

    NickNaylor

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    Watch out, we got a badass. Fifty - that's right, FIFTY- exams.

    (sent from my phone - please forgive typos)
  41. QuaerensIntelle

    QuaerensIntelle

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    Third year is hard at first. You get used to it. Don't listen to the sub third year posters-they are just trying to assuage their own insecurity most likely.

    It is all monkey games. As a wise intern once told me, the best student's evals are a B+ and the worst are a B-...the difference between a B and an A is your shelf score. The worst eventuality is usually a B or a P probably in most cases. Ask questions whenever you have one, it's better to be on the obnoxious side than on the invisible side in my experience. Frankly, you aren't going to learn a lot of objective type things this year from clinicals so you might as well try to get some pearls.

    Most important part of third year is figuring out what to do with the rest of your life!!!!! DO NOT FORGET THIS! Or you will be like me and be in your second fourth year rotation and not even be sure between surgery/medical/non patient oriented etc~! Try to write down when you actually feel happy to wake up in the morning and go in...and why. I wish I had done that.
  42. jumpmanv15

    jumpmanv15

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    I got surgery first. Am I screwed?
  43. normtheniner

    normtheniner

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    I just finished first year, but I can somewhat understand the original poster's despair. I'd imagine its a whole different ballgame between talking about what an abnormal finding is and understanding what an abnormal finding feels like on physical exam.

    I read one of the new third year's facebook updates about how brutal its been adjusting to having to be in the hospital at 5AM for IM pre-rounding... I had a twinge of fear when I realized that's going to be me this time next year...
  44. shenanigi

    shenanigi

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    yep. no one in the history of medicine has ever had surgery first and done just fine
  45. FSU2013

    FSU2013

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    Well played, sir.
  46. GladifImakeit

    GladifImakeit

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    For me it was learning less clinical medicine and more the culture of medicine. Maybe if you come from a a family of doctors or have lots more experience you won't have a problem, but things can definitely take getting used to.
  47. Tiburon

    Tiburon

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    Sounds like we went to completely different schools. The largest proportion of our class did research during the summer in hopes of boosting an application for competitive residencies. The others mostly went on vacation, or some neurotic ones started studying for Step 1. Very few spent time in clinic...
  48. projectlogic

    projectlogic

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    lol is this guy serious?
  49. just one

    just one

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    I wish I could of got their at 5am this morning!! Post call....left at 11pm last night, back at 3:45 for rounds at 5am
  50. bocanutz

    bocanutz

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    Could of got their?

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