Not required to do last month - do it anyway?

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Jezzielin

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Hi, looking for an opinion since I have major senioritis and need some impartial views so I know whether or not I am bring unreasonable.

Pretty much a month on my schedule that was not yet approved, now has the opportunity to be (this is a long story short lol)... I have the choice to allow it to be approved or do a month of infectious disease.

If the prior month was approved from the very beginning, I probably would not have such feelings of guilt I am having now. I feel like if I don't do the ID month, I am being lazy and missing out on an educational opportunity.

Sigh, these four years have been so long - I am beat as I am sure all can attest to. Can anyone tell me their thoughts or let me know if I should just enjoy my last couple of weeks and just be done with med school
 
Hi, looking for an opinion since I have major senioritis and need some impartial views so I know whether or not I am bring unreasonable.

Pretty much a month on my schedule that was not yet approved, now has the opportunity to be (this is a long story short lol)... I have the choice to allow it to be approved or do a month of infectious disease.

If the prior month was approved from the very beginning, I probably would not have such feelings of guilt I am having now. I feel like if I don't do the ID month, I am being lazy and missing out on an educational opportunity.

Sigh, these four years have been so long - I am beat as I am sure all can attest to. Can anyone tell me their thoughts or let me know if I should just enjoy my last couple of weeks and just be done with med school

Take the month off. ID is important, and yes you will miss some learning. But you will wish you had taken that month off once you start residency. No shame in taking some time off. You've earned it.
 
Take the month off. ID is important, and yes you will miss some learning. But you will wish you had taken that month off once you start residency. No shame in taking some time off. You've earned it.

I appreciate that, thank you. Part of my education was research so I have people telling me that it wasn't that hard to do those months and here I am trying to get out of another month. I am someone with a big guilt streak and don't want to end med school thinking I took the lazy way out...

My mind has way too many thoughts.
 
I appreciate that, thank you. Part of my education was research so I have people telling me that it wasn't that hard to do those months and here I am trying to get out of another month. I am someone with a big guilt streak and don't want to end med school thinking I took the lazy way out...

My mind has way too many thoughts.

You really won't regret it at all. You'll never think about it again.
 
If you're meeting your graduation requirements without doing anything that month, that month would be well used in Costa Rica.
 
Well, you have to ask yourself, during your intern year when you are working up 100's of cases of TB, HIV, staph, etc. and writing 1000's of scripts for abx, would you have rather had an extra month of that to work up a couple dozen more ID patients, or take a month off that you will probably never get to do the rest of your life.

I know where my vote is!
 
I say that you go and do your ID rotation because life isn't easy and if you went into medicine imagining that you would get vacations after SCHOOL, where you have zero patient responsibility, then it is time to refocus your social realities.

The mere fact that you ask this question shows that your intellectual curiosity drives your education and you should follow your instincts. A break is only as delicious as the effort that preceded it. Your break will come, and be exquisitely relished, before you start residency in July. By pushing yourself now, you will be better prepared during residency.
 
I say that you go and do your ID rotation because life isn't easy and if you went into medicine imagining that you would get vacations after SCHOOL, where you have zero patient responsibility, then it is time to refocus your social realities.

The mere fact that you ask this question shows that your intellectual curiosity drives your education and you should follow your instincts. A break is only as delicious as the effort that preceded it. Your break will come, and be exquisitely relished, before you start residency in July. By pushing yourself now, you will be better prepared during residency.

👎

take the month off. at our school we can take 2 months off senior year if we help the M1s with their H&P skills. the vast majority take both march and april off. enjoy spring.
 
👎

take the month off. at our school we can take 2 months off senior year if we help the M1s with their H&P skills. the vast majority take both march and april off. enjoy spring.

And a vast majority of people never achieve anything beyond mediocrity.
 
And whether they take an extra elective month will not change that one way or the other.

Success is about balance.

So, learning more about infectious disease before starting residency won't make a difference? That is an interesting balance of logic. I am not sure it is a successful balance, though.
 
So, learning more about infectious disease before starting residency won't make a difference? That is an interesting balance of logic. I am not sure it is a successful balance, though.

Yeah, but recovery time is pretty, pretty important, and will be in short supply during the next year. Doesn't mean he can't learn about infectious disease before residency. Bring a text to the beach and read up. You'll learn more than you would on the wards anyway.
 
And a vast majority of people never achieve anything beyond mediocrity.

So you consider RECEIVING ONE'S MEDICAL DEGREE only achieving mediocrity? I bet you spent the summer before M1 pouring over anatomy and had the brachial plexus down cold on day one, too.
 
So, learning more about infectious disease before starting residency won't make a difference?

No, it won't make a difference. Just like spending a month before starting med school going over anatomy, or biochemistry, or microbiology or whatever wouldn't have made a difference.

It's called life, enjoy it, you only get one.

That is an interesting balance of logic. I am not sure it is a successful balance, though.
Balancing one's professional and personal life is key to happiness, and therefore success. Life's a journey, not a destination.
 
So, learning more about infectious disease before starting residency won't make a difference? That is an interesting balance of logic. I am not sure it is a successful balance, though.

If that's the case I hope you didn't take any months off during 4th year and studied every weekend and every day off.

Agree with above posters. You will need the month of rest before residency starts. If you've been working hard up until this point then you should be fine as an intern. One extra elective during MS4 won't make life any easier as an intern.
 
As an intern, I strongly encourage you to enjoy the time off while you can. You will get more out of a rotation in ID as a resident anyway if it's something you need to learn for your specialty.
 
Disclaimer: I'm taking the last month of school off and graduating with the minimum number of credits.

However, I will say I think this "I'm going on mental vacation for four months before residency" attitude has to go.

We're doing our patients a disservice in our intern year if we show up in July not having done anything relevant for months. I don't care if everyone does it. People need to grow up. Summer vacations are for grade-schoolers.
 
However, I will say I think this "I'm going on mental vacation for four months before residency" attitude has to go.

We're doing our patients a disservice in our intern year if we show up in July not having done anything relevant for months. I don't care if everyone does it. People need to grow up. Summer vacations are for grade-schoolers.

It's called taking time for yourself and your own mental health, so you won't be burned out and depressed at the end of your intern year. THAT would be a disservice to your patients.

Real grown ups already know how to balance their lives in such a way.
 
Why would you be burned out and depressed? Do you have a history of mental illness that predisposes you to depression and anxiety?

Is the OP's question really still up for debate? Majority (vast, at that) rules. We will all be at the beach while McGillGrad cares for the COPD'rs with pneumo. 😎
 
Disclaimer: I'm taking the last month of school off and graduating with the minimum number of credits.

However, I will say I think this "I'm going on mental vacation for four months before residency" attitude has to go.

We're doing our patients a disservice in our intern year if we show up in July not having done anything relevant for months. I don't care if everyone does it. People need to grow up. Summer vacations are for grade-schoolers.

And you my friend, win the tool of the year award. Nothing like a medical student lecturing to other medical students and telling them to grow up. First of all, nobody said anything about taking 4 months off. Second, when you get back onto the floors for your prelim or categorical surgical/medicine year come July 1st, you are essentially starting medical school again. Intern year is hard, some struggle more than others. But it's not hard because of the knowledge you need to know...it's hard because you have to keep your head up and see the light at the end of the tunnel (PGY2). People think about quitting daily. Not because they lack knowledge or don't know what to do - it's because it's stressful. Going to the clinic on a post call day, staying until 2am doing admissions and having to be in by 6:30 the next morning, getting yelled at because you forgot to order a CBC after getting off a 30 hour shift...This is what makes intern year hard.

You remind me of this jack@$$ 3rd year surgery resident who wouldn't let us eat lunch during our 3rd year surgery rotation despite having 30 mins before the next case. "Lunch is for secretaries and nurses" was his statement. I thanked him for his advice and went straight to the cafeteria for 20 minutes and came back in time for the next case.
 
Disclaimer: I'm taking the last month of school off and graduating with the minimum number of credits.

However, I will say I think this "I'm going on mental vacation for four months before residency" attitude has to go.

We're doing our patients a disservice in our intern year if we show up in July not having done anything relevant for months. I don't care if everyone does it. People need to grow up. Summer vacations are for grade-schoolers.

No. Summer vacations are for anybody who has the time and resources to take them. Since when does growing up mean you don't enjoy yourself when you have the chance?
 
Selfish is as selfish does
 
However, I will say I think this "I'm going on mental vacation for four months before residency" attitude has to go.

We're doing our patients a disservice in our intern year if we show up in July not having done anything relevant for months. I don't care if everyone does it. People need to grow up. Summer vacations are for grade-schoolers.

If you think the hard part about intern year is the knowledge base (or lack thereof), you're mistaken.

The hardest part about intern year is that they're suddenly asking you to do things that they would never have dreamed of asking a med student to do. Like hold the pager, not just for an hour or two, but for the whole day, everyday. Not just attend rounds, but to actually lead rounds. Not just carry 4-5 patients, but to carry 14-15 patients at a time. Not just answer the pager, but to actually DO something about the calls that come through. Not just see a patient an hour at the outpatient clinic, but to see a patient every 20-30 minutes, write the scripts, write the notes, take care of the chart, and bill the patient for the visit, all while answering pages from the nurses in the hospital about your inpatient service.

The jump from even end-of-the-year MS-IV and beginning-of-the-year intern is significant. There's nothing you can do in med school that will replicate the experience of trying to juggle a census full of sick patients while holding on to a pager that will....not....shut....up. And realizing that your signature on the progress note actually means that you ARE responsible for the patient, and could get sued if something bad happens.

Second, when you get back onto the floors for your prelim or categorical surgical/medicine year come July 1st, you are essentially starting medical school again. Intern year is hard, some struggle more than others. But it's not hard because of the knowledge you need to know...it's hard because you have to keep your head up and see the light at the end of the tunnel (PGY2).

+1. 👍
 
Selfish is as selfish does

The most important person in my life is me. Without me, there is no me.

There is a reason pyhsicians have the highest rate of divorce and suicide. Ease off the arrogance and take some time for yourself.
 
I say that you go and do your ID rotation because life isn't easy and if you went into medicine imagining that you would get vacations after SCHOOL, where you have zero patient responsibility, then it is time to refocus your social realities.

The mere fact that you ask this question shows that your intellectual curiosity drives your education and you should follow your instincts. A break is only as delicious as the effort that preceded it. Your break will come, and be exquisitely relished, before you start residency in July. By pushing yourself now, you will be better prepared during residency.

I'm going to take your caveat emptor seriously and assume you're nothing more than a pot stirrer.

Nevertheless, I'm so incredibly sick of this rhetoric from a certain sect of the medical field. Anyone who has experienced even a portion of life understands that it's much too short for BS such as this.
 
Don't be stupid! Take the time off! When will you get the chance to take a free month again? Maybe when you're >65. An extra month of ID (or anything else, for that matter) will not make a whit of difference in the long term, but having more memories of being happy and healthy with friends and family sure will.
 
I'm going to take your caveat emptor seriously and assume you're nothing more than a pot stirrer.

Nevertheless, I'm so incredibly sick of this rhetoric from a certain sect of the medical field. Anyone who has experienced even a portion of life understands that it's much too short for BS such as this.


I consider myself relatively stress free and easygoing. I had enough time to party, hit the gym 3-4x a week, spend time with friends and still score a 243 on step 1.

Even though I have done rotations in specialities that I am not perusing, I thoroughly enjoy all of them, so far, to varying degrees. I was in corporate finance before med school and know what it is like to dislike your career.

If you feel one month will cause you psychological problems and to eventually burn out, then you should reconsider medicine as your career. Fragile people should not get into medicine now. It is only going to get more difficult to justify your decision on income because it will drop as your workload increases.

😴
 
If you feel one month will cause you psychological problems and to eventually burn out, then you should reconsider medicine as your career. Fragile people should not get into medicine now. It is only going to get more difficult to justify your decision on income because it will drop as your workload increases.

😴

So you haven't started residency yet, but you are telling us (residents as well as other students) that four weeks of time off is meaningless. You will whistle quite a different tune next year at this time.

Some people think they have it all figured out 🙄
 
I consider myself relatively stress free and easygoing. I had enough time to party, hit the gym 3-4x a week, spend time with friends and still score a 243 on step 1.

Even though I have done rotations in specialities that I am not perusing, I thoroughly enjoy all of them, so far, to varying degrees. I was in corporate finance before med school and know what it is like to dislike your career.

If you feel one month will cause you psychological problems and to eventually burn out, then you should reconsider medicine as your career. Fragile people should not get into medicine now. It is only going to get more difficult to justify your decision on income because it will drop as your workload increases.

😴

Wow, congrats! We are all impressed with your score and will now take your advice more seriously as you, of course, scored better than all of us. Your motivation and balance are an achievement that we can all look up to... 😴
 
Paradoxically ironic post of the day goes to...:laugh:

Vocabulary is obviously not your strength. A statement suggesting ones health should be a priority is not consistent with "an attitude of superiority manifested in an overbearing manner or in presumptuous claims or assumptions".

However, this:
I had enough time to party, hit the gym 3-4x a week, spend time with friends and still score a 243 on step 1.
and this:
Fragile people should not get into medicine now. It is only going to get more difficult to justify your decision on income because it will drop as your workload increases.

reek of arrogance!

Moreover, such statements directly contradict:
Selfish is as selfish does

making you also a hypocrit!

Cheers!😛
 
Vocabulary is obviously not your strength. p

Guys, he went to McGill and got a 243. He's obviously much smarter than us simple folk and probably knows alternate definitions of words that we have not nor will ever know.
 
When I took time off during 4th year, I was somewhat bitter that I had to pay for it. I wanted to go to the dean's office and ask for a refund. Out of curiousity, how much are you paying for that month?

That being said, now that I'm almost a decade removed from med school, I realize I don't remember anything about 4th year. It is just a blur now. I do remember it was fun. Enjoy your time off!
 
Hi, looking for an opinion since I have major senioritis and need some impartial views so I know whether or not I am bring unreasonable.

Pretty much a month on my schedule that was not yet approved, now has the opportunity to be (this is a long story short lol)... I have the choice to allow it to be approved or do a month of infectious disease.

If the prior month was approved from the very beginning, I probably would not have such feelings of guilt I am having now. I feel like if I don't do the ID month, I am being lazy and missing out on an educational opportunity.

Sigh, these four years have been so long - I am beat as I am sure all can attest to. Can anyone tell me their thoughts or let me know if I should just enjoy my last couple of weeks and just be done with med school
At a conference I was at with a residency director panel one of the directors said that at the end of 4th year the best thing you can do is take some time off. They have 3-5 years to teach you everything you need to know to be x kind of physician, but they can't make you relaxed and happy. All the other directors whole heartedly agreed.
 
:laugh: at the minibrawls erupting in this thread.

Note: I tend to think I will not be taking that much vacation during 4th year, aside from setting aside some months for interviews. I particularly have a problem with taking loans out for schooling that costs me $4,000-5,000 a month just to spend 3 months of that time "chilling" like a pothead in his parents' basement. Um no. If I'm spending this much money, I'll at least throw in some electives, albeit easier ones with easy hours.
 
I didn't read what you wrote, since it was so long, but you are probably very passionate about something or other. Kudos!



Watch out, if a dainty 5 foot tall feminist like myself had been your resident and you blabbered such nonsense, I would have given you a punishment. You would be lucky if you could get out all week before 8 pm including postcall just because you pissed me off and I can do whatever I want with you while you're working under me.

Dainty sickly little women get pregnant and legally we are entitled to not having to put up with the hefty workload alone if we get sick. Residents are a team and everyone pitches in. I've fainted on the job and had teammates cover for me. Doesn't make me a mediocre doctor, I love my job despite the sucky parts of it.

However, I also know what it means to have freebee extra vacations. Med students seem to be overestimating the learning curve they get at their rotations. It's not.. bad per se, but it's nothing in comparison to being an intern where you're responsible for the shift. I had nights where I was responisble for up to 5 services and delivered the shift of two services virtually at the same time (and once got caught and scolded for it instead of a pat on the back for being so awesome for pulling such a feat 100% alone). Delivering 50 patients to the next shift all alone is tough stuff man.

Chances are, you'll learn more about ID as an intern living it than a student just watching it as a bystander for a few hours. If you can graduate without doing the rotation and have your residency slot already matched, I'd say screw it, skip it and go to Cancun and enjoy a margarita because you're going to thank yourself for doing it.

I was fresh out of vacations when my internship started (I had about 2 months off) and was glad I had those valuable 2 months to rest. It's tough on the body, mind and spirit. You're everyone's lapdog. A med student can disappear to go have a smoke somewhere and people will forget they were there to begin with, but an intern is expected to be working or if they are gone somewhere, they at least finished the pending work.

I enjoyed my internship year, but I'm glad it's over. As a social service junior doctor, there's a possibility that I might be forced to do call starting August at a local hospital. However, luckily I have a magical piece of paper the hospital i did my internship in that will make me jump that hoop. I heard the hospital junior doctors are expected to do their call in, the hospital's interns are famous for their laziness. I didn't live what I lived to degrade myself to being the chacha (derogatory spanish term for housemaid) of someone with less schooling experience as I did. If residency is going to be so damn tough, I wish to enjoy my paid vacations year. I already have a lot of paperowkr and social events to attend, no need to be a douchebag and get tired too soon.

I'd skip that month if I were the OP. Now, if the OP is going to do residency in internal medicine, then skipping it would be a bad idea. But infectious disease isn't relevant in OB/GYN where most of your work is focused on delivering babies, babies and more babies. Not much infectious stuff going on there.
 
I am someone with a big guilt streak and don't want to end med school thinking I took the lazy way out...

My mind has way too many thoughts.

I think, just by virtue of the fact that you're about to graduate from medical school, it goes without saying that you are not lazy.
 
i haven't posted since starting intern year but night float is kinda slow so here's a bit of advice from someone who's been there and done that - i wished i had a month off at the end of my fourth year but my school was lame and i ended up doing a very long month of ID (really cool attending but >8 pts per med student and being responsible for seeing all new consults was tiring - plus HIV clinic until 7pm twice a week after seeing consults?!? wtf). here's what i learned - sanford guide + institution antibiogram for most stuff, and for the rest, there's the ID consult service. seriously, enjoy your down time - intern year is a 24/7 beat down like no other.
 
:laugh: at the minibrawls erupting in this thread.

Note: I tend to think I will not be taking that much vacation during 4th year, aside from setting aside some months for interviews. I particularly have a problem with taking loans out for schooling that costs me $4,000-5,000 a month just to spend 3 months of that time "chilling" like a pothead in his parents' basement. Um no. If I'm spending this much money, I'll at least throw in some electives, albeit easier ones with easy hours.

You will be charged the money regardless. 😎 No harm in chilling a bit between match and graduation. .. Or you could use the vacation to find a house, start packing, ect. 👍

I'm VERY happy I scheduled vaca for May. I have 5 more weeks of med school left. And I am very interested in what I scheduled for April (so as to counteract senioritis 🙂)
 
Maybe it depends on if you have to change cities. Moving can be stressful. I didn't move, so even taking the last couple rotations, I had over a month between rotations end and the start of orientation. I decided that since I was paying for it, I was going to get as much useful education as I could. As an anesthesiology resident, I decided to take a cardiology month at the VA wherein I performed stress tests and pre-oped patients for surgery. Incredibly useful and fun. I still had plenty of time to relax and ride the motorcycle.

If you will face the stress of moving, maybe you should take a little more time off. It is up to you.
 
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