Thoughts of a 4th year

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tofurious

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I think it's hilarious for you newbies to post your thoughts after the first few weeks of med school, many of which were my very own thoughts years ago. I thought we as 4th years should start a thread ourselves about general thoughts on med school... here are some of mine:

1. Do you ever need Kreb cycle for Step I, but I have not used Kreb cycle ONCE during my clinical years. Glycolysis, yes. Electron transport chain, yes. Kreb cycle, NO. Urea cycle, yes. Kreb cycle, shall I repeat myself, NO. (Oddly, in almost all mitochondria and some non-mitochondria disorders, blindly giving ColQ seems to help patients... expensive placebo effects? I don't really care as long as my patients are happy)
2. When 3rd and 4th years tell you something doesn't matter, many of them are lying but some of them are telling the truth.
3. Fourth year: can it get easier. I have not been on call since the end of third year in July. I will have one month of call between now and December and one more in the first few months of 2004.
4. It's always nice to see people who did so well in the pre-clinical years do only so so in clinical years and match way under their own expectations. The joy of justice.
5. I still haven't mastered the art of hitting on younger students. I only have a year left to perfect that art.
6. Make some true friends and keep them. You'll need them when you make your first giant mistake in clinical years or residency.
7. People will show you that they are employees and you are medical students and give you a hard time. You wonder why doctors treat some staff/secretaries poorly? You'll find out how I treat you poorly in a few months.
8. Nurses are getting hotter by the day.
9. When you youngies hear clinical students or residents say "evidence shows blah blah blah...", chances are they just heard someone else say that and they haven't read the papers themselves. If you want to impress the attendings, try reading one of these papers. Attendings often don't read these things themselves either.
10. Cherish those regrets in med school. The girls you wish you had asked out, the relationships you wish had worked out, the clerkship you wish you had honored, the times you wish you had dropped out. They'll be all nice memories as you sit around pondering your future as a 4th year, especially on pre-interview nights.
11. Medical school is a giant chess game. You'll lose some pawns, and you may even lose a rook at times. You could choose to save the rook, or you could look at the big picture. It's important to remember that it is a game and you should learn the rules and learn how to play within the rules. Try to win, and if you can't, at least go for draw. They can't beat you if you don't let them.
 
Why do we want to cherish our regrets (#10) ?
 
Originally posted by tofurious
4. It's always nice to see people who did so well in the pre-clinical years do only so so in clinical years and match way under their own expectations. The joy of justice.

I can't wait for this to happen to some of the gunner-types in my class... 😡

(Although most of my class is very nice 😀 )
 
7. People will show you that they are employees and you are medical students and give you a hard time. You wonder why doctors treat some staff/secretaries poorly? You'll find out how I treat you poorly in a few months

Good thread. Wish more 4th years posted here, but maybe they are busy on the residency forums.

Please clarify #7. I can't make heads tails of it. Who is treating who poorly & why? And why on earth would you treat us poorly? Just because you got **** on as a student by a resident or attending doesn't mean you need to mirror such behavior. Unless treating people badly is a virtue in a MD.

Please help out the newbie understand. 😕

cleo

P.S. Loved the regrets part. Had I gone after the girl, my life would certainly have been different.

P.P.S. How old are you anyway? You must be way past 40 to consider yourself too old for certain "youngies"
 
On 7: some nurses and secretaries will treat you like **** because you're only a student not a doctor. The "you" that will be on the receiving end of my fury in this case is directed at them.

On 10: because you will be too busy seeing patients and sleeping that you may not even have things to regret over at times.
 
hey 4th yrs, what r u doin w/ the short whitecoats after the graduation? will u burn them ?? hehehe
 
4. It's always nice to see people who did so well in the pre-clinical years do only so so in clinical years and match way under their own expectations. The joy of justice..



I agree...this is gonna be sweet. Our class uber-gunner was just telling me how he's gonna school the residents next year during clerkships 😉 .
 
Originally posted by Back34



Kinda like this one too 😎

hey, if you think thick fake tans, bleached hair, and humongous breast implants are attractive you would LOVE most of the nurses in the Peds Dept. here.😀
 
Great post....disagree with a couple of points.


1. Fourth year is NOT the cruise year some people make it out to be. If youre going into some of the more competitive specialties you will work your ass off until about Nov/Dec doing subI's, away rotations, etc... I know a lot of students who have been working 80-100 hour weeks, with no days off, q3-4 call since July and it suuuucks. Some 4th years I know have already said "**** it" and have decided on alternate easier specialties. basically, as much as we enjoy our chosen specialties, the lifestyle and 5-6 more years of this crap is just not worth it. Having said that, our 4th year schedules are beautfiful after this month and hopefully will cure our burnout.


2. I used to love nurses BEFORE I got into 3rd year of med school. After spending more time with them on the wards, this quickly turned around. No matter how hot they are, a lot of their personalities suck. Now I think I'm looking toward teachers ....lot of hotties there too.
 
Where is this lucky Peds Department where plastic Barbies rule??? I'll have to add it to my ERAS list.
 
Originally posted by irlandesa
hey, if you think thick fake tans, bleached hair, and humongous breast implants are attractive you would LOVE most of the nurses in the Peds Dept. here.😀

EEEEWWWWWWW! i was beginning to believe that Mills&Boon novellas were only wishful make believe - ugh! it creeps me out that Dr's & nurses would fraternise @ work or otherwise...
 
With apologies to those whom it does not apply, there are very few attractive nurses down here. Most of them have the "pancake spread" in spades.

You only really see good-looking nurses in Porno movies.

I'd like to add my little bit of third year advice for you first and second years:

Third year is a lot harder then first and second year. During first and second year you basicly sit on your ass all day. You can, within reason, make your own hours and with the exception of a few absolutely mandatory educational events you are pretty much unsupervised.

Stand by. Third year is like a job from hell. Especially rotations like Surgery where it will not be uncommon for you to round at 5:30 AM (yes, you wake the patients up) and stay untill 6:30 or 7:00PM. And it will not be uncommon to stay on your feet all day lending your pitiful assistance in surgery or clinics.

Buy comfortable shoes!
 
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