University of Oklahoma -- everyone welcome -- Part 4

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Did I ever mention that I like videos that make fun of rappers. Well this one is a little old school, but it's even better cuz it's a rapper who makes fun of everyone else! 👍

Caution: Spongebob says some objectionable things when he's being Sponge Shady.

[YOUTUBE]http://www.youtube.com/watch?v=QuTj9a04o-s[/YOUTUBE]
 
Doctor Bagel said:
And I'm really, really dreading starting peds. It sounds like the whole department is a little weird here in Tulsa, and I don't really like kids that much. I was reading the unofficial guide, and it said something like we have to be there from 6 to 5 or so when we're on wards on top of our 4 calls in 3 weeks (3 of mine are in one week). And reading about newborn nursery gives me the heebie jeebies. I think I'd rather do OB again.
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Oh, I forgot that you hadn't done Peds since you did OB way before I was even thinking about mamas and babies. Not to depress you or anything, but - yeah - Peds is a rough rotation. The shelf is not so bad - it's taken 100% from the "Clipp" cases so you don't really have to study anything else.

The problem is, the hours are killer. Especially on inpatient. On your call days, you will probably "cap" 2 admissions long before the sun even goes down since it's still RSV season - but you're not permitted to leave - the course director I guess wants you to have the flavor of being a real intern. And, word of warning - even if your senior tells you to leave, the best thing you can do is say "no thank you." One of our colleagues left when his senior told him to - the senior got chewed-out and our friend had to repeat that call night and got an additional one added. The course director has eyes in the back of her head and she found out the student wasn't there when she called-in to somebody else. And, yes, even on your non-call days, the hours on the inpatient service are extremely long and you're really not supposed to sneak-out early. If you're on Dr. D's team, don't believe what they say about her. She admitted to us she had gotten a lot of complaints and was trying to be more laid-back. I had no problems with her whatsoever - I liked her.

As for your nursery week - well, it's just exactly what everyone says. Just do exactly what Dr. C says - write your note using her template and don't add or delete one word - show up precisely on time - and don't gripe about her stupid foibles like turning the cribs around after she's seen each patient. You can survive very easily if you just do things HER way and try to think for yourself as little as possible.

The only bright note is outpatient. Your two clinic weeks are kinda fun - Judy will be your nurse and she knows more about medical students than you do. You get your own exam room, and you have an attending to yourself or you share him/her with one other person. I'm not a big fan of kids, either, but it was hard not to enjoy the clinic - you get to feel like a real doctor.

Susan Perkins is the gold standard of course coordinators. She knows where you're supposed to be every day, she actually does love students, and you can cry on her shoulder when you don't feel comfortable talking to anybody else. She's a gem.
 
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:luck: to the MS-II's getting ready to face the TB beast this week.
 
Bravofriendly said:
:luck: to the MS-II's getting ready to face the TB beast this week.
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Thanks. Hope you're enjoying the downtime.

I am at that point in studying where I keep thinking "If they ask me that nit-picky bs detail I will flip out". I'm thinking this about a lot of things. Since there is such a clinical question predominance for this exam, it seems almost like a waste of time to study all the endless path. :bang: Studying is so d*amn tiring. I've been drinking coffee since I got up and I'm still almost ready to pass out.

Sigh. Time to see if I know any webpath neuro... um maybe this is a bad idea. I'm on question 12 and rocking a 27% accuracy so far. Sweet. Shoot me..... well, I ended with a 65% so I guess I'm not a complete failure. Sometimes webpath is just vicious b/c of their crap that is unrelated to what we've been taught or uses different words/phrases/etc than how we were taught. Stupid. Time to play with Robbins qbook.
 
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Good luck to the MS2s!

Non-ophtho, non-urology MS4s have just four more weeks until Match info comes out... tick tock tick tock... let's get this finished!
 
Everybody buy a yearbook if you haven't already - I think they're going to turn out real nice. 👍
 
I hated learning acid/base chemistry in undergrad, I hated learning renal acid/base in first year, and guess what? I still hate it. I thought I had it down while re-reading BRS phys a few weeks ago... but it has magically vanished from my comprehension. I don't think I can bring it back in 7 hours unless I quit trying to study anything else but that, but I still don't know many pictures and haven't done Robbin's qbook renal yet... oh and I think it would be wise to nap for ~2 hours otherwise my brain won't be functioning on higher levels at 1 PM.

Ugh. Whatever - this test is make or break for me with IHI. I am pretty much giving up on trying for a better grade if I don't do well on this one. So thank God it will be out of the way in 9 hours. Pharm is just time consuming, but not brain challenging. Same for HB.
 
Good luck MS2's!! Facing test block head on is always daunting but it'll be a great feeling when you finish that last test! 😀
 
I hate this mother****ing school and this mother****ing class. **** IHI. :beat: :boom: :wtf:
 
Jwax said:
I hate this mother****ing school and this mother****ing class. **** IHI. :beat: :boom: :wtf:
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Rats. I was hoping things would come out a little better. What sucked worse - renal or neuro?
 
Non-TradTulsa said:
Rats. I was hoping things would come out a little better. What sucked worse - renal or neuro?
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Honestly, I'm not sure. Probably neuro b/c there was more of it, but there were two types of questions: 1) easy and obvious or 2) obscure, BS, minutia. The latter seemed to be in the majority.

I spent 6 weeks studying my ass off for this ****ing thing to try and improve my grade and they don't even bother to ask us about the most important / more common issues. I am so beyond frustrated with this course. I have tried everything I can think of to do to do well and nothing is working. Something is seriously wrong if I can pull off an 80% on Robbins qbook and still not know what the **** is going on for our class exam. I imagine Robbins covers the more general, more important info. So maybe I'll do alright on the boards. Or not. What the **** do I know?
 
Jwax said:
Honestly, I'm not sure. Probably neuro b/c there was more of it, but there were two types of questions: 1) easy and obvious or 2) obscure, BS, minutia. The latter seemed to be in the majority.
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I'll bet the DLG did his own questions. When I took this particular exam, I think most of the neuro stuff was Jones - and he, as you know, is very straightforward - as in, know the basics of lesion localization and don't drown in the details. DLG is a very different matter. I had faculty members who looked at our rotation exam openly say, "this exam would be hard for the neuro residents."

Hang in there, though. If there were a bunch of new questions, they may not survive Holliman's performance review. I know most exams you only get 2 or 3 questions back, but I've seen as many as six get thrown-out.

Anyway, get some rest and put this out of your mind - and hit pharm hard tomorrow.
 
Non-TradTulsa said:
I'll bet the DLG did his own questions. When I took this particular exam, I think most of the neuro stuff was Jones - and he, as you know, is very straightforward - as in, know the basics of lesion localization and don't drown in the details. DLG is a very different matter. I had faculty members who looked at our rotation exam openly say, "this exam would be hard for the neuro residents."

Hang in there, though. If there were a bunch of new questions, they may not survive Holliman's performance review. I know most exams you only get 2 or 3 questions back, but I've seen as many as six get thrown-out.

Anyway, get some rest and put this out of your mind - and hit pharm hard tomorrow.
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Pharm is the least of my concerns. I would have to do quite poorly on all the remaining exams in order to lose my grade. I don't actually think DLG's questions were that bad - it was more the neuropath than neuro lesion issues. I don't even know where they came up with some of that ****.

Whatever. Time to sleep. Hopefully EM programs like people who can only pass path.
 
Jwax said:
Honestly, I'm not sure. Probably neuro b/c there was more of it, but there were two types of questions: 1) easy and obvious or 2) obscure, BS, minutia. The latter seemed to be in the majority.

I spent 6 weeks studying my ass off for this ****ing thing to try and improve my grade and they don't even bother to ask us about the most important / more common issues. I am so beyond frustrated with this course. I have tried everything I can think of to do to do well and nothing is working. Something is seriously wrong if I can pull off an 80% on Robbins qbook and still not know what the **** is going on for our class exam. I imagine Robbins covers the more general, more important info. So maybe I'll do alright on the boards. Or not. What the **** do I know?
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I remember the neuro part of the exam last year sucking, but I'm sorry it didn't improve for you guys. Anyway, the good news is that you learned what you needed to know for boards, which is more important than IHI.
 
Actually, we usually get 4-6 questions back on IHI... and this one I am hoping for 10.

Also, as it turns out, not only were there two versions of the exam, they were not the same questions. How is he gonna do item analysis? I had form A, and it sounds like that was the better option. WTF knows the deadguy name for the foramin that gets blocked by a mass? Also, we had a question about the disorder associated with Trisomy 13. I felt pretty good about recognizing that as Patau syndrome... couldn't tell you what the disorder is though. I agree with Jwax's assessment.. brutal, brutal, brutal.

IMO, the nephrology was the hardest. I am pretty sure I missed an image question too which are usually the easy points... just hope I can recover on the next exam.:scared:
 
Jwax said:
I hate this mother****ing school and this mother****ing class. **** IHI. :beat: :boom: :wtf:
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Went that well for you huh? I was going to add a couple more asterisks but I think you got it taken care of.

I'm glad I already started studying mainly for the boards vs class because that test would have really irked me more than it currently does. Two very different ends of the spectrum on the questions.
 
soonereng said:
Went that well for you huh? I was going to add a couple more asterisks but I think you got it taken care of.

I'm glad I already started studying mainly for the boards vs class because that test would have really irked me more than it currently does. Two very different ends of the spectrum on the questions.
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Yep. Both Robbins and Webpath had significant overlap in their questions. Our exam maybe had 20-30% overlap with either of them. 🙄 Whatever, I've had some sleep now and am not quite so distraught. I guess I just have to give up trying to do well in IHI and just try to study for the boards. My poor GPA... 🙁 I had my husband hide my answer sheet so I can't check my grade until Thursday. I just know it will not be good and I'd rather just know it is going to suck than to see how much it sucked. Until Thursday. Then I can drink and make the grade go away.

Dr. Ihnat makes me laugh.
 
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Doctor Bagel said:
I remember the neuro part of the exam last year sucking, but I'm sorry it didn't improve for you guys. Anyway, the good news is that you learned what you needed to know for boards, which is more important than IHI.
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By the way - I've got a strong suspicion that it didn't improve because we got the same test as last year (at least those of us with form B - the harder one). There was even a question that was directly from our TBSA thing that they specifically said "We can't ask you this question because there are two answers". :smack: I'm pretty sure that it was tossed last year b/c people put both peripheral neuropathy and cerebellar atrophy as the cause for a diabetic alcoholic's issues b/c he has both. Not a single question about Parkinson's, migraines, or vertigo issues. Two whole lectures didn't even get one question. 👎
 
Form A had one migraine question (at least I hope.. otherwise, she was having a seizure). I don't recall there being any vertigo questions though... which is too bad because those would have been nice. Of course, the pathology questions from Fung were just silly.
 
SoonerGeek said:
Of course, the pathology questions from Fung were just silly.
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How could you tell which were from Fung? I thought they were all silly, assuming silly means: Why would anyone ever ask a question about that?

Oh and depending on the answer, there could have been two migraine ones on form A. I probably missed the one I thinking about that was probably a subarachnoid bleed.
 
Oh yeah, lady in the ED with a severe headache, nuchal rigidity, and stuperous.. yeah, I toiled on that one and put Subarachnoid hemorrhage. I know that migraines can irritate the meninges, but I figured if she was a migraineur, she would have known whether it was a typical headache or not. Reading too much into the question often gets me in trouble with DLG... last years Neuro final, I mostly missed his questions.

I miss Dr. Blair.
 
SoonerGeek said:
Oh yeah, lady in the ED with a severe headache, nuchal rigidity, and stuperous.. yeah, I toiled on that one and put Subarachnoid hemorrhage. I know that migraines can irritate the meninges, but I figured if she was a migraineur, she would have known whether it was a typical headache or not.
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Yep I missed it. Key is up by the way. Did right about where I thought I did, so maybe my ability to predict my score in med school is finally working.
 
I apparently have mad guessing skills. My score is probably 10 % points higher than my true estimate... 25% higher than my worst case scenario. I by no means aced it, but if we get some points back, I might get back up to my average IHI exam score.

In most exams, I have a feel for how I did... in IHI, its always a mystery because I am rarely certain about answers.
 
soonereng said:
How could you tell which were from Fung? I thought they were all silly, assuming silly means: Why would anyone ever ask a question about that?
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I think the only thing that I really wrote down as comments on my answer sheet was "Why the **** would they ask that question?" Seriously. There was a **** ton of material for this exam and they asked the most random, unimportant, poorly worded questions on any exam I have ever taken in my life. 👎

Pharm = :yawn: I actually started watching the lectures this morning b/c I just couldn't motivate myself to study my flashcards, which don't include anti-depressants/psychotics b/c I thought I sorta knew them already and doesn't have chemo drugs b/c I didn't get there. So very uninterested in learning the chemo drugs.
 
Whats up guys. Anybody remember me?
 
oudoc08 said:
Whats up guys. Anybody remember me?
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welcome back - you probably already know this, but you're gonna have a couple more OU guys headed your way next year. Wish they were staying here to keep me company, but you'll be lucky to have them.
 
Antigunner said:
welcome back - you probably already know this, but you're gonna have a couple more OU guys headed your way next year. Wish they were staying here to keep me company, but you'll be lucky to have them.
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It sounds suspiciously like you have inside info. ;-)

We also have one guy headed to S&W for Ophtho.
 
This test is going to go just as badly as IHI. At least for this one I can blame my pathetic amount of studying as the cause vs. slaving the last 6 weeks for IHI with no positive results. Pharm is going to kill me on the boards.
 
Antigunner said:
welcome back - you probably already know this, but you're gonna have a couple more OU guys headed your way next year. Wish they were staying here to keep me company, but you'll be lucky to have them.
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Life as an intern is actually pretty decent down here in Temple, TX. Pretty nice place, I haven't regretted the decision to come here at all and really have no significant complaints about this year. Can't wait until CA-1, but all things considering, I'd say this is one of the nicer intern years (as intern years go). I'm on endocrine consult right now which is essentially getting her around 9am, seeing around 4 or 5 patients, making insulin reccs, and then hanging out, studying, whatever, in the afternoon while waiting for new (if any) consults. Home around 4pm.

Hope everyone isn't stressing too much about the match, but I know otherwise. It will be interesting to see how it all works out, but I'd say overall OU applicants did very well down here amongst the staff and residents alike, and they continue to be pretty impressed with everyone from there.

lata
 
I'm stressing about the match and I'm a third year.
 
Mr. Freeze said:
I'm stressing about the match and I'm a third year.
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I'm stressing about the match and I'm a second year. I spend a ridiculous amount of time worrying about where I'll go for residency.

The nice thing about pharm is that I feel it is an adequate representation of effort put in. I put in a lot of effort for 1/2 of them and I've done well, I've put in very little effort for 1/2 of them and not done well. I've worked my arse off IHI and not done well regardless.

I can't make the d*mn hb vignettes play on firefox/opera and internet explorer freezes every time I open a video. Frustrating.
 
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Holy ****. I did a whole lot better than I thought for IHI. Even is we only get 3 questions back, I still got 2% higher than my goal. 😀 So much for all my ranting about how much studying doesn't pay off. :soexcited: Stupid idea to wait until the TB was over (well, 'til the studying was over) to grade it.
 
Jwax said:
Holy ****. I did a whole lot better than I thought for IHI. Even is we only get 3 questions back, I still got 2% higher than my goal. 😀 So much for all my ranting about how much studying doesn't pay off. :soexcited: Stupid idea to wait until the TB was over (well, 'til the studying was over) to grade it.
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Good for you!
 
Jwax said:
Holy ****. I did a whole lot better than I thought for IHI. Even is we only get 3 questions back, I still got 2% higher than my goal. 😀 So much for all my ranting about how much studying doesn't pay off. :soexcited: Stupid idea to wait until the TB was over (well, 'til the studying was over) to grade it.
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Trying to follow the ol' shortitalian plan, eh?

Congrats! I hope I'll be able to say the same.
 
Jwax said:
Holy ****. I did a whole lot better than I thought for IHI. Even is we only get 3 questions back, I still got 2% higher than my goal. 😀 So much for all my ranting about how much studying doesn't pay off. :soexcited: Stupid idea to wait until the TB was over (well, 'til the studying was over) to grade it.
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Congrats! I don't want to hear any more gritching about form B.

I am starting to see the light at the end of the tunnel that is the preclinical years and it's a train called Step 1.
 
soonereng said:
Congrats! I don't want to hear any more gritching about form B.

I am starting to see the light at the end of the tunnel that is the preclinical years and it's a train called Step 1.
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Thanks guys. 🙂 Still really pleased about it. I'm with you, soonereng, it was part of why this TB was so stressful... it made Step 1 that much closer. 😱 There really is no reprieve between now and June 11, other than this weekend, which I have to use to work on my research presentation so I don't sound quite like a schmuck up there.
 
Doctor Bagel said:
That's why I'm glad I've decided to do psych. So much less stress about this stuff. I'll still be panicking next year, though.
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I know that I want to do Internal Medicine and, all things considered, I'm pretty sure I want to stay here in Tulsa - the Medicine program is well-respected and non-malignant.

I'm so relieved my medicine rotation went well - I was trying not to think of how there was a great deal riding on it. Not that I had to be brilliant as an MS3, but if they like me and want to continue working with me, that's a good thing.

I'm sure that, once again, the shelf exam next week will cause me to blow a grade level - but I'm almost getting used to that.

I was reviewing the scholarship opportunities for the School of Community Medicine. Sure, they'll waive all tuition and fees next year in exchange for a year of service to the underserved in the community. BUT, whether working as a hospitalist will qualify depends on which hospital and your employment has to be approved by the scholarship committee. Also, if you decide not to follow the agreement, they can assess a penalty of up to 100% - in other words, you have to pay back double the money.

I'm going to say thanks, but no thanks. I can just see being in a situation in a down economy where I was offered a great job on the south side of town, but Morton Health Center has one position open that pays a lovely $115K or something like that... and OU says I have to either take the Morton job or pay them back double what they gave me. No way, no how am I giving anybody that much control over my future. I'm willing to carry my fair share of the underserved burden, but I'm too old to spend three or four years making absolute peanuts in a scary part of town before I start my real career. I was really hoping that OU would have a less punitive "out" policy - they implied they probably wouldn't ask for double the money back when I talked to them - but, if it's in the contract, I'm not doing it. That's why I've never considered taking primary care loans, either - the penalties for changing your mind are horrendous - a 10% or maybe even 20% penalty, fine - but, double? Nope.
 
just wait for another Obama bailout *snort*

Seriously, we've had our credit crisis, our mortgage crisis, and the student loan crisis is next and imminent. Unlike us, the majority of students with 6 figure student loan debts do NOT have secure or (eventually) high paying prospects. The undergrad is the new HS diploma.

I wouldn't be surprised if the gubbermint did step in and either forgive a chunk of everyone's loans, dropped interest considerably (it should NEVER have been higher than inflation), or something along those lines. I also wouldn't be surprised if we were specifically exempted, since everyone knows doctors are rich selfish bastards who make too much money.
 
So peds is tiring. Just had a 12 hour day (the second half of which was mainly shadowing on non-sick clinic patients) and now have to read. For you Tulsa peeps, remember peds sucks more than IM when picking your schedule.

So is a grading change for sure happening with the 2010 changes? We Tulsa people aren't kept in the loop for that stuff, which is kinda lame imo since we all came from basic sciences in OKC.
 
Doctor Bagel said:
So peds is tiring. Just had a 12 hour day (the second half of which was mainly shadowing on non-sick clinic patients) and now have to read. For you Tulsa peeps, remember peds sucks more than IM when picking your schedule.
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Yes, indeedy. Peds is probably worse... but IM's schedule blows pretty bad. I mean, I love medicine - really - but when the h*ll was I supposed to read and still get 5-6 hours of sleep a night? I don't feel so hot about this shelf coming up.

I took Peds first, when I was too naive to know how bad it really was. I remember I was tired, and peds is not my thing - but I had that July 1 eager-beaverness.

Did ya see the Tulsa COM (or SCM, whatever...) list for 2011? Looks like they got exactly 30. Par.
 
So we had the random number thing for msiv today, and I am no more informed about the process than I was this am. So, we drew one number for rural and amb, I assume since it goes ascending first we pick rural first, then go backwards and we can pick our time to go the clinic? Or whatever time is not taken by the rural month anyway. Then after those are set we fill in the gaps with electives based on the other number? Since most away apps can begin to go in 1 APR, can you apply without knowing exactly WHEN you'll be going to these places? Not that it really matters, I won't know what I want to do with my life by then anyway!
 
The thing I disliked most about the IM schedule was the lack of free weekends, and those Sat. call stretches were pretty miserable (2 weeks with no days off and a weird senior made me a cranky person). But I rarely got to the hospital before 7 unless it was a call day, and peds have 4 weeks of 6 am starting schedules. And in medicine, you were generally done by 3 at the latest and sometimes as early as 1, while you have no free afternoons in peds. 🙁 Of course the big issue is that I've lost my motivation to care and not hate getting up early for something I don't like doing.

What's the peds schedule in OKC like anyway? I've heard it's the one rotation that's clearly easier there but don't know if that's true.
 
Mr. Freeze said:
So we had the random number thing for msiv today, and I am no more informed about the process than I was this am. So, we drew one number for rural and amb, I assume since it goes ascending first we pick rural first, then go backwards and we can pick our time to go the clinic? Or whatever time is not taken by the rural month anyway. Then after those are set we fill in the gaps with electives based on the other number? Since most away apps can begin to go in 1 APR, can you apply without knowing exactly WHEN you'll be going to these places? Not that it really matters, I won't know what I want to do with my life by then anyway!
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We're doing our meeting on Thursday, so I guess we'll get our numbers then. Supposedly we actually do our schedule then, but yeah, how does that fit with aways?
 
Doctor Bagel said:
We're doing our meeting on Thursday, so I guess we'll get our numbers then. Supposedly we actually do our schedule then, but yeah, how does that fit with aways?
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I think it is possible you already have numbers for rural/amb, because I am in the 150s. We are all in the same pool when it comes to rural I think. So I know I am gonna end up with the most podunk backwards-ass town first thing in July I just know it. Oh well. At least I know I won't be doing ambulatory until the spring.

Peds here was kinda busy, and scut-laden, but we definitely didn't have any 0600 days. At least not that I can remember. It seems like most mornings inpatient I got here about 0745-08. Newborn we may have been earlier. And private practice is gravy. All shadowing though where I was, except when there was something to see. But I really liked peds for some reason. Not everyone's cup of tea by any means, but then, neither is psych! 🙂
 
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