Now that I have started residency, I have also invested into an UpToDate subscription. This online clinical resource logs the time you spend researching and reading different topics. In less than three months’ time, I have already amassed 42 continuing medical education credits.
A single credit is the equivalent of an hour of additional reading.
In essence, I am averaging roughly 12 hours of reading every month on UpToDate. This is in addition to some other bits of reading I do here and there on guidelines, position statements, and textbooks.
However, it just goes to show that a little bit every day goes a long way.
With two months to organize myself for the coming year, it has given me a lot of time to think about the last year. Three-eighths of the way, I gave a review of the first term of second year. Now, another term complete and having earned half my M.D. title, it feels right to write another summary.
Given that it is the largest organ by surface area, it was amusing to see dermatology condensed into a single week. I suppose once you know the ABCDEs of categorizing skin lesions, you are well equipped to handle any situation. However, sometimes lesions are vague or very similar in appearance to others. Land mine or dud? Tread carefully.
Then came the brain. Over a gruelling two month period, we explored the deepest anatomical corners of the brain, learned tracts from top to bottom, and studied behaviour and psychology. The challenges of this block were two fold. First, some of the concepts were difficult to abstract, especially understanding the relation and integration of various tracts, in itself a complex web of interactions. Secondly, due to the complexity of the brain, some concepts could not be covered without mentioning other points of interest that would be covered further in the block. It was constantly a struggle to keep up with concepts A and B, when concept B was to be further discussed a few weeks later. Only at the end of the block could we finally see the big picture.
After the struggles above, we went down into the reproduction block, a simple and easy to follow curriculum that was a welcome change of pace. This block was noteworthy for its overabundance of graphic pictures and videos and the fair warning to the ladies of our class to be weary of advanced maternal age.
The last block, following the reproductive block nicely was paediatric and adolescent development. The big talking points in this block were milestones and nutrition factoids. The key to understanding this block was to memorize the facts cold. Getting the short end of the stick, the study time for this block suffered in light of its close proximity to our final exams. We held our breath that the few factoids we tried to memorize each day would stay fresh enough in our minds for the exam.
Histology, pathology, and anatomy continued to be integrated into the curriculum wherever it applied. Anatomy in particular took centre stage for the brain, while histology was important for the skin, the brain, and for reproduction.
Family practice and clinical skills courses continued to give us exposure to the routines we would need to know for our careers.
The exams this term were again challenging. I would rank them as equal to those from last term. The questions that caused me the most difficulties were the scenario questions. Reading and digesting the information presented in the scenario took time and slowed me down to a panic. Time was of the essence and I had to work fast. I dreaded every one of these questions.
For my rural rotation, which is actually part of my third year, I have already written my thoughts on that in a prior post. Now I am just trying to get my affairs in order and enjoy the summer while I still can.
Two years of lecture-based medical education has come down to these last four weeks. I have sat in lectures for so many years now that it seems unreal that that reality will soon be coming to an end.
Following two weeks of exams, I will begin a one-month summer clerkship that is the stepping stone to third year, where the true medicine starts. The anxiety and excitement of change is slowly building up inside me. These are the final moments of another chapter in my story.