Wayfaring MD

I am a family medicine resident who likes to highlight the hilarious in medicine as I write about patients, medical school, residency, medical missions, and whatever else strikes my fancy.



Disclaimer:
HIPAA is for reals, folks. All of my "patient stories" have been changed to protect patient privacy. I will change any or all identifiers, including age, location, race/ethnicity, sex, medical history, and quotes.
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I finally got to click on the order for “scrotal sling”.

Also, checkout on this patient includes daily scrotal updates. 

Have you lost weight?

Patient who has known me for 3 days and clearly has some early morning delirium.

Asker Anonymous Asks:
Don't hate on Kansas :(
wayfaringmd wayfaringmd Said:

not hating on Kansas. It’s just not for me, especially considering that I specifically told these companies I was interested in Southeast US only. 

How does the transition from residency to a "real" job work? Do hospitals court residents? Do residents court hospitals? Is it a random application process?
wayfaringmd wayfaringmd Said:

Ooh, the transition. I’m trying to figure out how that works right now. Around the end of your intern year, you’ll start getting a slow trickle of offers from recruiters. As you progress, they roll in faster. 

Do they court us? Do they court us?! 

They do indeed.

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This is a screenshot from my personal e-mail inbox. I got all of these today. And there’s probably this many more in my work e-mail. See, there are recruiter companies out there that “do the hard work” for you and find you jobs that sound amazing but are generally in places no one really cares to work in. And once you sign your contract, they get a piece of your signing bonus. Not a good deal. I have no interest in these deals. The companies call you and ask you what area of the country you’re interested in (Southeast), and then they send you exactly ZERO offers in that area of the country. I mean geez, we got IL, WY, NY, TX, CA, AR, MA, OR, and some mystery places (which are probably North Dakota and Kansas or something). 

But to better answer your question, I’d say yes to everything. Hospitals like to recruit from within if they have good residents, or from the outside if they have no (or bad) residents. Our hospital tries to recruit pretty heavily from within. Pretty much every class has 1-2 people who stay within the system and another 2-3 who stay in about a 25 mile radius of here. 

Residents can also randomly apply to places or court other hospitals or offices. Most people apply in their hometowns or in cities they want to live in. There are so many options, especially in family medicine where you can work inpatient/outpatient/OB/no-OB/urgent care/ER/nursing home whatever. I’m sort of casting a wide net. I’m applying for a missionary job and I’ve talked to my hometown hospital system recruiter about outpatient/OB jobs and a hospitalist group so far. I’m not really sure where I want to practice or what kind of job I’m supposed to do yet. 

So basically, if a place likes you, they’ll offer you a contract. Then you get someone smarter than you to look over the contract and you decide if you want to take it. Luckily with the physician shortage, docs can pretty much find a job to suit any personality or lifestyle. 

I’ll be honest.
I have NO IDEA the differences in any of the tubefeeds.

And I STILL can’t figure out TPN. (via imaresident)

Meh, that’s what nutrition team consults are for.

Wayfaring’s grandma: when I was little we used to get these worms in our feet and they itched like crazy and they left a little trail on your foot! Have you ever heard of those? We called it ground itch. Is there a name for it? What is it?

Wayfaring: yeah, I’ve seen it several times. It’s called cutaneous larva migrans. It’s a hookworm larva that is crawling around in your foot. You get it from going barefoot in dirt or sand.

Grandma: well how did you know about that?!

Wayfaring: I went to medical school.

Grandma

fortunatelymaybe reblogged this from you and added: More like 30 hour shit

@shanapreferspajamas said:CDIFF FOR EVERYONE!

compoundfractur said: What if it’s the best case study of mirror-neurons ever?

md-admissions said: nooooo! C diff?

We do actually have 3 C-differs on our service right now, and 2 with gut issues from chemo. I think mine was more of a case of “salad bar that’s been sitting out all day”. I’m better now. 

aspiringdoctors:

ermedicine:

cranquis:

md-admissions:

That I cannot answer.

What actor do you see portraying me or any of your favorite medblrs being if med school life were a television show?

md-admissions + randommomentsdevidaimage

ermedicine

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wayfaringmd

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aspiringdoctors

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medicalstate

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baffledinbrooklyn

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And me…

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Bringing this back again for how awesome it is!

AHAHAHAHA!!
I’m legit flattered.

Heh, apparently all of Tumblr views me as a side-eye giving black woman.

My answer to the same question:

md-admissions Liz Lemon, the ultimate girl-bro or maybe Tina Belcher. Definitely a chick named Tina. 

 

randommomentsdevida as Winston from New Girl, who loves pranks but is terribly bad at them.

ladykaymd : A Hermione/Leslie Knope hybrid who never sleeps and probably time travels to get all her life stuff done every day.

compoundfractur, as Hannibal the secret serial killer. Come on, those horror movie reviews?!  

ermedicine - the Janitor from scrubs, because when something bad goes down in the hospital, he’s probably nearby

aspiringdoctors as April Ludgate - a little creepy/badass but has a big heart that melts when animals are involved

me, wayfaringmd, as one of a host of Melissa McCarthy characters mashed up with Honey Boo Boo

cranquis as Jim Halpert, the super nice, down-to-earth, yet somewhat sneaky and mischievous office worker. 

and, in honor of the almost 1-year anniversary of the mysterious demise of her blog, lyla-md as any soap opera/telenovela star ever.

What should you write / not write in your personal statement? How do you write something that will make you stand out?

If you stick to these guidelines, you will have personal statement that will stand out for sure. 

DO: 

Tell a story. Use narrative. Stories are so much easier for your reader to pay attention to and remember. And if there’s one thing you want to come out of your personal statement, it’s for people to remember you. 

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Use examples rather than blanket statements. Everyone knows you want to go into medicine to help people, but don’t just say that. Tell a story of a time you helped someone and relay how it affected you. 

Relate your outside interests to medicine. How has your love for sports/dance/music/mission work/travel/etc affected and strengthened your love for medicine? How will those interests make you a better doctor?

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- Leave ‘em guessing. Don’t tell your whole life story, but tell enough about your life or interests to make the reader want to find out more. That’s the stuff that makes for a good interview. Believe me, interviewers don’t want to just ask you all the same stuff you’ve already written.

Brag on yourself a little. The AdCom is looking to be impressed. Ask your friends what your best qualities are, and talk those up in your personal statement. 

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Talk about your personal experiences that have influenced you to go into medicine. But also be aware that everyone has a sick family member story, and that those stories are pretty common in personal statements. 

-  Give reasons why other careers are not for youSure, you love science. We get that. Go deeper. Why do you need to be a doctor of all things? Why is teaching chemistry not for you? Why didn’t you go to nursing school? 

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Remember that you can tailor your personal statement to each program. If you’re applying to a program that has a very distinctive feature, you may want to talk about how that feature interests you. But don’t throw that same statement out to every school. 

Ask for help when you get stuck. Check out Roheet’s (theBiopsy) service called LeanOn that helps folks like you with personal statement writing. It’s worth the price for sure. 

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DON’T

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Asker Anonymous Asks:
Hey! Do you know of anyone who has gotten their masters in global/public health before or after going to med school. Im very indecisive about this..if you have any followers who did this or anything that would be great!
wayfaringmd wayfaringmd Said:

I do. We had 2 or 3 people in my class who got MPHs before med school. It can be helpful in boosting a mediocre application, but don’t do it just for that. If public health is something you’re interested in and can see yourself being continually involved with as a physician (whether in practice or research), then go for the MPH. If you will use the degree and the knowledge you gain from that training, then it’s worth doing for you.

Edit: some med schools actually have joint MD/MPH programs, which might be ideal for you. I hear Tulane has an excellent program.

Asker Anonymous Asks:
Do you know when it's the right time to transfer to another school? I was planning on transferring to Rutgers as a psychology pre med student for upcoming spring, but so far my GPA at the end of this semester will be a 3.1. I don't know if I should transfer for spring or wait till next fall. I am currently in my second semester of freshmen year.
wayfaringmd wayfaringmd Said:

Hmmm, I don’t really know. I’d think the best time depends in how ready you are academically to make a change of pace. It’s also dependent on how willing the school is to accept your transfer request. I don’t know anything about Rutgers, so I can’t help ya much. Maybe ask your advisor at your current school?

Making good grades, working hard, and studying do not make you a gunner. Those things make you a successful student and are the qualities that get you in and through med school. Everyone who expects to do well in their studies should adopt those qualities.

To say that you can be a good doctor without great grades is only partially true (yeah you can get in med school with a C here and there) and is certainly not an ideal worth striving to live up to. Good doctors don’t just get by. They work hard. They may bomb some tests here and there, but it’s not for lack of trying. There’s a huge difference in being an average or non-stellar student and being a slacker.

Gunners have these hard working values as well, but they purposefully make others look bad to make themselves look good. They take “hard work” to the extreme, to a point where they memorize useless details just to say they did, and more importantly, to make everyone else fear a bad grade because they didn’t. At their core, they are malignant in their work ethic. They take the mindset of self above all else, and will trample anyone who gets in the way of their ambitions.

Hi wayfaringmd, I was wondering if you’ve ever had any run-ins with “gunners” before and had any advice about them?

Of course. Gunners are everywhere. Just remember that their gunning has nothing to do with you and shouldn’t affect you in the slightest. Most gunners gun either because of their own insecurities or because they’re mean spirited and want to make others look bad and make themselves look good.

If you refuse to let them influence your work habits, they are basically powerless. Ignore them when they brag. Refuse to answer (or better yet, be extremely vague) when they ask you how you did on a test. I had a friend in med school who had huge gunner tendencies who would always ask me how I did when we got grades back. I’d just say “as expected” or something like that so she had no idea if I did well or if I failed.

Don’t judge yourself by their standards. Work hard and do your best and forget the rest. 

Don’t ask them for resources and don’t give them yours. I say this not to be mean (because I am all for sharing resources) but because in my experience, gunners want everyone else’s resources but won’t share their own. School is a place to learn to work together—especially med school—and if they can’t learn to play nice with friends and share, then maybe they need to sit in the corner alone for a bit.

Again, don’t worry about the gunners. Let them do their gunning thing and you do your thing. And remember, gunning and making all As does not equate to being a good doctor/nurse/teacher/banker whatever.

Asker Anonymous Asks:
To continue on the sexual history question: It's highly uncomfortable to be asked 'are you sexually active?' and like you said, it doesn't really cover where it needs to. I feel like a better set of questions would be 'Have you had sex? How recently? Protection or no?'. Would this better or does it still not answer all the questions? It would still be uncomfortable, but I feel like it is a better alternative.
wayfaringmd wayfaringmd Said:

Yeah, like I said, our ID docs recommend asking
1) do you have sex?
2) how many partners total?
3) do you use barrier protection every single time?

More specific questions can be added in about preferences and such, but as far as assessing a person’s risk for STIs, this pretty much covers it.

The questions will always be uncomfortable. As docs, we ask to a of uncomfortable questions. But what matters is whether you’re getting the information your looking for with your questions.