Hmm, I really don’t know. Marijuana isn’t legal in my state. But I would think that your medicine would be your business. But you need to look into your school’s and your clinical rotation site’s drug testing policies too.
No, we didn’t have a syllabus for our third year rotations. We usually asked 4th years which books helped them prepare the best for rotations.
If I encountered a diagnosis or drug or treatment that I was unfamiliar with or didn’t understand, I usually looked it up on UpToDate or ePocrates. Those can be extremely helpful. It’s a good idea to go home and read about your patients’ conditions every night in addition to your book reading to prepare for your test. That way you’re prepared for your test and your patient presentations and pimp questions and, well…life as a doctor.
I also stuck with 1 or 2 books per rotation so that I could actually get through them and absorb them. It’s been a while so I don’t remember all of them, but I remember I used Blueprints for OB/GYN, Step up to Medicine for IM, and Case Files for Surgery. I liked Case Files a lot as my back-up book for studying. And I usually had some sort of QBank that I would review during the rotation too, like MKSAP or USMLE or something like that.
My advice to you:
All medical schools will offer the 3rd year required core rotations, though they may require you to travel to a different facility for some of them. These would include:
Some schools also require a neurology rotation during 3rd year. Mine didn’t, thank goodness.
Electives vary widely and most people will travel for an elective or two during 4th year. Common electives would include (stars by things most schools will offer):
Part I: What will it be like?!
There will be lots of smart people there. Most of them will be smarter than you, or at least they’ll think they are. Being around smart people all the time will send you into a constant fluctuating state of confidence and crushing self-doubt.
On the first day you will go home and crack open a book, read for 8 hours, and remark to yourself, “this ain’t so bad.” On the 4th day of such reading, you will start calculating how much debt you will be in if you quit on day 5.
You will learn an entire new language made mostly of gibberish, Latin, and acronyms. Get to know your -ologies, your hypers- and hypos-, and always pronounce the word the way your professor does, even if there’s a perfectly acceptable alternative pronunciation.
Definitely so if I started over with none of the knowledge I have now. But if I had to do it all over again but had the experience I have now, I’d have to really think about it. I love medicine, but I think there are other things I could have done and been just as happy (and relatively debt free).
Actually, that’s something Cranquis and I had in common on our personal statements — we both basically said we could take or leave medical school, and could find other ways to follow our passions without medical school. Maybe that’s the secret to getting in ;)
Highly inappropriate OB attending.
General surgery is fairly competitive and requires above average test scores, but it’s not the most difficult specialty to get into by far. And of course, high scores don’t necessarily mean they’re better (or even smarter) doctors. I think the average Step 1 score for surgery is in the 230 range.
Personality does have a lot to do with it as well. You have to be pretty tough to go into surgery and last through 5 years of torment and long hours. Plus residency programs tend to pick applicants that fit the “culture” of the program.
I don’t know tons about it other than if you’re willing to sacrifice 4 years or so to the military (and potentially go to a military residency), it’s a great way to get your loans paid off. Ask aspiringdoctors. She’s doing the military thing and can give you more info than I could.
I’ve been seeing a lot of Step-1 induced panic in my inbox and on my dash over the past few weeks.
I know some of you are super confident in your own abilities and never express the tiniest bit of doubt and are sure that you’re going to blow Step 1 out of the water. Those of you that fit that description should probably check the Step 1 discussion boards on SDN, start pimping your fellow students, and go ahead and start studying for Step 2.
The rest of you have some doubts about your abilities to make it through the last week or so of Step 1 studying. Others of you are starting your second year and panicking at the very thought of Step 1 coming soon. So here comes a little advice/encouragement/empathy from someone who’s been there just 4 short years ago (WHAT WAS IT REALLY THAT LONG AGO? HOW OLD AM I?!).
Cannot answer because I just haven’t even looked into it yet! I was seriously too focused on surviving step 1 to think about step 2 yet. I just haven’t figured it out yet. I will eventually but I’m really focused on the next test ahead of me right now—IM shelf exam!!
But I’m hoping that one of the other awesome medblrs who’s already taken Step 2 can answer these questions—for this anon and for me. :)
Step 2 is usually taken in the beginning of the 4th year of med school when you’re freshly through your core rotations and haven’t gotten senioritis yet. It doesn’t matter what order you take them. Most people use USMLE world questions to prepare for Step 2 CK (+/- DIT videos). I did 4 weeks of easy electives that were half-day things, and then used the other half of the day to do World questions. Step 2 and 3 don’t require as much studying as Step 1 does.
Step 2 CS doesn’t require much preparation if your clinical skills are halfway decent. First Aid for CS has practice cases that I went through a few days before the test. Otherwise, speak clear English, wash your hands, and drape the patient and you’ll do just fine.
Ooh, be careful with that. If there is even ONE post on there that may put you in a negative light to the school, it’s a bad idea. It also really depends on your subject matter. If you’re just reblogging a bunch of science posts from other people, what does that show to the application committee? But if you’re running an original content blog that is innovative or research-based, it may be appropriate. I would not put a blog like mine on an application (because I share patient stories and personal stuff), but ones that probably would look good to admissions committees are ones like thebiopsy, in-training, and thedifferentialdiagnosis. Also be careful to research the school’s social media policy before you disclose a blog to them.
Yeah, that sucks, because you can’t retake it unless you failed.
Well, when Step 2 rolls around, study extra hard and improve that score. I did a lot better on Step 2 than Step 1 (like 30 points better), and a few programs actually commented on it during my interviews. Improving scores will show that you are continually learning and that you’re probably better at clinical medicine stuff than basic science stuff (as most of us are).
Even with improved scores on Step 2, yes, your residency choices will be somewhat limited. I mean, probably not going to get into a derm or ortho surgery spot with a 195. But hey, even if your score is a little below the average for the specialty you’re interested, it doesn’t mean you can’t match into it. Also remember not everyone gets the average score. Half are below the average score ;). Plus if the rest of your application is outstanding, it will help. Programs may see that you’re just not a stellar test taker.
What are your thoughts on medical school admittance and whether or not a history of mental illness will have an impact? - krissybehind
"Mental illness" is a pretty broad category, like "genetic disease." It really depends on what type of mental illness we’re talking about, and more importantly whether it is well treated or not. It also depends on what you choose to disclose, since most med school physicals are done after your initial acceptance.
Depression and anxiety are SO common. If the applicant has good insight into their condition and is getting good treatment and has appropriate coping skills, they shouldn’t get in the way of med school admittance. On the other hand, a person with multiple recent suicide attempts may be a bit too much of a gamble for a medical school.
ADHD and OCD are also pretty common. We all know some med students with these, and they tend to do fine with treatment.
Other conditions like schizophrenia, mania, unstable bipolar disorder, active addictions, and a few personality disorders (like antisocial, paranoid, or schizotypal) may prevent admission if they are not really well controlled. Those disorders can be pretty incompatible with the amount of stress med school puts on people.
This is one of the reasons why most schools require students to go through a physical with their personal doctor prior to the start of school. This, of course, would be after your “acceptance,” but if the doctor were to find something physical or mental that was serious enough to keep you out of medical school, there is a possibility that your admission could be put on hold. I’ve never heard of it happening before, but I’m sure it does.