Wayfaring MD

I like to highlight the hilarious in medicine as I write about patients, medical school, residency, medical missions, and whatever else strikes my fancy. Oh yeah, and I like to use GIFs!

And for the 5,000th time, let me clarify that I am female.

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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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Posts tagged "motivation"

How can I make myself care enough about my undergrad classes (chem, ochem, physics, bio, etc.) to do well in them so that I get into medical school? Right now I’m having trouble getting motivated enough to study them. –amputatedwings

Motivation is a hard thing to find. You can’t just create it out of thin air. It’s something you have to continually work on to be able to keep it.

Before I get into how to grow and maintain motivation, let me strike down some misconceptions. 

  •      “I hate this biochemistry stuff, but when I get into studying things I’m interested in in medical school, it will get easier.” 
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     When I got to medical school, though, the motivation was no easier to find than in undergrad. I couldn’t go off of pure curiosity, because curiosity wasn’t enough to make me excited about the function of the alpha subunit on the cholera toxin molecule (which I learned in my first week of medical school). It wasn’t interesting to me. There’s TONS of stuff in medicine that is boring to me. Case in point: eyeballs. Gluconeogenesis. Toenail fungus. Biostatistics. Rhinoviruses. I could go at this all day. The point is though, if you hate pre-med, you very well may hate medical school. Figure out what you really love and do that. 
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  •  ”My future patients/sick grandma/history of childhood illness will motivate me.” Heh, not so much. I love my patients, and I love patient care, but it was definitely not on my mind at midnight while learning the bleeping histologic appearance of the terminal ileum or about the 500 different foramina and fossae of the skull (both tidbits of knowledge which I have yet to use in my clinical work, btdubbs). image
  •  ”My significant other / mommy / puppy will keep me going.” Son, yo mama doesn’t have a CLUE what med school is like, unless she’s a doctor, and in that case she will probably have even less sympathy for your butt. I had friends with extremely supportive families and significant others, but at the end of the day, many times they’d be calling other med students saying, “I’m ready to quit. I’m putting in an application at Starbucks.” 
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Ok, so where do we get motivation from?

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Asker Anonymous Asks:
What is your motivation to keep going when classes/life gets hard?
wayfaringmd wayfaringmd Said:

Well, I guess I’d have to say that when life gets hard (as it currently is), I have to remember my purpose. That purpose is my motivating factor. I know that I have been put in this profession for a reason, and that God will get me through the tough times. I have to remind myself that I do these things for God first, then for myself and my patients. That really helps, because there are MANY times when I don’t want to keep pushing for my sake or my patients’ sakes. But I know that if I’m pleasing God, he’ll get me through. 

Do you have any tips on improving studying endurance? -anon

Advice for getting over procrastination? Thanks! Love your blog!!! :D -anon

I put these 2 questions together because I feel they address pretty much the same issue. 

For improving endurance: start small and build as you go. I was a big fan of breaking down my reading into small bites (literally like 5 page bites) that I could mark off. Ticking things off a to-do list—even tiny things—kept me on track. And after doing so many pages, it didn’t feel like a huge undertaking to just do 5 more pages.

A counter-intuitive strategy to help with study endurance is to schedule frequent breaks. I’m talking things like 50 minutes on, 10 off or something like that. That way you focus more during the 50 minutes because you know you get a 10 minute break soon. If every 50 minutes is too often, go 2 hours on, 15 minutes off or something like that. I was also a big fan of just setting goals for the day—like 75 pages or something—and I couldn’t do the fun stuff like go out to eat with a friend or watch tv with the roomie until I was done. That improves endurance and efficiency. 

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Asker lambiemd-ish Asks:
Hi wayfaring! Senioritis has hit me pretty early and pretty hard. Inknow you have to do it, but how difficult was transitioning between college studying and medical studying?
wayfaringmd wayfaringmd Said:

Transitioning from college to med school studying really wasn’t that hard because the prospect of failing medical school and owing basquillions of dollars to the government pretty well keeps you motivated to study hard. 

In the first couple of weeks of medical school, I was motivated by pure fear:

  • Fear of failing out of school
  • fear of owing all that money for nothing
  • fear of looking stupid in tutorial group
  • fear of failing my first test
  • fear of letting myself and my family down

these were huge motivators in that first block.

Then, once you pass the first test you realize that all that work was totally necessary, and when you’ve gotten through it once, it’s slightly easier to do it all over again. 

Of course, picking up the pace and doing study marathons EVERY DAY for 2 years is hard to adjust to, but you get through it. 

Hi. I’m really struggling with studying for USMLE Step 1. I know all the generic advice. I basically have zero fun or moral support, and lots of pressure. Correction - there are a few random people who I have never met in my life - either through gtalk/forums… but that hasn’t helped me in any way whatsoever. I hope this isnt inappropriate or out of place in any way. To avoid rambling that could be off-putting, can you give any suggestions to peak motivation and focus? I think I’m losing it. -doctumbl

First, on the pressures of med school life: having internet buddies is great (I have plenty, for sure), but they are no substitute for good, supportive, in-the-flesh friends. Are there any fellow classmates / upperclassmen / professors you can vent to? (If not, you can always Skype me @ WayfaringMD). 

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On motivation and focus: the best thing for me was to set short term goals. Find something fun and stress releasing you want to do every day during your step 1 study. It can be exercise, sports, tumbling, going to the movies, going out to dinner, etc. Set a goal of X amount of material (reasonable amounts, of course) you need to cover before you can go do that fun thing. You’re stressed out, of course, and you really want to go have fun, so that will motivate you to stick to your studies and get your work done. 

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If a goal for the end of the day is not enough, set even shorter goals. For example:

- I’m going to get through 20 pages of First Aid by lunch and then I’m going to make the best grilled cheese sandwich ever made and eat it outside

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- I’m going to do 100 World questions and then call my best buddy (make sure you schedule phone dates if your friend is also studying!)

- Just 5 more pages and I’ll have a 5 minute dance party

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