Across the country, it has become standard for residency programs to begin on July 1st. Mayo Clinic (always trying to be different 😉 ) usually has new rotations, and therefore new residents, start on Saturdays. For every new rotation I have this year, I will start on a Saturday- no idea why, but this is how they do it. Well, now that it’s required for residents to start on July 1st and no sooner, we couldn’t start on Saturday June 28th as Mayo had originally intended. We had to wait until Tuesday, July 1st. That meant that all the old first year residents who are exhausted and about to finish their intern year had to stick around for 3 extra days to cover the service before we started… I felt pretty bad about that.
Instead of working on Monday June 30, we went on an intern retreat all day. We first met at a hotel in downtown Rochester and played lots of different games to get to know one another. We formed teams and played a 5 round trivia game. This was one of the trivia rounds- can you figure out all these puzzles?
My team (the ACE Inhibitors- we are all such nerds I can’t handle it) came in second! I was pretty excited since there are just a few smart people in my class 😉
At noon we boarded busses and were taken to a local bowling alley and laser tag place! Let me preface this by telling you that the week before this activity, we had a cookout and played corn hole. I did not get a single bean bag onto the board through the entire game. My sporting ability is at the level of a three year old, so I was pretty concerned about having to bowl.
By the grace of the bowling Gods, I somehow did pretty well! (Pretty well in my world- which is at least hitting some pins each time). Can you tell which name is mine? It’s hard to see- but I was Dr. Dre 🙂
After Monday, the fun was over and we had to prepare for our first day on the wards on Tuesday.
This month, I am on the neurology service which is a pretty relaxed rotation. I am so grateful I started on this service, because it’s allowed me to ease into things like writing orders and calling consults.
I’ve been getting up around 4:30-5 to check emails, study, do other little chores like that, and then get ready.
Some days I’ve been so rushed I’ve eaten breakfast in the car. But most of the time I have enough time to eat breakfast at home first. Then by 6:15am I leave for the hospital!
It’s only a 5 minute drive and then a 5 minute walk from the parking lot to my service which is wonderful!
When I get to work I immediately check the service to see if we’ve had any admissions overnight. Then, I check on my patients. I read their labs, read any notes left from people who saw them the day before, and think about the plan for the day. I start my daily progress note on my patients and then go off to see them.
I try to find the nurses taking care of my patients first- they are a wealth of knowledge!! I always ask them how the patient did overnight, what they think is going on, what they think we should do, and if they need me to do anything. Then, I go see my patient. I ask them how they’re feeling, if anything has changed, and I do a quick neurologic exam.
Then, I rush back to the team room because we have lecture at 7:45. At 8:15 we start rounding. I’m going to do a whole post specific to the neurology service, but I think most teams meet to round at 8 am or so. Some teams table round, which means they sit and talk about each patient as a group in the team room before walking around to the patient rooms. Other teams walk from room to room and talk about the patients there.
During rounds, we come up with the plan for the day. We talk to the consultant (Mayo’s term for attending) and the other residents as well. I try (keyword try) to throw in one or two suggestions, but normally I have no idea what’s going on with my patient- especially if it’s a complicated neurologic issue!
At noon the other interns and I go to noon conference. Mayo has lectures every day over lunch which have been really helpful so far. We’ve head lectures about hematologic emergencies, acute GI bleeds, stuff like that.
Some days my pager won’t stop interrupting!
Mayo does provide lunch each day, but I’ve still been bringing mine every day. I’m sure there will be some busy days when I forget to pack a lunch, but so far I’m dong well bringing it!
After lunch, we spend the rest of the day following up on new things for our patients, admitting new patients, or working on discharging people. Some days have actually been pretty low key, but others have been busy busy!! Right now, I’m so inefficient and everything takes me ages to complete. I know I will get better and faster soon- at least I hope!
I’ve been struggling because after a long day at the hospital, I really don’t feel like working out. I mean really. I just want to come home and relax with Kyle. This week and last week I only worked out 3 days each week, which is way less than my usual. I know I won’t have as much time to work out during intern year, but I still want to do everything I can to get in 4-5 workouts a week. Last week I tried working out in the morning and getting ready at the gym for the first time.
I actually really enjoyed getting my workout done before heading into the hospital. I was able to work out in the morning twice last week, and I think I will try to do it much more this week.
- Figuring out when to read and what to read (I have to study and learn! But it’s hard to find the best way to do it)
- Figuring out when to workout
- Figuring out how to write orders on patients
- Remembering to order PPIs (proton pump inhibitors- decrease acid in your stomach) on my patients. I forgot once- never again!!
I was thinking about trying to make it a ritual to workout in the morning and always read something medical while I’m working out. That way, I would kill two birds with one stone. But, that takes a lot of discipline. So often I just want to zone out and watch trashy TV while I’m working out. Maybe I can compromise and do 30 min of reading and then TV time?
So there you have a day in my new life as a Mayo resident! I’m still figuring it all out. But, I LOVE it! Mayo is so incredible- I feel honored every day to work there. And my patients have been wonderful so far. Neuro is sometimes a sad specialty, but I am getting great joy out of the work I’m doing each day, and I’m learning SO much!!
Have you ever had a resident take care of you in the hospital? Did they do okay?
How do you fit in getting things done and working out? I’d love any tips you have for juggling working out, studying, and relaxing!