Wednesday, September 18, 2013

Blammo - Done with Neuro

This man looks how I feel. Ironically, it's an image from a Migraine and Cluster Headache Clinic's website...
Neuro is done! My first PBL Domain at MSU CHM is DONE. Results are in on Monday's exam, and things went pretty well. Yesterday I did my Neuro Practice Based Assessment, in which I completed a full (recorded) neurological examination on an actor paid to fake a case. After interviewing and examining the patient, I had 1.5 hours to complete a SOAP note (click here if you want to and don't know what this is) and submit it for a grade. The whole experience isn't worth much as far as my grade in Clinical Skills goes (only 2 points out of 100 total; each exam is worth 44 points), but I would say this was probably one of the most valuable clinical skills experiences that I've had so far. It was actually kind of fun, trying to find the right balance between taking enough notes and holding enough information in my head so that I was still being courteous and communicative toward the patient.

I haven't gotten the grade back from the Neuro PBA, but that will probably take a week or two, since it's graded by third- and fourth-year medical students - all of whom are probably WAY busier than me. Next year has been sounding quite daunting recently. Right from the beginning of third year, we are scheduled on really loooong shifts at the hospital. Like, I'm talking 24-30+ hours long. While we won't really be doing as much as the residents and attendings, we will still be part of the team and trying to absorb everything going on around us. I'm very excited about it, but I can already tell from talking to other people that it's going to be an even bigger shift from the current (M2) year as the M2 year was from M1.

The current PBL (Problem Based Learning) Domain is Infectious Disease and Immunology, which means I've gotta dredge up a boatload of Microbiology that I hopefully have tucked away in some dark corner of my brain. B cells? T cells? Dendritic cells? Viruses? Yeah... It's going to take some reviewing to get back in the swing of things, but luckily that is why they give us all of this excellent time. My schedule this semester is actually working out pretty well. My weeks are heavily front-loaded, which means I'm absolutely slammed on Mondays and Tuesdays, but Wednesdays through Fridays are fairly light, schedule-wise, so I have the time I need to really delve into the material before the weekend hits. All right, back to it. Wish me luck.


Joshua said...

Good Luck on the rest of the year, and congrats on complete neuro

Susan said...

Way to go, Justin! Head down and plowed THROUGH IT!! Nice work!!

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