Monday, September 30, 2019

Term 3 almost done

Yay!

Three-quarters of the way through internship.

I've been very busy indeed.

Term 3 (we do 4 terms a year here) was surgical for me and I was lucky and got ENT (ears, nose, throat).

We work 6:30am to about 6pm plus some occasional weekend shifts. It's a lot and I've become burned out at times and needed a day off here and there. Luckily the admin people are very supportive if you let them know what's going on and just take a day here and there and otherwise keep pushing through.

I took a Gen Med assessment of my WBA and completely bombed it. It was not prepared to the standard that was expected of me and I really just didn't have the time to prepare adequately. It really threw me and I wasn't sure I could manage internship, having small children, AND the WBA so I took a small break from it wiht the support of the hospital.

I have decided to attempt my surgery assessments though as I've had a full surgery term and think I can manage it. I only have a week to prepare which is difficult with this schedule but I've decided to sacrifice the next week to make it happen, hence I'm still at the hospital library now after work and though I'd take the opportunity to quickly update here.

I've to do:

1. Prepare three Case Based Discussions and present one
2. Physical exam for head and neck
3. Patient counselling

I think I hit my low a couple of weeks ago and cracked. Strange thing is I came back to life and am more relaxed at work; its almost as if I had an epiphany but what has actually happened is I don't care as much as I did before. Although that sounds bad, its probably what I needed to do. I was too uptight about everything and not relaxed. I still do care about my patients but I don't care as much about whether the other doctors are judging me, or if I don't know as much as everyone else, or I'm not as good as my peers, or what would happen if I missed something (theres safety nets for that and I don't have to protect all the patients by myself).

Well that is all I have to report really. I still miss ambulance but not as much as before. I started to feel more like a doctor than a paramedic a few weeks ago finally.