Hi Again! You will in this post see how things look during the final week of classes. You will notice there’s a lot less happening in my schedule other than classes/studying during this time because it is crack-down mode! And then STEP 1 Board Preparation begins! I have allotted myself 4 weeks for Board studying after classes are over.
The following is the first in a two-part reflection piece written by Kamini Doobay, Class of 2015, during her Art and Science of Medicine (ASM) class.
“Breathe with your patient – with your stethoscope placed correctly. In and out….and again, in and out.”
As I fumbled to get my earpiece in correctly and gently place the cold stethoscope on Mr. T’s back, Dr. Fierer spoke these words. Breathe with my patient? I nodded in acceptance, for he knew what he was doing and I clearly did not. My skepticism and self-doubt was not obvious. No one – the doctor, the patient or my fellow classmates – could tell that all I was thinking was,”How can I breathe with my patient and listen at the same time?”
My preceptor went ahead to double check whether the patient was willing to speak with me. I heard a woman’s voice and tried to imagine what she looked like-was that a Caribbean accent I heard? My preceptor drew back the curtain and introduced me to the patient. Then he turned and strolled out of the room to leave me alone with Mrs. Washington.*
I’ve had experience interviewing adolescents before. I worked at the Adolescent Health Center for most of a semester in my first year of medical school. But this was the first time I would interview an adolescent patient alone, and perform the physical exam. I was a bit nervous.
I walked into the room to find a tall, thin, young woman lying nearly supine, bundled in hospital bed sheets. Her father sat in the green, rubbery chair beside her bed. The girl’s pale face nearly blended into the bed sheets that enveloped her. I introduced myself and asked for her name. Veronica.