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Conversations: Feeling Unprepared

I recently had a conversation with my cousin (who also happens to be my classmate). The conversation was sandwiched between a couple hours of studying about ischemic heart disease, vascular disease, valvular disease, and congenital heart diseases. We were preparing for a Pathology lab where we were scheduled to do some “team-based learning.” (These team-based sessions involve working in groups of five to figure out a diagnosis based on a small clinical vignettes. Once the diagnosis is obtained we usually have to figure out the mechanisms leading to the condition.)

The conversation took place right after I showed her a sample test that applicants to the San Francisco Police Department can download at the department website. The first few sections were really simple and we skimmed through right through it. It felt easy. (At least the first sections felt easy. There was at least one section towards the end that looked pretty tricky.)

I’m not sure who first verbalized it, but we noted how it had been a long time since we had walked into an exam feeling fully confident in what we knew and of what the outcome would be. So far in medical school it hasn’t mattered how much I have spent preparing for an exam. I have never walked into a test site feeling like I know everything as well as I should. Maybe that one student that keeps scoring between 98-100% knows how that feels, but I sure don’t. And that is a very frustrating thing.

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Funny

It’s funny, the things we do to avoid certain people. You know what I mean. You’re walking through the supermarket and, spotting someone you’d rather not talk to, you jump into the nearest aisle and pretend to be interested in the displayed products even though you’re really looking out of the corner of your eye to make sure that person doesn’t walk by and notice you. And then you feel eyes on you because you’re the only guy in an aisle filled with feminine products. You look up and realize that while trying to fake interest in the products in front of you, you have been “staring” at a large selection of pads and tampons.

Or maybe, standing around at an event you see someone you want to avoid. Thinking yourself the stealthy type you gracefully glide through the crowd towards the door and mentally pat yourself on the back for an evasion James Bond would be proud of. That is, of course, right before you throw your weight into pushing open a firmly looked door. Why is it that people seem to never have both doors unlocked at the same time? They’re double doors for a reason, but maybe the reason is to make unsuspecting people look utterly foolish.

I am not saying any of the above situations have ever happened to me. But there are times when I just don’t feel like being friendly and outgoing.

Are physicians required to “put on a happy face” at all times? Do they have to be ever-joyful, always-friendly, bubbly people?

I sure hope not. Cause I sure don’t feel this way… In fact, most of the time I feel pretty drained, tired, sleep-deprived, and stressed out.

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Can’t Focus…

I really need to get focused.

I was sitting at my desk at 10:45 and just couldn’t concentrate. The bad thing is that I should be more focused now with exams coming up next week. I decided to call home and say hello. I talked to my dad for about 20 minutes. He suggested I go walk around. So while I talked to him I walked around the block.

Now I’m back. And I feel the same. I don’t feel more awake than before. Nor do I feel more inclined to studying. But oh well. Sometimes you just gotta do what you gotta do. Unfortunately, in my case, it isn’t just sometimes — it’s all the time. And that can be draining…

Do you have any tips for how to get refocused when you just don’t feel like studying? I’ll take all the help I can get!

Anyways, for now, back to the books…

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Loma Linda University: Perspectives from non-Adventists

Related Post: What is Loma Linda University Really Like?

I’ve been meaning to post this for a while now. Occasionally I get a question like this: I’m not Adventist, but I am a Christian. Should I apply to Loma Linda University?

In a previous post (What is Loma Linda University really like?) I wrote that I have not heard any complaints. Although I did write that I had never asked any of my classmates directly. Well last week I got the chance to ask two classmates who are not Seventh-Day Adventists how they felt about Loma Linda University. The gist of what they said is that while they might not believe everything Adventists believe, they are happy with their decision to attend a Christian medical school like Loma Linda.

I also found a blog entry by another classmate. He is Episcopalian and he writes about his thoughts on Loma Linda University at his blog Northwest Anglican. The post is titled Surviving Medical School with Faith Intact.

This article is from Spectrum Magazine and references the article above: Thoughts from an Episcopalian at Loma Linda University | Spectrum.

A quote from the post:

Another conversation I’ve had with some of my classmates is a “what if” conversation considering whether we would have gone to some of the more prestigious schools we applied to had we been accepted. And there was a time when I would have said, “yes,” that if I had gotten into Harvard or Mayo Clinic that I would have gone there. But looking back on this year and considering things with the eternal perspective of the importance of my soul, I would have to say, “no.” Think what you will about Seventh-day Adventist theology, but I have to say that they have founded and nourished an institution where a Christian can become a doctor and where they can be affirmed and encouraged in their faith in Jesus Christ. For this I am very thankful to my Adventist brothers and sisters.

Hopefully this will help those trying to decide which medical schools to apply to.

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What is Loma Linda University really like?

Related Post: Loma Linda University: Perspectives from non-Adventists

Important Note: This post was written near the beginning of my second year.

In this day and age it’s really easy to become cynical about what is printed in brochures. We all know what it’s like to buy into some sort of hype and become disappointed with the end product. So we all learn that it’s best to do some research — that we shouldn’t believe everything the salesperson tells us.

Choosing a medical school can be tough. It’s like shopping for something very, very expensive. In a way, you’re shopping for four years of your life and an education that will hopefully launch a long career. And every once in a while I get questions about what Loma Linda is like.

Well that’s a fair question and I’ll try to give my perspective on the school in this post. I will say, however, I don’t have any strong negative opinions about the school. I do have some strong negative opinions about the summer heat, though.

With that said, here’s what I think about Loma Linda University School of Medicine:
*****
Location
Loma Linda University is located in the San Bernardino County, about an hour east of Los Angeles. We have mountains, desert, ocean, and a large metropolitan area nearby. It’s got something for everyone. The only complaint I have about this place is the summer weather. It can get uncomfortable hot in the summer so you might want to invest in one of the recommended AC’s for your apartment. The heat can be really annoying when you have to walk around in a tie and white coat.

The area also has a pretty bad smog problem. Clear blue skies are not the norm. Don’t expect a San Diego blue in the sky.

Facilities
This is probably LLUs weakest area. While the Medical Center is state-of-the-art, the educational facilities are not. The school, founded in 1909, is old. And the building with the freshman amphitheater and anatomy lab feels just as old sometimes. It is better for the sophomore medical students who have classes in one of the newer buildings on campus, Alumni Hall. But as a Freshman, I really found it hard to enjoy sitting in lectures. However, it should be noted that the university is undergoing major construction work and soon the incoming students will have a brand new amphitheater and one of the largest anatomy labs in the country to use. The simulation center will also be moved to this brand new building. (See my post: Loma Linda University Centennial Complex.)

The main library could also use a new building. When exam week approaches, it can get hard to find a spot in the library. I would consider it small relative to other university libraries. Fortunately, medical students have access to other study areas on campus.

Faculty
It is not unusual for a professor to have prayer before beginning his or her lecture. As far as I remember, a faculty or staff member said a prayer before almost every exam. When a faculty or staff member didn’t, a student had volunteered.

They faculty here have been very friendly and inviting.

Anatomy can be a tough course. One thing I appreciated from our anatomy faculty was their willingness to come into the lab to conduct reviews for small groups. We would schedule a review with one of the professors and they would meet us in the Anatomy lab (sometimes as early as 7 AM or as late as 9 PM) to answer questions and point out important clinical structures that are difficult to explain in a lecture or during lab sessions when the labs are crowded. One PhD or MD, a cadaver, and about 8 students is a pretty good learning ratio.

One of our Biochemistry professors also has done reviews before each exam where he will take an hour to quickly go over the high points. It’s usually very high-yield.

One of our Pathology professors also records an audio review for each lecture (lectures are 50 minutes long) that can be downloaded by the students. These reviews are typically about ten to fifteen minutes long.

There are lecturers that I don’t particularly like for one reason or another. It might be the pace or their style of presentation. Sometimes I choose to skip those lecturers. Some of my classmates never go to lecture. Others have perfect attendance. So I guess this is a personal preference.

The school does not record the lectures but does provide a syllabus with notes. The notes are prepared by the lecturers. Some are very detailed that it feels like reading a text book. Some are abbreviated and presented in the form of an outline. And the worst ones (for me) are the handouts that only have the powerpoint slides printed out. I prefer highlighting written text than scribbling something next to pictures.

Pine Springs Ranch
Each year the School of Medicine plans a retreat to Pine Springs Ranch. It is held at the end of September and is a great time to get away from school. The two-night stay and meals at the camp cafeteria are all paid for by the school. The highlight of the weekend is the talent show on Saturday night that showcases the talents, or lack of talent, of students and faculty alike.

Students
The students, on the whole, are friendly. Admittedly, I’m not buddy-buddy with everyone in my class. But I also haven’t ever had a confrontation with anyone, verbal or physical.

I don’t feel like I am in a cut-throat environment. People freely help each other. This may be a result of the school’s grading policy (Pass/Fail). It might also have something to do with the fact that most students, if not all, are attending Loma Linda because they want to be in a Christian environment.

Curriculum
The School of Medicine is currently transitioning to a system-based approach. We still have individual classes like Pathology, Pathophysiology, etc., but when possible, they are coordinated so that they are discussing the same organ system at the same time. I like this approach. It feels like you’re attacking the same topic from different angles. It’s a good reinforcement.

Religious Affiliation
The school is run by the Seventh-day Adventist Church. I have no problem with that, although I am a Seventh-day Adventist. I have many other classmates who are not Seventh-day Adventists and I have not heard any complaints from them.

The school does require religion courses. But they don’t try to convert the students to Seventh-day Adventism. Religion classes include courses like “Medicine, Humanity, and God,” “Wholeness for Physicians,” “Medicine and Ethics,” and “Art of Integrative Care.”

First and second year students are also required to attend weekly chapel services every Wednesday. The hour-long chapel services is held at 11 and so Wednesdays usually have 3 lectures instead of 4.

As a Christian school, Loma Linda expects its students to live according to traditional Christian principles. For some that is a ridiculous expectation and they choose to apply elsewhere.

Service
Loma Linda University has a long history of being involved in the local community. The San Bernardino County has a shortage of healthcare. School drop-out rates are one of the worst in the state of California. There are a couple of programs that were started by medical students to help the children of the surrounding community. One program utilizes medical students as tutors for local schools who need help. Another program mentors pregnant teens. Another program is aimed towards mentoring young men in high school. There is another program called STATS which stands for Students Teaching AIDS To Students, which should be self-explanatory.

During the summer, the school usually organizes medical mission trips. These trips have participation from all the University schools including the schools of medicine, dentistry, and nursing. This past summer there were trips to both Africa and South America.

These summer mission trips draw interest from many students who are between their first and second years of medical school. The Class of 2010 created a video to share their experiences from their first summer. You can see the videos here.

If one is interested in service, there are plenty of opportunities for that.
*****

Hopefully this gives a little bit of a picture of what Loma Linda University is like. Choosing a medical school is a personal process. Loma Linda University is not for everyone, but I’m glad it was for me. If you have specific questions, feel free to leave a comment or email me.

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Bye bye, excitement

I predicted that my excitement at school starting wouldn’t last very long. Well it’s gone. After 3 weeks of lectures and a week of exams, I don’t have much excitement left.

I had four exams this week: Pharmacology, Microbiology, Biochemistry, and Pathology. I did not perform anywhere near what I would have liked. (And I’ll just say I’m not a gunner. I’m not the kind of person who would get upset about scoring in the 80s instead of the 90s.) Needless to say, stress levels are up. I’m gonna have to buckle down.

One would think beginning second year shouldn’t be that hard after completing first year. Maybe for most of my classmates that was the case. But I seemed to struggle getting into the groove of things when we started. No, let me rephrase that. I did struggle getting into the groove of things. The frustrating thing is that I felt I was ready to start after a summer off.

It felt like there was a lot less time to study after lectures. I think its the afternoon labs.

But enough excuses. I need to get things together.

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Audience Interaction Requested

My response card

Our microbiology course director decided that he wants lectures to be more interactive. So each medical student has been given a personal response device (a picture of mine above). The little card is an RF device. During lectures the professor will occasionally have slides with multiple choice questions based on the information covered thus far. We then have a short period of time to enter in our answers. After polling closes, a graph is produced and it shows the breakdown of how many in the class chose which answer.

The thing I don’t like about the device is that it’s linked to a student. So it isn’t exactly anonymous. But so far its been fun to use and see the results. The novelty of it might be the cause of the “fun,” though.

I remember watching America’s Funniest Home Videos when I was a little kid (the one hosted by Bob Sagat). I thought it was so cool how the audience all had their little controllers with which to punch in their votes.

Going to microbiology lectures is like going to a game show now. Except there are no cash prizes. Oh, and nobody really wins. And its not really as fun (as a game show). But we do have audience participation…