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Wednesday, April 27, 2022

Adjusting expectations

 Its been a while since I last updated on here and honestly its because the past 6 months (!) have been insane.

First, our nanny broke her leg just a couple of weeks into the beginning of my school year. In the end, she was out of commission for over 3 months and came back to work just after the end of the first semester. I had been worried about exams, especially because we had our big neurology final in January but luckily my mom came to help us during that time and it was a godsend. 

Then soon after she left, the Russian invasion of Ukraine began and with it, the refugee crisis. Jordan and I couldn't stand by and do nothing so we opened our house to them. In total we had 12 people stay at our place, ranging from one night to over two months, ages between 4 months old and 31 years old. This is the first week since the war began that we don't have someone from Ukraine under our roof! But it was a huge task with so many people suddenly needing our help - everything from helping with getting a visa to Canada for one teenage boy to taking kids to the doctor to a mini Covid epidemic in our home. Not only was my time again greatly limited but it was also very noisy and disruptive, so it was hard to get much extra studying done. I don't regret a moment of it though - it was the right thing to do and I'd do it again.

And the whole time with Covid hanging around (including both me and my middle son getting it and being quarantined) and dealing with typical parenting stresses. 

(For anyone interested in reading more about our experiences with housing refugees, please check out my instagram profile).

But now I'm less than 2 months from the end of the school year and my progress and list of things I wanted to accomplish is nowhere near where I had hoped it would be. I've only done 18% of the UWorld question bank. I haven't done ANY extra clinical work. I had to pause my work on my medical journal. I finally found a study partner for the NAC but she's suddenly become MIA. 

It's been so frustrating. Even this past week, we had the week off for Easter and I had arranged to a short GP rotation/observership with my friend who is a GP in Bristol, UK. I was excited to finally be able to see what it's like to work in the UK and also because she would be able to write me a letter of recommendation afterwards. Except the day before I was about to start, I tested positive for Covid (my second time). So of course I had to tell her and wasn't able to do it. 

I don't know, I just feel that it's like two steps forward, two steps back with this whole process. From studying the CaRMS requirements for the various residency programs, there are two things that stick out as crucial - the first is doing well on the MCCQE1 and NAC. At the moment, to get an interview for an Ontario residency (which which would be my top choice), they only offer spots to the people with the top 300 scores. Next, they will look at clinical experience.

To be honest I'm not sure how much clinical experience we are expected to get/have at this point because all elective rotations in Canada have been suspended until 2024. Which means I'll be totally ineligible to get even one before the application deadline for the 2023 intake. But I also know, learning from my NAC study partner, that there are students who are PAYING private doctors in Canada to get clinical rotations and letters of recommendation from those doctors, which is really unfair and its explicitly stated that contacting doctors outside the official channel is not allowed. 

Anyway, its looking more and more likely that I'll end up in the UK for residency. It's not the worst thing though. One thing that I like is that they have the Foundation Programme, a 2 year internship where you rotate through different areas of medicine before applying to specialty training. Part of me feels relieved at the extra training because I feel that I've been so deprived of most of my opportunities to learn. Sure it would mean postponing becoming a fully qualified doctor, but at this point in my life I honestly don't even care. I want to be a good and safe doctor for my future patients, above all else. Also, being an English speaking country, my husband will finally be able to look for a better job. The kids will be able to attend school no problem. And even though it's across the Atlantic, it's still closer to Canada than Poland. 

However its still crucial that I do well on the exams and I don't know if I will be able to, at least not by the time I'll need to write/do them in September. To be honest, I'm more worried about the NAC since I'm still a bit unclear on how exactly the exam looks and what its like. I will definitely look into a course or something that maybe I'll be able to take in August or September. In the mean time though, I'll do my best to chip away at the question bank. My plan is that if come September after I take a practice test and don't do well, I'll post pone the exam till April or May 2023 and just go to the UK and apply for residency from there. 

Well, that is that for now. Ugh. I hate how negative I sound but have to admit I'm feeling a bit down about it all. I think part of it too is I'm just feeling really exhausted after this most recent bout of Covid. Hopefully I'll get out of this funk soon. In the meantime, I'm off to do some more extensive research on the best places to live in the UK. 


Wednesday, November 17, 2021

Curve ball

 You know that saying "if you want to make God laugh, tell him your plans"? Well, its so true - at least for me at the moment.

This year was supposed to be dedicated to studying for the MCCQE1 and the NAC. I had all these plans to study 20-50 questions per day from UWorld and do flash cards whenever possible. To prepare for each up coming rotation with Toronto Notes. Also I had hoped to finally get involved in some of the medical clubs to get some more hands on experience with patients. I had discussed this with my husband and our nanny that this will require more from them with dealing with with everything related to the kids and home. 

I wanted to focus on studying and use my free time on the kids for fun stuff and to workout and stay on track with relatively healthy eating (nutrition is the first of my habits to slid into unwanted territory and I really wanted to avoid that.

And then our nanny goes and breaks her leg 4 weeks ago. Barely 3 weeks into the school year and our nanny is 100% out of commission until early in the new year at the earliest. My parents had just left to go back to Canada and Jordan's parents are still TBD regarding their visit her.  Which means we have zero help available to us. 

Its forced me to have to really scale down my expectations. And to be honest I was really anxious about it. I'm not angry at our nanny - she is a wonderful person - but I do miss her and admit that I get really annoyed about the situation (however I would like to state for the record that we are continuing to pay her salary 100% for as long as it takes for her to be healed and back at work - this was an accident and she shouldn't have to be punished financially). Because now a huge chunk of the kid and home stuff falls on me. Jordan works from noon till about 8PM and I'm usually done class by 1PM and home by 3PM. This means most of the time I can make it to pick the kids up from school. But as a result I have totally lost my afternoons. The time I had allocated to extra study or picking up a shift at the hospital now is devoted to driving to pick up the kids (who go to three different schools), driving to take my middle son to soccer, stopping by the grocery store, doing laundry, helping with homework...

But...I've definitely taken an "all or something" approach that I learned via the Balance 365 Life program. Shit happens to everyone. And wallowing in self pity will get me no where. So I'm just trying to adjust as best as I can. Everything can't be perfect. Laundry mostly gets done on the weekends but I try and throw a load on here and there during the week. The house is messier but as long as its not crazy bad, I just ignore it. I have though made the kids take more responsibility for cleaning and helping so thats been a positive thing to come out of this. Dinner is a bit chaotic but Jordan is stepping in as well so its not terrible. I'm actually surprised how little we've resorted to McDonalds so far. The kids don't get a bath every day but I still make sure that they wash their hands, faces and brush their teeth well before bed. 

And as far as studying, some days I'll only do 2 or 3 UWorld questions. But 2 or 3 is still better than none. I still go to Crossfit in the evenings when I can, but don't go everyday like I had been and another trade off is that sometimes this means the kids end up going to bed later. 

I hope that when our nanny is healed and rehabbed I'll be able to make up for some lost time study wise and worst case I'll just push the dates of when I will take the exam back a bit.

In the meantime, I'm taking it one day at a time.





Monday, October 11, 2021

287

 Year 5 - my penultimate year of medical school - has started!

It's crazy to think that I'm already in 5th year. I can't believe how quickly the time has passed! 5th year always seemed to me so far away, and so close to the end. 

But this year is going to be intense. This is the year that I'll have to study for the Canadian medical licensing exam (MCCQE1) as well as the NAC, an OSCE style exam that I need to take as an IMG. Not to mention I'll need to be stalking the AFMC student portal to try and snag an elective rotation or two in Canada prior to applying to residencies. Which will be happening in just ONE year from now.

Its making me nervous, I'm not going to lie. As of my last check of the CaRMS website, it looks like I will be eligible for one of 287 IMG family medicine spots. In ALL of Canada. It seems like so little! Part of me almost doesn't even want to bother, but I also know that I can do it if I do everything right. I also think that one of the reasons that so many people are unsuccessful is also because there are so many requirements and things that need to be done way in advance, I can see people dropping the ball. Also, I'm going to apply as broadly as possible. Sure I'd prefer to be in Ontario most, with BC second, but I'm not going to true my nose up at Saskatchewan or Manitoba. I just want to get my foot in the Canadian door.

My plan is to start studying for the MCCQE1 now with a goal to write the exam in May. Part of me would prefer to wait till the summer break but I also a) need to do the NAC and b) need the summer to be as free as possible because of the possibility to do electives in Canada. And because my sister is going to try her third attempt at having her wedding go ahead (being cancelled twice now thanks to Covid) and I'd love to attend without the exam hanging over my head. That and being able to have a chance to do a retake if I fail.

I've been recommended by almost everyone to use the USMLE Step 2 question bank from UWorld as my main study focus with the Canada Qbank as my supplement for the Ethics part and CBD portion. I want to try and get through the UWorld Qbank twice and then move on to Canada Qbank and then do the MCCQE1 practice exam like a week or two before the actual one. Its an ambitious plan, especially considering that we are almost fully back in-class/in-hospital at school (for which I am actually super grateful). 

If anyone has any additional tips or advice, I welcome them in the comments!




Thursday, April 8, 2021

 Things are moving along. I got approval from the ethics committee to go ahead with my paper. Still waiting to see if the abstract will get accepted but I'm relieved that the timing worked out with the ethics approval. Regardless of whether or not the abstract is accepted, I'll be able to start writing the paper and doing a thorough analysis now. Fingers crossed I can hobble together some sort of decent paper that will be good enough to publish.

I've also had some great classes recently. The pediatric gastroenterology department was fantastic and I learned so much. After that we had dermatology and I absolutely LOVED it. To be honest I was really surprised how much I liked derm and its the first time that a specialization appealed to me to the level where I'd consider actually pursuing it. However, even though I loved it, I don't think I loved it to the point that I'd want to take the risk of pursuing it. Dermatology is probably one of the most competitive specializations you can pursue in medicine, and there is no way I'd be competitive enough. Plus I can do dermatology within a family medicine practice and I think that I'd be totally good with that.

I ended up being able to volunteer at a vaccine clinic close to my house and will keep going there whenever I have a gap in my schedule. My job mostly consists of taking temperature, helping the patients fill out the consent form and answering some questions. I was also able to convince one patient's daughter-in-law to also get vaccinated when her time came. Its really crazy to hear what people read and believe about vaccines thats just total BS. To be honest I do worry that vaccine hesitancy will be too high for us to reach that critical herd immunity level we so desperately need to start getting back to some semblance of normal.

On the plus side, both my parents and our nanny have received their first doses of the Covid-19 vaccine so its been a huge relief. 

Its looking more and more unlikely that we will be able to visit Canada this summer but I'm still holding out hope that I'll somehow be able to secure an elective rotation in September, and keep refreshing the AFMC website to see if there are any updates.

In some ways I'm so lucky that I'm in my 4th year rather than 5th year or 6th year because I have time to recover from the shit show that is this pandemic. It still a little disconcerting that this thing is dragging on so long and even with the vaccines, the time line is not nearly as quick for it to be over as I had thought initially. I do feel for some friends who are further along in their studies who were royally screwed over and have had to fall back on backup plans. One will be going to the UK for Foundation Training and another will be trying to get some experience as an assistant at a doctors office. 

Overall I'm still just so grateful that I get to be studying medicine and still haven't regretted my choice nor how this journey has been playing out at ALL. 




Monday, February 22, 2021

Need to level up

Its really been hitting me recently that I'm now half way through 4th year. We are now clearly on the downhill portion of my medical school journey. But it also means less time to get those required experiences checked off my list.

My post-grad group has been very popular especially lately. I've managed to secure some great speakers to run info-sessions on getting into various English speaking residencies and inspired one member to start a spin-off group for those who want to pursue residency in German.

But I've also been attending some of these sessions too, because I also have a lot to learn and recently a friend of mine did one on the USA. He really reinforced how much the average med student as accomplished before even getting accepted into medical school and how these are the people we are competing with for residency. I mean, it's not that different in Canada.

And as much as I'd love to be able to say "HEY! I graduated med school with three kids!"  its really not going to be enough. I need to push myself to do more, to improve my CV and overall experiences.

I've started to work on a research paper on the attitudes of medical students in Poland towards abortion. I found a great mentor to help me, but I'm still waiting for approval from our school's ethics committee. I heard they can take ages though so I thought I'd just start doing the analysis and write up of the report. My mentor suggested that I present it as an abstract at a medical student conference coming up in May so I want to try and finish my preliminary work for it in the next few weeks to meet the deadline.

Next my husband suggested that since I've received both doses of the covid vaccine already, that I volunteer at some local clinics. I've called two of them already and have received a very positive response and will hear back soon as to when etc they need me. I told them I'm willing to help out in any fashion.  To be honest, I have been feeling a bit guilty, for lack of a better word, that I was able to get the vaccine so early. I think its a bit crazy for us med students to get it, when most of our courses are online. And also a bit pointless - I contacted the IM department at my university to see if I can finally complete my mandatory IM summer practice that I was supposed to do last summer, and was still told I can't because of COVID, because they still don't know if we can transmit the virus to others Sigh. So I'm just sitting at home, with all my classes on MS Teams for the next few weeks. When I mentioned this to my husband he told me to try locally instead. And that way I can both be useful, close to home and potentially include it in my CV, even if it won't count towards my practical experience requirement. 

So thats my plan for now. That and reaching out to all my contacts to see what I can do to maximize my chances of landing a Canadian residency. I have a call with the son of a good friend of my dad's who is a family doctor in BC. He already mentioned he talked to his program director about me and will tell me everything he knows. 

I'm really hoping that I'm able to do an elective rotation somewhere in Canada this September. From my talks with other IMGs this seems to be one of the main keys to having a shot. And the more I can do, the better. Especially if I can score a strong letter of recommendation out of it. And fingers crossed my vaccinated status will allow me to skip the quarantine so I can maximize my time doing rotations and hopefully, see my parents and sisters finally! Its now been 1.5 YEARS since I saw them last. 

Another thing I want to do is subscribe to a question bank for the first part of the Canadian medical licensing exam. One tip I learned, that makes sense, is to start doing the questions NOW, even though I won't be writing the exam for like a year and a half. The guy recommending this said that it will just make me that much more familiar with the style of questions and the patterns - so even if I don't KNOW that topic yet, it will prepare me much better than simply studying the content. 

So that's me for now. Lots to do. 



Thursday, January 14, 2021

Update - it's been a while!

 Wow, I realized recently how long its been since I last wrote on this blog. We had just entered lock-down in March due to the coronavirus pandemic and it was a bit of an overwhelming time. And now that I'm in the middle of exams, the procrastinator in me decided I NEED to write an update.

Lots of stuff happened too, in my personal life that I just didn't want to share. The pandemic really hit my family hard in many ways and it was a struggle, but I'm happy to say that everything ended up working out for the best, even though it was hard to live through at the time. 

But I'm still in med school, albeit mostly doing distance learning but was lucky to get some clinical time in too. 4th year is zooming by...I can't believe I'm more than half way done.

My focus also turned to Instagram. A friend of mine from high school is a pretty famous Polish doctor influencer on Instagram - she has a following of 750K! Anyway, one day she did a Live about how from our graduating class, all the people that ended up pursuing medicine started something else first and she talked about me and linked my profile. I was suddenly inundated with followers too and started to get a lot of messages from other moms who dreamed of medicine but thought it was too later. Or even from women who didn't have families yet but still thought they were too old. They'd ask me is it too late? How did I do it? What's my story.

So I decided to start telling my story, and went back to the beginning, to the time BEFORE I started the blog.

I've enjoyed that format at lot and decided to run with it. If anyone who reads this blog or stumbles upon it would like to see what I'm up to, check out my instagram! It's mostly just snapshots of my life, with my journey to med school shared in "episodes" like a TV series thrown in every once in a while. I write my post both in Polish and English. I'm much more active on there and plan to continue it that way but I the perfectionist in me also needs to see this blog through to graduation.

My Instagram is: Kasia_mamamedstudent




Also I get my first dose of the Covid vaccine on Saturday morning and I can't wait!



Saturday, March 14, 2020

Locked down

The Polish government just announced a total lock-down yesterday. All stores except grocery and pharmacies are to close from tonight and all flights into and out of Poland will be suspended as of tonight.

Its crazy. But also necessary, in my opinion. The sooner we stop or slow the spread, the better. No country is really prepared for this sort of pandemic and Poland especially so.

But I'm not going to lie and say that I feel totally ok about it. The idea that the borders are closed and that I can't get out is a very uncomfortable feeling. The idea that my husband is away from us and can't come back for the foreseeable future is uncomfortable. That said, I'm not freaking out or panicking because thats totally unproductive and right now my main priorities are being there for my kids. I want them to remember this time as serious but not scary. I want them to feel safe and secure and to continue to be kids.

My next priority is trying to help my school sort their shit out so we can get credit for courses where we can. My school is woefully unprepared for this sort of thing. My oldest son's school (private though), has been exemplary and have a fully functioning and sophisticated virtual learning program that they will be implementing on Monday. At least his education won't be interrupted. But I can't sit back and wait for stuff to get done - I need to do something. I had a meeting with our Dean yesterday to discuss ways to help and this is where he asked for help. At the moment he doesn't want students to be volunteering in hospitals or doctors offices so I'm going to respect his request.

I'm also going to implement a home-schooling system for my younger two. Mornings will be devoted to school type work (writing, reading, math etc) and the afternoons for playing. My nanny will be coming mid-morning or noon and will take over and then I'll do my work (and I'll try and squeeze some in while trying to study myself) and try and get some exercise in.

In the meantime I'm just grateful that my family and I are safe and secure for the time being and fingers crossed we get through this ok. And to anyone reading this - please, please, please just stay home and only leave for true essentials (food or medical care).