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finals are coming.

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Studied out yesterday ~ Finals week is H O R R I B L E
reward yourself when you conquer milestones! :)
Medical residents don’t need ice cream and wellness weeks to survive grueling schedules and the deep trauma of patients and families. We need the wisdom of the Stoics.
There’s been plenty of good medblr discussion on this topic before but this article does a good job showing why ice cream and yoga aren’t going to fix resident mental health.
Excellent article. I think teaching us healthy coping strategies like compartmentalizing is probably better than this whole “wellness” push. I’m a strong advocate for taking care of yourself, but until residencies stop giving us 120 hours of work to do in 80 hours, we’re always going to feel behind, stressed, and lacking time for ourselves. Don’t send us to do yoga for an hour. Teach us how to deal with what we’re facing.
Read this article yesterday and have been debating it with lots of people. The range of reactions has been astounding, from confusion to agreement to anger to denial. That said, this piece resonated with me because I have had days like this, and I think most of us have. But when will medicine give its residents to not be okay, to give permission to seeking help without censure? If we can work on that first before giving out massages and ice cream, we will be actually addressing the core stressors and struggles that come with residency instead of trying to pretend that medicine is “just like any profession.” It’s not.
Good article, and it applies to more than just residents (I’m looking at you critical care and ED nurses!). I too don’t really believe in ‘wellness’ as conceptualized for medical education. Every time it’s come up in our program I always argue that wellness is not achievable until we work less. The (mostly older) physicians that critique work hour restrictions are a huge part of the problem and almost always are missing the point. (which is that work hours are not about patient safety) The other issue that is often not mentioned is the complexity we deal with for those 80 hours/week. Here’s a gif of medicine then and now:
Turns out it’s exhausting.
The yoga, ice-cream, and wellness talk is well intentioned. But in the words of Taylor Swift… Band-aids don’t fix bullet holes.
Like everyone else here has said, wellness movements are irrelevant without appropriate workloads and coping strategies. For every program I interviewed at, I asked how they handled their scheduling, caps, and weekly hours in addition to what sort of “wellness” they offered. I asked about what sort of wellness was offered that pertained to mental health–how easy is it for residents to get help if they need it? I think this is important at the student level, too.
I am extremely disappointed at how I have seen some COMs handle serious incidents involving racism, sexism, and suicide. Addressed, but in hushed whispers. Swept under the rug, where other students are unable to learn from it. Making sure the external reputation of the school is protected, but at the cost of its integrity and the trust of current students. The taboo remains untouched.
I get it, don’t identify the involved parties out of privacy concerns. But recognize the problem. One incident is too many.
My program has “wellness lecture” every month and it always infuriates me. If you want to promote my wellness why not let me go home to my family or get my teeth cleaned or my hair cut since a lot of those services are only open when I am at work. Playing kickball with people I see more than my husband or making a self care worksheet helps nothing. I know what I need to take care of myself. I exist in a system that prohibits me from obtaining those things and then blames me for not taking care of myself. Fuck. You.

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Watch: Brian Yu’s heartbreaking poem will strike anyone with students loans to the core.
Now I question all the things I used to stand by for.
studying out till midnight ~ so is it April 30 or May 1?
Today: Stages of studying via snapchat 😥
types of students
a. coffeshops, highlighters, little post-it notes, wanting to be perfectly organized b. 2 am, eyebags, stacks of papers, the deadline is in half an hour c. messy bullet journal, messy desk, messy life but still trying d. night: telling yourself how productive you’ll be tomorrow, day: let’s binge watch another netflix series e. buying tons of cute stationery, having only one pen left by the end of the school year f. working really hard to achieve your goals only to be asked why you’re so smart g. ancient libraries, the smell of new textbooks, wanting to acquire all the knowledge h. studying to help people, to save the environment, to change the world
everything
sorry I wasn’t in the mood to be a person today, sorry I forgot to keep a conversation, sorry my soul needs ironing. give me a moment, a day or a so. it’ll be good. I’ll brush my hair and change my clothes. I’ll laugh a lot. I’ll say important things. it’ll be good.

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sim city 🌁
I took a break from studying to write a journal entry for someone. It's been a while since I last wrote. Also here's my spread for the next two weeks.
[02.06.2017]
28 / 100
I couldn't study in my room so I moved out. Also there's something about take out coffee that just gets you going.
[12.04.2016]
27 / 100
This whole semester I’ve just been so lost.
[11.24.2016]
26 / 100
studying medicine
I’ve realized..
In my final year of med school and as a resident with students.
it isn’t necessarily about what you know
but how to know where to look things up. to piece things together and make sense of it.
to know where to begin to look things up when a patient, walks through the door. efficiently and effectively and know how to use the information.
and the intangibles.
not in the knowledge you have, not just in that.
but human connections. how much you care. how much you can foster a therapeutic relationship. gain trust in sometimes a very short amount of time.
and accountability. doing right by the patient. and honouring the treating team.
medicine is a science, as it is an art or humantarian act.

Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
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[ 25 / 100 ] HUMP DAY! Last day of exams before a 4-day break! I've really been into yellow and orange lately. Maybe because it's halloween?