Thursday, December 22, 2011

"Any residency program would be lucky to have you."

I never thought I'd hear such a complement on my interview trail, especially not at my home institution. Today was my sixth interview, the one I was least excited about. I am definitely done with this state, and feel like you have to have had really positive medical school experience to want to stay at your home institution for residency. That's right all, I'm a fourth year. And it is kicking ass, now that I'm in the middle of it. I haven't blogged in awhile, but lets just say that things haven't been getting much easier from all the rants I've posted so many time before. I had a horrible sub-I experience that left me feeling like the worst student in the history of medicine, and very close to dropping out of school. Yes I say that in almost every blog, but here I was, finally decided on peds, excited to get started,ready to prove myself, and instead proving that I'm just an idiot with no talent and no ability to be a doctor. The sub-internship is a difficult place to struggle. You feel like you should be good at something and when you aren't, you wonder about your career choice and the rest of your life. And when you are in a state with only one option for a pediatric residency, you don't realize that just because one program doesn't work for you doesn't mean you aren't going to find one that does.
I spent a good portion of the end of my third year and beginning of my fourth year thinking that residency was going to be this hellish experience that I was just going to have to get through and hope that real life practice was better. Considering I've spent the past three years hoping everything was going to get better it was kind of a depressing thought to resign myself to more years of horror in the hopes of things getting better. Luckily, I figured out that part of the problem with the program at my school was that it was just to big,and I didn't like big. I wanted to go back to small. So I started looking for smaller programs, and I've found some amazing programs to apply to.
during the interview process I've found that I could conceviably be happy in any of the schools I've interviewed at so far. Really, honestly, happy and enjoying residency. I've even found a program that I think is perfect for me, even if the location is less than ideal. Who knows though, maybe I'll love the town once I get there.
But what really surprised me throughout this experience is that I'm a really good residency candidate. Yes, me, failed boards, bad attitude, and inability to learn. Why? I'm not quite sure. Apparently all the other stuff I've done in medical school has turned out to really work in my benefit. Maybe I'm just applying to places that want something more than a boards score. Or maybe, just maybe, failing the boards and struggling through medical school has actually made me a stronger, more in tune with myself person. Maybe the fact that I have to explain over and over again why I failed the boards and what I learned from it is actually working to my benefit. And I'm finding that saying "failing the boards sucked, but was actually a blessing in disguise" isn't just some line I'm spouting, it really is true. I mean, I'd rather not have failed the boards, but what if I had just barely passed? Where would I be now? Still thinking I'm the dumbest, most unteachable person in the world? Because now I can see that maybe I'm not as smart as everyone else, but I'm sure not dumb, I just learn differently. Would I have learned that I learn differently if I had never been forced to face that fact? Interesting...
When I started picking school to apply to for my residency, I wanted school that wouldn't care quite as much about my failure as they did about the fact that I do have some things to contribute to a program. However, being a student allowed me an interview at a top ranked program. A wonderful, courtesy, you go to the medical school we are affiliated with but have no chance of actually getting into here interview. And to be honest, for as much as they probably don't want me, I didn't want to go there either. I don't think they have ever accepted a boards failure before, and while I'm more than willing to be some program's token Muslim, being the token board failure didn't seem like something to be bragging about. So when I got to my interview today, I was expecting the worse. I was all geared up for a fight. I seriously, genuinely thought that they were going to sit me down in my interviews and say "why in the heck should we even consider you? Because right now as it stands, you don't have a chance in hell. You know that right? You would never get in here." Or some variation of that theme. And I was nervous about it, but also kinda ok with it, because it's a mutual understanding that I don't belong there.
Well, as in most times when I've geared myself up for a fight, everything actually went really smoothly. And strangely, though nothing I heard today made me think this progam would be a good fit for me (even though it is a FANTASTIC program, with some of the best facilities and learning opportunities a student could ask for), I left glad that I had gone. I remembered my bad experiences there, but I also saw it through the eyes of other applicants, and really wanted to want to go there. That makes really great sense in my head. I loved the state of the art facilities, I remembered how much I felt like if I had sick kids I'd want them treated there, and I appreciated what the program had to offer. But most of all, I had two amazing interviews with physicians who made me feel valued. My interviews were the opposite of what I'd been expecting. Two amazing physicians from an amazing, highly ranked program with all the applicants they could possibly dream of, telling ME, little old me, that I was an amazing applicant with great experiences and insights. And at the end of the my second interview, the doctor said any program would be lucky to have me.
When it comes right down to it, I still don't think they are going to rank me very highly on their list. I mean, come on today we had students from Duke interviewing. I can't compete with shit like that. But I left there feeling like someone who, with hte right amount of training, can go out into the world and do something special that others might not get to do. And that was one of the best feelings I've had in a long time.
So, for those of you who read my blog (which I'm sorry I haven't updated in awhile) and feel like I do, that everything is falling apart and there are just so many more years of hell in front of you, remember that everything that is happening now is worth something, making you stronger, and helping you to become the best doctor you can be. And that isn't just smoke I'm blowing up your ass. I really am starting to think it is all going to work out.

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