being a
#chiefresident
is truly the weirdest job in the world, but with just over one week left, I’ve been really reflecting on what a growth experience this has been both personally and professionally.
here are 12 things I learned (other than how to be a much better educator):
after switching back and forth between nights and days FOUR separate times this week — I have finished my LAST night shift as an internal medicine resident! 🎉 🙌🏼 💃🏻
1️⃣ there is a misconception that everyone liking you is a measure of how well you are doing. your job is actually NOT for everyone to like you, but to make everyone the best version of themselves and successful. for some people, that requires doing things they don’t like.
ERAS app is officially submitted! 🙏🏼
current chief resident at
@TempleIM
— passionate about CVD prevention, women’s🫀disease, hemodynamics, & med ed!
in my free time I like to run🏃🏻♀️, travel✈️, & read non-fiction📚
AAMC:13889592
#MedTwitter
#CardioTwitter
#ACCIMCardiology
3️⃣ people speak up most often when they are upset. It’s not a reflection of you doing a “bad job.” your sample size will always be skewed by negative feedback. no feedback usually means things are going at least somewhat well.
2️⃣ speaking of the above— in medicine, we are bred in an atmosphere where the hard work input yields a proportional result (study hard, receive A+ for example). this is rarely true during chief year. you will be humbled by how much you do and how little is recognized.
6️⃣ speaking of emotions: emotions trickle & people feed off of your energy. I learned this as an intern. having an in-control and positive senior led to a different team tempo than a negative and chaotic senior. if you’re mad, everyone else will be mad.
5️⃣ speaking of which, do not respond to anger with anger. leave emotionally triggering emails until later to respond to. do not respond when you are upset. it helps no one, and fight or flight state always clouds your decision making, so solutions are less likely to be found.
1️⃣2️⃣ a year can feel so very long, and so incredibly short simultaneously.
really grateful for all of the opportunities and challenges this year has brought me. both excited & sad for this chapter to close, but so eager to be a
#cardiologyfellow
🫀🩺
4️⃣ the above does NOT mean you don’t have room for improvement. as leaders, there is always room for improvement. reflect on feedback, but always AFTER you are emotionally removed, so you can look at situations more objectively.
8️⃣ you will realize that there are people who don’t pull their weight and this will endlessly frustrate you. remind yourself you got into this position likely because you did pull your weight, and recognize this as a difference in personalities & try to help them improve.
@ElizabethMD15
@TempleIM
— unmatched clinical training, perfect amount of autonomy balanced with support, tons of research, and the most supportive and fun co-residents (and faculty) of all time. additional perk: golden weekends are actually golden, and NO 24-hour calls🙂 would pick 10x over.
as interview season approaches, this is a reminder for applicants that no matter what the floor schedule is or how many world-class lecturers they fly in for grand rounds, etc — I cannot understate the value of good people (both co-residents AND faculty).
#MedTwitter
#Match2023
last week of CCU (as a resident, but hopefully not forever!) with my future co-chief was chaotic but incredibly educational and fun! the trip to the helipad was the *cherry on top* 🍒(get it? 😅)
1️⃣1️⃣ if you’re a perfectionist, making a schedule will challenge you since there is no such thing as a perfect schedule. even if you like puzzles, it’s truly maddening.
today I met a cardiologist who loves the kidneys nearly as much as he loves the heart and I have never felt so validated in my life
Team Heart x Team Kidney >>>>>> Team Heart VS Team Kidney
🫀🫘
7️⃣ be both present and as transparent as you’re able. make rounds & ask for feedback when you see people. check in and see how people are doing. friendly reminder that residency is hard! you have to enforce rules, but you should regularly remind people that you care!
first ever poster accepted to a conference and I’m using my excitement to tweet about it because I texted my mom and she said “what’s that”
#FirstGen
#FirstGenChronicles
🔟 establish boundaries early. it is very easy for work and life to blend together with people you trained with. you will also quickly realize that to give other people wellness takes away from your wellness. be mindful of this pendulum.
a wonderful networking event on advancing diversity in cardiology, building mentorship connections feat. the very people I am so fortunate enough to call my mentors and colleagues at
@TempleCards
❣️🫀
#AHA2023
#Cardiology
the last 48 hours have been some of my hardest hours of residency and as residency applicants start making their
#ranklists
, I want to reinforce how much the people you work with make a difference.
I hope everyone finds a squad as incredible as
@TempleIM
🦉🍒
no place in this absolute whole entire world I’d rather celebrate the beginning of my third decade of life than
@puregrenada
— ❤️ heart is bursting with happiness🥺
an absolutely inspiring Saturday morning spent amongst these incredible
#WomenInCardiology
who shared so many great stories and so much helpful information🫀looking forward to everything that is to come!
@ACCinTouch
#ACCdiversity
ready for day 1 of
#ACC24
in Atlanta! so many exciting sessions lined up on my itinerary. ready to soak in tons of knowledge, network, support my colleagues, & present an exciting case! 🤓🫀🩺
@ACCinTouch
finished my first week on service as an inpatient medicine attending!
definitely challenging, but a great learning experience where I got to spend a lot of time at the bedside ❤️ which reminded me that being a doctor is truly the best job in the entire world.
#MedStudentTwitter
#Match2022
This is the last week in which I’ll be accepting personal statements for review. If you, or anyone you know, has been struggling to find someone to critique their personal statement for residency, please send them my way - I am happy to help!📝
It makes me so happy to see EVERYONE who has matched🩺💕
..but it makes me EXTRA happy to see all the
@StGeorgesU
,
#CaribbeanMedicalSchool
, and
#IMG
grads who matched bc I know how many college advisors, internet blogs, & older docs told you that you wouldn’t! 💃🏻
#MatchDay2022
officially finished residency! ✔️ next up ➡️ chief year! 💃🏻 grateful for all the challenges that helped me grow and excited for (& terrified of, tbh 😂) the ones that lie ahead.
in the meantime, we are flying far away to reset before a pandemic steals the moment like last time.
grateful for the opportunity to share this interesting case as a reminder that diets are not a one-size-fits-all approach to cardiovascular disease prevention, and to be on the lookout for sitosterolemia as plant-based diets continue to popularize🫀🩺
#lipids
#ACC24
@ACCinTouch
I can only assume that it’s our unwavering commitment to wellness and ability to improvise that landed us here.
another day in the life of the weirdest job in the world. fueling up our residents with home cooked (okay.. office cooked) breakfast.🥞 🍳
@TempleIM
As a doctor in training, I’ve found that there are few things that compare to receiving a page/phone call in the middle of the night that a very sick patient you are caring for got an organ. Getting to share that moment with them/their family is life changing every single time.
If
@MOHELA
cannot handle student loan payment resumption (which they have made it very clear that they cannot), a simple solution seems like forgiving my loans and saving us both the headache. then neither of us feel overburdened! 🤷🏼♀️
can’t say enough great things about
#ACC24
but my favorite part is still watching
@TempleIM
show off all of their hard work. they genuinely work so hard on a daily basis and I’m so proud of all of them!
only 2 more months left of being the program mom🥹❤️
the proud mom chronicles, part 207
#TempleMade
x
#IM2024
feat. our soon-to-be-chief Janhavee presenting a case from my first week of service as an attending on chief service! full circles!
amazing weekend at
@ACCinTouch
— hearing lectures from leaders in the field, attending insightful discussions, networking with new people, & spending time with those who inspire me every day at
@TempleCards
🫀
& grateful for the opportunity to present some research of my own!
last clinic block, my patient wanted to learn more about heart healthy diets (sister just had STEMI). this week, we dedicated a visit to learning about the Mediterranean diet & we started a book of recipes. My heart is happy! 🫀
@ASPCardio
@DrMarthaGulati
#CardioTwitter
huge thank you to
@StGeorgesU
internal medicine club for having me as a speaker! so energizing to be around so many people with the same interest as you!
great first day at
#ACP2024
— lots of updates that I can’t wait to incorporate in my last few months practicing/precepting IM & incorporate into didactics!😍
also, finding identifiers at conferences as a chief has been hard (not resident, not faculty?) but ACP nailed it
#IM2024
attention
#IMGs
— if you are in need of research for your application / simply are interested in learning how to get started in research please see my Instagram account: PrescriptionFitnessMD and click on the most recent post for a great opportunity
#IMGTwitter
going to shoot my shot at crowdsourcing
#MedTwitter
today, grateful for all input 🙏🏼
if there were 3 trials you think internal medicine residents should be well-acquainted with before graduating, what would they be? 🩺
#MedEd
#FOAMed
#EBM
today, I would like to give a personal thank you to my med-school interviewer who rejected me & told me I’d “never” pass STEP because my MCAT score was so bad. today, I’m officially done with USMLE. couldn’t have done it without your continuous motivation👊🏼❤️
As a woman in medicine, I’ve been mistaken for a variety of different professionals but today I was mistaken for a minister which was quite different and I felt that deserved a tweet.
#WomenInMedicine
remember when your attending let you hold a beating heart during a CABG on Valentine’s Day in the OR where the first heart transplant in the US was performed? ..I do! 😍🫀
Happy Valentine’s Day,
#MedTwitter
!
@TempleIM
night crew supporting their hometown
@Phillies
through their game 1 win of the
#WorldSeries
with ice cream sundaes in baseball cap dishes to mimic the atmosphere of the ballpark ⚾️
@irtzabadar
IM PGY-2 here who’s worked out 4-5 times a week for the last 2 years — it’s all about prioritization. you’ll never have the time unless you make it a priority! even if it’s 15 min workout per day some rotations, it’s important to fit it in to keep it a habit.
metatarsal fractures can’t stop us! DAY 2 of
#AIMW23
started out a little rough, but was still able to attend some great sessions on creating engaging lectures. more importantly, already feeling the many layers of support from my co-chiefs at
@TempleIM
#TeamBuildingAtItsFinest
feeling grateful as I enter my chief-in-recovery period. thank you
@TempleIM
for the opportunity to lead, learn, & grow. not enough characters to write about how much this year (+ the last 3), this place, & these people mean to me.
heels off, scrubs on! next stop: 🫀🙂
@YosiraGuevara
USCE! better quality LORs that can attest to your clinical capabilities, which is what many programs care about. additionally, gives you experience in navigating the US healthcare system which, I’m sure you know, is incredibly different than elsewhere!
transitioned my patient who, 2 and change years ago did not pick up insulin or any other medication from the pharmacy let alone take them and had out of control glucoses, off of insulin today. feeling fulfilled, proud of my patient, and… grateful for GLP-1s.😌
hey
#MedTwitter
— starting a thread: what is the most useful concept you learned in medical school and why is it the starling curve/cardiac function curve? ❤️
just kidding (kind of). drop your answers! ⬇️
Fast forward to PGY3 where I’m looking back at where my patients & I started — & I’m here to tell you, like anyone who loves primary care, the long term gratification of outpatient medicine is unmatched 🥹
We love a good reduction of risk factors 🫀
just another day where we get to come to work to serve baked goods while celebrating other people success. it’s really just the best! happy match day to all of those at
@templemedschool
and the future of
@TempleIM
❤️ XOXO your chiefs
did anyone else know Christmas was changed to February 25th!?!😍😭 came home to a surprise package from
@ACCinTouch
— so grateful for this opportunity and cannot wait to meet the other amazing
#WIC
in this cohort in April! 🫀
In what other job do you get to come to work to scoop ice cream and create a mid-day social to hype everyone up before learning about hemodynamics?
happy resident appreciation day!
#chieflife
today I asked my med students what they want a lecture on tomorrow and when they replied “let’s review the kidney” I felt like I got kicked in the stomach. Here’s to learning about the kidney tonight☝🏽
sitting on an AKI and sincerely hypoglycemic after a day of complete chaos BUT just finished my last inpatient floor rotation of residency!
next time I am on floors… I will be an attending!!! 🤢😬🆘
hardest place to say goodbye to — this little island holds a lot of special memories for me and I’ve celebrated a lot of important milestones here, but this one might top them all!
until next time
@puregrenada
❤️💛💚
last week, our local SPCA was full and they were encouraging adoptions. all of the young cats were already adopted, but this loving, 17-year-old beauty was left behind (probably because of her age 😞) so we welcomed Boo to our family and after 1 week she is adjusting nicely❤️
just downloaded my
#ACC22
app — very excited for the opportunity to present, learn from, & network with other
#WomenInCardiology
at
@ACCinTouch
..& to finally meet my fellow colleagues of the
#ACC
Women’s Internal Medicine Program!🫀🩺
Sending positive vibes to all of the
#Match2022
applicants on Match Day-eve! 🙏🏼
just remember that regardless of the outcome, you will wind up where you are supposed to be. not everyone’s path is linear! your story only ends when you stop writing 😊
walking into patient rooms in the hospital hits different when you’re the PCP🥺
it hits extra-different when they’re extremely excited to see you..
melting like chocolate on a hot summer day ❤️😭
OK now back to being the program mom — look at how well the kids did! so so so proud of
@TempleIM
for absolutely crushing the fellowship
#match2023
❤️ 😭 🦉 GO OWLS 🎉
CONGRATULATIONS to the newly matched incoming TempleIM residency class! We here at
@TempleIM
can’t wait to meet you all & welcome you to the Big T!🎉🦉🍒
#Match2022
#MatchDay2022
#WhyIM
: in the last week, I’ve managed hypertensive emergency and mixed hypovolemic + distributive shock (don’t worry, they made it to the ICU) on service, and both basic and resistant hypertension in clinic today. the spectrum of vessels, bby.
#versatility
👩🏼⚕️ 🩺
today, I became the attending who quizzes their team on the types of renal tubular acidosis & I spent every minute since rounds this morning reflecting on who or what hurt me.
& also reflecting on what method I used to actually get these to finally stay in my brain?
how I’m surviving my week on nephrology service: my attending uses cardiology analogies to teach me renal concepts.
it’s genius, and it’s also working. I understand the kidneys better than I ever have. We’re peaking.
residency is weird because some days you are incredibly self critical for absolutely anything & everything and other days you are just very pleased with simply surviving your shift.
in case you haven’t heard, Hurricane Beryl demolished the island of Carriacou yesterday, one of the islands that make up the nation of Grenada. We have started a fundraiser to help purchase them survival kits & excess will go towards helping them rebuild❤️
the most toxic part of the toxic match process is that we have engrained into the minds of highly successful and qualified people that a bad system is their own failure.
#MatchDay2022
#SOAP2022
#MedTwitter
Our awards ceremony tonight made me reflect on exactly why I chose
@TempleIM
- I am so grateful to be surrounded by such intelligent, compassionate & hardworking individuals who put in so much work to patient care outside of the 80 hours a week that are required.
what I was not expecting from my last night shift on a stretch of nights that has felt like an absolute eternity was my first emergent needle thoracostomy‼️ thanks for teaching,
@bilalhlashari
@TemplePCCM
!
onto the rest of my bucket list: a precordial thump.
Incredibly grateful to be training at an institution where supporting women’s goals in this field is the norm. Fortunate to be surrounded by a large number of
#WomenInMedicine
,
#WomenInCardiology
, and
#HeForShe
colleagues! ❤️
Did you know that 8 of the 15 cardiology fellows at Temple are women?!?! Don’t think you’ll find a more gender balanced program anywhere! 53%!! Wooo
@WomenAs1
@ACCinTouch
#WIC
#heforshe
highlight of my week: seeing a 95 year old patient who told me their secret to staying mentally sharp is watching
@lawandordertv
and solving the crimes.
my future is bright, y’all!!!
friendly reminder as you advance in your career that it costs exactly zero dollars & zero cents to pay it forward.
so proud of my mentees, most who have overcome extreme amounts of adversity, in securing their residency positions. Heavy “proud mom” vibes over here.
#Match2022
How did I make it through medical school which required sitting in a cubicle for 12 hours a day when now I can’t even create 1 slide of my 15 minute presentation before becoming more interested in watching the barista make the cappuccinos which, by the way, I don’t even drink.
If Doug Mastriano wants to take away your right to life-saving reproductive care, he’ll have to get through me — and Pennsylvania’s doctors and nurses.
the energy of Philadelphia while on my run this morning actually made my undernourished, sleep-deprived long run after 2 weeks of floors quite manageable.