Behind the drape [reflections on starting anesthesia training & tips for success]

Today’s inane image of the day:

As my Transitional Year internship progressed, my anxiety about starting my first year in clinical anesthesia increased exponentially. By June, I was frantically searching the depths of the internet for resources [e.g. how does one DO anesthesia!? what IS anesthesia?] to prepare for the mysteries that lie behind the drapes. At the end of my internship, I felt comfortable entering senna/colace orders, the periodic ABG [arterial blood gas] stick, and pontificating about my differential diagnosis in a SOAP [subjective, objective, assessment, plan] note, but the thought of being able to safely anesthetize a patient for surgery made me nauseous. I also started second-guessing my decision to pursue anesthesiology; during my TY year, I thoroughly enjoyed my inpatient medicine months and was prepared to switch to medicine if I didn’t end up liking anesthesia. Looking back, I can see now that I would have been happy doing a medicine residency, but I’m definitely happier and overall more satisfied in the field of anesthesiology.

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How to study for the ITE, BASIC, and anesthesia

Today’s inane image of the day:

My bookshelf. Just kidding. This is our MGH Anesthesia Library bookshelf. Note how clean the Harrison’s binding is…
An updated, detailed version of many things in this post in VIDEO form! And I share my ITE scores, too…

[Entry Last Updated 9/2022 w/new TrueLearn discount code for $25 off!]

It’s that time of year when new residents are roaming hospitals across the country. As a result, I’ve received an influx of emails, texts and in-person requests for advice on how to study as an anesthesia resident. There are plenty of posts on the SDN Anesthesia forum as well as blog entries from my esteemed colleagues [e.g. Rishi Kumar, AnesthesiaHub]. However, this time last year when I was looking for real advice and guidance on how to study for daily clinical practice knowledge, the ITE and BASIC, I didn’t find anything satisfying online. Scrolling through SDN and asking my colleagues led me to recognize that like the USMLE Step 1, there are a plethora of resources but only a fraction of the amount of time necessary to really digest it all. Eventually, I just committed to a plan and sort of stuck with it – this entry attempts to explain that plan and some resources I thought were helpful.

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Lessons learned from intern year – part 1

Today’s inane images of the day:

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Ogawa Coffee is my new favorite study spot. Mmm, green tea matcha.

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I went home for the July 4th weekend to celebrate the wedding of a college friend – it was a delightful, heart-warming event!

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Gloomy, albeit still breathtaking view from the roof deck of my apartment complex. Hello, Boston!

Detroit view at night from Ford
There are definitely still moments when I long for the familiarity of home, Detroit and Henry Ford. So why not throw in a view of Detroit at night?

How have 9 months already passed since my last entry? I still remember the excitement I felt to finally have a chance to write an entry during my Emergency Medicine rotation – in fact, I wrote that mammoth of an entry in almost one sitting [it seems that much of my best work has been written during one sitting – when inspiration for an entry comes to me, it hits hard!]. Either way, the burning question on your minds has probably been, “What’s been going on since you started your Anesthesiology training in Boston?”

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