Dr Quang Ngo
Guest Speaker Dr. Quang Ngo, MD 10/27/17
Grew up in sacramento. Ca native
Undergrad at UC Berkeley
Process of med and how to prepare for it.
Highly recommend a test prep course
The test is not how smart you are, it’s how well you take a test, how you do under pressure. Its a timed test. Don’t read for detail, skim. If you don’t know how to do it, move on.
To be competitive for med school you need a score of 32 or better.
Do sample tests, It can greatly improve your score.
Major does not really matter. It’s all about your GPA. It matters a lot more than your major.
Primary process, submit your grades your major and your personal statement.
Secondary: what you like to do for fun, what’s different about you.
Invite you out for an interview and tour of the school.
During the interview process you will be asked more about you and more depth. They want to get to know you. They look for personality.
Volunteering is very important. The more you have the better it is.
Masters in Anatomy and Physiology, Georgetown University Washington DC
Had an MCAT of 32, middle of the road.
Apply broadly, Stay positive, Interview preparation. Its very hard to get into med school.
There is a lot of competition.
Apply to a lot of school. A lot of schools have a preference for in state students.
Apply to at least 15 to 20 schools. Even though it's expensive. Do it anyway.
Once you get the interview, they are willing to accept you, you just have to prove you are a good fit at that school.
Practice the interview.
Stay positive, You only need one acceptance. You may have been put on a wait list. It can fluctuate up to a week before the school starts. Reach out to the admin and ask where your are on the waitlist. It can help.
Went to medical school in Philadelphia. MD at thomas Jefferson university.
Residency at UCD internal medicine.
1st year of residency. It’s all about survival. Most of the time you are just gonna be exhausted.
Internship will be the most challenging time of your life. \
Getting into med school is hard, but graduating is not that hard.
It’s a lot like high school. It’s a bit competitive. Most med schools have eliminated grades for this reason. It is now Honors, pass or fail. Honors is the top 10% of the class.
You start taking test at the end of the second year of med school. Step 1 test. It will determine what you can become in the med field. If your test score is low you can beef up your test score. If you fail the test you can not be a dr. If you fail it twice you are kicked out of med school. So study hard,
There is shadowing and residency, you have time so it is expected for you to know your patients and other questions.
1st year residency. Survival. Early hours, lack of sleep, longest hours, biggest learning curve. Nobody expects you to know anything coming out of med school, they will teach you.
2nd year residency. 30 hours. Constantly getting called and paged. More autonomy, learn to teach other med students, learn to lead a team. Start to learn about subspecialty. You find your passion and start to find mentors. Some people do it for the money, and some do it for the lifestyle.
3 rd year residency. Decide if you want to do fellowship or start working. Working is easy, a lot of the places come to you. You usually have multiple offers to consider. It’s not just about the money, it’s about the lifestyle, hours to work, commuting. Start focusing on what you want to do.
Medical boards. Preparing for the medical boards. You must pass the boards or you will be fired from your job. It is not that difficult.
Making the transitions from resident to attending. Big learning curve. You are the one in charge, it’s a big responsibility, experience counts, you learn to trust yourself. The first couple years are the hardest. Its knowing what to ask and when to ask.
Typical day at the hospital. Rounds, meeting with patients and seeing what they need or releasing to go home. Admitter: someone comes in and they may need a procedure so they get admitted.
Most rewarding aspects of being a hospitalist. Work in sacramento with my community. Solving interesting cases. Flexibility of my schedule, diversity of experience. Sacramento is a diverse city.
Most challenging aspects of being a hospitalist: Schedule, high stress, some doctors bring their work home with them. The key is work is work and home is home.
Separating decisions form emotion. You learn to compartmentalize. Emotion take away from the knowledge you have. Go through the protocol, and deal with the emotions afterwards.
How long is residency for internal med. 3 years. Most residency is around 3 years, but surgical and others can be longer like 5-6 years. With subspecialty training, you can be over specialized, and that will make it harder to get a job. The longest residency is neurosurgery. 7 years.
Research. Started late. In the 3rd year. For about 1 ½ years.
Doubts, yes, and still once in awhile. Med school is very expensive, don’t do it for the money, do it for the passion. 300,000 is a lot. If it doesn't work out it’s really hard to go back and do something else with that much debt. You have to do it to completion. The field is constantly changing, with that it’s challenging but it really rewarding.
Why internal med. You find what you like and it allows me to do a lot of good things. Not as much procedures, so I spend more time with the patients,’
Were there any of your colleagues that were not science majors? Yes. Econ, Music.
Remember medicine is a field where we see people. So you want to have some personality. So you can do whatever you want, it doesn't stop you from going to medical school.
A lot of people end up going to Keiser if they don’t stay at UCD.
Why California, Why sacramento? Better medicine, less formal than the east coast, Better weather. Family is here.
If you come up with any other questions later just ask Jennifer and they will get to me.
UC Davis Pre-Health Conference 2017
As my alarm rang at 5 a.m., I groggily got up wondering why my alarm clock was going off on a peaceful Saturday morning. It was then that I remembered about the UC Davis Pre-Health Conference. I pulled my warm blanket off of me as my feet touched the cold hard-wood floors of my room. I walked to my bathroom and with eyes half-opened, I began getting ready for the day ahead of me. I dressed myself in black slacks, a black and white blouse, a black blazer, and heels. In my purse I had my wallet, extra battery charger, business cards, a small notebook, and a pen; I was prepared for the day ahead of me.
Off on the road, I hit traffic on the freeway towards Davis. It seemed like everyone else was also attending the conference. I got to the conference 10 minutes before the registration lines opened up at 7 a.m. The cold morning gust was unforgiving. Finally, the lines began moving and we moved into The Pavilion stadium as breakfast and morning events commenced.
We had Dr. Lars Berglund, the Associate Vice Chancellor for Biomedical Research, as the keynote speaker. He spoke amazing things about the advancements in medicine especially in regards to research and the application of the other sciences and engineering to medicine.
After the morning commencements, we were escorted outside where we had workshops and met with representatives from dental, medical, pharmacy, and many other health professional schools. As a second year, I currently am not ready to take the MCAT or to apply for medical schools but it was fascinating learning about how I could work on myself now as a student to prepare for the MCAT and learn how to become a better applicant.
There were a lot of workshops that it almost felt very overwhelming. I wanted to attend other workshops but the schedule conflicted and I had to choose which to attend. Since this is one of the biggest pre-health conferences in the nation, this wasn't too surprising. However, I felt like because they had a lot of interesting workshops, that the event should be spread out over at least 2 days or separate the days based upon interests (i.e. PA/Pharmacy on one day, medical/dental on another).
Overall, I had fun learning about resources that will help me become a better student and applicant for medical school, meeting other like-minded individuals, and getting to know my fellow AMSA officers better.
Maipaluku Moua, Co-VP of IT AMSA ARC
Dr. Lars Berglund
AMSA 10/20/2017 Guest Speaker Dr. Lars Berglund
Been in charge for ~10 years, and Dean. UC CA 6 medical schools.
Working and competing but are working together as a big health system
It is a large and varied health system
UC Davis school of medicine
50 anniversary next year
School has grown over the year
Accepted ~120 students each year, get ~7000 applications
Interview ~500 applicants, accept about half, and half of that attend
There are not enough drs in CA
Strong on folks going into primary care or family care or internal medicine
Still a major theme.
Refined and have defined tracks.
Prime programs, and the students are placed in different locations.
New program, ACE accelerated 3 year program with keiser
Over the last 15 year there has been a substantial growth in research.
They are ranked in their research funding.
The most prestigious is from the national institute of health.
only ~10% get funding.
For many years the top has been University of San Francisco
UC D in now within the top 30 and this year probably in the top 25
Other funds go to large centers that are being built, large cancer center
UCD became NIH designated last year
Have a clinical trials program.
There is the mind institute It stated because there are many influential community members with children that have autism.
How to impact children at a very young at and give early treatment
Before becoming Dean used to run a center for training resources and outreach for close to 15 years.
Research opportunities for potential med students, med students fellows and others.
Much of what is done is regulated heavily by the government.
There are a lot of faculty who specialize in this . there is a whole infrastructure that supports this.
This allows people in the community access the things that might not otherwise be available.
UCD is the best veterinary school.
How to understand naturally occurring cancers in dogs and cats.
Genetically modified animals are more sensitive to certain desires.
From this there is now a collaboration between the animal trials and human trials.
Air particles research is being done to see how it correlates to lung disease.
In areas of poor air quality there is a higher amount of affected people.
There are primary care clinics and outpatient clinics. The research doesn’t always know what is going on, and the other drs can be disconnected from research.
New building for school for nursing.
Opened with a grant for nursing. Betty Moore
Every time you get money it costs money.
There is a masters program and a DR program. Operating for about 10 years.
Empowering people to take care of themselves
Have medical students focusing of care and connections
Deveolong other formal training programs and master programs.
Every hospital has a need for madix
Masters program in clinical research. Probably going to develop more programs in medical research. Very strong educational and medical program.
A lot of positive things in the health world.
Born in Sweden, done education there.
Education was expensive, High school had to be paid for.
First in family to go through high school
Doesn’t have a college system, has a career programs.
Summer internship and got hooked on medical
Know at the beginning that will do a combined MD PHD program.
Did a post doc
San diego for about ½ a year. Doing science work.
Did research in diabetes and insulin and metabolic steps.
Most recent is doing research on a specific genetic study for factors of Lipid protein A
Has genet impact of genes. Might have had some impact on risk of infections.
Went back to complete medical training.
25 years ago got an offer to move to the US , san diego, Columbia
In an area of NY west of harlem and washington heights.
The medical school is slowly widening its impact on the surrounding area.
There are many students at UCD that are very keen on going on to serve rural underserved areas.
Opening to questions:
MD PhD students are doing 2 years and then going back to do more. You have to have a long term perspective to do research. You will probably get paid a little less, but you will get to know colleges all over the world. You get invited to participate in conferences and it is very rich rewarding field.
Health care is business. You have to make ends meet. You have to be able to make fiscal needs.
UCD now educates most of the DR’s that work at Kaiser. Some are faculty at UC CA.
Application for MD PhD is a bit different. You have to first be accepted in an MD program. Take ~2 a year. Go into a mentor program.
You have to be in it for the long run. You have to have an environment that helps you. To be part of a group to be part of a bigger program.
The only person I know that has a MD JD I personally recruited.
Total research funding is probably close to 300million. NIH is the biggest funder. Cancer registry for the state, Death registry for the state.
Different foundations are interested in very different things.
Some are focused on junior faculty.
Have a very good college of engineering, have a college of biomedical engineering, started about 20 years ago. Lots of diagnostic tools.
Engineers are good at developing solutions for medical problems, and devices.
Something that grew out of the partnership is a lot of imaging for cells and cancer and different diseases. Imaging of the brain. Developing a concept of imaging the total body at one time. A much shorter radiation time, much shorter scanning time. The NIH has contributed 50 million dollars toward this, but it is not covering the cost, and many more dollars will go to it.
With all the technological advances is it putting other drs out of work. Not so far. Some of the advances are better places in a few larger centers but probably not so good all over.
Society as a whole is living longer, so certain diseases are showing up. There is a need to educate PA and other health care providers to help, because they are closer to the patients.
There may be a skill shift of medical stepping up and doing more of local people.
HIV, Legionnaires disease. Infectious diseases was not really a thing, and then they started showing up. And the mechanisms and transportation was unknown. They had to go through very difficult treatment. The advances of treatment may tell us something about the roll of the immune system.
Cancer is a much more varied thing than it use to be. It is harder to treat, mutations mastasties. Our understanding is increasing and I am optimistic about what the future might bring.
Have about 200 published articles about my work, there is plenty of review work that is available.
Technology has become a great tool, and patients might begin demanding certain test and treatments, and it can possibly take some of the burden off the provider and patients become or interactive with their health care.
Drug development is tricky. Even the best drug with lots of good benefits has side effects.
PCSK9 a cofactor in cholesterol. It can get the system cycling to remove the bad cholesterol and help the body. It’s a mechanism that works, with a reasonable approach. No one had a clue that this existed before.
If you're serious about medicine Davis is a good school.
There is a college of Biological science that is great at producing Phd’s. But it is a very hard career. It’s a hard life and not very well paid. But we are trying to offer new tools for student going into the future.
Medicine is fascinating it has something for everyone, whether you are good with your hands, want to work with children or are very analytical.
Many of the science faculty do not have MD, but have Phd’s. You can find a path, but it might be a bit more crowded.
Find a unique skill set, do what you like, and don't give up.
As an undergraduate you can do rotations in research programs, but it’s not always obvious and it take some digging.
Tips for aspiring medical students. You are applying with a lot of other good people, and it’s hard to stand out. Good grades are frequently are not enough, you need a good story and you need to project who you are and why you should be chosen for medical. What would you do that would make us really proud to have you at our medical. Be flexible, be open to possibilities. You have to get in. The country needs you and the money you invest is well worth it, but you have to do something with it.
Dr. James Marcin
AMSA 10/13/17 Speaker Dr. James Marcin
Pediatric Critical Care
Work with lots of different people
Very, very rewarding.
Been to the philippines for medical projects.
UC davis has a lot of research going on. Clinical care, Education and Service
Work in the Pediatric intensive care unit
Largest in sacramento
Level 1 pediatric trauma center
Babies that are born term all the way up to 18 years.
Biased, like kids more than adults
Born in orange county- no one else in the family is in medicine
Public school- uc san diego
I have 5 kids
Medicine with many options
Children’s national medical center
Uc davis first job as a dr at 33 yrs old and have been there ever since
25% in hospital
Teaching, research, and administration
Do like a lot working with students. Start off with lots of clinical.
Able to structure a bit of what you do.
Lots of different things that are seen, trauma, cancer, diseases
Telecommunication of medicine. Medicine over skype
Lots of patients that travel more than 5 hours to get to have a 15 min appt with a specialist.
So many time an appointment can be done over high resolution video. More than 40,000 visits are done that way.
With this technology you can see an expert without having to drive to the local office. There are Dr.’s in southern CA that see patients in northern CA
It can reduce the cost of seeing a dr.
There are many workplaces that have dr. Kiosks, and the work pays for it, so the person doesn't have to take off a lot of time to see a dr.
In many smaller cities there is a lack of specialists so to help cover the need There are many tele specialists that can be video called.
There are surveys being done to determine how much families like the technology and ability to telecommunicate and if they prefer to do it this was or come to an office.
There is also a factor of how much money it can potentially save.
When getting news people have increasingly wanted to get it as fast as they can, and would rather be around friends and family when they get the news.
Kaiser is increasingly using the video technology more and more.
There is also an increasing use of videio psychology.
Video interpreters about ⅓ of all interpretation is done in person the other ⅔ is now done over video.
Telemedicine saves lives
W;hen some dr.s are on call, they are at their home on call. Others like myself when we are on call we are in the hospital.
What keeps you going: it's a blessing to work with other people. It’s one thing to be up trying to read or study at four in the morning, but it’s something different when your working. At four in the morning this morning i was doing chest compressions on a baby.
Comradery is a big part of it. When you come home at the end of the day its neat to know that what you are doing makes a difference. Its touching peoples lives.
You want to do things that you are good at and passionate about.
Here in the US we do lots of screening, and when caught early they can go up well “normal”
In the philippines that are many islands and they have a desire to do screenings just like the US so things can be caught early. Cost is a big issue, so telecommunication is being introduced over there.
What is it like working in the NICU it’s an amazing place. When babies come out early or early and sick. The most important part is to help the babies through that. The babies tend to be in there for months, and sometimes they pass away. There tends to be bonding with the family. It is a real skill to be able to talk to a family about a baby, especially when there is bad news. The interaction with the kids and the family can have lasting impressions.
Any advice. Folks that try for medicine and go into medicine, workaholics and perfectionists. If you're going to go for it, really go for it. You have to do it hard core. If you don’t put a lot of effort into it, it lessens the chance of getting in. If it doesn't work you can say you gave it your best shot.
Burn out. There are a lot of drs that are not counting down to retirement, that are wanting to do it for as long as they can, it’s their passion and their life. The whole thing is an investment.
Kangaroo care. There is a unit at UC davis that does kangaroo care.
In medicine there is a lot of things that we do wrong, but we are constantly trying to improve.
Research. In the philippines trying to do low cost telecommunications and machines hooked up.
PMR and EMS (emergency medical services)
Work with 2 grad students
2 med students
Wife is a nurse at the same place of work
How often are you in surgery
Don’t go to the operating room.
Do a little bit of central lines and things like that.
I like talking to families.
Why choose pediatric critical care vs regular peds
Most that go into peds are women, because of the regular schedule. In crit care the schedule is constant kids get sick 24/7. Most of the people going into peds don’t do it for the paycheck, it’s the lowest pay, they do it because they love kids. Not a lot of ego in it. Love kids.
UC davis a biggest trauma center. High speed blunt trauma, farming accidents. Sacramento is a little bit more real. A lot of asthma in the central valley.
Get good scores and good grades and be diverse.
Feel free to contact me. Seriously I would love to hook you up with somewhere you want to be.
10/06/17 – Mary Hansen Presentation Notes
**These are informal notes taken from the meeting
Dr. Mark Underwood
Dr. Mark Underwood. MD. 9/22/2017 ARC AMSA
Professor of Pediatrics, Chief of Neonatology
Started off not sure of what I wanted to do.
Took basic courses in science for med school
Plan b took lots of classes in Spanish
Got certified as a Nurses Aid
Take care of people
Went to med school
Pediatrics: Children and babies
Couldn't decide which one I liked
Became a general prediction
20 beds in ICU for 12 years
1 year possition in New Zealand
3 more years of training in US for Neonatoloy
Babies that are in the NICU and can’t go home for various reasons
Do clinical care at the hospital in the NICU 18 weeks out of the year
The other time: research. NEC (necrotizing enterocolitis) (~500 papers per year written on this topic)
Medicine: Saving the lives of people
Help people live easier:
discovery/ cause of death; new diseases,; diagnosis,
Quality of life.
Challenges to medicine:
Money: insurance is risk vs benefit
Burnout/Exhaustion, Compassion fatigue
Technechology Whats next?/ How do I keep up?
Ethics: Euthanasia, Genetic Engineering,
Regulation challenges: FDA, Pharmaceuticals
Powerpoint presentation: Diagnosis of diseases, There are links between risks and diseases that are related to gut bacteria.
It is clear that since the beginning of the century is that there are diseases that are on the decrease, and that there are other that are on the rise.
Hygiene hypothesis: If you are exposed to more germs/microbes in your childhood then your risk to later diseases if less for certain diseases is less when your are an adult.
Too much hygiene is causing disease.
Highest risk of NEC is in the under 2 pound range of babies. Just a disease of preemie babies.
A link between gut and the disease.
Preemies are put on mom's milk, or donor milk until 34 weeks of age.
Probiotics: not well regulated. In the premises there is a good way to monitor what is happening when probiotics are given.
Giving human milk and giving probiotics have both been proven to reduce the risk of NEC.
Human Milk Oligosaccharides: sugars that are made by the mom. Not able to be digested by the baby, but the good bacteria can, and the bad bacteria can’t.
Last September 2016, had the first American conferences wholly focused on NEC.
What sparked your interest in research.
The first baby I say die was in 1988.
The babies that develop NEC get opened up and the doctors see that part or all the digestive tract has died. If all the baby gets sewn up and the doctor tells the parent Im sorry your baby is going to die. If it’s only part, the dead portion is removed. Ostiums are made, and after time if the baby survives the ends are reconnected.
In New Zealand. If babies were born before 24 weeks the doctors would tell the parents i'm sorry your baby is going to die. After 24 weeks more care was offered.
In the US money and the healthcare industry is different. The chance of survival is 1 in 4 if born before 24 weeks.
In New Zealand the doctors decide, In the US the parents decide.
22week 1 in 10 survival
25weeks brains are still very fragile.
The dilemma: withdrawing support
Doctors and parents are on different sides.
Each parent is on different sides.
Parents will have to live with the decision for the rest of their lives. The baby can not make decisions for themselves. “I believe that it really should be the parents that make the final decision.”
Who decides what a meaningful or high quality life is?
Who decides the life worth living?
I have never once had a parent or child later come to me and say “I wish we had stopped. I wish we had withdrawn support."
Guest Speaker Adam Farber Nurse Anesthetist (CRNA) 9/15/17
Introductions all around the room
Born and raised in bakersfield
Went to community college for 7 years left with 180 units
Trying to decide between health care and education
Ultimately decided to go to nursing school
On the first day he felt is was difficult and wanted to quit
Decided to stick it out
The next day he met a nurse anesthetist Decided this was what he wanted to do.
Then mapped out a plan
Got a bachelor's degreed and was working at the same time.
Got accepted at USC
Moved up to Sacramento and got at Davis
Do not work for an anesthesiologist, but work with a care team and with an anesthesiologist
Facts: providing anaesthesia for over 150 years
Approx 43 million anesthetics a year
There are a lot in the military
CRNA practice all over,
ANesthesia is without sensation with or without the loss of consciousness.
There are many different types of anesthesia
You need to know a little about everything.
Changes across the lifespan
Up every day at 4:30
By for the most important part in anesthesia controlling airway. If I can’t breathe for you there is only one outcome and its not good
Everybody gets an IV. Makes it important to know pharmacology.
Patient meetup, anesthesia plan, review history. Coming up with a safe plan to make it through the procedure.
Intra-operative is not the exciting part.
Excitement in NOT a good thing.
The patient is now also in the hands of the surgeon.
Emergence The part where all the anesthetics that went in are now being removed and starting the wake up process.
Have to be a registered nurse to be an anesthetist
You need 1 year of critical care experience usually 2 or more is wanted.
Find a program. There are 5 programs in California
Application process and testing
There are multiple tests
Anesthesia school- different from medical school
Modeled off of residency
Classes, Clinical- spend up to 6 days in the hospital. Take in 24 hour calls. (in house)
Averaged 3 hours a night of sleep for 2 years.
Average starting pay is ~150
Work schedule now is 4 10hour (currently working nightl)
Anxiety in the program. Daily. Still have it. People's lives are in your hand. You have to separate yourself from it. There are things you just can’t control. As long as you do the best you can do, you can’t do much more than that.
Bad outcomes are reviewed by a big panel.
Death is very rare from too much anesthesia. Complications usually arise from something else.
When first got into nursing worked 3 12’s. Got 4 days off a week. Could work MTW then have off Th F Sa Su M T W Th and then work F Sa Su. Had a week off without taking vacation time
There is traveling nursing where you work in a location for 6 week and then travel around to different locations for 6 weeks at a time
When you are doing this like this(AMSA) for medical school, you have to do something that sets you apart from all the other people.
Did research on a procedure call Family process during cardiac arrest.
Worked in a general ICU and a trauma ICU. Also sat on committees.
Do stuff now to set yourself apart from all the others, because you are competing against all the other, even those that are in this room.
Look at places where people don’t want to live. Those places usually need people to work there. LIke rural areas
At the end of November, Have been at davis for 3 years.
If your are not passionate about it you won’t do it. It’s easy to work in a job that you are passionate about.
After a snowboarding accident, met male nurses and decided that’s what he wanted to do.
Nurses eat their own young. As a new grad people will do everything they can to make you miserable. It can be kind of brutal. Having thick skin is important.
Re took both anatomy and physiology. It’s all memorization. Also took chemistry.
Now have advanced degrees in them.
Pre-op and post-op, most of the interactions are with the family. Still get a lot of interactions with patients.
There are good surgeries and bad surgeries. Like a kidney transplant. Being able to calm tem down, talking them through and getting them through surgery.
Family members are not allowed in until the patient is awake.
Scrub nurse is the one handing over the tools and is scrubbed in.
Circulator is the one that typically goes and gets things, extra pair of hand Not scrubbed in, so they can go in and out of the room.
Procedures without anesthesia. Like hypnosis. Huge fan of whatever works. Ignorance is bliss. Can have surgeries with going unconscious. Acupuncture is great for after surgery care.
GPA, going into nursing school. Probably around a 3.5, dont really remember. After meeting the nurse anesthetist never got less than an A.
The bachelor's degree is becoming the standard. Places are starting to not hire unless you have a bachelor's degree. Sad.
Go where you get in. But you have to be really careful, Be aware of the cost. Some of it is not worth it. It you don’t take the opportunity you lose out on 1 year of pay.
Difference between working in a clinic and an OR. One you work with an anesthesiologist and the other you work on your own. Both are good. The pay is a little bit different and it's a bit more stress. With the OR there is a second pair of eyes. The biggest difference is the size of the cases. And the procedures.
The difference between an nurse anesthetist and an anesthesiologist. One is a doctor that went to medical school and the other went to nursing school. Anesthesiologist might have more training time in specific areas.
At Davis tend to work with an anesthesiologist and the Anesthesiologist will also have a resident.
Surgeons typically do long cases and are sometimes in surgery for 18 to 20 hours. Most surgers do not go 9 10 or 20 hours most surgeries go 2 or 3 hours.
Anesthesiologists and nurse anesthetists have relief and can take brakes.
Lot of opportunities in nursing.
The person that assists the surgeon. PA and nurse first assist.
PA may get to do portions of the surgery. Nurse first assist might be the one closing.
Stanford has a combined NP/PA program.
Parents were a big help/support.
Anesthesia is not physically involved. Sitting down 80% of the day. It’s just not physically intensive. Just don’t see myself doing a desk job.
Did 6 different community colleges and 10 different universities.
I could get a job a community college teaching nursing. There are so many different possibilities.
If you get burned out, there are many different things that can be done.
Have 4 associate degrees, a couple of certificates, bachelors in nursing, bachelor in science, Masters of science and nursing.
If you decide you want to go this route. Not all colleges have the same program. Masters of science or a masters of nursing.
Had a very bad first experience. There are no books on the experience. Until you're doing it, It can’t be put into words. The best thing to do is to shadowing. “Millers basic of Anesthesia”
A DAY IN THE LIFE OF A PRE-MEDICAL SURGICAL STUDENT INTERN AT SIMP (PART I)
This past summer I had the amazing experience of becoming one of the pre-medical surgical students at the Surgical Internship and Mentorship (SIMP) Program at the UC Davis Health Center. This program is one of the most competitive pre-medical programs in our country and is here in Sacramento, close to our community college. It is open to a wide array of pre-medical students from community colleges, graduate schools to even High School students. People from all over the country apply for a spot.
I started my application for the Summer Cycle 2014, on November 2013, which might seem well in advance, but I had just enough time to gather all the requirements.
I began by talking with my professors about my interest in the program and the possibility of having a letter of recommendation written for my application.
After being accepted into the program, I began preparing for the surgical internship in terms of learning policies, and rules about the UC Davis Medical Center (UCDMC). I made sure I read and re-read the SIMP handbook, since the program is very rigorous and I wanted to be ready and informed for the tasks that lay ahead.
My first two days at SIMP were spent at the “Surgical Academy”, which is an anatomy and physiology bootcamp. We received several lectures from attending surgeons, residents, and medical students. We covered the whole human body in two days. The sort of material taught was engaging, the amount of material was challenging.
The next step was signing up for shifts. Since I was part of the summer cycle we were required to have a minimum of two shifts per week, and one of those shifts had to be during a weekday. My signing up went smoothly and I was ready to follow the teams of vascular surgery, plastic surgery, ear-nose-throat surgery, and surgical oncology, between others.
The day before my first shift I paged the residents around 6:00 pm. I waited by the phone for my call back and to my surprise it took no longer than two minutes. The resident instructed me with the floor and the room where “rounds” start and asked me to be there at 5:00 am. I was thrilled and nervous about my first shift, because I did not want to make any mistakes but at the same time I wished to make the most of my shift.
The next day I woke up at 3:10 am. I got ready in 40 minutes and left home at about 4:00 am. As I drove in the early morning, it was dark still, and the streets were empty.
As I arrived to UCDMC I used the little map of the hospital to find the elevators and found the conference room where the team met. All the medical students and residents were busy working on their notes. I was not sure if I was in the right place, but as I introduced myself one of the residents, told me it was Vascular Surgery. I was super excited, I had arrived and I was ready to absorb all the knowledge that these physicians and future physicians in training would share with me.
*Andrea Kulinich now attends University of California at Davis, majoring in Neurobiology, Physiology, and Behavior *
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Officer Notes Editor
I just want to express a huge thank you to Andrea for having the novel idea to work with me to start such a unique feature of our website! I believe it will certainly set us apart as an organization for a long time to come, and will be a fantastic new tradition for our up-and-coming members and officers.
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