Monday, September 16, 2013

First test

Well that day has finally come, the first test of medical school.  It was a fair exam, and on every question I remembered that topic being addressed during lecture, however there is sooo much material that is introduced during lecture.  Most of the first week's material was review of simple cell biology and physiological concepts, but there were also plenty of details that were new to me.  I was fortunate that this test was given so early, as it only counts for 10% of our grade and gives us an opportunity to see how well our study methods are working out. 

 I didn't feel too confident after the test, especially after hearing how confident other people sounded.  There were at least 15 questions out of the 60 that I was unsure about.  I studied really hard for the mini and put in about an average of about 7 hours of study time per day, not including class.  I realized that I got distracted by prep/cook time and just unexpected things that seem to happen here in Dominica: ants invading the house over the smallest crumb, brown water or no water (our water was out for a day), IT problems, and simply getting adjusted to the island.  Overall, I'm satisfied with the amount of time I spent studying, however my time spent studying could've been much more efficient.  Therefore, instead of doing something fun after the Mini like many of my classmates, I just grabbed a pizza and went home.  I ate it, got greeted by a couple of ants, then decided to take a nap.  I woke up and listened to some Joe Budden's Mood Musik 3, which put me into a sad mood.  Then I listened to some Drake, which put me in a sadder mood, then looked on the internet to figure out how to revamp my study habits.  Then I listened to Kendrick Lamar's the Heart pt. 1-3 and Social Club's Summer of George.  Now I feel reenergized.  

After browsing I figured out a few things about how my study habits will change:

I have always tried to learn every single detail introduced in a lecture, and that hurt me during this test.  I didn't spend enough time focusing on the major concepts and memorizing what the professors implicitly told us that we need to memorize.  This week I will review Netter's flashcards of a specific muscle group in the morning, create condensed study packets of the lecture notes immediately after class, preview the next morning's lecture, and review yesterday's lecture.  I'm shooting for a 85% or better on the next Mini, which is 3 weeks from now.  Success is measured daily, not just during exam time, and I'll try to keep that in mind these next few weeks.


Sunday, September 8, 2013

White Coat Ceremony

On Friday we had our white coat ceremony.  I wondered why we didn't have the ceremony during orientation week, when many parents were still here.  I later realized that they knew we would be feeling overwhelmed after that first week, so they probably wanted to encourage us.  It helped me to keep the big picture in view as I was becoming overwhelmed due to the many powerpoint slides, particularly in biochemistry and anatomy.

The ceremony began with the introduction of the president of Dominica and other politicians and notable members of the Dominican community.  Then statistics from our class were read off.  It turns out that we have: 431 students in our class, age range of 20-44, avg. age of 26, avg. gpa of 3.26, avg. MCAT: 26, a bodybuilder, and an attorney.

Our speaker, Dr. G, was excellent.  He really seemed to enjoy his life as a family practice physician, which is what I plan to become.  He went into teaching for a few years before deciding that he wanted more.  He then joined a group practice in Dominica.  He emphasized the quality of the professors at Ross and how great his experience was.  His colleagues didn't look negatively upon the fact that he went to a Caribbean school, instead they were interested to hear about the experience.  It is unreal that we get to do our schooling on this gorgeous island, and he encouraged us to take advantage of this opportunity.  Dr. G also went on to say how the hospital he did his residency at actually preferred Caribbean students, because they had something to prove and worked harder.



Monday, September 2, 2013

My apartment: Jedany's Comfort

I have enjoyed my stay at Jedany's Comfort so far.  This apartment is near the Annex, but unfortunately first semester students no longer have classes in the annex.   My rent is $650 a month, and the landlord, Glen, lives downstairs for easy access to fix and problems.  I have had water get under my back door to the balcony, so I have to see what can be done about that.  However, everything else has been fine. 
  
  
  
  
  

Wednesday, August 28, 2013

New Student Orientation

The new student orientation lasts from about 8-12:30 every weekday.  Various staff or professors address different topics that we were encounter during our trip.  We were welcomed by Dr. Weaver, the Associate Dean of Student Affairs; he was funny and seemed very down to earth.  Dr. Weaver was a widely respected surgeon before decided to focus on developing the next generation of surgeons and doctors in general.

One thing that stood out was the huge class that nearly filled the large classroom at the St. James Academic Center.  The official count hasn't been released yet, but it is at least 450+ students.  However, Ross provides lots of resources and staff in the Center of Learning and Developing to try to provide personalized attention to this huge class.  The staff took time to explain the differences between "The Curriculum" and the accelerated curriculum, as this is the first year we are given an option.  The non-accelerated program seems more appealing to me, because of the scheduled study breaks before the examinations.  However, doing this track means four more months on the island.

On Tuesday we were greeted by dean Joseph Flaherty via videoconference.  He was once the dean of the University of Illinois School of Medicine, at one time the biggest medical school in the U.S.  He assured us that we are receiving a top notch education and that rigorous preparation has been taken to provide us with the best chance of success.

Other orientation topics included:

  • study strategies
  • time management
  • pass/fail system
    • Ross only assigns high pass, pass, or fail grades for the first semester.  Letter grades are given for the other semesters.
  • clinical education
  • campus life
    • There are many opportunities to get involved in different clubs/ organizations.
  • history of Dominica
  • semester one schedule
  • foods of Dominica

Saturday, August 24, 2013

First day on the island



It always seems like no matter how long i start packing in advance, I always rush to get my luggage together.  It is difficult to figure out which of your items are essential to take on the island and which aren't.  I rushed to get to the airport bus from Bakersfield by 6 and was at LAX at 8 for my flight that left at 11:50.  I read in the airport, and ran into a student I had met at the information seminar a few months back.  I slept the whole way on the flight from LA to Miami.  Then I took the flight from Miami to San Juan and met a few more students from Ross who were sitting nearby.  The lady behind me was from California as well, about 2 hours from my hometown.  San Juan to Dominica was where things started getting tricky.  I didn't have problems with Liat, but it was the TSA in the San Juan airport that took forever to let people through the security gate.  I rushed to get to my flight a few minutes before takeoff.  The winding road heading from the airport to Jenner Hall, on Ross main campus, wasn't that bad, the driver was a good tour guide and really nice.  The people from my semester seemed pretty laid back and friendly; we'll see how long that lasts when exam time comes.  When we got in they had a mini orientation and slideshow.  After that they fed us a good meal of chinese food.  Finally, I headed to my apartment and got settled in.  I came in amazed at how much greenery there is, just hills of tall trees and bushes.  In Bakersfield, I'm used to dust and tumbleweeds.  It really does look like an untouched island.  I think I'll really enjoy it here.

Friday, August 16, 2013

My journey to a Caribbean school



I get the question "why the Caribbean?" quite a bit, to which I semi-jokingly respond..."Uhhh... the beaches, tropical weather, beautiful scenery, beautiful people, fresh fruits, veggies, and fish, hiking trails, scuba diving, festivals, and Caribbean music!"  Truthfully, I probably won't have too much time to really enjoy the island, except for a few times throughout the school quarters, but it is nice to have those options.

I spent the last two years of my last two years of my college career facing an uphill battle trying to offset some pretty bad grades.  My first semester of college, I failed both general Chemistry and general Biology, the two classes that pre-med students were especially supposed to excel at.  I retook gen Chem and got a C- the second time.  I barely passed gen Chem 2 with a C.  I was afraid to visit counselors out of fear that they would tell me to consider a different career, and one of my favorite professors informed me to consider microbiology or nursing.  However, even when I had second thoughts about medical school, I always knew that I would regret at least not attempting to follow my dreams and get in.

During my junior year I realized that in order to look more competitive I needed to do more volunteer work and get into research.  To fit the mold of the typical pre-med student, I jumped at the first opportunity to participate in research, even though I had little to no interest in the project.  Due to my lack of interest, I didn't go to the lab very often and when I did I was unproductive.  This ended up being a hinderance, as my professor didn't write me a strong letter of recommendation.  I also volunteered at a hospital, which truthfully I didn't too much care for either.  I imagined that I would be interacting with physicians, following around technicians, and moving around among different units in the hospital.  However, I was mostly wiping down and sterilizing benches and beds, providing patients with blankets and water, and stocking the rooms with supplies.  When the department was fast, the days went by much faster, but during the slow days 4 hours seemed like forever.   There are only so many blankets and sheets to restock.  I felt like I was standing around a lot.  When I tried to observe doctors operate or interact with patients, I was often given dirty looks or asked "can I help you?" by the assistants.  I had much more fun and felt more productive volunteer with the American Lung Association or with the Boys and Girls club, which I actually enjoyed.  The medical experiences I spoke about were the times when I shadowed a nurse practitioner in family practice and a radiologist.  Trying to become a cookie cutter pre-med student instead of following my passion and immediate interests ultimately ended up hurting me during interviews.

I spent probably too much time looking at my chances of getting into post-baccalaureate programs and average GPA's for school, acknowledging that I was below the ranges of any U.S. MD or DO schools. My junior year, I created the hypothetical situations of if I get A's in  the rest of my classes (bringing me to a 3.3) and a 30 on the MCAT, I might have a chance to get into a medical school.  In hindsight, I spent too much time speculating and creating hypothetical situations instead of doing my best to simply be successful one day at a time.   I graduated college with an overall GPA of 3.18, probably closer to a 2.7 or 2.8 when using the AMCAS grading scale and a 25 MCAT score.  Looking at these numbers led me to seriously consider attending a Caribbean MD school.  I first considered going to a Caribbean school when I attended a medical conference at UC Davis.  Based on the negative stigmas attached to Caribbean schools, such as (you won't get a residency in the U.S., the classes are overcrowded, and they're overpriced, the attrition rates are ridiculously high) I didn't give the Caribbean schools much consideration.    There were reps from Caribbean schools at the booths, and the Caribbean schools seemed like a legitimate option.

I realized that graduates from Caribbean schools are actually capable of attending competitive residencies, after looking at statistics from the lists of residency matches.  I felt that Caribbean schools would provide a quality education, as the curriculum is similar to U.S. medical schools.  Also, many schools do a great job of preparing students for the USMLE, as it is especially important for a foreign grad to perform well.  Particularly in Kern county, where I live, there is a large percentage of doctors who are foreign medical grads, and I have met at least three doctors in the county from Ross University.  The application process is much more quick, taking a few weeks as opposed to a year for U.S. medical schools.   I considered doing a postbacc program, which I explained in a previous post.  It also seemed like a great time to be exposed to medical process in different countries and probably more hands-on opportunities because of loosened regulations oversees.  At Ross I was really intrigued by the Salybia mission program, which provide health fairs and medical care for residents of Dominica.  I also was impressed at how aggressive some of the Caribbean schools were in securing contracts with hospitals, guaranteeing a certain number of rotation spots for clinical education.   I am glad to know that many of the professors at the Caribbean schools are strictly there to teach, so they wouldn't have other major obligations such as research to attend to.  I am pleased with the choice to attend Ross University, and i believe that I will be receiving an education on par with many U.S. medical schools and even surpassing some schools, because of the professors' strict commitment to teaching.



Wednesday, August 14, 2013

Packing my barrel



Wow, I never imagined I'd be bringing this many items to the island.  I figured it would worth it to purchase a 55 gallon barrel filled with "essential" items.  Some people make it seem like we're the new contestants on a season of Survivor, because of the rural conditions so I just wanted to make the transition somewhat easier.  Others make it seem as only the spoiled Americans buy the barrel to bring their fruit loops, Cheetos, and oreos.  Overall the cost of the barrel and shipping is $280.  I hope it's worth the price considering the convenience of: not having to scramble to find and buy items from Dominica at significantly higher prices, having a barrel to return items in when leaving the island, and bringing my favorite foods that are unique to the U.S.   I just finished sending my barrel off to Olarte transport in LA.  From Olarte it goes to Miami where Tropical shipping ships it to Dominica.  Overall, it should take the barrel 2 weeks to arrive at the island, about a week after I arrive.  Oh, and shot out to the dudes who ship an ice chest full of T-bone steaks to the island, using dry ice to preserve it.  That's extreme dedication to premium cuts haha.  I'll just be looking forward to the various types of fish I can get on the island.

My barrel packing list:

  • George foreman grill
  • Blender
  • Ipod alarm clock
  • Blow drier
  • Bath rug
  • Crock pot
  • Rice cooker
  • Applesauce
  • Cliff Bars
  • Canned goods
  • Binders/ notebooks/ losse paper
  • Fan
  • White board
  • Shower curtain
  • Blanket
  • Reusable grocery bags
  • Pull-up bar
  • Nuts: peanuts and pistachios
  • Grains and beans
  • Pitcher
  • Other random items

In hindsight, I probably would've got the 75 gallon barrel.  It seems like a lot but I was surprised at how quickly I filled the 55 gallon barrel, forcing me to leave items out.