derm was up this week. i'll be on for the next two weeks. this particular rotation has a reputation as being a "good one" to start with. i'm not really sure why...i was assuming it was because it's derm, how hard, really, can it be? i'm certainly not in any danger of killing something. but take any rotation lead by a clinician who seems to be the head of every possible committee, board, or interesting class taught at this school and there's a level of desire and neccesscity to not seem like a complete imbecile. ideally a goal i can hope to achieve during every rotation.
the way it seems to be set up on most core rotations this year is we enter rooms in pairs. one student as a primary and the other as a secondary. the primary is actually responsible for the case--we have to get a thorough history, do a physical exam and dermatologic exam, all while attempting to seem completely at ease doing so, when really we are very nearly close to spewing our nervous guts all over the wall. a less than ideal situation, indeed.
i'm realizing just how easy "they" make/made it look. i spend at least the night before going over the case i know i'll be responsible for the next day. i read through every check, re-check and re-re-check i can, i review recent communications with preveious students and the client, research any previous diagnoses and have a good grasp of the current treatment plan. but in the real world i'll have a quick glance at the whole history 2 minutes before i go in to "interrogate." which is what i really like to call the taking of the history session, because i'm so focused on asking all the questions, preferably all the right questions, that the delivery DEFINITELY needs improvement. but by my powers of observation i think i'm at least slightly ahead of the curve.
one thing i do know for certain, wearing cute shoes in the real world is incredibly impractical, although i will miss the compliments! there is no room for adorable flats in colors to match every possible top or *gasp* heels! there can be only one...and that one is my ugly-ass, dutch girl looking dansko's, tried and true arch support and heel cushion. this weekend will be spent drinking copious amounts of wine (because i have absolutely no reason to be completely coherent, not a single exam on the horizon for me), cuddling with the kitties and getting another pair of my soon to be new best friends--a pair of brown, leather matte, size 8's! small joys.
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