My Lessons from Starting Residency | ND M.D.

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  • เผยแพร่เมื่อ 21 พ.ย. 2024

ความคิดเห็น • 106

  • @kevinkim0598
    @kevinkim0598 3 หลายเดือนก่อน +100

    Hey Andy, it’s Kevin from summer retreat 2016. I don’t know if you still remember me, but I wanted to say you are doing amazing and it’s so awesome to see how god is working in your life man and how far you came along since we first met in NC! You are gonna do amazing and you are enough!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +18

      hi Kevin! definitely remember, thank you so much :) hope you're doing well too!

  • @DetangledbyDesign
    @DetangledbyDesign 3 หลายเดือนก่อน +42

    Don't be so hard on yourself. Everyone experiences this when beginning something GREAT. Cheering you on!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +9

      thank you :) it's gotten better as the weeks went on

  • @doc_anke
    @doc_anke 3 หลายเดือนก่อน +16

    Trauma surgeon/ED doc from Germany here. This is one of the most truthful and honest videos about starting residency I have ever seen. The good thing is: it really does get better, and yes, it's the people that will get you through it, from housekeeping/maintenance to the head of department. Some parts will replay (when changing hospitals, they will have different docu/order systems), but that feeling of inadequacy will go and stay away. I used to be EXACTLY like you - I always wanted to do more to lighten the workload for others, but here's the secret: the good ones, they like helping you, they feel happy when they can lessen your struggles - and these are the keepers. Shout out to all the nurses and PAs who did that for me. Keep your head up, Andy. This time next year, you will be able to make the new interns feel better, through your guidance based on what you went through. I believe in you. Love from Munich, Anke

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you so much :) it's part of training for sure but the support system around you makes or breaks the process

  • @hassanfarooq839
    @hassanfarooq839 3 หลายเดือนก่อน +26

    Comparison is the thief of joy. Focus on yourself and being a better version of yourself each and every day of residency. With that in mind, you’ll flourish no matter what rotation you are on!

  • @LJStability
    @LJStability 3 หลายเดือนก่อน +46

    Crying is normal in residency. My first time I cried was when I had an attending apologize for rushing through a presentation I gave on a patient that ended up dying. I felt guilty feeling that it was my fault. It was at the end of intern year that I learned that it wasn't. The hard part was remembering what that patient looked like and feeling alone with them while everyone else seemed to blow them off. The second time I cried was during my second ICU rotation. The sickest patients I ever saw, first time I saw a surgical error kill a patient, and witnessing several incidents of what I would call unprofessional behavior from surgical staff. It was the constant feeling that everyone was trying to die on me and all I could do was hold them on for a bit longer. I am still recoverying from intern year. The best advice I can give is be kind to yourself and your patients. Your attendings will truly never understand what you've been through. But in many cases, your patients become a source of comfort and strength knowing the journey you both traveled on. The common theme of residency is loving yourself and others. Too many attendings from medicine to be an efficient machine. The truth is that it will never be. What you can do is care, love, and do your best. From there, the patient will find the right people to help them. But caring is what people will most remember.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +5

      caring is enough :)

    • @DetangledbyDesign
      @DetangledbyDesign 3 หลายเดือนก่อน +3

      @@LJStability Wow. This is deeply troubling. Thank you for your service to humanity.

    • @swissms5808
      @swissms5808 3 หลายเดือนก่อน

      "People will forget what you said, people will forget what you did, but people will never forget how you made them feel.”
      ~Maya Angelou

  • @beckf78
    @beckf78 3 หลายเดือนก่อน +9

    As a recent surgical patient (hepatectomy & cholecystectomy) there is something comforting in knowing that residency can be a very vulnerable time for doctors and that you are learning from that experience. My surgery was by far the most physically and emotionally vulnerable time of my life. My journey is not over and yours isn’t either. Take care of yourself. I will do the same.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you so much :) we're trying our best and at the end of the day, we assure you'll be well taken care of by the team

    • @beckf78
      @beckf78 3 หลายเดือนก่อน

      @@NDMD - it’s so appreciated! For me, it was very comforting to be at a teaching hospital (UCSF). The residents were such a crucial part of my team. I never felt unsafe just because someone was learning. I was proud to be part of that process.

  • @GhostPepperMeg
    @GhostPepperMeg 3 หลายเดือนก่อน +13

    As a patient inpatient day 10 right now, it is VERY comforting to see your care! Breathe and give yourself some GRACE!!!! We’re patients and most of us don’t know even if you ‘mess up’

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +3

      thank you :) the inpatient stretches are roughhhh

  • @drnickbella
    @drnickbella 3 หลายเดือนก่อน +4

    Intern year is an emotional rollercoaster! In a 30 minute span you can experience ultimate joy and then extreme grief. It is so hard to understand until you are in it. You got this! One day at a time, one patient at a time.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you :)

  • @joshneol7003
    @joshneol7003 3 หลายเดือนก่อน +3

    Dude I cant tell you how much I appreciate the transparency on this topic. Even though its so hard for mistakes to slip through in the first period, that massive responsibility is so crushing.

  • @joko20
    @joko20 3 หลายเดือนก่อน +7

    You got this!!! One day at a time….love watching you on this journey…

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +2

      thank you :)

  • @logandavis7584
    @logandavis7584 3 หลายเดือนก่อน +3

    I am so glad I found your channel. I really appreciate your introspective thoughts on this process we all go through as doctors. I know you will be a great anesthesiologist one day. Thank you for being honest and making content, from a med student.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      thank you so much :)

  • @princekarl4279
    @princekarl4279 3 หลายเดือนก่อน +12

    Stay strong Andy. Intern year is like a furnace, gonna shape you into a much better build for the following years. ❤from Ghana 🇬🇭

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +3

      thank you :)

    • @princekarl4279
      @princekarl4279 3 หลายเดือนก่อน

      @@NDMD welcome :)

    • @salifusadat3002
      @salifusadat3002 3 หลายเดือนก่อน

      Yoo another Ghanaian

  • @Ethanvaladez637
    @Ethanvaladez637 3 หลายเดือนก่อน +3

    "That growing pain is universal", well said. In these times we take comfort that all of us share some sort of discomfort in life, but it is that human determination that will make you a legend.

  • @ejy-u1x
    @ejy-u1x 3 หลายเดือนก่อน +2

    Set your ego aside, and you'll see things from a different perspective. This approach has personally worked for me. It's not about feeling superior; ego manifests differently in each person. No matter how much experience you have, view it as an ongoing journey of learning. This mindset reframes failure into an opportunity for growth.

  • @claudialamberts398
    @claudialamberts398 3 หลายเดือนก่อน +2

    Praying for you ❤️ You are doing so much and putting so much effort. We are all really proud of you.

  • @fran0162
    @fran0162 3 หลายเดือนก่อน +3

    Andy you got this in spades.. just be kind to yourself and embrace the experience and those around you!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you!

  • @preciouso.2707
    @preciouso.2707 3 หลายเดือนก่อน +1

    Give yourself grace! It will get better. Intern year is hard. Prioritize your wellness! Wishing you nothing but the best!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      thank you :)

  • @Anniefawesome
    @Anniefawesome 3 หลายเดือนก่อน

    It is hard to go from book learning to real life learning but you are going to get there!! We already know this and one day you will believe us and finally believe into yourself too!!

  • @Kenna.Ambler
    @Kenna.Ambler 3 หลายเดือนก่อน +2

    No Rain, No Flowers. Sounds cliché but it’s the truth. Let yourself feel all the emotions and know that they are valid! You are doing something that others cannot. That’s huge

  • @minecraftgeekslayer
    @minecraftgeekslayer 3 หลายเดือนก่อน

    This video made me feel so much better about feeling incompetent knowing that I'm not the only one experiencing this. I know when I start intern year its going to be rough but looking back on this video and reminding myself of the list you made will definitely give me a more positive outlook for the future. Thank you for your transparency.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      hope it helps :)

  • @bettysmith4527
    @bettysmith4527 3 หลายเดือนก่อน +6

    Take a deep breath and remember three things; 1) someone else has made a much worse mistake than you. 2). No one died from your mistake (providing that is the case of course). 3) If someone does die from your mistake, cry about it, be sad for a few days, but have the ability to do some self reflection, learn from it and move on!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you :)

  • @JoseBarrios-bn7nx
    @JoseBarrios-bn7nx 3 หลายเดือนก่อน +1

    Hang in there Andy it will pass. I remember those days long ago feeling so lost. I will never forget my PGY2 supervising resident tell me after my first day; “congratulations, at least you didn’t kill anyone!!

  • @hiswayservicesblog9288
    @hiswayservicesblog9288 3 หลายเดือนก่อน +1

    You obviously care deeply about this line of work. You want to be the best you can be. That's going to make you a great doctor. I'm sorry the first steps are so rough. But whatever you do, please don't give up! Hope you are able to get some peace of mind...and rest!

  • @zuza741
    @zuza741 3 หลายเดือนก่อน

    Exactly, you cannot be the best on day 1! Good luck on your next rotations:)

  • @mycozyelements
    @mycozyelements 3 หลายเดือนก่อน +1

    I left medical school last year during my second year. Wish you all the best.

  • @CarolR-q9w
    @CarolR-q9w 3 หลายเดือนก่อน +3

    You're human. Tears can heal. Great video.

  • @isabellacontolini4172
    @isabellacontolini4172 3 หลายเดือนก่อน

    So glad you posted this now. I am finishing my first rotation of third year, and I know it's not on the same level but I have been struggling with everything that was on your list this month. (Except the first three, cause my hours were pretty chill, that God). It's good to know that I'm not alone. And that while it certainly isn't going to get any easier, maybe I'll be a little bit more prepared for it the next time around. Off to make my own list now.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      first rotation of third year had for sure the same emotions. it comes with time and the cycle repeats. but you come out on the other side so much better

  • @erickamontanafitness6204
    @erickamontanafitness6204 3 วันที่ผ่านมา

    appreciate you keeping it real Andy!!

  • @MissVee2024
    @MissVee2024 3 หลายเดือนก่อน

    I’m glad you are doing better and are forcing yourself to take time out even if it’s only for a hour or so. Great vlog.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      thank you :)

  • @irenicrose
    @irenicrose 3 หลายเดือนก่อน

    This makes me realize that me facing failure as a premed might not be a bad thing. I've had to learn to be ok with not being perfect, which is hard when you're surrounded by people who take 18 credits and have a 4.1 GPA. Learning not to compare myself and know that I'm trying, and also learning to ask for help, has been key for me. I would even say that just like what you said about frustration, that asking for help when you need it shows that you care about doing well.
    Also, the PAs/NPs/Nurses are a great resource. My mom is a CNM that worked at a high level teaching hospital and she was very supportive of residents and helping them out when they needed it. Shoutout to the PAs that are doing that for you :)

  • @betterdanash
    @betterdanash 3 หลายเดือนก่อน

    First year radiology resident here- really feeling the intro! Rooting for you!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      for you it's radiology appreciation year

  • @feastybeasties
    @feastybeasties 3 หลายเดือนก่อน

    Im an intern too and this video was everything. 💜 this too shall pass

  • @melindabell2005
    @melindabell2005 3 หลายเดือนก่อน +2

    As a cancer patient with multiple surgeries this is concerning. I'd want you all fed and rested.
    I hope it gets better for you.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      definitely has gotten better, but this is how we learn. just appreciate the residents that try not to show the fatigue because they want to care so deeply for you

  • @michaelscott33
    @michaelscott33 3 หลายเดือนก่อน +16

    I don’t know your background and I don’t want to act like I know how you’re feeling in this position, but I do have some experience as an intern and resident who completed training at a top 10 institution.
    Being an intern is incredibly easy. I know, shocker for me to say, right? Not at all. My background is a little different than most people, so it’s probably not fair to compare directly across the field. However, being an intern is probably the easiest year in residency. Are you going to work more hours? Absolutely, why wouldn’t you? The people above you have earned their position and now it’s your turn to take the pager and write the notes. It sucks, no one says it’s going to be glorious and fun every single day. However, to beat yourself up over these things is going to prove pointless as you grow in your career. The expectations the attendings and residents have for incoming interns is incredibly low. They expect you to show up early, do what is asked of you, complete tasks on time, and follow through with your duties that have been assigned, as well as your studying upkeep. The rest of the experience is basically navigating a new environment, possibly a new EMR, new hospital, new people, new area, etc, all of which could be fun if you reframe it to be such.
    All I am trying to say is that I have watched intern after intern come into our program and try to destroy themselves emotionally and physically by trying to be perfect. Please, don’t be that person. Not only does it cause you anxiety and stress, but it is obvious to the other physicians what is going on and it doesn’t look great. What I’ve witnessed while watching successful interns navigate residency is this - they have a great attitude, always willing to learn and be a part of the discussion, ask to help out, perform their duties without trying to take shortcuts, and be dependable.
    While I agree that there is a time and place where crying is okay, I don’t think it should be occurring often. This should be a happy time in your career and life.
    Lastly, no matter what institution you train at, everyone knows that if you’re an “outsider” rotating through surgery, then you can expect to get 💩 on. Surgery residents are trying for EVERY opportunity to get into the OR, especially at top institutions where top physicians are operating and there are fellows and upper level residents continuously taking the cases. Therefore, any time they can pawn off busy work on the outsider/intern, you’re guaranteed for it to happen. No other specialty is like this, but you just have to get used to it.
    Best of luck to you, my friend.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +6

      thank you for taking the time with the comment. definitely hear you and it most certainly got better and much more fun as the rotation went. the company around me were a huge source of support even when it was noticeable when i was kicking myself a bit for making mistakes. first rotation jitters but such an incredible support system to learn those lessons without feeling like the end of the world

  • @goldstandardaviation1667
    @goldstandardaviation1667 หลายเดือนก่อน +1

    What do you call a medical student who graduates last in their class? Doctor
    What do you call a resident who barely completes the program? Doctor
    Relax and go with the flow bro...

  • @brunerguy1
    @brunerguy1 3 หลายเดือนก่อน

    Andy…I keep thinking that, were I someday to be your patient, I'd be trusting you completely. Chill! You are learning so much and all of your future patients will be the beneficiaries.

  • @leannedumeny4273
    @leannedumeny4273 3 หลายเดือนก่อน

    100%. It's a constant pain of knowing what the standard is and what you feel like you know what should be known/done. Yet there is still a knowledge and logical gap that you can't figure out how to overcome. It makes things incredibly frustrating especially for overacheivers. There's also a ton of decision fatigue because everything is so new that even starting fluids causes a moment of fear.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      decision fatigue on overnight call when you're practically the only in house doc cross covering multiple services is the worst

  • @noradachille7795
    @noradachille7795 3 หลายเดือนก่อน +4

    So interesting to compare your surgery rotation to Shaun’s.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +9

      lol i've talked to him about that. that's the difference between a community center and academic center surgery rotation

  • @toddhillberry4948
    @toddhillberry4948 3 หลายเดือนก่อน +1

    Andy, I have been watching your videos for quite a while and have really enjoyed them. My daughter starts med school tomorrow and your videos have help me understand what she will be facing. Thank you. Also, I have to ask, what does the ND mean?

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      Andy, but say it like a 2 year old and drop the "A"

  • @robertalbano2025
    @robertalbano2025 3 หลายเดือนก่อน

    Hi Andy love your residency vlogs. How fortunate some people never get through med school let alone residency. I guess you already ordered your Tesla? lol. I’m Robert in Florida!

  • @Uromastyxfanatics
    @Uromastyxfanatics 3 หลายเดือนก่อน

    hell ya bro you got this!!!

  • @reddbendd
    @reddbendd 3 หลายเดือนก่อน +1

    If you didn’t start studying medicine (your specialty specifically) before you were 18 for fun, and then continue that on until actually practicing it, 10 or 12 or however many years later, it probably won’t be easy.
    It probably won’t be just a quick review for you. If you haven’t already shadowed for thousands of hours. If you haven’t already taken the board exams for fun. Definitely gonna be hard.

  • @denovo3949
    @denovo3949 3 หลายเดือนก่อน

    keep going!

  • @leulzelelew8427
    @leulzelelew8427 3 หลายเดือนก่อน +3

    My first time being this early to a post.

  • @davidlakhter
    @davidlakhter 3 หลายเดือนก่อน

    you're gonna do great!

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      thank you :)

  • @LorensEnglish-we4sq
    @LorensEnglish-we4sq 3 หลายเดือนก่อน

    What a Wonderfull video.

  • @Cattaaliyah
    @Cattaaliyah 3 หลายเดือนก่อน

    Realist thing ever

  • @FH-nw9ts
    @FH-nw9ts 3 หลายเดือนก่อน

    Focus on your own progress and on your goals, remember you want to be a pediatric anesthesiologist not a surgical oncologist.
    Anesthesiologist don’t have to write a discharge summary, hence don’t over stress about not being able to finish it properly!

  • @joshuae.insler3040
    @joshuae.insler3040 3 หลายเดือนก่อน

    Proud of you bro💪

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      🫡

  • @mekemeke8497
    @mekemeke8497 3 หลายเดือนก่อน

    There are seasoned doctors still figuring it out. And, there are patients who are misdiagnosed as a result. So, you should really give yourself grace.

  • @YonexCC
    @YonexCC 3 หลายเดือนก่อน +4

    I remember my new grad RN program back in the day. The first few weeks were additional didactic, certifications, etc, the easy stuff. Everyone would come in smiling, happy, preppy, wearing all those girly stuff. Then, when we actually started on the floor, it went 180. As great as nursing was/is promoted, you really don't know how hard it is until you try. Residency is x100000 harder than nursing for sure and a in a different way, but I feel for ya brother. You'll get through it. Love these sit downs, hope to see more and maybe vlogs or day in a life stuff!

    • @xJawsQuickScoper
      @xJawsQuickScoper 3 หลายเดือนก่อน

      Would you say nursing is a good career? Looking into it

    • @YonexCC
      @YonexCC 3 หลายเดือนก่อน +1

      @@xJawsQuickScoper always! But also know that although medicine and nursing can overlap they are very different

    • @xJawsQuickScoper
      @xJawsQuickScoper 3 หลายเดือนก่อน

      @@YonexCC thanks! Can you elaborate a bit more on what you mean?

    • @YonexCC
      @YonexCC 3 หลายเดือนก่อน +1

      @@xJawsQuickScoper medicine focuses more on the diagnosing and treatment while nursing focuses more on the hands on aspect of caring for the patients and facilitating/carrying out those treatment plans. But also they overlap at times. It's way more complex than this but that's probably the best way to describe it.
      If you're wanting a more narrow view, MD diagnose, treat, prescribe and evaluate, while nurses provide the caring aspect and carrying out the MD orders

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      thank you so much for your kind words :) we all go through it in every field. lots of learning that can only be done on the job

  • @nusaman
    @nusaman 3 หลายเดือนก่อน +7

    How did the categorical surgical intern know all this stuff? It’s not like he had any different training than you prior to intern year.

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +3

      he had different sub-I's and focuses during last year of medical school. just like i did extra rotations in anesthesia, he did extra rotations in different surgery services. we each have our own extra expertise to bring to the table depending on how you curated your learning and interests before graduation

  • @rookietastic
    @rookietastic 3 หลายเดือนก่อน

    They weren't kidding when they say nothing prepares you for residency. New ortho PGY-1 and my weight is flying off lmao

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      oof im sure backpacking lead on you during multiple cases certainly doesn't help. i remember my sub I and ortho rotations, you guys are a different breed

  • @allisonSTOCKDALE107
    @allisonSTOCKDALE107 3 หลายเดือนก่อน

    new bag/locker tour soon?

  • @babyyoda8195
    @babyyoda8195 3 หลายเดือนก่อน +2

    NGL. We didn't treat off service interns the same as the surgical interns

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      yes, maybe the expectations for doing pre-ops and op notes are different because of our lack of experience, however typical intern duties and floor work are no different for off service vs on service interns

    • @babyyoda8195
      @babyyoda8195 3 หลายเดือนก่อน

      @@NDMD Yeah, the day-to-day intern duties are the same. We did appreciate the off service interns as they gave us a different perspective of medicine

  • @VegetarianTrex
    @VegetarianTrex 3 หลายเดือนก่อน

    Even the hardest days only last 24 hours.

  • @humbelanindou1805
    @humbelanindou1805 3 หลายเดือนก่อน

    Hello. Don't they give you food in ur first year of residency as part of the incentive?

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +2

      some free food on the meal card but it is not unlimited

  • @jakesolar-bassett6619
    @jakesolar-bassett6619 3 หลายเดือนก่อน

    What are your thoughts on medical cannabis?

  • @allisonSTOCKDALE107
    @allisonSTOCKDALE107 3 หลายเดือนก่อน

    why were you on the other side of the drape?

    • @NDMD
      @NDMD  3 หลายเดือนก่อน

      we all rotate through surgery during intern year

    • @allisonSTOCKDALE107
      @allisonSTOCKDALE107 3 หลายเดือนก่อน

      I thought this was an anesthesia residency? Do you still do rotations in internship?

  • @hotairjordan5699
    @hotairjordan5699 3 หลายเดือนก่อน +1

    Do you mind making a day in the life of a anesthesiology intern

    • @NDMD
      @NDMD  3 หลายเดือนก่อน +1

      coming soon

  • @LynxNYC
    @LynxNYC 3 หลายเดือนก่อน +4

    You're right lol you're not doing anything right... Here is some advice. I was in the Military. Went through Boot Camp and Infantry School. When I got to my unit, I was humbled REALLY QUICK! I thought I learned a lot but I didn't learn SHIT! I was the new guy. First 2 years, I just kept my mouth shut and just listened and did what I was told. Take that as advice! lol

    • @bettysmith4527
      @bettysmith4527 3 หลายเดือนก่อน +2

      This isn't the military, this is his residency to LEARN HOW TO BE A DOCTOR, this IS the time to ask as many questions as possible and do as much hands on learning as possible.

    • @CarolR-q9w
      @CarolR-q9w 3 หลายเดือนก่อน

      @@bettysmith4527 👍

    • @LynxNYC
      @LynxNYC 3 หลายเดือนก่อน +2

      @@bettysmith4527 Yeah I agree... But my point is... He shouldn't stress the fact that he doesn't know anything... This is what residency is all about. He will get it and be a fine Doctor.