Wednesday, June 20, 2018

career: timeline, and a new beginning

2004: Second year medical student.

2005: Scientist in training (yeah, that one didn't pan out so well).

2007: BRAND NEW intern :) (first rotation = regional hospital NICU)

2008: call haikus.

2008, again: PICU misery

2010: Fellowship bag inventory

2013: Attendinghood!  (I still have the stapler pictured in this post and I still love it!)

2016: Accepted position as Associate Program Director for pediatric residency

2017: Reduced work schedule to 80% time

2018:  RESIDENTS START!
Summary of my work schedule / mix:

- 5 half-day clinics (~55% of the usual 9 at our institution) - one full day of patients, 3 half-days of patents most weeks.  Many of these days I will be paired with a resident so the day will be spent seeing patients but also teaching mixed in there.

My patient mix - still lots of growth, diabetes, transgender/gender-nonconforming, PCOS, thyroid, smattering of other things.  Pet project: we are working on building a more comprehensive gender clinic with multiple disciplines (mental health provider, adolescent med, endo) this fall.

- 2 half-days of GME work (increased from 1, beginning in July!) - meetings, prepping of educational materials, planning didactics, giving talks to residents, wrangling encouraging faculty.  Perhaps some research (small GME-related projects) in there if possible . . .

- 1 half-day of admin (clinical catchup, GME/student overflow, planning)

- 1 full day OFF each week (kid activities, podcast, me time, a day to sleep in :) )

- 1/6 call (we are adding another provider!)

WHEW.  I have definitely come a long way!  And I have no idea what will come next.  I could see myself becoming Program Director (rather than Associate, which is like 2nd in command) someday, or working with fellows if we were ever to move somewhere (we're talking long term, here!).  I also would love to be a division leader someday, when the kids are much older.  I'd looooove to take even less call (particularly the overnight phone calls) . . . but that is probably unrealistic, unless we move to a big academic center.  I have learned that I do like doing a number of different things -- 100% clinical isn't quite the answer for me.

Today our residents begin after over 2 years of prep work, and I am really excited to enter into this next phase.  Here we go!!!




Friday, June 15, 2018

catchup / some Friday faves

I feel somewhat caught up with life for the first time in . . . approximately 3 months!

IT FEELS GOOD.

This is not to say I don't have numerous projects out there floating in some state of undone.  But at least I:

- know what they all are
- know where my hard deadlines are
- feel like there is a reasonable chance of getting things done within an acceptable time frame

I have just two charts to complete today, and essentially the entire day to focus on residency prep (very important because they arrive next week!).  I'm really excited to have a bit more time (an extra half day per week) to devote to this side of my job starting in July, as it has become clear to me that I need it.

I also have been working out regularly, eating reasonably, going to bed early, and flossing.  Josh AND I are off (no call) for the next two weekends!  Everything is feeling manageable and downright enjoyable.

PS: My Erin Condren planner pivot has been working out well for me.  A switch to a weekly (vs daily) view may be a permanent change for me - we'll see.  I seem to be able to fit in everything I need.  I do miss the journaling aspect, but nothing is stopping me from keeping a separate journal.  OH - and I've been tracking my time this week!   Perhaps more on that later.

(Now how do I bottle these feelings up and make them last?)

Current obsessions:

1) Father John Misty's new album God's Favorite Customer.  Yes, he (Josh Tillman) is a weird person.  But I find him to be fascinating and this new album is also melodically addicting for me.



2) Then She Was Gone by Lisa Jewell.  I'm halfway through.  I literally cannot WAIT to pump today (while reading) because I am so obsessed with this book.  I feel like I figured out the big punchline halfway though but I sense there will be twists.  Excellent summer read (think - Girl on the Train type of book)


3) I am not someone typically obsessed with smells but my coworker had a diffuser on her desk with this scent and I literally went straight to order my own product in the same smell (I picked shower gel - practical :) ).

4) Our new baby monitor has two handsets, one that goes upstairs and one downstairs.  We are like the only family NOT to use a video monitor (Josh was firmly against for some reason) and I have to say . . .it's pretty convenient not to have to bring them up/down the stairs.


Aaaaaand with that, I am going to attempt the Plyo Fix for the first time.  (Wish me luck.)

Edited:  OMG that was hard.  Quads on fire.  HARDER than total body cardio / cardio!  Had to modify/slow it down.  But I do like having something to work up to.

Tuesday, June 12, 2018

Q3: SUMMER

I divided 2018 into Quintiles, which felt slightly ridiculous (and fussy) at the time.  But it's working for me.

Most importantly, Q2 is over!  Q2 was my Fifth Trimester -- those 3 months back at work after maternity leave.  And it really was rough.  I am wondering if sometimes I am coming off as disingenuous on this blog because lately my pattern has been:

- happy post
- happy post
- utter despair
- happy post

However, I will assure you that my feelings are real on any given morning that I can throw a post up here.  I will say that perhaps moods are weighted toward the extreme because I am more likely to post when feeling together OR terrible, so that may skew things a little.

But really, I think life with a new baby (or maybe just life in general?!) is a bit of a roller coaster.

Anyway!  I haven't been consistent with reporting my intentions or progress, but there is a podcast episode coming out later this month that delves into specifics.  Essentially though, Q2 was survival mode and not necessarily a lot of fun, even if many cute baby pix and memories were generated.  I did read a few books that I will post another day, though not anywhere close to what I plowed through in Q1 (January / February).  I got through the bare essentials of my job, though always felt behind.  I remained relatively active most weeks, but hadn't settled on a consistent routine until the end.  There was a lot of getting through, with a haze from sleep deprivation and (sadly) pumping-related stress.

Q3 though?  Q3 I am excited about!  As noted yesterday, those stressful issues have started to dissipate and I am feeling more like a functioning human again.  I can get at least 7 hours of sleep most nights by getting to bed early, and feel more motivated to put "extras" on the calendar.  It's SUMMER, which means no homework for A and long full days of camp for both big kids.  And we have our big trip, which is not going to be relaxing but hey -- I can guarantee memories will be made, one way or the other.


click to enlarge if desired

SO - here goes nothing!  Highlights of the above include:

- FLOSS.  
- Consistent workouts (Beachbody / running) + decent eating habits 
- GOING TO BED early most nights (key to survival still)
- Time tracking (attempting!) 
- Finish planning + execute excellent family vacay (Whistler / Seattle / Portland)
- Host a pool play date (already on calendar) - probably more than one
- Go to Flamingo Park pool 
- Get new sandals + t-shirts (need to do ASAP, mine are disasters and all stretched out at the necks from pulling down to nurse, agh!)
- Keep reading every day 
- Make dentist / eye / GP appts for fall
- Resume journaling (I really missed this post-G!)
- Embrace changes at work as our residency starts!  I've been excited about this for so long but became quite stress at the work increased (but my allotted time to deal with it didn't).  I have more time beginning July 1 and have so many exciting plans for our trainees.  I am ready to embrace the changes that will be happening to my work life, and will figure out how to make it work.  (I do think time tracking will be helpful here!)

Okay.  Workout time.  (This is what my setup looks like, in case anyone was curious!)


emojis optional


first day of camp!


trying to sit up out of her seat!