Wednesday, May 28, 2014

Reflections on the First Year (9/30)


     I'm done with my first year of PA school.  It's been almost four weeks since my last final exam and that statement still doesn't seem quite real. It is though. The grades are in, the classes are passed, and I have just over three glorious months of break before the insanity starts again. I will admit though, as my classmates and I gathered for a Field Day after our last exam, some of us were already talking about how we'd be fine with the next semester starting right away, or after just a week break. Maybe we're gluttons for punishment, or maybe we're just so in the studying zone now. Either way, as much as I'd be up for going right back at it, it is nice to be able to have free time after work and be able to plan fun activities with friends and family again. And to read! To simply sit in a park with a book that's for purely pleasure reading... that's just lovely. 

     So now that I've had some time to rest and recover, I figured it might be a good idea to gather some of my thoughts over this crazy first year. Here are the top three:

Pharmacology
     Oh Pharmacology... This class was definitely the bane of my existence first term, and I'm not sure it ever got much easier (though the professors certainly responded to constructive criticism and worked to improve things second semester), but it was all worth it. I actually really liked everything we learned, and now that I have time to go back over everything again, it's a lot more enjoyable and I feel like I can finally understand some things I missed before. As tricky as it could be, I really appreciated that a lot of things about pharmacology makes sense. To give a fairly simplified example, when someone's thyroid isn't producing as much thyroid hormone as it should, it makes sense that the treatment would be to give a replacement hormone. It also makes sense that, when using hormone replacement, one would need to watch for the adverse effects associated with too much thyroid hormone, because each person's body will respond differently to the treatment. A dose that restores one person's hormone levels to normal may be too much or not enough for another person. Of course, there are always those side effects that don't quite make sense, and it seemed like the answer to a lot of our questions was "yes and no," but for the most part, pharmacology is fairly logical and I appreciate that. I'm also excited to finally start learning how to use it practically when we go over therapeutics next year. 

Another good thing about Pharm: it gave me an excuse to study with friends and this lovely view.

Gross Anatomy 
     I should begin by saying that the "gross" part of the class title just means we looked at the body on a large scale rather than at a cellular level, and not that the lab was gross, though it had it's moments. 
     Anatomy was a tough class and there's no way to get around that fact. From muscles to nerves to arteries to organs, there were usually quite literally hundreds of new terms to learn for each sectional exam, and we sometimes only had a day or two to learn the 50-100 newest terms from the last lecture before the exam. Plus, for each section we had two exams, a written and a practical, so it was a bit of a double whammy. I loved it though. It's so interesting to see exactly how things fit together, and how one person varies from the next. Also, at the risk of sounding creepy, there really is an art to dissection. Some people just did their dissections as quickly as possible so they could leave, but when someone took the time to really clean and define their structures, it could truly be a beautiful thing. 
    There are some things I think you can only really learn in anatomy lab. For instance, you learn that part of the reason why having extra fat around your abdomen is considered worse than extra fat elsewhere, is because the extra fat begins to compress the organs there as it has nowhere else to go. When you can actually see how that looks and what it does to the the organs, it certainly makes you reconsider that cheeseburger. Also, few things will encourage you to exercise and stay healthy more than doing a dissection and having to cut through literally inches of fat just to get to the muscles and organs below. It's disgusting. I also enjoyed the mystery aspect of lab. We didn't know how our donors had died until the end of the semester, so anatomy lab became a bit like solving nine mysteries. We also didn't know the names of our donors, just where they were located in the lab, so once the course was finished and the causes of death were announced, one of the girls made the picture to the right so we could see if we'd guessed correctly. Some had been fairly easy to figure out (a hypertrophied heart was a good hint that cardiac arrest would be cause of death, and the cirrhosis of the liver was rather extreme), but others took us by surprise (one donor with lung cancer had also seemed to have trauma to the brain, which is what we initially thought had caused her death). I'm so grateful to the donors and their families for giving us this chance to learn and further develop our understanding of the human body and how it is affected by disease. It was an extraordinary gift. 

My Peers
Future PAs in RI
     Alright, so this isn't a class, but I have spent so much of this last year surrounded by the other 100 people in my program and I am so thankful for them. We've sat through every class together, spending anywhere from 2 to 8 hours each day learning from our professors and each other. While it could be a bit tricky for me at times to get to know people since I don't live in the city and we only get 10 minutes to talk between classes, I have been very lucky to become friends with so truly wonderful people. They've made me laugh, clarified difficult topics, and encouraged me to keep studying and working hard, all while helping make it worthwhile. It was so nice to have a field day after our last final and just spend time together hanging out and having fun without the pressure of another exam or assignment. I'll miss them this summer, though luckily quite a few are still in the area and I'll be able to see them before classes resume. In fact, just last week I visited lovely Newport, RI with some of my favorite girls. Simply smashing. 

After our last final
     So now that it's summer, it's pretty much time for me to catch up on everything I haven't been able to do (or at least not as much as I'd like to do) during the semester. My first day without school, studying or work this meant spending 5 hours cleaning the apartment and figuring out Netflix. Now that I'm back from visiting Kentucky for my sister and brother in-law's graduation, that means working more, but also reading a bunch of books (I'm taking suggestions), going hiking and camping (I found brand new gear on Craiglist for cheap!), training for a 5K, playing guitar (maybe this year I'll actually learn music theory), exploring more of New England, playing softball with my church, baking and cooking, visiting some museums (I just discovered the Peabody Essex Museum is free for Salem residents!), trying out new places to eat around the Salem area, and, of course, doing all these fun things with friends and family. Hopefully Ill even be able to put up some of the posts I've been working on forever (like tips for interviews, selecting a PA program, and saving money in grad school), so stay posted. Finally, from all my classmates to you: