Monday, December 7, 2015

It's That Time of the Semester...

Finals are here again and I view that fact with dread and enjoyment.  It is still finals week and we have one final every day this week (starting tomorrow) with the last one on Monday, so it isn't going to be full of fun and good times.  However, this is the last full week of regular final exams I will ever have.  Of course we will have exams spread out throughout next year and the boards, but never more than one in a week.  That will be a VERY nice change.  The schedule for finals this week will be Med Lab Management (50 multiple choice questions), Microbiology on Wednesday (50 multiple choice questions), Physiology on Thursday (one 36 question exam on respiratory and an additional cumulative 50 question exam), Microanatomy on Friday, and Advanced Surgical Pathology Techniques on Monday.  I'm not exactly sure on the amount of questions on the last two exams, but they will be the same format as we have had all year in those courses.

Other than finals, we had our White Coat Ceremony last Friday, December 4.  This was a celebration of the ending of our didactic (classroom) portion of the program and the beginning of our clinical year.  It is such an accomplishment to make it through the strenuous coursework we have experienced these past 12 months.  We now have the opportunity to apply everything we've learned in the next year of rotations.  This is a nice little photograph of the WVU Pathologists' Assistant Class of 2016.
Since the holiday season is upon us, this will be my last post until I start my first rotation in Los Angeles on January 4.  Happy Holidays everyone! :)

Thursday, November 19, 2015

It's All Too Real

The thought of only two weeks of classwork and finals after our nice long Thanksgiving Break starting tomorrow is both a relief and nerve wrecking at the same time.  It's a relief because I can't take the sight of another textbook or sitting through another two hour for a while, but it's also nerve wrecking because I'm about to apply everything I've learned over the past year as well as learning so much more for 40 hours a week for my clinical year.  "Real life" is about to smack me in the face and while it is scary, I'm excited as well.  I can't tell you how long I've waited to really do all the hands-on work other than the smaller specimens I've been able to do in the gross room at Ruby.  Since you have an idea of how I can't believe I'm reaching this point in life, I might as well give an update about life in the program over the past few weeks. :)

Since my last post, we have had a test in Physiology on the GI tract, which was composed of 44 multiple choice questions.  It was definitely the most difficult test we've had in this class over the semester and I'm happy to say that madness is over.  As for other classes, we had a test in Microanatomy on bone and soft tissue, GI, female reproductive system, and endocrine pathologic processes.  This test was 36 multiple choice questions that had correlating slides and based off both components, you selected an answer.  Finally, we had our frozen sectioning practical last weekend.  If you aren't sure what that is, I can give you an idea.  When in the gross room, you can get what are called intraoperative consultations, which is when a surgeon will send tissue from the OR for immediate evaluation.  This evaluation can be for margins to make sure all of the tumor had been removed from the patient or just to make sure they are in the right spot in the body.  These are all about patient care and making sure that all tumor, lymph nodes, etc. have been removed from the body while the patient is still in surgery.  When the PA receives it in the gross room, we have 20 minutes to get the specimen cut, slides made, a pathologists' decision, and the OR called with that decision.  It needs to be a quick and efficient process so that the patient is taken care of properly.  The specimen is cut using a Cryostat microtome, which cuts the tissue in 5 micron increments so they can be put on a glass slide and put through an H&E staining process.  For our practical in particular, we had 10 minutes from the time we received the specimen (it was all staged by the way) to the time the slides had been cover-slipped.  We were graded based on how well we evaluated the specimen and the container/requisite that was received, time, technique, and the overall appearance of the slide.  The slide needed to free of any tissue folds and air bubbles.  It was all about the quality of the work we submitted to the pathologists so they could make the best "diagnosis" possible.

Other than the tests and practical, we also had our clinical orientation in Pittsburgh for the UPMC hospitals so we could learn about the CoPath System they use in the gross room and how we navigate it so that we are as efficient as possible when we step up to the bench on our first day.  We are halfway through our PA school adventure and the fun is only about to begin!

Thursday, October 29, 2015

Our Fates have Been Determined


I looked at my calendar today and almost couldn't believe that I only have a little over a month before our White Coat Ceremony on December 4.  It is the end of October and my first year of grad school is coming to an end.  It's bittersweet, but I've learned so much this year in regards to the human body, disease pathology, and how we handle the specimens in the gross room and autopsy suite.  There is so much more learning to come in the next year.  We had the pleasure of getting our schedules this week for our clinical year and I'm excited and nervous all at the time same time.  My schedule is looking a little like this:

   
Rotation Date
Hospital Site
Location
January 4-February 12
LA Path MD Labs
Los Angeles, CA
February 15-March 25
Presbyterian Autopsy
Pittsburgh, PA
March 28-May 6
Shadyside
Pittsburgh, PA
May 9-May 27
Ruby Autopsy
Morgantown, WV
May 30-June 17
UPMC Childrens
Pittsburgh, PA
June 20-July 29
Ruby Surgical
Morgantown, WV
August 1-September 9
Butler
Butler, PA
September 12- October 21
Thomas Memorial
Charleston, WV
October 24-December 16
Conemaugh
Johnstown, PA

I'm beyond excited to begin my year in California just because I get to avoid some of the cold and dreary winter weather that West Virginia has in store.  It will also give me a chance to live in a part of the country I've never been to before while developing and improving my skills in the gross room.  Plus, I may just end up loving it out there and decide that is where I'd like to live once I graduate. Overall, I was pleased with the sites that had been chosen for clinical year and although I'm nervous about diving into the gross room everyday with a variety of specimens, I'm also excited about all the new experiences and places I get to go to.  The only part that isn't as appealing is having to move around so much, but it's only for a year.

Since you may or may not know how the clinical year works, I'll cover some of the high points.  Some of the rotation sites, such as LA Path MD Labs, Conemaugh, and Thomas Memorial provide housing on site so all you have to worry about is food, gas, and any other personal living expenses you may have.  The LA rotation will also pay for your roundtrip plane ticket.  As for the rotations in Pittsburgh and Morgantown, you'll have to pay for your housing expenses.  This is where your classmates will come in handy.  We have been working together to find an apartment in Pittsburgh and Morgantown that we can share and pay rent while we are in the area at that time.  All in all, about half the year is paid for when it comes living expenses, but you are still paying regular tuition through WVU.  With the clinical rotations, it's just like you are going to be working a full time job and the only days you get off is any holiday that is recognized by the lab.  In addition to rotations, we will take a test at the end of every month based on what we have learned all this year plus newer information from books that are recommended by ASCP for the board exam.  You won't only be working, but studying and keeping on top of everything we've learned so we can pass the board exam when we graduate. 

As for school, it has been busy as usual with tests here and there in all of our classes.  We had a test in Advanced Surgical and Autopsy Techniques that covered male and female reproductive tracts and the genitourinary system as well as a test in Med Lab Management.  The format of the tests were the same as they had been previously, so there haven't been any changes there.  We will continue with a test tomorrow in Physiology that covers the endocrine system and then a test on Monday in Microbiology that covers a variety of bacteria/viruses and the diseases they cause throughout the body.  As always, I have plenty of studying to do and I just can't control my excitement! 

Oh and since one of my favorite holidays is this weekend...Happy Halloween!

Sunday, October 11, 2015

Fall Break is Here

We are about halfway through the fall semester and what a better time to have a nice long weekend to relax our minds and prepare for the latter half of the semester.  Over the past few weeks, we have been challenged with multiple tests each week in our classes.  We've had two tests since the last time I posted in Physiology that have covered the CNS and Skeletal, Heart, and Smooth Muscle.  The CNS test was composed of 44 questions and Muscle test was composed of 20 questions.  They were both the same format of multiple choice and true and false questions.  I didn't think either test was extremely difficult, there was just a lot of material for such few questions.  It's all a matter of picking out the material that the professors stress the most and making sure you understand the material and not just memorizing it.

Other than Physiology, we have had two tests in Microbiology as well.  As I've mentioned before, the tests for this class are 50 questions and we have 50 minutes to take it.  All of the questions are multiple choice.  The first exam covered Immunology and it can be a confusing subject, especially if you've never taken an immunology class before.  Luckily, we have covered immunology to some extent throughout the whole year, so when we got to Microbiology and were going into it in more depth, it was beneficial to have that foundation.  The second test covered a lot of subject areas to include bacterial structure, genetics, and identification to fungi and viruses.  This test was a little more difficult than the first mainly due to the fact that it covered a broad area of organisms.  We also had a lot of different lecturers for each section and it's hard to adapt to how and what type of questions they may ask when you've never had them before, but aside from that I didn't think it was terrible and the information was a lot more interesting than the first section.

We've also been going strong in Advanced Microanatomy and we've also had two tests in that class since the last time I've posted.  The first test covered normal microanatomy, skin pathology, and kidney and bladder pathology while the second test covered abnormal pathology of the lung, head and neck, heme, and lymphatic circulations.  The first test had 36 questions and the second had 24 questions, which were mostly multiple choice and some questions were aided with slides.  This class is all about finding a good balance between studying slides and knowing and understanding information about each disease or lesion in order to be able to know what to look for on a slide and the differences from one disease to another.  I must say I've enjoyed this advanced class better than the one we had in the spring because it is more interesting in that we are able to see and learn about more complex pathologies.

Finally, we had our first test in Medical Laboratory Management, which was 50 multiple choice questions and this class has been very straight forward and to the point. The content isn't difficult, but it is very useful for the future if one is to be in a managerial position.  We also had our first test in Advanced Surgical Pathology that covered non-complex specimens, lung, head and neck, bone and soft tissue, skin, and gross photography.  As with Anatomical Techniques in the spring, the test was composed of multiple choice, fill in the blank, and short answer questions.  This class in particular involves having a deeper understanding of how to stage specimens, what is important about each specimen, and what various types of lesions will look like.  This class represents exactly what we will be doing in the gross room once our clinical year begins.

As you can see, we have been quite busy over the last month and it's not about to end any time soon.  We still have a good two months left before the end of the semester and then we get a little bit of a break before we start our clinical rotations on January 4.  Hopefully, we will be getting our schedules soon and when I do, I will post it to give you an idea of what my second year will be looking like.  As for more important matters (in my mind they are), I'm a huge Chicago Cubs fan and it makes me extremely happy that they are in the postseason.  They're currently in a heated series with our rival, the St. Louis Cardinals which is tied up 1-1 and we play again tomorrow, October 12 at the historic Wrigley Field in Chicago.  My mood for the rest of October will be dependent on watching them play and hopefully seeing them go all the way....it's been long enough, so hopefully we won't have to go to 108 years without a World Series title. Go Cubs!!

Tuesday, September 8, 2015

Moving Right Along

We are officially three weeks into our fall semester and let's just say, it has been super busy.  The days are much longer compared to the summer and campus is crazier as well.  I miss the quiet days of the summer when we were able to find parking spots easily and could get through HSC without running into people, but that's what happens when you go to a large university.  As for classes, they require a lot of work to just keep up with all of the material in each course, which seems to  have become the norm.  The most demanding classes so far have been Physiology and Microbiology, primarily because we have 4-5 one hour lectures every week.  The only perk is that the professors use Camtasia to post their lectures online so we can listen to them a second time or go back to a specific concept we may need to go over again for clarification.  Up to this point, we have only had one test, which was in Physiology.  The test itself wasn't too bad and we actually got to take it on paper, which I enjoyed because I was able to write all over it.  It consisted of multiple choice and true and false questions, so nothing out of the ordinary.  Our next test is in Microbiology on Friday, September 11 and it will be comprised of 50 multiple choice questions and we only have 50 minutes to take it, so that is a little daunting.

Other than the demands of classes, WVU Mountaineer football opened up last weekend against Georgia Southern and it was a great time getting to go to the game.  I didn't have the opportunity in undergrad to attend football games since our school didn't have football, so it's nice to get the experience now!  Go Mountaineers!  

Monday, August 17, 2015

If Only Summer Could Last Forever...

The two week break we had was much needed, but not quite long enough in my opinion.  We started classes today and I can already tell it is going to be a very busy semester.  However, it can't be much worse than the two semesters we have already completed up to this point.  Our schedule is pretty demanding with 17 credit hours and each week looks a little like this:

PATHOLOGISTS’ ASSISTANT SCHEDULE
FALL 2015 (8/17/15 – 12/11/15)
First Year Students


TIME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
8:00




PHYSIOLOGY 743
8:30




3084
9:00
       PATH 693


PATH 648

9:30
ADVANCED

GROSS ROOM
SURGICAL AND

10:00
MICROANATOMY

(AM SESSION)
AUTOPSY PATH
MICRO 702
10:30
2149


7608
G17
11:00
MICRO 702
MTEC 465

MTEC 465

11:30
G17
2157

2157

12:00


PHYSIOLOGY 743


12:30


3084


1:00
PHYSIOLOGY 743

PHYSIOLOGY 743
MICRO 702
PHYSIOLOGY 743
1:30
G17

G17
G17
G17
2:00

MICRO 702

MICRO 702

2:30





3:00

GROSS ROOM
GROSS ROOM
GROSS ROOM
GROSS ROOM
3:30


(PM SESSION)


4:00





4:30





5:00





5:30






Just to clarify, we are on a schedule for gross room and have four rotations throughout the semester.  It isn't as daunting as it looks on the schedule, but with the course load, we will have very little free time.  To elaborate more on the classes we are taking, PATH 693 is Advanced Microanatomy, which will go over how pathologic processes affect various tissues and how the tissues differ histologically from a normal specimen.  MICRO 702 is Microbiology and we are taking it with the dentistry students, so we have a little bit of a bigger class than just our normal 16.  Physiology 743 is exactly what it says it is, physiology.  We are also taking this class with an auditorium full of other graduate students, which is hands down one of the largest classes I've taken in my undergraduate and now graduate career.  MTEC 465 is Medical Laboratory Management and finally, PATH 648 is Surgical and Autopsy Pathology, which expands on the Anatomical Techniques we took in the spring.  It'll be a nice review before we are released to our rotation sites starting in January.

Of course I am excited about classes, but even more excited about football season starting soon.  I always have to think of all the fun things I can do to distract my mind from the craziness of school.  The undergrad school I went to didn't have football, so I missed out on that experience and I'm glad I have the opportunity now to make up for it! Let's Go Mountaineers!