WEEK AS A DOCTOR IN CLINIC: How Many Hours? (Medical Resident Vlog)

Hey guys. I’m Siobhan, a first year medicine resident. Today is the first day of a new rotation and I’m actually on a block of clinics. Which means that rather than seeing patients who have been admitted to hospital, I get to see patients who are coming to clinic for subspecialist appointments. So every half day, so at morning and afternoon of the week I get to go to a different specialist’s office and see patients. So a specialist who is seeing patients for a heart problem or a lung problem, kidney problem. Just recently I did a video about how many hours I worked in the hospital. I figured that we could compare in this video how many hours we work in the clinic during a typical week. And to be honest I’ve never calculated it, so we’ll figure it out together. I’m guessing it may be less, but who knows…. We’ll see! It’s Monday morning 8 a.m. This morning I’m going to be in a hepatology clinic, so a clinic that specializes in liver problems. So we’ll see what that’s like and then this afternoon I’m in a gastro-enterology clinic. Lots of big words. So that means that it’s anything to do with the GI tract. Anywhere from the mouth, swallowing, esophagus, going to your stomach, down to the intestines, out the other end and all of that. It’s 8:45 now, I just got to the hospital. I know I said I wasn’t gonna be in the hospital, but these clinics are actually in the hospital. So I’m not doing inpatient medicine, but I’m still seeing patients in the hospital, just in the clinic. So new hospital, I just want to get there a little bit early and then meet my supervisor for the first time and then we’ll go over which patients I’ve got to be seeing, show me which room I’m going to be in and then I’ll read up about the patient a little bit before I go and see them. So you can see what one of these typical clinic rooms are like. A lot of you have probably been in doctors offices like this. The only difference is that we have some specialized posters up here, because this is about gastro-enterology, so you’re seeing colitis and different illnesses illustrated up here on the walls that you may not see in family doctor’s office, so there you go. This is where I work. Heading home now. Left the hospital around 4:00 p.m. So earliest I have left the hospital ever on inpatient, that’s for sure. And it was nice to get to see patients who are not as sick. Got to see some real success stories, like hepatitis C being completely cured, someone’s life being totally turned around by that, so pretty amazing. I still feel like there’s a lot I need to read about, because there are things that I don’t normally see in hospital, that I haven’t encountered. So I’m gonna go home and study, I’m motivated to do that. So it’s 7:00 p.m. now, I just finished working out and had some dinner. And it was so hard for me to pry myself away from watching tv. Yeah, I’m completely addicted to Stranger Things. I don’t know if you guys have seen it, but I’m on season 2. And I usually, you know, let myself watch some Netflix when I’m having dinner. And so I was watching and then the time just flew by I ended up watching two or one and a half episodes. Anyway, it is so good, but I’ve had to turn it off. It’s just so intense, I actually… Like my heart rate’s going up. Anyway, so my goal now is to do a little bit of reading and studying. So I love this book. It’s called ”Rheumatology Secrets”. So I’m in the middle of reading a chapter about rheumatoid arthritis, so my goal is to finish that tonight. And then I need to read a little bit about cardiac arrhythmia, so like when your heart does funny beats, because tomorrow morning I’m doing a clinic that specializes in cardiac arrhythmia, so you know I wanna do a refresher. It’s 8:50 now. Just heading up to the cardiology clinics in one of the hospitals. I was running late this morning, because I watched like three episodes a Stranger Things last night. It is so addictive and it’s so good. So anyway, I’m leaving for Halloween night, I’m leaving the last episode. So that’ll be for tonight, my reward. So here at cardiology clinic for today in the clinic room. Not as many posters as the gastro-enterology room, but it’s got exactly what you need. Just getting ready to see the first patient. So basically I pull out their file and start looking through the previous lab work they’ve had. If they’ve seen any other specialist I’d like to read through those notes and just have an idea in my mind before they even walk through the door what the issues are, what things I want to make sure I ask about, what I don’t want to miss, so it’s sort of like developing a game plan before they come in. I just finished up in the cardiology clinic, it’s 12:45 now. It was so interesting, I saw a lot of different variety; some young patients with genetic changes, older patients who needed peacemakers put in and now I’m just heading down to a different clinic. Luckily it’s in the same hospital and I’ll be going to an endocrinology clinic, so all the different hormones. Tomorrow. Morning guys. So it’s 7:45 this morning and I’m just heading out the door to a rheumatology clinic today, so rheumatology is basically the study of inflammation in the body and sometimes that inflammation is about arthritis and other times it’s inflammatory conditions throughout the body. So stuff you might have heard on like House M.D. like lupus. Some of those rare conditions we actually see in these clinics, so it’ll be an interesting day. And I was just reviewing some of the medications that they give, because they’re a bit more rare, expensive, really, really cool drugs like rituximab, hydrochloroquine. And one of the ones I always struggle with saying is adalimumab, adalimumab. Whenever I’m trying to say it to patients, I feel like it gets balled up in my mouth, adalimumab, adalimumab. Try to say that a whole bunch of times. So here is the clinic that I’m working at today. I like it because it’s really new and fresh colors. So you know, got the typical things. We can look in eyes and ears with this, you’ve got a regular table. Gowns are kept below here, this is to put sharps in, so needles. Got some good hand hygiene, so you can either wash your hands with soap and water or with Purell over here. Typical workstation right here, I can access all of the notes online. And then I usually get my patients to come sit over here, and of course we can draw the curtains, if anyone is coming in. So standard office, but I happen to really like this one, because it’s so new and fresh and it feels good in here. All right, so it’s about 5 p.m. now, just finished the day. This morning was in the rheumatology clinic and basically saw a lot of patients with rheumatoid arthritis and that means people have a lot of inflammation in their joints. And so I feel way more comfortable looking at their joints, figure out which ones need more medications. And then this afternoon all the internal medicine residents get together for our academic half-day. And basically we have a series of lectures, this time we had something called M&M. And I always think of like M&Ms, like little candies, but it’s actually morbidity and mortality rounds. so we look at a case that we can learn from and where things didn’t go well that we as doctors and healthcare professionals can do better. So in this case we were looking at cases where medication errors happened. So when someone comes into hospital and they don’t get the right medications or they don’t get the right dose and that’s considered a medical error. So we’re talking about ways to do better in our own hospitals and solutions for that, so super super useful topic. Anyway, now heading to a coffee shop just to study for a bit. I know if I go home that I’m doomed and I’ll probably sit on the couch and get no work done. So do a little bit of work first and then I’m meeting up with my internal medicine lady friends. And we’re having sort of a girls night, so it’ll be nice, so we’ll see… it will be a good night. Good morning guys, 8 o’clock now. Sorry it’s so loud, I’m on the street here. Normally I usually walk to work, especially when it’s a close by hospital. But today it’s raining, it’s so gross and I probably woke up a little bit too late, so I’m going to get myself an Uber, get to work. And I’ve got a hematology clinic starting at 8:30 in the morning. So that’s a specialty of all the issues that can happen in your blood. So do you clot too quickly? You bleed too much? Could it be a cancer? That kind of thing, so it’ll be a different type of clinic. So it’s now 12:30, I just finished up with my hematology clinic. So here’s the room today. As you can see, it’s all pretty similar. This is just a little bit smaller, same deal though. You know everything to stay clean and safe. So now I’m heading upstairs, I’m gonna eat on the way. And I’ve got a nephrology clinic, so basically looking at patients with kidney problems. So it’s about 4:15 now. I finished the nephrology clinic, but honestly I’m so tired and a lot of you guys send really nice comments talking about how you don’t know how I keep up with so much energy. But it’s times like this that I want to tell you I do not have a lot of energy all the time and I do get exhausted. And this is one of those days that I really just want to go home and I don’t really want to be on call. But that’s not the reality of life, so ehm… I have about 40 minutes or so to get over to a different hospital. I figured I would walk and that’ll perk me up, hopefully get a little bit of outdoors some nice fresh air. So basically right now I’m gonna be considered a fly-in resident and the whole idea behind that is I don’t know the teams, I’m not actually on an inpatient rotation right now, but they still need people to be there overnight on calls. So I’m covering for call, so the important part is that I’m gonna show up at around 5 p.m. and I’m gonna have to get to know all of these patients, and that’s when handover becomes incredibly important. I’m gonna sit down with the residents, they are gonna show me a long list of patients that I’m covering. They’re gonna give me all their issues that are pertinent, so that I know what’s going on with this patient. What are their issues? What’s important? And what kind of issues will I probably get called about overnight? So I’ll have some context when I get called, which definitely is important for safety. So that’s, that’s about it. Just gonna go for a walk, Get some food and then mentally gear up for the night, because there’s definitely a big mental component to knowing that you’re on call. Alright it’s 4:45, just came to the hospital. You can hear all the sirens, so you know I’m in the right place. So now for me the call is gonna be from 5 p.m. until 8 or probably 10 a.m. next morning. It’s still early in the night, but for whatever reason it’s actually kind of quiet. It’s eerie, but actually you’re never supposed to say the word quiet, otherwise you’re gonna jinx everything, so hopefully I didn’t jinx everything. So I’m gonna take a nap, it’s sort of between nap or food and I think right now sleeping is gonna be more beneficial to me and I don’t you know… I can eat between patients later on tonight, so nap time. I’m just in my call room right now, so basically it’s just like an actual patient’s bed. Yeah, I don’t know… It’s actually comfortable, I can’t complain at all. One eternity later. It’s 10:10 in the morning now. Just left the hospital, literally the birds are chirping. It was a really good thing that I took that nap when I had the chance, because in the end it ended up being a super sort of back-loaded night, where at about midnight we just got slammed with consults. So I went down to the emergency department and I didn’t get back to my call room after about 11:30 at night. So it’s just kind of one consult after the other. And some of them were complicated, so that means they were interesting and they’re good for my learning and they were great people to meet. But all I really wanted to do was go lie down at a certain point, so now I’ve earned that sleep. And even though it’s such a beautiful day, I can barely see. I’m gonna go draw my curtains and go fast asleep. So we made it through the week, it’s about 7:00 p.m. on Friday now. I’ve slept for like six, seven hours after I got home, then had a shower. I’ve now gotten dressed up and even have a little makeup on, because I’m heading out with some friends tonight. So the grand total for this week was 49 hours of work. And I think you know if I didn’t have that call shift last night, it would have been closer to 40 hours of actually work in the clinic, which is pretty standard, much more of a normal work week. And it just goes to show you that there’s a lot of flexibility in terms of what you can do in medicine and what you choose to do as a doctor, so this is just a week in my residency program on my particular schedule. It’s definitely not representative of all doctors or everyone working in clinics. You can work more or less and when you’re an independent practicing physician, you have a lot more say in the type of work and number of hours you want to do, that’s what I’ve been told anyways. So thanks for joining me this week, don’t forget to subscribe if you haven’t already and comment below with any questions, comments, thoughts that you have. I’d love to hear from you guys. So bye for now and I’ll chat with you guys later.

100 thoughts on “WEEK AS A DOCTOR IN CLINIC: How Many Hours? (Medical Resident Vlog)

  1. I’m doing clinical research for rituximab and adalimumab! It’s nice so see somebody talk about it! It’s a very effective drug, with great clinical responses 🙂

  2. Really enjoying your videos.. Definitely one of my favorite youtubers!
    I'd really like it if you can add a little more detail when possible in this type of videos (like interesting things you learnt throughout the week for example) just to satisfy the curiosity of us aspiring doctors.
    Good luck!

  3. I’m a 35-year-old American female with Crohn’s Disease and Degenerative Disc Disease. In all my years as both a patient and a certified nurse technician, you are by far the most personable and relatable physician I’ve known of. You bring a friendliness and approachability to medicine, and I admire you greatly. So happy to hear of your recent YouTube success. xoxo – Lindsey

  4. Hello, I am currently a senior in high school and I am interested on attending medical school. I was wondering if you could briefly breakdown your 4 years in Med School

  5. M&M is very educational but it also shines huge X on the doc/resident that it happened to because he has to explain what happen…answer questions n most times, gets critique…… its nerve wrecking!!!

  6. A fellow Ontarian!! I found your channel a few weeks ago and I love it! I'm severely ill – so I spend a lot of my time in hospitals and clinics. I always get the patients view of everything but never the physicians aspect. My best friend is head of Gynaecology so I hear the stories but it's really neat seeing it through a doctors eyes. Love what you're doing!

  7. Haha, I have the same problem with TV, and I downloaded a browser extension that let's me play videos at 1.25x speed! You can barely tell that the video has been sped up, but it saves an appreciable amount of time.

  8. Love your videos Siobhan! I’m currently in my second year of nursing school and have been looking into medical school for just over a year now. School is hard work but your positive outlook is such a game changer. You’re so inspiring!

  9. Siobhan! You worry me when you blog while you are going up/down stairs and crossing streets! Please don't fall or get run over while you make your videos!

  10. You get paid per patient, not hourly, correct?? I know in clinics it's per patient, but I'm unsure how billing works in hospitals. Thanks!!

  11. I have Crohn's disease, so seeing that clinic room is really familiar. I am also an aspiring Doctor. Therefore I love these vids.

  12. I have Crohn’s disease! How did you like working with the gastroenterologist? We can always use more GI doctors lol! Love your vlogs!

  13. Hello , I am irish so love the name ! Just want to thank you for these videos they are so interesting and your positivity is so admirable and really makes my day a lot happier !:)

  14. When I worked security in the hospital I had to learn all the "codes" and I had to know what I needed to do in the event of a code. The only ones I remember are Code Blue, Code red (fire) and code orange (radiological accident) Code blue meant I had to report for traffic control, keeping people out of the way of the doctors so they could do their job. Code red involved guiding fire fighters to the location of the fire. I don't remember what I was meant to do in case of code orange but I remember thinking what I would do was quit, as I wasn't paid enough to expose myself to large amounts of radiation.

  15. I love watching your videos! I want to study medicine when I graduate high school, and you are so inspiring❤️

  16. we're u at the G.I Clinic at Mc.Master in Hamilton ? My daughter who is now 20 has Crohns and we go to there . The first clinic room u were in looks like the room we r always in with my daughter. She was admitted to Mac when she was diagnosed at age 16……she was at the Peds G.I clinic but once turned 18 she goes to the adult clinic on the main floor 😊. At end vlog I think u walked from St.Joe's hospital to the General 😀. So cool u were in my city 🙌🏼🙌🏼

  17. Hepatology for the win! I have Autoimmune Hepatitis, I was wondering why the some of the Hospital shots looked familiar. Till I saw you go down a hall and I went, wait! I walked that hall for 12 days… The GI clinic with the fibro scan is pretty. the fibrosis/cirrhosis poster is the best though, the illustration of the decompensated liver looks like it’s screaming. I love watching your videos!

  18. I’m a third year med student down in the states and I just finished my medicine rotation, good to see how different programs run!

  19. I love watching you. You seem so cool. Today I just finished my first month of pa school. 1/27 months down. And I’m just interested since I’ll be on the healthcare team in 2 years 🙂

    Ps. I also have crohns. Was diagnosed about 6 years ago at 21. I want to do a rotation in gi if I can and since I’m on medicines (been on remicade and cimzia and now on entyvio) I understand how meds are used for different things because I believe they can also be used for RA as well which is interesting.

  20. I have literally watched 20 of your videos in a row! They are amazing!!! I have learned so many things about what a doctor does and I love how you are always so positive and energetic!

  21. Anyone else here to bingewatch all the videos? They are really informative, and you seem like such a nice person

  22. I’ve just started to watch you videos and been watched some videos today. I wish this was still around when Papa Moises my grandfather was alive. I learned a lot by being a child who translated for him at the hospital and in the emergency department. I wouldn’t be able to do what you do because I can’t really deal with so much blood. My grandparents have been in and out of the hospital since I was little, I’ve administered needles of blood thinners and gone through medical histories. I admire what you do.

  23. Do you get graded on your residency??… Is it like a practical class that u get credit for doing well from your supervisor or something?

  24. I will now have more patience when waiting for a doctor. Depending on the severity, you guys could be swamped asap! Thank you for everything you do!

  25. I'm looking at the examination table (or bed?) and 1. In Sweden they aren't electric like yours seems to be and 2. It looks really small. Are Canadians really that tiny?

  26. Do you ever have to give children shots. What do you do if they are nervous or scared. Please do a video on how you give people shots or how you give people I v's

  27. This is so different to core medical training in the UK, so amazing to have exposure to all these specialities in just one week!

  28. Hey hey with your Indiana sweatshirt… I’m a Indiana graduate I would love to see you in rheumatology ! My moma suffers rheumatoid 😞

  29. I’m pretty sure they did M and M on greys anatomy. I absolutely love how many connections I’ve made with that show and your vlogs. I’m a huge fan of greys and your vlogs make me want to go back and watch all the episodes again!

  30. You should include your hours when you prepare for the next day too. Many of us don’t need to think about work when we get home and prepare like you do.

  31. Gastrointestinal: Everything from your mouth hole to your butt hole. It is a bit discerning to realize these two things are connected.
    When I was a kid I swallowed a string so I could have a string running all the way through me. But when my mom saw what I was doing she made me stop.

  32. I love how you simplify things for us who don't have medical degrees lol.
    You're such a natural beauty, but wow you looked GORGEOUS at the end clip when you were all dressed up

  33. Cardiology clinic: “saw some young patients with genetic changes,” YES! I have Long QT Syndrome and I am one of those young cardiology patients with an inherited arrhythmia. Thank you for saying this, people assume those living with heart disease/heart conditions are older, males, or have pre-existing medical conditions. I’m an 18 year old female, athlete and sciences student living with a heart condition, not what most people consider to be the typical cardiology patient. Thank you for shedding a brief moment of light on this 🙌🏼

  34. I love Stranger Things so much and your vlogs of course ;).
    It's not lupus it's never lupus, except for that one time – House M.D.

  35. My dad lived in Canada and this woman reminds me of somebody that took care of my father when he pass they were all so sweet and nice

  36. @Violin MD, I have a question. As a doctor, I can see that the work you do is quite demanding. Running around in an emergency, you have to have clear mind to think through possibilities quickly, you have to be calm under pressure and also be able to handle a lot of responsibilities. So, are medical students and doctors are just healthier in general than most populations? For example, I have brain fog frequently and tend be slow. I also have anxiety so cannot react well to intense situations. Is there a specialty in medicine for everyone? I am literally the opposite of who you are: bubbly, energetic and compassionate. I am more cold, calculating, anxious and prefer to not deal with people that much. I was in medical school when I was 18, but left voluntarily because I just felt not being able to handle any of that. I think it is a right decision. I now make computers bend to my will but always second guess my choice. I feel like I would be extremely good in medical research instead of working on people. I read a lot on medicine despite it not being my profession.I have some kind of draw back to this field but I am the kind of person who would be running experimental treatments and running clinical trials because this is what I am interested in. I have also met unconventional doctors who managed to find what was causing my problems, looked at me as a whole system instead of being deconstructed into parts by specialty and changed my life a lot. I know this is a lot of rambling but I appreciate if you see this.

  37. Hi – Your such a COOL Doctor _ Thank YOU for sharing your experiences. I'm on Adalimumab aka Humira – Can you tell me why the Drug companies pick such difficult names for they're products – Chemical name as opposed Brand name – I'm sure there's a formula to it all but what such difficult names – Thanks Siobhan – Ohh and I have "liked" and "subscribed" Bridget (New Zealand)

  38. Can we all acknowledge that she works so many hours, helps patients, studies and yet finds the time to edit and upload this for us to see. So amazing!

    Love your channel! Love from the Netherlands ♥️

  39. What kind of pathologies did you get to see on the endocrinology round?
    I was diagnosed with an hormonal imbalance syndrome at 21, so I'm always interested by that sort illnesses

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