Monday, January 25, 2016

Now What?



Match Day has come and gone.

Whether your husband matched or not let out a big sigh of relief and pat yourself on the back because you and your husband successfully completed applying to an Oral Surgery Program and that in itself is something to be congratulated on.

Now What?

If you didn't match:
That can really stink.  Partly because of all the time, money and energy you invested in applying.  Don't be too discouraged because you're not the first person to not get accepted into a program, especially if its your first time applying. If you're having doubts about continuing the Oral Surgery route you should seriously consider whether its the right thing for you and your family.  But really just take a few minutes because if you want another shot at Oral Surgery  you have to act quick.

Immediately start looking for an Internship.  There's not a one stop shop to do this.  Start contacting programs you interviewed with.  You have the advantage of them having met you and these places will give you the best shot at an Internship.

The good news is an Internship will open more programs for you when you reapply.  As I mentioned in a previous post, some programs ONLY accept interns.  Internships are much easier to come by than being fully accepted into a program.  If you happen to get multiple offers for an Internship and get to choose where you go to, there are a few things you might want to keep in mind.

-Letter of recommendations. This will be key for when you reapply.  If you don't intern at a program that will give you a good letter of recommendations its going to make getting accepted into a program that much more difficult.
-Consider the work load.  All programs are busy but if you are at a program that is exceptionally busy it will make it that much harder to apply, interview or re-take necessary tests.
-Continue to make connections.  Talk to as many people as possible.  You never know what connection will lead you in the right direction.
-Prepare, prepare, prepare.  If you're doing an internship you will basically be treated like a first year resident.  You'll be even busier because you'll be applying to programs again.  Before your internship begins talk to others and do all you can to prepare for residency life.


If you matched:
Hip hip hooray!!!  You did it!  Congratulations!! Take some time to celebrate!!!

Your life is about to change forever!!

You can sit and relax for a little bit because you have five months before you start.  You have dental school graduation and most likely a move.  Exciting things to plan for.
Your husband will most likely be contacted by the program director and talk to his program about what they expect of him.  If he can get a hold of any connections for you that will be ideal.  Here are some things you can ask the resident's spouse/s in your new program:

-What will your monthly net paycheck look like.
-Does anything get taken out of your paycheck (for example, my husband's program takes out money for parking, retirement, union dues etc. and you can't opt out of any of it).
-What are safe and affordable places to live.
- Does the program require that you live within a certain radius of where your husband will work?  Some programs require the residents be able to make it to the hospital within 15 minutes.
-Where are good schools.
-What is the typical schedule you can expect your husband to have
-Is there any weather you'll have to adjust to, buy clothes for etc.

Also decide if you want to take a trip to find housing and what time of year is best for that.  We were told nothing would even be available until the month before we were moving so we didn't take a house hunting trip until May.

Lastly I would recommend that you take the next few months to just enjoy  being together.  It will most likely be a difficult transition getting used to never seeing each other.


Good luck with all the future holds!!

Tuesday, December 1, 2015

The Program That is Right for You



When my husband was applying to Oral Surgery programs he heard someone say, "The Oral Surgery program that is right for you is the one that you get in to."

There's a lot of truth to this statement. Many people talk about specializing in Oral Surgery but not many realize how difficult it actually is to get into, or get through*.  When my husband was on the interview trail, over half of the other interviewers were already in internship programs and on their second or third round of applying.  In fact some programs will only accept applicants that have completed an internship so if you're applying as a dental student that automatically cuts out a big chunk of programs.   

The only programs we seriously looked into were the ones my husband got an interview at.  If you are in the position of ranking programs you should carefully consider the different dynamics of each program when you are ranking your list (and decide this as a team).   Here are just a few factors you might want to consider about each program:

Cost of living
Schools (if you have children that are or will be school age during residency)
Proximity of family/friends
Is the program near a safe place to live
Will there be any type of culture shock involved for you or your family
How will the commute be
Who are the current attendings and residents in the program (this will affect your husband so much which will affect your family)
How many hospitals are associated with the program and the distance involved
If any rotations are long distance and how long that rotation is (some can even be out of state)
Does the program specialize in any aspect of Oral Surgery and is it something your husband is interested in

You'll have to come up with a list of questions together of things that are important to you and your family.  One of the best pieces of advice I received when we were going through the application and interview process was to not get attached to any programs.  It can be hard to do because you almost have to imagine life at each program to decide which you would prefer over the other but realize that you might get placed in the program at the bottom of your list.  Try to be objective and not attached.

The chances of you getting into a particular program is very slim, so be open. Unless your husband has done something to stand out way above all the other applicants you both really just need to be open to any program that will accept him. Remember that if you rank it you should be prepared to move there and accept any and all aspects of the program.  Choose to be happy with whatever program you get accepted into and embrace all aspects of it.  

Its a great accomplishment that you've both made it this far so congratulate yourself and be open to all possibilities when match day comes along!  Good luck!




*(I have a friend whose husband has a long family history of Oral Surgeons.  She had heard so many stories about residency life that she was sure she knew exactly what she was getting into.  However, she told me that residency life was so much harder for both of them than she thought and was almost amazed that they got through it.)




Tuesday, October 6, 2015

You Can Do It!

Will you humor me for a few minutes as I reminisce some stories from my life?

When I was in labor with my second child I remember hitting the transition phase of labor and verbally telling those in the room that I couldn't do it. I expected those in attendance to have sympathy for me and take action to  relieve my pain.  Instead those surrounding me told me,  "You can do it!  You already are!".  That was enlightening and encouraging.  The pain wasn't getting worse.  It was holding steady and I was working though it.  It was tough but I was doing it and I knew it wouldn't last forever.


When I was a little girl my dad would take me and my sisters on hikes.  Looking back I'm amazed at his bravery to take 3-4 small girls on decent sized hikes by himself.  We were usually pretty good troopers (my dad might have another story) but once in a while we would start to get tired and would probably complain.  It was these times that my dad would encourage us with this chant:
"You can do it! You can do it!" over and over again.
It helped when I was a little girl and it still helps today when I'm feeling tired or worn out with the challenges of life.


I often get discouraged at the difficulties of Residency life.  I can get through a day (sometimes barely) but when I think that I have to do it for a week, a month, 10 months, a year, 3 years etc. its so overwhelming. But then I remember: I can do it!  I can do it!  Because I already am and it won't last forever.

AND YOU CAN DO IT TOO!


Friday, January 2, 2015

What I Wish I Knew

My husband showed me this article that someone had posted on Facebook.  Even though the author is a wife of a medical resident it all really hit home.  I appreciated all she had to share.  If you're in a residency or about to enter a residency or even considering a residency you should give it a read.  And your spouse should give it a read.  Especially if you haven't started residency yet it will give you a good feel of what to expect.  Go ahead!  Take a couple minutes and read it!


For your convenience I'm re posting the entire article here but you can find the original source at KevinMD.com

What I wish I knew: Advice for spouses of doctors and residents

Residency life.
I don’t talk about it much, and that’s on purpose. Here’s why: My life is wonderful. I really love it. Is it perfect? No. Is anyone’s life perfect? Definitely not. I would never wish to portray my life in a negative fashion and certainly not to wish for sympathy. I would talk about it in an informative way, but even doing that, to be comprehensive, you must hit the low points because all careers have them, and again, just doing that can come off as complaining.
But this time, I’m going to make an exception. My husband is now a chief resident in orthopedic surgery. We are almost nine years into our eleven-year journey, and it is crazy when I really process that. A friend of mine once said, regarding parenting, “The days are long, but the years are short,” and not only did that change my life with my day to day parenting outlook, but it hits pretty close to home with residency too.
So I have been thinking this year about what I wish I could tell new medical student and residents’ wives — the ones that are just beginning this journey, perhaps even, what I wish I could go back in time and tell myself. And partially, I think, because time has a way of making you forget, so I want to write this while I have a fresh perspective. So without further ado, here’s my list. These are the things I have learned from being married to a resident and what I wish I could tell myself all those years ago.
1. Make your own plans. 
This is numero uno for a reason. It’s absolutely critical.
When my husband was in medical school, we took for granted how easy the hours were. Sure, he had to study … some. But like most schools, the weekends were relatively free and so were evenings. Then he graduated medical school and hello abduction, I mean, residency.
I joke about residency, but I really have enjoyed this journey. When he finishes, I won’t feel like he did it; I will feel like we did it. (I joke that I have an honorary doctoral degree, but so far, no one is buying it. Bummer.) Honestly, though, learning to be totally independent really sped things along for me in my contentment with this life.
For example, two weeks ago on a Friday, my husband, Christopher, was supposed to be done in time for dinner and some good quality family time. I paged him at 4:30 p.m. to see what time he was thinking he could leave. It’s typical for him to not call me back immediately, but after thirty minutes, that’s a bad sign. So at that time, 5 p.m., I thought, “I’m just going to run to Target with the kids [and pick up a birthday gift for a party we had the next day].” And so we did. At 5:30 he still had not called back, so I knew that this probably meant I wouldn’t be seeing him for dinner at the very least.
(Because if he doesn’t even have access to a phone yet, he’s probably scrubbed into the OR. A nurse would call me back if I paged my actual number, but so as to not bother the nurse with something so trivial as, “Oh hey, any idea when my husband can come home for dinner?” we use a code instead. We’re so big time like that. Anyways, if he’s scrubbed in still it could be who knows how long, plus then he has to finish notes, sometimes round on patients again, and so on. I knew I was probably looking at another hour minimum.)
So the kids and I were done with Target, and we went to Chipotle alone. By the time we finished Chipotle and were on our way to the movie store, he called me in between cases. There were some cases unexpectedly added on, and so he wouldn’t be back home until 9 p.m. or so. And you know what? It was totally fine. Because the kids and I were having a really great Friday night anyways! At that moment, I was thanking myself for going and not waiting. Oh, how I wish I had learned this sooner!
2. You are on the same team as your spouse, even when it doesn’t feel like it.
My husband taught me this, and he deserves the credit. Sometimes it’s so easy to step in the trap of pointing fingers. The non-medical spouse thinks, “I’m exhausted mentally and emotionally. They are gone all the time. I’m always here alone. I do all the housework; I do everything for the children. I can’t ever count on them to be done when they say they will, thus I can’t ever rely on their help for sure. It’s not fair. No one understands this life. I really need a break.”
The medical spouse is thinking, “I’m exhausted physically. All I have had to eat is a protein bar on my one bathroom break in the middle of a 12-hour case. I haven’t had quality sleep in days, and I feel like no matter what time I leave the hospital, I have left work undone. I miss my spouse, I miss my kids, and I miss feeling normal. No matter what I do, I’m behind at home, and I’m behind at work.”
I can count on one hand how many “fights” my husband and I have ever had, and the biggest one we have ever had may or may not have involved a painfully inconsistent icicle dripping outside our window at 1 a.m., a broken fan, and an inability to sleep by yours truly, who subsequently likes to make other people miserable [enter Christopher], which resulted in my husband declaring that he was going to the store to buy a fan, sleeping in the guest room that night, and that I was crazy.
But that’s really the worst one, so our “fights” are actually more like disagreements. But in these disagreements, Christopher taught me from the very beginning of our marriage to always look at problems as us against the problem, not to ever think of us against one another. It was a lesson well taught and a lesson learned many times over. Whether I’m really frustrated about his hours or he feels I have yet again busted the grocery budget, we don’t let it wedge between us; come what may, we are a team.
3. There is nothing quite like the camaraderie of another resident’s spouse.
There just isn’t. It’s the best. For example, when I buy a fellow resident wife’s coffee she may say, “You really don’t need to do that.” And I always say back, “Don’t worry about it! I’m married to a ‘doctor.’” And we laugh.
We laugh because we know the truth. That while most of our friends have slowly climbed the financial ladder over the course of the last 10 years, we have remained a very steady straight line. We know eventually that will change, but even that’s not what it’s about. It’s just that no one quite understands the schedule, the frustrations, the sometimes seriously sweet perks like conference trips, and the insane delayed gratification like another resident’s wife. I will forever be grateful for our residency occurring in Rochester, Minnesota, too. This place has got the resident wife network going on. So if you aren’t already in Rochester, come here for training if you have any left! When you have a baby you will have meals every other day for weeks and a Bible study to attend just for medical spouses, and you will always be able to find another resident’s wife to hang out with when your husband is slammed! I love you Rochester (but I will curse your existence in January, and we just have to come to terms with the fact that this is how our relationship is going to be).
4. Remember the man you married.
I always tell Christopher (quoting a Kenny Chesney song), “I’m the number one fan of the man from Tennessee.” No matter what life throws at him or at us, to me he will always be the man I met in the cafeteria at Lee University — the 20-year-old that made insanely good eye contact and enunciated his words so clearly . (Yep, that really is what I remember about my first impression of him. And single ladies, it was game over so definitely watch for that good eye contact!)
Although I think Christopher has handled residency as well as anyone, even he had his moments of such extreme physical and/or mental exhaustion that he just seemed “different.” If it’s only every now and then, well, don’t we all, but sometimes entire rotations will cause this subtle change. Christopher always comes home and tries to give everything in him to our family, so I say this with no blame towards him, but sometimes a person just is not firing on all cylinders after working such a difficult schedule. In those times, it has been a sweet memory to think of him in college and why I fell in love with him to begin with. I have always known any “departure” would be temporary and that he would always come back to himself and to me — and he always does.
And going along with this point is my last and final point …
5. Always give 100 percent of yourself.
I recently heard someone say, “Marriage is not 50/50. Divorce is 50/50. Marriage is both people giving 100 percent.” How true.
I can’t be responsible for what Christopher brings to our marriage, to our children, or to our home. When anyone asks me or I have the opportunity to brag, I will tell them how I feel that Christopher truly does try to give our family everything that he has in him, but my point is that it’s really not up to me if he doesn’t. I am only responsible for Erica. I am only responsible for giving 100 percent of myself to our marriage and our children and our home. This journey, as with all journeys, will be over soon and a new one will begin.
I want to look back and be able to say that yes, I gave my all to this season of my life. Some may diminish its importance, but I want to be the best resident’s wife I can; I hope with all my heart that my husband looks back on his years of training and feels that I was essential, not just for our children, but for him in these sometimes tumultuous years.
All the seemingly tiny things we medical spouses do every single day, both to aid our spouses in the quality of their hours at home and in how we attempt to diminish the long hours for our children’s sake — these are not nothing. They are the building blocks for our lives, for our spouse’s career/home balance, for the way our children view their fathers and/or mothers and the positive or negative feelings that they associate with their job. The moments matter because, comprehensively, these are what we will look back and remember as “the residency years.” I hope you, as well as I, will remember them well.

Saturday, November 8, 2014

Advice- Knoxville and Nassau

Knoxville, TN

My husband is on call every 3 nights, has in-house call and is usually busy all night.

Tip: If you tell the physician (PCP) your husband is a resident, Dr. will usually cover co-pay

Take the opportunity to spend as much time together as possible.  We often go to the hospital to at least eat dinner together.  Our program is supportive of that but other programs may not be.

You have to BE STRONG!  Dad is gone so you have to be the strong one for the family.  It’s a tough four years but you have to push through.

Temple: 2 ½-3 hours away from Knoxville, Our Church building is 15 minutes away



East Meadow (Nassau), NY

We have a small ward with balanced dynamics and is the building is about 20 minutes away.  There is a medium sized primary.   We LOVE the ward.  It is our favorite ward ever, The Temple is about 40 to 60 minutes away with train and subway and about 45 minutes with no traffic if driving

Our apartment is provided by the program  and makes cost of living do-able (take straight from paycheck), There is good heating and cooling,  The apartment is ground level with 2nd and 3rd floor to live in, There is a BBQ and play area.  In general there is a pretty high cost of living because its an island.  Right now its around $3.80.

There are lots of things to do but most things cost money, Wading pools cost money but beach is 20 minutes away in either direction (north and south), There is a bounce house, mall (great), parks are in walking distance, There are lots of Museums.  Walmart, Mcdonalds, Target and everything else is within 15 to 25 minutes.

The weather is not bad.  The 30's is the coldest it gets.  It only snows once in a while, but not often, Hospitals are around 20 minutes away, Southshore is abou 30 minutes away.   Tons of hospitals, good insurance

Program specific info- Great program, My Husband loves it, On call every 3rd night
                1st year, course to take, drive to class once a week, 2nd year- rotations, 6 months not on call, You can get along with one car.  Church is the only conflict
                Test to take every year (Omsite), Presentations- 1 month after work
                T/TH surgery days, M-F clinic, days are about 6:30/7-5pm

Advice- Yale

*I am a member of The Church of Jesus Christ of Latter-day Saints (Mormon) so there are questions and responses that are in reference to our religious faith and culture.

How close do you live to the hospital/how long is your husband's commute?
We live 10 minutes from the hospital and I highly recommend living near by to reduce the travel time. My husband has home call, so living close to the hospital is wonderful for him to be able to come home for dinner almost every night. On nights that he is called in 2 to 3 times, Living close by is imperative for him to be able to come back and forth and still sleep in his bed.
New Haven is not very safe, and I wanted to be in the Woodbridge ward, which has a lot of young families and a big nursery and primary. I also wanted to be around 10 minutes or less from Matt's work, so I looked hard to find something in the two ZIP Codes that were in the Woodbridge ward yet still close to work. Well worth the effort.

In general, what is your cost of living/housing expense?Decent three-bedroom duplexes or houses in Hamden are between $1500-2000 a month.
Gas is expensive, car registration is expensive, state income taxes are expensive, and generally speaking cost-of-living is higher... The pay and benefits were better here than most other programs, so it almost balances out.

Do you feel safe being by yourself at night etc?In Hamden, absolutely. In New Haven,no.

Do you feel like there's plenty to do to keep you and the kids busy, especially in the winter?
The summer was incredible here, so many orchards, beaches, parks, and fun moms going on outings. During the winter people stay indoors a lot more, but there are still rotating playgroups, creative moms, and plenty to do. I am still working on my tutoring business, but many days I wish I wasn't so I can just focus on being a mom.

How is the church?Awesome. I will love our ward. There are so many young families in similar position. After only living here for three months, I had six people who had offered to watch [my toddler] or take me to the hospital when I had Eliza. So supportive. Lots of PhD and residency families.

Do you drive far to attend your meetings, the temple?Church is a 20 minute drive, but we are the only ward to meet in that building and we have 10 o'clock church always.
The temple is two hours away. Hard to get to with residency, babies, and a long drive.

Has it been a culture shock moving to the east?No, but I grew up in Maryland. [My husband] had a hard time adjusting to the humidity, but for the most part we love New England. Great history, houses with character, and supportive communities. There are a lot of west coasters in our ward.

Any additional advice you could share?Keep doing what you're doing with analyzing your rank list. Trust in prayer and good luck!
Be picky about commute and the ward you want to be in. Sometimes that can make a big difference.
Dive in and be proactive in your new ward and community, it helps a lot to feel supported on long days and weeks.
Expectations can be disheartening. For me to be happy, I live fairly independently taking care of our kids. That way I'm not upset if [my husband] gets home later than he wanted to, just happy to see him.

Does Your husband have work he has to complete at home?
When Matt is on oral surgery rotations, he has a few articles to read and occasional charts to draw at home, about 1-2 hrs/wk. not bad. He does a lot of reading during down moments at work. 

Monday, October 27, 2014

Advice- Washington

A friend of a friend sent me this about their experience in an OMFS program in Washington state: 

Every program is different. Each program has it's own set of internal politics to get used to and rotation schedules and nasty and/or tolerable attendings. ;) Each program varies, of course. So there are some things from my viewpoint that are particular to our residency, I'm sure.... But overall, my number one piece of advice is to learn how to manage your own expectations (and not have any) and how to live life on your own happily. :) Do you have any children? We have three boys, which plays a role into some of my thoughts/advice, I'm sure.

At first my husband would tell me about what time he would be home in the evenings.... and then when a case took a bad turn and went longer than originally planned and he didn't get home until 10 or 11pm, it wasn't fun. The first few times this happened, it wasn't a big deal. But then when we had something planned or an event at my son's school that he ended up missing when we were expecting him or when the kids started acting out because they hadn't seen their dad in a week... that's when it got hard. I had to learn to not have any expectations. [My husband] learned not to tell me when he thought he was going to be home until he was a few blocks away. Some nights he would call as he left the hospital to let me know he was on his way home, only to get paged in a couple of minutes later and have to turn around and go back.

I know it sounds kind of harsh, but I've learned to just live life and plan things and go out and about with my boys in the evenings and on the weekends on my own... and if [my husband] happens to get home or be around, great, he can join us. If not, life just moves on. Wow... typing that out sounds mean. :) But I think it would have been helpful if I had known how to manage my expectations coming into this. And things have gotten better as the years have gone on. [My husband] now has more time off and call is isn't as rough, and we've learned to manage the hard times better.

Also, my boys have a really rough time when they go for days without seeing their dad. I've had to learn how to be a little more patient and learn how to preempt some of their down times.

The first couple of years are the worst, as you start your intern year and climb up the seniority ladder. I hope your husband is matched up with some good co-residents. That makes a HUGE difference! He will learn most everything from his chief and senior residents, and they have the power to make his life absolutely miserable or to make the most of his time in a constructive way.

I've also had to learn how to manage my expectations for when my husband is "home." Every resident is different, of course. I know some of [my husbands] co-residents don't do the reading he does. But even when my husband is physically home, he's not always really here. He's in his office prepping for the next day's case, reading journal articles on an upcoming surgery, putting case reviews together to present to the faculty, dictating the day's reports, or (for us now) studying for boards, etc. I do love when he's home, even when he has things to do. It makes a huge difference to my boys. And even if he gets home at 11pm, at least we get to sleep together. It beats sleeping alone, even if I haven't had a real conversation with him for days. But it's just something to keep in mind.

During the bad rotations when [my husband's] hours have been long and life does go on, it can be hard when he all of sudden is back into our home life... Because routines go on and even change, discipline has to happen with the kids and hard things have come up that I couldn't talk in depth with [mu husband] about in a timely manner. I just say this to try to give you an idea of what you can prepare for. As much as I LOVE [my husband] coming home after a two week emergency department night shift and we actually get to see him, sometimes it's also hard having him back, with him not knowing what has been going on. Not sure if that really makes sense.

So,... I guess in short, be prepared to manage your expectations, live life on your own and to enjoy the moments you do get together. I hope some of this helps. Please feel free to email with any specific questions you may have. I promise to reply more quickly this time. :)


I don't think I said enough good. I guess I was just thinking of what hard things to "prepare" you for. :) [My husband] has had an amazing experience, and we are very grateful to be where we are and doing what we're doing. He LOVES oral surgery, and for that I am very grateful. I don't think I could have made it through the long hours if he didn't love what he was doing.

With that said, another thought did come to me after I sent the below... residency can be rough on a marriage. The UW residency here requires a four month external rotation out of state, which we spent much of apart. And the long hours and late nights and lack of resources/income can definitely put a strain on emotions. There have definitely been moments of loneliness and frustration on my part...

It's the little things that have made all the difference for us. As small as they may sound, the mid day texts, brief phone calls/emails, notes, and family prayers over facetime have helped to keep my husband and I close during the weeks (or months) we barely saw each other. There have been many times I've had to remind myself that as hard as life is for me, things are pretty rough on his end as well... and he has to go about his work knowing his choices and career are straining our family. There have been multiple times where I've had to remind myself to be a little more selfless and to think of ways to help ease his burden... rather than focusing on my lonely frustrations at home. I don't know if you're of the LDS faith or if you're religious at all, but for us, prayer and family home evenings have been an anchor. Just don't forget the daily, seemingly little things when life gets bumpy (which I guess is a good thing to remember anytime in life, right?) :)

Okay... you're probably saying "enough already." :) I hope I didn't overwhelm you. I'm sure you guys will do wonderfully and have an amazing experience, just as we've had!! It's a fantastic adventure!