I’m excited to bring the first of many posts during my clinical years. I just finished two weeks on the pediatric hematology/oncology (Hem/Onc) service.  This is a field that I’ve been quite interested in and I’m excited to share my experience with you all!

What was My Day Like?


4:30-5: Wake up (This was for 12 

days in a row!)


5-6:15: Shower, Get Ready,

Breakfast, and Drive to the Hospital


6:30- 7: Checkout

This is when the night staff resident will give you updates on any overnight events, new admissions, and any to-dos for every patient.

7-7:45: Pre-Rounding

This consisted of me reading about the patients I will be taking care of that day. Electronic medical records are a gift and a curse, however. They have a lot of useful information but unfortunately are hidden very well.

Things I would read about included overnight events, labs, and vitals. I would also use this time to read up on conditions or medications I wasn’t familiar with.

Before I would go see my patients, I would make a list of everything I wanted to ask or examine for each patient.

To give you an idea of patient load, I began my pediatric rotation by taking care of 1 patient and then gradually moved to 4.

7:45-8:30: Round on my Patients

This is the time I actually go see my patients.

I often could see my patients within 10 minutes. Thus I would use the remaining time to finish my notes and prepare for rounding.

8:30-9:30: Morning Conference

They didn’t always exist but on many mornings there were scheduled education session. The best part about these conferences was the free food and coffee!

9:30-12: Rounding

Pediatric Hem/Onc does table rounding which means that we sit in a conference room with computers and talk about our patients with an attending physician. Other services tend to go to the patients’ rooms as a large group.

This is also when I present my patients to my attending. In my presentation not only do I report what happened overnight, but I also provide a plan of what I think should be done for them that day.

This is easily where I’ve grown the most in a short amount of time. I’ve become more comfortable in my oral presentations, the medications, and more confident in my care planning.

12-1: Lunch Conference:

This is just another educational session that we often but not always have.

1-End Of Day

This time is the most variable.

It’s often a great time for me to help the residents and attendings with whatever needs to be done.

Sometimes I’m calling outside hospitals to get patient records. Other times I may be routinely checking in on my patients to observe their progress.

Often I was dismissed by my residents at 4-5. I did stay until 7-8 on my call days which each student had to do once or twice per week.

Dismissal – Bed:

Often I would be in bed by 9. The long days can wear you out.

Prior to bed, I would use the leftover hours to eat dinner, read for my shelf exam at the end of the rotation, and relax.

If this schedule sounds busy, it’s because it was. I still enjoyed it and had very little complaints about the hours. 

6 Things I’ve Learned on My Pediatric Rotation: 

The Learning Curve is Steep:

This is nothing new. Everyone expects and is told that your clinical years will humble you on how little you know.

Nevertheless, just because you know Mt. Everest is tall doesn’t mean you’re not amazed when you’re at the base looking up. I was as low on the Everest learning curve as one can get.

By no means am that far from the starting point two weeks in, but I have become comfortable faking it till I make it! 😀 Fake confidence can take you a long way.

These Patients are Fighters: 

A common notion of pediatric Hem/Onc is that it’s a sad field. Yes, there are unfavorable outcomes for some of these kids, but many of them have long lives after their treatment.

Regardless of their prognosis, I was amazed by the resiliency of these kids and their families.

One would expect them to be broken after being in and out of the hospital as much as they are. No, instead they continue to persevere.They are true fighters.

These two weeks have highlighted how minuscule my problems are compared to these kids. It’s thus easy to wake up at 4:30 and stay till 7 or 8 in the evening.

I could see myself doing this in the future. 

Trust is a Privilege You’re Given:

In pediatrics, your patients, and the parents put their trust in you because you’re part of the care team.

Even though my stethoscope has had very little use, my pen light was recently bought, and my smile is hiding my incompetence, they don’t hesitate to trust me with their care. 

I’m just amazed when I can walk out of a room knowing things their families and friends may not even know about them.

Kids are Freaking Cute:

I’ve always had an eye on pediatrics. It’s been an age group I’ve worked with most of my life.

Still, in a hospital setting, you expect to see kids that look terrible due to their illnesses.

While many of them have seen better days, others are hilarious and adorable even while sick.

Small Victories Are Bigger Than 

You Think:

Sorry if you’re currently eating but some of my biggest victories have been overcoming constipation in these kids.

Often this was the only thing left keeping them in the hospital. So it’s crucial to put the child on an appropriate bowel regimen. Thus there is a level of pride when you help that kid “go” home. (I thought that was pretty was clever :D)

Also, you don’t know true success until you can get a fax from an outside hospital with records which are believed to not even exist.

It’s the small things you guys. 😀

This Is What I’m Paying For:

There’s a lot to learn and do but this is the medicine I wrote about in my personal statement way back when.

Now it’s here and happening.

It’s exhilarating, scary, and shocking all at the same time, but I wouldn’t want it any other way.

My next two weeks will be more relaxed than these past two.

I will be transitioning to spending a week in the pediatric emergency department and another week in the newborn nursery. Excited to share those pediatric experiences as they come!

If you haven’t already read about what the rest of my clinical years will look like, read about it here.

If there is something specific you’d like me to address in a future blog post, comment below or email me at [email protected].

As always please like, share, and subscribe. Sign up for my monthly newsletter to receive updates on new blog posts. By signing up you also get access to my free eBook, Top Ten Resources for Medical School. Sign up here!

Top Resources For Medical School

If you’re a first or second-year medical student wanting guidance on how to succeed in medical school, read my book, The Preclinical Guide. I provide all the tips I wish I knew day one of medical school. Check out the book here.

Top Tips for Medical School

Until next time…

Whenever you’re ready, there are 4 ways I can help you:

1. The Med School Handbook:  Join thousands of other students who have taken advantage of the hundreds of FREE tips & strategies I wish I were given on the first day of medical school to crush it with less stress. 

2. The Med School BlueprintJoin the hundreds of students who have used our A-Z blueprint and playbook for EVERY phase of the medical journey so you can start to see grades like these. 

3. Med Ignite Study ProgramGet personalized help to create the perfect study system for yourself so you can see better grades ASAP on your medical journey & see results like these. 

4. Learn the one study strategy that saved my grades in medical school here (viewed by more than a million students like you). 

Top Resources For Medical School

Sign up to our newsletter for the free eBook!

Want to succeed during you first two years in medical school?

Popular Posts

Spread the word

Leave a Comment

Your email address will not be published. Required fields are marked *

Want The Same 60+ Tips & Strategies I Used To Get A 3.9 GPA In Medical School?

Get Access To Our FREE Library Of Video Courses, Books, And Strategies To Help Increase your Grades, Productivity, and confidence on your medical journey ASAP!