Allow me to reintroduce myself:
Dr. Blake Pruitt Chatham
First physician in my family.
Emergency medicine PGY-1
There are no words for this amount of joy and gratitude. I made it, y’all 😭🎉
Peds EM: mildly terrifying, insanely cute
We had a trauma so we rolled the patient during our exam. We were checking his back & asked him to squeeze his butt cheeks. He reached back there & physically squeezed them with his little hands.
I mean 🥹😅
my co-intern: I just put in my first order ever!!!!!!!! Ibuprofen!!!
me: hey me too!!!!!!! Tylenol!!!!
*** jumping up and down high fiving in the hallway *****
Best friend from medical school who is in her pediatric residency:
“First day of EM. Never been surrounded by so many ADHD people who cuss so much. It’s like being with 10 of you.”
I mean she’s not wrong 😅🙃
No one understands how dang hard residency is unless they’ve been through it/are going through it.
So much mental, physical, and emotional exhaustion. It makes it hard to do the other things on your list.
I’m currently on my OB block, but today I snuck down to the ED on my break and got to do a crash central line, hip block, and I&D.
Ugh I just love emergency medicine 🥺🤍
28 days from today I found out where I get to spend the next 3-4 years training as an Emergency Medicine physician!!!! Countdown to Match Day is on, send wine and prayers 🙌🏼
Mentoring med students interested in EM will forever be my fav thing 🥲
This morning I got to tell someone that they are more than a board score & helped them lay out a plan to get where they want to go.
I will always make myself accessible (even at 6 am if there’s coffee lol)
‼️ Help needed‼️
An AMAZING EM resident that I know was informed that their current program is disbanding very suddenly & is having to navigate the process of a transfer.
If you have been through this, know anyone who has, or have any helpful resources/advice please reach out!
I remember the day I finished my first semester of med school. The insane amount of relief to be 1/8 done. But I remember thinking 7/8 left: how the hell am I going to survive that!!! Now that the tables are turned and there’s only 1/8 left, I’m so proud of how far I’ve come 🥺
Numbers that mean more to me than my step score:
- the # of hours I spent serving my community
- the amount of time I spent planning events for the EM community
- the # of students I helped connect to resources/programs
- the # of times I showed up for the people I love
🤍
For all of my fellow EM applicants going to sleep with a heart full of anxiety for what the next few days will bring: you are more than any score or # of interviews. You are hardworking, intelligent humans with the brightest futures. All it takes is one, we’ve got this 👏🏼✨
Residency is hard. Not just at work. Not just your patients or the hours at the hospital, but the other things too. Trying to still be a good wife/daughter/leader/friend. Some days I feel like I’m failing at all of them.
Trying to balance everything is exhausted. I’m exhausted.
I cannot overstate how freakin important having good mentors is!!!!!!!! Sometimes it's the difference between taking that leap/reaching that goal/maximizing your potential and letting self doubt get the best of you.
This month I’m on an EMS rotation: we are visiting patients who received narcan in the last 10 days to give them supplies/education, doing follow up visits on pts recently dc’d to reduce number of bounce backs, and addressing social concerns that we can’t in the ED
I LOVE THIS
I was awarded the 2022 TCEP Outstanding Medical Student Award for TCOM
4 years filled with so many late nights, iced coffees, zoom calls, emails sent, and events planned. So much stress and joy.
It’s never about the recognition, but I’m beyond honored
@TexACEP
@texACEPstudent
Program faculty & residents that talk about specific things from your application & give you words affirmation must be protected at all costs. Making us feel seen and encouraged during this time of uncertainty & insecurity is invaluable 👏🏼
#Match2022
A little late, but hi
#MedTwitter
! My name is Blake & I’m an
#EMbound
MS4 from
@TCOM_UNTHSC
. True crime podcast obsessed, 🌮 enthusiast, 🐶 lover. Involved with
@ACOEPRSO
&
@TexACEP
. Looking forward to making more connections in the EM community.
#Match2022
, let’s do this, y’all
I put every ounce of my heart and soul into this past year. Every shift, every patient. Each day with the goal to be a little bit better than the one before. A better wife, friend, leader, & physician.
Today was my last shift and tonight I was awarded resident of the quarter.
Hey 4th years,
Just in case no one’s told you recently: you’ve come so far,you will end up exactly where you are meant to be, and all of this pre-match anxiety/hard work is worth it in the end.
I’m so proud of you!!!!!
July 1st reflections:
Praise every nurse, tech, unit coordinator, EMT, consultant, resident, attending, ect who love us through the learning curve, give us grace, and push us to be the best we can be for our patients. The real MVPs forever 👏🏼👏🏼👏🏼
#MedTwitter
I’ve wanted to do this for a while, but here’s my tips for your EM auditions/rotations (but most could be applicable to other specialties too!!) that can help you get a good SLOE and learn as much as you can in the department.
#EMBound
#Match2023
A 🧵⬇️
There are so many incredible EM programs. I am absolutely baffled how 1. I got any interviews at all with how many kick ass
#EMBound
students there are that I’ve met and 2. How the heck I’m supposed to make a rank list 🥺🥲 More excited everyday for the future
#SendHelp
#AndWine
Any medical student who has questions about emergency medicine, wants ways to get involved in organized medicine, feels like they have a 🚩 on their application they want help navigating, wants someone to review their app/PS, or just wants friendship/dog pics:
LET’S BE FRIENDS!!
This holiday weekend, please don’t:
- Drive/boat drunk
- Use fireworks unsafely
- Leave kiddos unattended around pools
Please do:
- Wear a life jacket
- Drink plenty of water
- Wear sunscreen
- Enjoy time with people you love!!
Sincerely,
An EM doc working the next 4 nights
Hearing time of death called on any patient, but especially a baby, is something I’ll never be able to put into words. I have the most supportive wonderful family, but they can’t possibly ever understand.
I know it’s “part of the job”, but my heart hurts today 💔
My husband just chugged a liquid IV he poured into a water bottle in our room.
Turns out it happened to be the same water bottle I filled with straight rum to take down to the pool earlier.
Oops.
Baby Chatham coming March 2024 🫶🏼
The sweetest, most joyous months of my life.
Thankful for all of our friends and family who have loved and supported us so much already.
I was having easily one of my busiest, hardest shifts of residency yesterday. I felt like I was drowning.
One of the nurses came over, hugged me, and gave me a piece of chocolate cake from a left over patient dinner tray 🥲🥹
Go where you’re loved. Go where there’s cake.
Check in on your 4th year friends!
Application/interview season/all of the prep that goes into it is a time of high anxiety and self doubt. I remember the days of not sleeping & obsessing over my application
Give them all of the love/encouragement they need to get through it.
Did I forget my work out clothes and have to work out in my scrubs post night shift? Yes
BUT did I run for the 28th consecutive day regardless? Also yes
Yay for making time for my mental and physical health every single day for a whole month!!! 🏃🏽♀️💪🏼
All of my 4th years who are anxiously waiting for that email tomorrow morning: I am so proud of you, you’ll make an incredible physician, if I can encourage you/support you through this in any way please reach out!
Self doubt is the killer of greatness. Find the people who make you feel more confident and literally drown them in gratitude and keep them close. That’s the invaluable stuff 🙌🏼 woke up feeling so thankful for the people in my life who build me up, I couldn’t do it without you
I know the universal interview release date was tonight for EM! For my
#EMBound
students, I remember all of the built up anticipation/anxiety, and then the disappointment when I didn’t get as many as I hoped that day!
Don’t stress!!!! I ended up with more than enough.
Beyond thrilled and humbled to be accepted into the EMRA Leadership Academy for 2022-2023. I can’t wait to learn from and alongside some of the best leaders in EM over the next year so I can better serve my patients and the EM community.
@emresidents
She’s perfect and she’s ours!!!!!
So grateful to start this new chapter next to the guy who has loved and supported every single one of my big dreams (even when they take us to a different state)
Cheers to one hell of a 1 year wedding anniversary present 🤩🍾
#OklahomaChathams
Normally he’s singing Neon Moon at the top of his lungs, but today he’s yelling “WE BOUGHT A HOUSE”!!!!!
Cheers to new chapters 🍻
This housing market is wild y’all, class of 2022 is not ok.
No one prepares you for how hard it is to face the possibility living without your best friends from med school.
Those 4 years feel like a lifetime of loving & knowing them.
I’ve spent 4 years wishing the days would move faster, now I’d give anything for more time with them
HALFWAY THROUGH INTERN YEAR!
The hardest, best 6 months. I’ve learned more than I ever thought possible & was constantly reminder how much more I have to learn. Constantly thankful for the people I work with & the friends I’ve made that are now family.
Cheers to the next 6🥂
Tonight I got to hold my best friends in med school close and tell them how much they mean to me + lots of tears. I am so excited to celebrate my favorite humans & where they get to be residents 😭😍
My humans. Forever and ever. In 8.5 hours + 5 days, bring on the celebrations
A few reasons I love
@NRH_EM
:
⭐️ We are an unopposed program with so 👏🏼 many 👏🏼 procedures (I got 17 central lines my first month as an intern!!!!)
⭐️ Moonlighting starting 2nd year
⭐️ EMS, event medicine (OU football games), and SWAT opportunities
⭐️ 🌮 Tuesdays
⭐️ THE PEOPLE
Best compliment I’ve gotten intern year: “you’re exactly where you’re supposed to be”
Imposter syndrome is so real and having someone giving me that reminder meant more than they ever knew.
I’m on surgery and as an intern who has been incredibly stressed for the past month, having an attending who respects your time, gives you weekends off, wants you to learn and do the things that are applicable in the ED (intubate/consult pts in the dept), this is a dream month 🙌🏼
Me: walks into my patients room yelling “great news!“ as I’m about to discharge them
Pt: “what good news could you possibly have?? I feel terrible!”
Me: slowly backing away as I realize I’m in the wrong room “well the good news is you’re here & we will take good care of you”😬
I remember my first time seeing a code run in the ED. Something inside me changed that day. I’ll remember every detail for the rest of my life/career.
Thinking of all of the people who had their lives changed forever tonight.
Learn CPR. If you know it, encourage others.
For the past several years TCEP has recognized a student from each Texas medical school for their dedication to the EM community! Join us in congratulating this group of students who were nominated by residency directors and fellow students. We are so proud of y’all!
Some people love sleep and free time, apparently I love drinking insane amounts of iced coffee and signing up for more leadership/projects/mentorship. Wouldn't change it for anything though🤪☕️👏🏼
51 days until match and 116 days until graduation. Still time to make a difference
“I think your mask rubbed your make up”
** looks closer **
“Oh nope those are just dark circles under your eyes”
- a husband who owes me some ice cream
🥲🥲🥲
The greatest honor of my life is to try to fill the enormous shoes of this girl next to me. I’ll do everything I can to continue building on the foundation you’ve built
To distract myself from the agonizing wait for match day + all associated anxiety:
I’ve decided to do a 15 days of gratitude countdown where I reflect/focus on things I’m grateful for instead.
A 🧵
Peds patient: HEY MISS DOCTOR LADY. WHAT’S YOUR NAME?
Me: Hi, my name is Blake!
Peds patient: LAKE??? 🥴 Why is your name the place where boats go?
Me: Blake! Like Lake with a B!
Patient: 👀
Me: 👀
Patient: … You should change it to something better.
Like Dr. ✨Sparkles✨
Today was overwhelming. I am so grateful to have matched.
There were smarter, more qualified applicants who went unmatched. To those who are going through the
#SOAP2022
, please let me know how I can love and support you through this part. I’m so proud of you. You got this 👏🏼
Interviewer: Wow, you really know a lot about true crime podcasts. Does that mean you have a plan on how you would murder someone?
Me: What kind of future serial killer would that make me if I went around telling everyone?
And that’s on being your authentic self in an interview
Ok since medtwitter is the best and everyone was so helpful about the stethoscope recs:
Most useful or loved items you were gifted/bought before starting intern year or anything you wish you had? Doesn’t have to be EM specific or work related!
I just went to the grocery store and bought 3 bottles of wine and 3 bottles of Stok cold brew.
If that doesn’t scream “I’ve worked the last 9/10 days” I don’t know what does.
4th year is for baking brown sugar maple cookies, drinking wine, snuggling my dog, and watching scary movies on Monday night 🤩
I know these days of free time are numbered so I plan to fill every day between now and residency with the things that make me most happy
Well, I didn't win Student Doctor of the Year at TCOM, but the amount of friends/colleagues that texted me about how proud they are of me and my accomplishments after it was announced are making me so emotional 😭🖤 So grateful to work with/know so many incredible humans
If you recently got board scores back that you were disappointed with + you feel like you don’t know who to talk to or how to move forward, PLEASE REACH OUT!
I won’t have all of the answers but I’ve been in that position and felt so isolated. Let me encourage you through this🤍
Today I felt like I truly saw progress & I’m proud of how far I’ve come so far
I worked with the same attending I had several times my first month of residency & it felt drastically different today despite being a much busier shift
✨Progress not perfection✨
Today I got to be first assist on a c-section. I explained that my OR time was very limited in medical school bc of COVID during my 3rd year. After she complimented me on how well I took feedback & the scrub tech said if I hadn’t matched EM they would have tried to steal me 😭🤍
End of life conversations with family about their loved one never get easier.
They asked me what I would do if it was my family member. Medically I know the right answer, but as a human emotionally it’s so much more complicated. Their heartbreak and love was overwhelming.
Beyond humbled. It’s been an honor,
@TexACEP
2022 TCEP Committee Leadership Award for my time as the
@texACEPstudent
Chair & TCEP Outstanding Medical Student Award for TCOM.
Grateful for my family, friends, & mentors who got me here.
The best end to my medical school career
Attention all residency programs:
@coralemily
is not only the best human and friend, but she’s also incredibly smart, works harder than almost anyone I know, and leads with confidence and grace. Any EM program would be so lucky.