I have a lot of friends and family who get a little confused as to what stage we're at in our lives, and so I wanted to provide a little background on what the journey is like to become a doctor-more specifically an Orthapedic Surgeon.
The breakdown goes something like this: K-8th grade, then your four years of high school, then your four years of undergrad education, usually majoring in the sciences. This is when you take your MCAT, apply and interview for medical school. After you are accepted (hopefully) you complete your four years of medical school and when you start taking your first set of Boards. During medical school you decide exactly what kind of Doctor you wish to become and begin looking into Residency. Residency is years of training in your particular area of interest, ie Family Practice, Emergency Medicine, Radiology, General Surgery, etc. And in our case, Orthopedic Surgery.
During your fourth year of Medical School you apply to Residency programs across the country and hope for interviews. After all the interviewing is done there is the Match. You rank the places you interviewed at in order of preference and likewise the programs rank the interviewees in order of preference. Some computer program then takes the information and matches everyone accordingly. In March of that fourth year you find out via email
if you did indeed match, and if not, then you need to scramble and call programs that also didn't match and find yourself a spot. Then a few days later it is Match Day when every 4th year Medical Student across the nation finds out exactly
where they matched (if you had to scramble, then you essentially already know). Then in May you graduate and receive your Medical Degree and have that "Doctor" title.
So you've graduated from medical school and now will be forever known as "Dr. Whatshisname", but in the eyes of many you aren't a "real" doctor yet. You take another set of Boards (usually before graduation) and set to move on to Residency, which starts that June/July following your graduation in May. For many this is somewhere else from where you did your formal schooling. Now it depends on your particular specialty how long a Residency program is. For instance, I believe Peds or Family Practice Residencies are only 3 years, where as most surgical ones are 5-6. Ortho is 5 years.
In our case, we matched at a great Orthopedic Residency program where we were for our first 3 years. Unfortunately for us, the program was shut down by the
ACGME and we had to find another program that would take us in for our final two years. Micah had to again call programs, apply, and interview again for this. That is why we relocated here to CA and are finishing up Residency at Stanford. (Click
here if you want to revisit the post where I explained a little of what was going on when we found out we were closing). (And
here is when I posted about our decision to move to CA).
Now in Orthopedics you could finish out your 5 year training and find a job doing General Orthopedics, meaning you would see just about everything from joints, to hand, to foot and ankle etc. Or you could do another year of training called Fellowship which is focusing on just one area of ortho, and in Micah's case, spine. When you are in your fourth year of Residency you apply and interview for your Fellowship position. The thought process is that they don't want you to take time out of your Chief year of Residency to find a place to go for Fellowship, and instead do it the year before. This way there aren't any distractions during your final year and your not worried about what your immediate future looks like. So after all the interviews for you specialty are over with, you again rank your possibilities and the programs do the same, and we go through another match.
Well today was D-Day when we found out where we were going to match. Micah interviewed at 10 different programs across the country (literally, from CA to MA). The top two programs that Micah really felt were going to be a good fit for him were Utah and Houston. We felt fairly confident that we would end up at either of those places. We both have reasons for wanting or favoring one over the other, but in the end they were pretty evenly split. In the end Utah was ranked #1 and Houston was ranked #2. And we ended up in.....

I'm going to admit, I'm sad we're not going to Houston because we have family there and would have loved to be close to them. But it was not meant to be. We are excited for Utah as our best friends are from there, and they will find out next week where they match for Fellowship in Hand. We're praying they end up in Utah with us, but we don't want to get our hopes up. At any rate, we at least know they will have some great advice for us and we'll have their family's friendly faces to greet us when we arrive.
So this means that we have one more year here in CA to complete his final year of Residency (and take another set of Boards), and then we will move in July of 2012 to Utah for his year of Fellowship in Spine. After that year is over we will make our final move to wherever we decide to practice and finally set down some roots.
There you have it. It's a long haul, and we can finally say were near the tail end of it all. The light is at the end of the tunnel! Sorry this post was so long, but so is our journey. Those of you who have been with us through it all, we love you and thank you for all your support. It certainly isn't always easy, but it's worth it in the end when you love the job you do. I love my husband and am very proud of all his accomplishments. He is an amazing doctor, an incredible father, and the absolute best partner in life. I'm so lucky to be married to such a wonderful man.