Medical School: Round 1

It’s official: I completed my first exam of medical school today (terrifying). I finally have a chance to write a brief update. Now I know what real academic volume is. I especially sympathize with my classmates who have children because I can barely manage myself these days. Graduating from William and Mary, I feel adequately prepared in terms of my undergraduate education, but being two years out of the classroom came with challenges. Bright side: I don’t find it horribly difficult to sit eight straight hours studying on a Saturday. I have averaged about 11 hours a day of school/study time in the past three weeks (weekends included). Granted, I am a slow reader, but I feel like my schedule is probably reflective for most of my classmates as well.

Our first module, Fundamentals, highlights biochemistry, histology, pathology, epidemiology/biostatistics, microbiology, and immunology. It is a good introductory review of science as well as getting the basics of histology and pathology down (we have computer-based labs for these courses too). It’s a nice way to level the playing field in terms of everybody’s background education in science.

In terms of patient experience, we are already learning how to conduct medical interviews and how to perform a full-body physical examination. These take up our Tuesday and Thursday afternoons. I was incredibly anxious at first, but all of our preceptors are amazing and approachable. These sessions are opportunities to begin developing specific skill sets in physician-patient communication and the ins and outs of performing an examination. Medical interviews are done with standardized patients (actors) or real patients at Walter Reed. We practice the physical exam with other classmates in small groups.

Thus far, I am excited about the USU medical school curriculum. They instituted a recent change that bumped up Step 1 scores remarkably, and the layout seems well-thought out and organized. Each module usually lasting 7-8 weeks has a major theme: Fundamentals, Musculoskeletal (MSK), Cardiopulmonary-Renal (CPR), Neuroscience, GI/Hepat/Nutrition/Metabolism, Reproduction/Endocrinology, and Multi-System/Complex Disease. Between Fundamentals and MSK, we’ll be heading out to Fort Indiantown Gap in Pennsylvania for 10 days of leadership/teamwork training and some patient role-playing for the fourth years.

All in all, I am enjoying medical school despite not seeing my friends/family in the area very much. I definitely have my moments where I feel like I am riding the struggle bus to downtown struggle city. But don’t we all?

Stay tuned. I might be changing the blog up a little bit because med school talk cannot stay interesting on its own.

From Montgomery to Nashville to USU Orientation

As a COT-graduate, I had been entirely too sleep deprived. Right after the graduation festivities on Friday, everything still felt rushed with the campus bustling and people all over Morehouse Hall exchanging goodbyes and luggage. Andrew and my dad helped me pack my belongings into my dad’s car (well, the car that said “Distinguished Visitor” on the license plate – I learned from one of the administrators that the Air Force views SES as equivalent to 3-Star Generals and the Army generally views them as the civilian equivalent to 2-Star Generals. Makes me proud!). 

I had the opportunity to show my dad and Andrew downtown Montgomery when we grabbed lunch in The Alley near the Riverwalk. I scarfed down a bacon cheeseburger like nobody’s business. My dad bought wine, and we celebrated my accomplishments/survival. I mostly celebrated the ability to see my family and go home and sleep (you’ll notice this theme of SLEEP will come up frequently). After lunch, we picked up Charlie (my 2006 Honda Accord) from the shop with her new battery. McGriff’s Auto Shop proved to be a great spot right next to Maxwell AFB (suggestions for future COT-goers who have their batteries die…I heard of a number of individuals with this problem, probably because we had to leave our cars unattended for a few weeks). Beware of politics if you mention you’re in the Air Force though. The guy working at the auto shop certainly had his opinions about “Barack Obama negotiating with terrorists” and I prefer to steer clear of such conversations with strangers, namely to avoid political affiliations with the military. Remember: whoever the President is, he/she is your Commander in Chief!

Once we got back to base (I’m beginning to rock the car salute), we all decided to take a power nap in the Fairchild suite my dad and Andrew were staying at. Originally, Andrew and I planned on driving to Nashville after dinner as a pit-stop on the way home – we both have friends in Nashville and have never been to Tennessee. However, this power nap turned into a 4+ hour affair. Neither my dad nor Andrew wanted to wake me up, and I am grateful they didn’t! After waking up, showering, and having a cup of coffee, I was finally ready for dinner. At this point, it was sometime after 9pm, and we set out back to The Alley. My dad and Andrew were both very impressed by Montgomery, and I attribute that to my tour guide skills of downtown. Enjoyed some Mexican food, some margaritas, and some good old-fashioned conversation.

Blurry photo of Andrew at El Barrio in Birmingham, Alabama

Blurry photo of Andrew at El Barrio in Birmingham, Alabama

My dad’s flight went out Saturday morning, and Andrew and I headed for Nashville a couple hours after. Because of traffic, our 4-hour drive turned into an 8-hour drive (somehow there were 4 accidents on the one highway we were taking). We managed a pit-stop in Birmingham, Alabama, and to the suggestion of my Alabammer flight mate, we went to El Barrio, a fantastic Mexican food place in the downtown area that had A+ breakfast burritos. Very cool ambiance. Several hours later, we made it to Nashville! Andrew treated me to the Marriott with a view of Vanderbilt Stadium. 

View from our hotel room

View from our hotel room

Soon after, Ben – a William and Mary friend who I knew through Project Phoenix (a tutoring/mentoring organization), APO (a community service organization), and math/science classes, currently getting his education degree at Vanderbilt – picked us up for a driving tour of Nashville and dinner at Five Points Pizza. If I was a Yelper, I would have given fabulous ratings. I never realized what a small city Nashville was, and it has so much Southern character. After dinner, the three of us went to Andrew’s friend’s place. His friend is managing a band in Nashville, a great city to kick start a music career. His friend, also named Andrew, took us bar hopping and gave us a variety of scenes – from underground bars to Broadway street. Music was everywhere. The streets were absolutely packed. I have never seen so many bachelorette parties in one location! 

Broadway Street in Nashville, Tennessee

Broadway Street in Nashville, Tennessee

After our half-day in Nashville, Andrew and I had to make the drive back home Sunday morning, which was really painful due to traffic and poor pit-stop experiences, including a gas pump in Knoxville that kept going after my tank was full, resulting in gas spilling over onto my feet. Eating at Cracker Barrel eased our hanger – don’t judge, I’m a huge Cracker Barrel fan.

Once we made it back to Northern Virginia, I had this brief existential moment when I realized I had changed. COT definitely had a greater impact on me than I expected. I have this huge appreciation for being home as well as being with the individuals I care about. I also appreciate time to sleep (which I should hold dear to my heart before medical school really picks up). It’s time to prioritize what I value most in life. Spend less time on the things that don’t matter and more time on the things that do. I’ll try to maintain the school-life balance to the best of my ability, but I want to be a qualified physician and will do what it takes to get there. Wish me luck 🙂

I have been attending USU orientation for the past three weeks, the first two designated for Military/Brigade Orientation and the latter week for Academic Orientation. Military Orientation was a little like COT 2.0 with more direction and without the screaming. We had some lectures relevant to the military and mostly filled out paperwork and completed online training programs. Orientation provided ample free time to get life in order. It was a fabulous time to catch up on my social quota with friends and family in the area and to catch up on much-needed sleep. Academic Orientation this past week introduced us to the USUHS curriculum, mostly focusing on the pre-clerkship period in the next year and a half. We had a lecture for our first module, Fundamentals, which basically provides a foundation for the rest of the modules and is Pass/Fail (no honors, unlike the other modules).

I’ve been spending lots of time with my fellow USUHS Bravos and the one amazing USUHS Alpha (I’m clearly still in COT-speak. We have been staying in touch with our fellow Bravos – a few of us went out to U Street when a Bravo from Philly visited last weekend. And our flight commander sent us a final Bravo Bombers morale memo to motivate us for the next stage of our careers). All in all, my classmates seem awesome. Everybody is friendly and always willing to help each other out. Faculty members thus far seem fabulous, both engaging and caring for their students. I am a balance between excited and terrified to embark on the next stage of the journey. Somehow I am already swamped with readings, an essay, online quizzes, and a massive to-do list. First day of medical school is tomorrow! Although I feel quite unqualified, I see my first patient this week and am doing a home visit with a classmate on Wednesday. And so it begins. Ready, set, gooooo!

The COT Finale: Weeks 4-5

It’s been three weeks since my last post, and oh my, a lot has certainly happened. I had been so chronically sleep deprived that I never managed to set enough time aside to write a coherent post of what had been going on. So let’s give this a try.

The fourth week of COT was a jumble of events and emotions. We all anxiously awaited graduation, which was the Friday of Week 5. I have no idea how the BOT, ROTC, or BMT trainees do it because 5 weeks for COT already felt like eternity. I have the utmost respect for everybody who successfully completes these intense training programs.

WEEK FOUR
Monday
The day was quite busy, beginning with our final PT exam and the CWT #2, followed by lectures galore (not gonna lie, it was the first time I straight up passed out in the big red pillows. I am quite grateful I was sly and not caught by any instructors. You’re supposed to stand up in the back of the room if you’re falling asleep.) In other news, I finally got my ranks sewn onto my uniform and it feels GOOD. Now I see what OTS staff members mean by having pride in your uniform. My name and rank are looking pretty beautiful.

Some happy times in Boyd Auditorium

Some happy times in Boyd Auditorium

PT test: earned a 98.4 of 100 on the test. I have never run so quickly, smashed so many push-ups, or whipped out that many sit-ups. For the first mile of my 1.5mi, I ran a 7:28 (if you know me, this is a miracle). Ran the full deal in 11:34. Did 43 push-ups in a minute and 57 sit-ups in a minute. KILLING IT. Did not think it was possible to improve on my original score, but I did. Everybody in my flight improved across the board for all three elements of the PT exam. In retrospect, it’s funny that I stressed so much about PT before COT when it turned out to be my strongest aspect.

CWT #2 (our final academic test): solid score, felt good to be done with the academic portion of COT. Done done done done done and time to celebrate!

Tuesday-Wednesday
LRC: Leadership Reaction Course (not to be confused with the Learning Resource Center at USU)

The LRC was a continuation of Project X from the previous week where staff members graded us on leadership skills in a series of (mildly dangerous) obstacles. Playing out Navy Seal-type missions with zero prior outdoor leadership experience, we dealt with heights, climbing walls, building tripods (oh hey, that’s my claim to fame), maneuvering in water, utilizing given resources, relying on the leader, planning the mission before execution, etc. LRC was a great learning experience because it was one of the first opportunities everybody could get leadership training. I might have preferred a crash course beforehand in field activities and outdoor safety though (I was never a girl scout and have never been privy to climbing things). Bravo Bombers beat the record for one of the obstacles when we happened to have only athletic guys grouped for one of the teams.

After the LRC events, we were phased up! Ironic timing too because we were granted phase 3 privileges before our mock deployment began (called Blue Thunder), meaning we could only truly exercise phase 3 status over the weekend. It was nice in theory, but man you have no idea what it meant to be given phase 3 privileges. No more tight meals and we could leave the base outside of duty hours. Sweet sweet freedom was in grasp. Freedom tastes so good.

Anyway, we were phased up before heading to our overnight mock deployment. The tents were air conditioned even though the bunks hurt my back. Awesome Air Force planes were taking off like they were right in front of us (same with on OTS campus but the view was much better here). Luckily we were so ravenous during the events that eating MREs weren’t so bad. [[In case I didn’t mention it before, MREs are almost space-type meals with way too much sodium and interesting methods of chemistry to heat food. I am bringing a few of these meals home that I didn’t finish so Andrew can have an MRE-picnic with me.]]

Our mock deployment base

Our mock deployment base

Inside the girls' tent for Alpha and Bravo

Inside the girls’ tent for Alpha and Bravo

Thursday
Beware of the trains that you hear passing in the middle of the night and the 4:30am wake-up call to rock music. Didn’t get too much sleep at Blue Thunder before beginning our long day of the Ropes Course and Litter Carry during Black Flag weather.

Ready to embark on the day

Ready to embark on the day

The ropes course consisted of a 40 ft rock wall, the tooth pick (the second worst), a repel wall, and an actual ropes course (which was the worst). I have this massive fear of heights; despite lots of crying, I got through it. I received endless support from my Bravos and the Alphas who came after us as well as OTS staff (the OTS staff members helping on the ropes course were fantastic). I was grateful to have the most adventurous Bravo female in our group come behind me to help out emotionally along the way. Completing the ropes course events in its entirety was a big accomplishment for me but I cannot say I will ever do it again voluntarily. It was pure torture. Good to know I can accept a challenge and see it through.

Featuring the wall and the toothpick

Featuring the wall and the toothpick

I assure you, that was not a real smile

I assure you, that was not a real smile. Also, the picture is misleading; I am not walking on ground.

Who knew there were so many things involved in carrying stretchers (ie litters) in the military? So many commands. I was pretty unhappy to discover that carrying a 113 lb flight mate on the litter was painful although most of the guys didn’t have a problem. Here I thought I was a strong, capable woman, but I guess I should hit the gym some more. Luckily, black flag conditions meant we didn’t have to do the litter carry course with an actual person on the litter. A highlight of the course was when OTS staff threw sand on us (“blood and guts”) as we crawled underneath wire that got progressively narrow as we proceeded. Fun times at COT.

Sleepy during litter carry break

Sleepy during litter carry break

Friday
As part of the Blue Thunder mock deployment experience, MRIC (Medical Readiness Indoctrination Course) consisted of two portions with a massive tent set up as a combat field hospital, the first part testing response to patients with minor injuries and the second part testing response to a mass casualty event due to a bombing. Trainees had a variety of positions, including hospital administration, security, manpower, ICU, OR, patients, moulage, etc.

The Bravo moulage crew

The Bravo moulage crew

I signed up for mental health originally, but only 1-2 individuals got the slot. I was assigned the role of a patient, which ended up being ridiculously fun. First scenario, I was a marine who got hit by an IED while chasing car bomb suspects. Despite my minor injury (which was never treated), I was sedated for being so belligerent (I was trying to stick with my devil dog, aka my chaplain roommate, who was severely burned. Also security took my rifle away. You don’t take a marine’s rifle away.) I was almost sent to the morgue due to confusion about my sedation records. That was exciting. Second scenario, I had shell shock, and the team had a much more appropriate response to my clinical condition than the first round. Very interesting experience from a learning standpoint of what should be done in a mass casualty scenario.

Coming back from MRIC, we had our usual Hall Call to end the week, which is basically one big pep rally. Bravos won flight of the week within our squadron and our overall class. Within Bravo, I won the award for flight member of the week, which was exciting recognition for building flight morale and challenging myself during all the field events. In other news, my Falcon squadron rocked the drill competition (with Bravos leading the way as element leaders, guidon bearer, and flight leader for the superflight and made it #1). As per usual, Bravos REPRESENT.
FORWARD HARCH.

Getting our flight of the week award

Getting our flight of the week award

OUR GUIDON

OUR GUIDON

Falcon Superflight

Falcon Superflight

Saturday
The morning was short but eventful. We wore dress blues for the commandant inspection, consisting of open ranks (basically a fancy drill/uniform/military inspection) and room inspection. Only thing the Bravos needed to learn was folding hospital corners in our beds, which was something we had not been taught before so we were pretty proud of ourselves.

As for the rest of the day, we got to feel like normal people again, wear civvies, watch a movie (got a military discount for the first time!), eat out, and go shopping. I was a little bit of a chauffeur but I missed my Charlie baby so that was alright. One day to almost feel like a real person, despite our imposed squadron curfew at 2230 (aka 10:30pm).

Sunday
A little back to the COT world – errands galore for dining centerpieces, plus a summer camp feel when we were doing art for it, plus the ultimate Frisbee tournament. One of our Bravo’s dorm rooms had electrical issues that caused a fire alarm to go off, which added extra spice to our weekend because we weren’t allowed to go to Morehouse dorms for a solid chunk of Sunday.

WEEK FIVE
Monday
Our day mostly consisted of random lectures galore. They were actually pretty useful topics for the future. However, I had still been struggling with sleep debt and thus paying full attention was not the easiest. We spent the evening at Mellow Mushroom (deliciousness) for our flight commander dinner, where we invited Capt Warren, his wife, niece, and seven children out for a meal. They were such a lovely, happy family. His wife and kids decorated rollos to look like dynamites in honor of the Bravo “Bombers”. Adorbs.

Dinner crew at Mellow Mushroom

Dinner crew at Mellow Mushroom

Tuesday
The highlight of Tuesday was the Dining In, which was a formal event (despite wearing our ABUs, not blues) at the Officer’s Club. The military traditions were a-plenty and oh so odd. If you broke any rules, you could be sent to the grog, which was a hodgepodge of mixed drinks that apparently tasted really good (with both alcoholic and nonalcoholic options). There was a certain way of doing everything. So many rules to remember, which they cover pretty extensively and include in the red packet they leave on your table. So many little quirks about the meal; for example, instead of clapping, you tap the table with the round part of your spoon. The best part was the comedy skit coordinated by our class – absolutely hilarious and pointed out all the silly idiosyncrasies of COT. The night ended with a DJ event in the basement bar area of the Officer’s Club.

At the Officer's Club

At the Officer’s Club

The beautiful centerpieces!

The beautiful centerpieces!

Wednesday
We did our last PT with a fun run around campus, learning about the history of Maxwell AFB. At the conclusion, we got our wings! It was quite ceremonial.

Family started pouring in (so we were phased up to phase 4 privileges) and made me wish I could fast forward to Friday when my dad and Andrew were coming into town. We had the USAA dinner that evening, which included a delicious buffet. It turned out to be a huge advertisement event with bankers and USAA insurance agents at the ready while speakers were giving out random prizes and presenting certain aspects of financial opportunities with USAA. Congrats to me: USAA approved me for a career starter loan (at 2.99% interest!) so I can pay off my credit cards and my higher interest student loans. Afterwards, some of us hit the town near the Riverwalk area in the Alley (basically the only place to go out in Montgomery, Alabama).

Thursday
The last full day of COT. Falcons won Honor Squadron at the awards ceremony, and unfortunately, Bravo came in 2nd place for Honor Flight (we lost by 0.2%). In my heart, Bravo will always be #1. Even though my car battery died and needed replacing, I absolutely enjoyed my last day and night with these fabulous officers.

Friday
Thanks to an active duty meeting first thing in the morning, a few of us were late to our graduation ceremony – whoops – in the COT conference room (it was actually supposed to be in our flight room but we had too many guests to fit). When I walked in, the very first faces I saw were my dad’s and Andrew’s. So much happiness in the world when your home comes to you! Our flight commander shared funny tales about each of us while giving out certificates and coins. Great success! As per usual, we rushed to get to the graduation parade after. Because my dad was one of the few distinguished visitors (as an SES in the Army), I knew exactly where he and Andrew would be sitting and watched them with my peripheral vision during the entire parade – you’d be surprised how much you can see using peripheral vision by the end of COT. After graduation was over, I exchanged hugs and photos with my Bravos as we said our goodbyes.

Graduation

As a conclusion to this post, I have to put the cherry on top of my Bravo-loving. We’re a bunch of goofballs. I wish I could list all the things I love about each and every individual in my flight if I had the time and could dish out details of their private lives. I am grateful that I contributed to this group, with zero drama and 100% support. I am grateful we didn’t crack the whip on each other and could courteously make corrections when necessary. I am grateful we kept up good spirits while getting through such a challenging training experience together. Finally, I am grateful to have 3 Bravos in USUHS with me, 1 Alpha, and a Bravo dentist close by at Andrews AFB. I love being surrounded by good people, and COT encouraged me that we are recruiting some amazing people as officers of the U.S. Air Force.

As always,
Peace, Love, and Bravo

Phase Two at COT: Week 3

Alas, I made it to Week 4. I feel like we are about to hit the promised land because graduation is in sight!

Because I have my final PT exam in the morning, as well as my final academic test, as well as open ranks where they inspect uniforms and ask military questions, as well as room inspections in the afternoon, I am going to keep this short. Highlights:

– We got phased up last Monday. This means we are allowed to talk quietly at dinners and go around the base on the weekend. The first meal we ate outside the DFAC was fantastic (sub and FRIES). Also got to go grocery shopping and feel like a real person again. Did my squadron photographic officer duties at the UPS Store and BOOM, errands accomplished outside the OTS complex. The power of printing and shopping is something we should all appreciate.

– On Wednesday, my 5k time was under 24 minutes, major improvement of about 5 minutes from my last timed 5k. We also had picture day (yay for getting my photo officer duties in) and presented our briefs. My brief on human rights in Iran was not as coherent as I wanted it to be. I was rushed with the time limit and skipped over a lot of information (I was also interrupted by an “active shooter” exercise where we had to barricade ourselves inside the flight room). Everything is a learning experience. All in all, I enjoyed listening to the briefs and learning about cultural/regional differences and the US military.

– We went through a series of obstacles last week for field leadership training. We’ll be doing a LOT more leadership training this coming week (deep breaths thinking about the ropes course. I’ll channel the progressive relaxation techniques my flight did earlier today in anticipation for our busy day tomorrow).

Drilling and marching

Drilling and marching

– Standardization: we have to keep everything standardized (the same as everything else and everybody else), including but not limited to our dorm rooms, uniforms, name tags, how we organize books, etc.

– Had a field trip to a military museum about enlisted heritage and history. Twas interesting and a nice getaway to Gunter on a rainy day.

Museum time with my flight mates

Museum time with my flight mates

– The Bravo Bombers are continuing to rock it. I believe we currently rank in the top 3 flights. We got one of the highest flight averages on our big academic test Monday (with the smallest standard deviation of all 21 flights). This past week we won flight of the week in our squadron, as well as academic flight of the week and social butterflies (we like to smile and be nice to other people, go figure).

Bravo Bombers slash the Bravo Bunch with our spoils :) #winning

Bravo Bombers slash “the Bravo Bunch” with our spoils #winning

Peace, Love, and Bravo.

Phase One at COT: Weeks 1-2

Today signals my thirteenth day at Commissioned Officer Training (COT), and I finally found time to update the blog. Technically, we just finished training day 8 of 23 on Friday, but our schedules are packed whether it’s the duty week, the weekend, or the fourth of July. We usually scramble from activity to activity from 0430 to 2300 daily, so I’ll try to hit the big points of what’s been going on here.

Two Sundays ago, I made the full drive from McLean, Virginia to Montgomery, Alabama in about 13 hours. I had the horrible realization my drive was one hour longer than anticipated when I reached the Alabama border, with a sign indicating it’s in the central time zone (womp womp). When I arrived at the Air Force Inn on Maxwell AFB, I ran into two females in the hallway discussing COT. One was a captain who just graduated dental school and was beginning COT the next day with me, and the other was an enlisted female who shared some of her experiences in BOT (basic training). In comparison, COT is much less stressful, but at the time, I did not realize what was in store for me.

Let me preface the rest of my post by saying that it was crucial to read a few blogs beforehand and to do research on the training program. COT has been one of the most difficult professional experiences for me, challenging me in ways that I had not expected while also being easier in other ways. Everyone gets stressed out. Everyone feels uncomfortable. Everyone is sleep-deprived, which is why our large auditorium is referred to as the “big red pillow”. At the same time, you’re going to have a lot of fun and learn what it really means to become a military professional. Every person has a different experience here; it’s all about the perspective you take away from this opportunity to train to become an Air Force officer.

On day 1, I drove in with the dentist I had met from the night before, who coincidentally ended up in my squadron and lives down the hall from me. Our class of about 320 officer trainees is split into 4 squadrons with 21 flights total. My Falcon squadron has 5 flights (mine being the Bravo Bombers, the best flight ever).

Day 1 consisted of LOTS OF YELLING. I learned to stop talking, to march, to follow directions, and to stare straight forward with zero facial expressions as screaming comes from every direction. I quickly realized that this would become a regular deal, but bright side: the screaming stops phasing you really early on. They instruct by yelling. When you calm down, listen, and follow through, all goes well. Things are only a big deal if you make it a big deal (unless you’re doing something egregiously horrible, but most trainees I have encountered are individuals of high moral character). Buying uniform items was a hot mess that day, but it was refreshing to have normal human conversations with the people working at the store before being thrown back to OTS staff again.

Most activities here revolve around five main things: 1) drill/marching, 2) physical training, 3) academics, 4) your duties/leadership roles, and 5) team building activities.

1) Drill.
I have no idea why this hasn’t been mentioned in previous blogs more. Marching and saluting and rendering military customs and courtesies are way more difficult than I thought they’d be. They also play a huge role in the COT experience. We passed our pennant test yesterday and Bravo flight came out as the #1 flight in our class. This is a BIG DEAL, especially because we really got our act together and practiced drilling meticulously the couple days beforehand. We were underdogs, but we rocked it. Our success earned us a most professional flight of the week award within our squadron. THIS GUIDON IS OURS. WE OWN THE GUIDON.

After receiving our pennant and professionalism award!

Bravo flight after receiving our pennant and professionalism award!

2) Physical training.
We head out for PT at 0440 most mornings. Per other blogs, I assumed the workouts wouldn’t be challenging, but they’ve actually been good thus far. Lots of running and group stretching. I can tell certain individuals are struggling more and others are breezing through it, but I am getting some good workouts in and my physical abilities are clearly improving. We took our baseline PT test on Monday, and I got all my personal bests for the 1.5 mile run, the push-up portion, and the sit-up portion. I surpassed my goal of hitting the excellent mark (scoring 90/100) and got a little over 95. #Winning.

3) Academics.
In the first week, there is so much paperwork processing and drill that you forget you’re here to learn the logistics of being a military officer. It has definitely picked up week two, after we took our big test on the officer training school manual (I got 100%, which was a huge pick-me-up when I was getting mentally exhausted from sleep deprivation. Sleep is huge, people. You’ve got to get it.) I had assumed classes would be more on Air Force history, rules, and regulations, but it’s a lot better than I anticipated. Courses thus far have focused on team building, motivation, and leadership skills. We also have classes on warfare studies, profession of arms, as well as communication. Big test coming up Monday that I should be studying for as we speak. Also, I am giving a brief on Wednesday about human rights in Iran. Stay tuned for how those go.

4) Your duties/leadership roles.
There are dozens of opportunities to get involved in leadership here. I will admit that most people who pick those higher-up roles seem stressed out of their minds, but if that’s your thing, then definitely jump on it. Leadership comes in many forms though, and everybody plays a part here. I lucked out with my flight job as the photographic officer. I would like to consider myself a morale booster. For weekend #1, I had to crank a lot of things out, but now my main responsibilities are to take photos and update the flight board (which is pretty difficult in a place where there is basically no functioning internet and you’re not allowed to print). My flight and squadron have excellent leaders. I am grateful for the opportunity to train with such a fabulous group of people (shout out to my Bravo Bombers – BOOM BOOM – as well as my flight commander).

5) Team building activities.
I think this will come more into play later, but what I really wanted to emphasize is how closely we work within our flights. My flight consists of 16 amazing people, including mostly medical students and dentists, as well as a couple psychologists, a pharmacist, and a chaplain (who’s my roommate!). We have done some field leadership training as well as countless group activities together. Our Bravo flight is a cohesive unit, and our team morale is always high. None of us are prior-military, so it has been quite the process where we are all learning how to be military officers. These people are going to be the #1 reason I might miss COT after graduation.

Ready for the next leadership mission

Ready for the next leadership mission

Other random points worth mentioning:
-Alabama feels like a toaster oven. How we wear boots, pants, and long sleeves still baffles me.
-Tight meals consist of shoving as much DFAC (our dining facility) food as you can in under 10 minutes. Sitting at modified attention and the no-talking rules aren’t painful in comparison to the stomach pains I get after meals from eating too quickly. The food is pretty good though AND very cheap.
-Being feminine is quite the challenge. Not much time for make-up or pretty hair. Luckily, OTS staff has not been passing out demerits for hair that “looks like a rat’s nest”. In defense of all the females here, we try.
-Andrew and my dad are flying down for graduation in August. Happy happy happy happy. 3 weeks and counting.

Peace, love, and Bravo.

Preparing for COT

Considering this took oh so much time and energy over the past several months, I decided to share what went into preparing for commissioned officer training (COT) at Maxwell Air Force Base in Montgomery, Alabama. Hopefully this will help any future commissioned Air Force officers. I will be heading there tomorrow and still need to finish printing paperwork and packing!

1) Pass the medical exam.
This can involve medical waivers, blood tests, x-rays, and the works if you do not pass the first time. For me, it meant I needed to lose 15 pounds during the government shutdown so that I qualified.

2) Fill out the paperwork.
There is paperwork galore. Medical paperwork. Contract paperwork. Oath paperwork. Coordinating details after receiving orders. There is a hodgepodge of information everywhere, and you just cross your fingers that you filled everything out appropriately and sent the forms to the correct people. Luckily, I have only encountered military personnel who are beyond understanding that this is a confusing process.

3) Look the part.
This probably applies for females more than males. I like a lot of color in my life. I love painting my nails and wearing happy accessories (my favorite color is sun yellow). I have experimented with dying my hair from blonde to black, as well as the ROYGBIV spectrum of hair streaks. I never do anything to my hair when it comes to styling because it dries perfectly. I struggle more with buns and ponytails than leaving it alone. So that is my disclaimer for including this section. If you are female, I strongly encourage youtube videos and pinterest to know how to do military hair (especially the sock bun). As long as guys cut their hair appropriately, they’re set. I chose not to cut my hair under shoulder-length. If your hair is thick and layered like myself, it can be a struggle. I am still not completed prepared for COT when it comes to looking the part.

4) Anticipate the sports physical.
We have different requirements based on sex and age, but there is a 1.5-mile run, 1 minute push-ups, and 1 minute sit-ups. I have worked on all three and am hopefully going to pass at 90% (passing is 75%, but 90%+ is preferred). Honestly though, I find all three to be a struggle when I am aiming for a certain number. I will likely talk about this process in detail in another post when I do my sports physical at officer training.

5) Read up.
Know what you’re getting yourself into, and know what will be expected. There are dozens of blogs, the USUHS website, the COT website, documents detailing rules and regulation, and books galore. Previous students, especially my student sponsor, have been excellent resources. I’m also currently reading the Air Force Officer’s Guide, which provides a nice overview. I learned that we will be doing a ropes course at COT, and I am actually quite afraid of heights. I am perfectly fine on planes and on roller coasters, but being high in the air without solid ground isn’t my forte (ironic that I chose Air Force, I know). I like challenging myself though, and I went to Earth Treks with an NIH coworker in Rockville and climbed three intense rock walls to conquer my fears. I cannot say I enjoyed the experience, but I believe I can work through my fear of heights if I have to. Now I will not be taken off guard when we need to do our ropes course this summer.

6) Pack everything you need.
I read every packing list available to know exactly what I’ll need to bring (will likely post a final list after my own experience for future officer trainees!). The number of snacks I’m bringing is probably unnecessary, but I am a grazer and I don’t mind sharing.

I definitely feel out of my element. I am excited for medical school but terribly anxious for officer training. I heard it’s mostly “death by powerpoint”, so we’ll see if it holds up to its reputation. I will have lots to learn: saluting, marching, saying “m’am” and “sir”. I definitely accomplished what I hoped to accomplish before this time with my NIH paper, travel, and catching up with friends and family. Now it’s on to the next big chapter. Second Lieutenant Anvari, out!