Maui Flora

One of the many gorgeous flowering plants flourishing just outside our honeymoon balcony in Maui, Hawaii. I took this photo on our very first day. You can appreciate water “sticking” to the underside of a pedal in the middle of the photo. Scenes like this created a special ambience. (Copyright Spencer C. Knox, MD 2017)

Napali Coast, Kauai, Hawaii

Hawaii is by far the most memorable trip I’ve ever taken in my life.  My wife and I were on our honeymoon for an incredible ten nights, spending half of our time on Maui and the other half on the ancient garden island of Kauai.  The Names photo challenge is meaningful, since browsing through my Hawaii photos really brings me back to another place; I must say, a magical dreamland known as Hawaii.  The entire experience is one that I will forever recommend to anyone seeking adventure and relaxation with a backdrop of world-renowned towering, luscious mountains and unforgettable sunsets.

Near the start of the infamous Kalalau Trail, a walking path along the gorgeous Nā Pali Coast in Kauai, Hawaii.


The Maturation of a Physician

The Kilauea Lighthouse on Kauai, Hawaii. Copyright original photography Spencer C. Knox, MD

With the new year fast approaching, I felt that the weekly “New Horizon” photo challenge was apropos. Internal Medicine residency is a perpetual cerebral challenge, involving new and interesting medical cases and an abundance of clinical situations where knowledge is not only pushed to the limit, but expanded.  I love what I do, and the opportunity to train with many amazing physicians, as well as learn from helpful registered nurses.

Looking at the remaining fifteen days in the year 2016, I am reminded of the career decisions that await me.  Physicians in internal medicine residency training programs, like me, either graduate and work in primary care or as a hospitalist, or sub-specialize.

On December 31, 2016, I have set a firm deadline to decide whether or not I will pursue fellowship training.  A commitment is relevant now because my actions during the second-half of my PGY-2 (second year) will affect the next step in my professional maturation.  Will I go immediately from internal medicine residency to a fellowship training program?  Will I be able to find sufficient research opportunities early 2017?  There are many uncertainties that I must begin to answer in the next month or two in order to gain clearer insight into my chances of obtaining fellowship training.