Category Archives: workouts

Running During Intern Year***

***Caveat: This is a plan. The shit may hit the fan a month from now and this may all be a pipe dream. That said, I went into medical school planning for the worst and it never really happened, so I’m doing the same for Residency.

One of the benefits (??) of Residency is that we know our schedules way, way, way in advance. It takes an inordinate amount of organization to cover a hospital and our schedules are done almost before we Match. Because my program is new, ours will be a little less set as we work out kinks in coverage but we still have a full year schedule to work from which is amazing from a running perspective. Our schedule is unique because we do three month blocks from the beginning rather than one month blocks. From a professional perspective, this allows us to actually get our feet under us and build proficiency. From a lifestyle perspective, this allows us to adjust to a schedule for a longer period of time and supports more normal sleep cycles. The other big change for this year is that the work hour restrictions, a huge controversy in all residencies but especially in surgery, have been loosened. We still can’t work more than 80 hours a week (averaged over 4 weeks), but we are able to take 24 hour call as interns. I know some people hate call because they have to be up for 24 hours but I find it immensely preferable to night float where you work 7 pm to 7 am for a month at a time. With 24 hour call, you take a big nap when you get home, get a half day off and go to bed early the night before the reset.

From the 40,000 foot view, my schedule looks like this:

  • July, August, September on Acute Care Surgery (Tuesday Call)
  • October, November, December on Pediatric Surgery (Sunday night call)
  • January, February, March on Trauma Surgery (Thursday call)
  • April, May, June on Wound/Ambulatory Surgery (Saturday call)

What this means is that I have a guaranteed post-call day off as well as a weekend day off most weekends. Occasionally, I’ll have both days of the weekend off (known as the “Golden Weekend.”) From a training perspective, this means that I have two and occasionally three days for quality workouts. One of the big hurdles that I’ve already experienced in medical school and expect to experience even more as a resident is a lack of recovery. We work about 12 hours a day and much of that is standing. Even with almost no additional social life, this doesn’t leave a ton of time for quality sleep. Planning for my recovery, then, is almost as important as planning my runs. My general plan is to take my call day as my off day, which will allow me to sleep in a bit. On my post-call day, I’ll aim to be in bed early and on a full day off, sleep in as late as I can even if it means my run happens at a warmer time of day. Finally, I’m working on giving myself permission to take an extra rest day to prioritize sleep if I’m feeling exhausted.

For the first three months of intern year, then, this is the basic mockup of my schedule with strength training in italics and a presumption that my weekend day off will be Sunday which isn’t necessarily true. Because we’re easily the luckiest residents ever, we work 7 am to 7 pm (instead of 5 am to 5 pm), which means I can get my runs in before work without having to get up at 3 am. My hope is to keep my mileage between 50 and 60 miles a week but I will reassess this after the first couple of months and see if 40 to 50 might be more appropriate/improve recovery.

  • Monday: Interval Effort. Short hills or time based interval paced effort. Legs and Core.
  • Tuesday: Call Day. Off.
  • Wednesday: Post-Call Day. Long Run with/without steady state or tempo miles. Legs and Core.
  • Thursday: Recovery run. Arms and core.
  • Friday: Regular run. Core. 
  • Saturday: Regular run with striders. Core. 
  • Sunday: Workout with tempo and turnover work.

One of the biggest challenges for me is going to be being flexible in my training. I get stressed out when I deviate from my schedule or miss a workout but I’m working on accepting that this is a given with my current life. There will certainly be days when I can’t get a run in but there will also be days with surprise opportunities to get an extra mile or even an extra run in. A training cycle isn’t made or broken with one workout or even one week, and I will need to remind myself of this regularly.

I’ll cover my strength training approach in a post for tomorrow (I have a new app and I want to give it appropriate attention) but I’ve recently gotten in a great routine of getting some aspect of strength building in daily and want to continue that trend. Thankfully, this is the easiest piece to keep in my routine. Squats when I brush my teeth, crunches and pushups in the charting room, stairs at work etc…

 

Back To Our Regularly Scheduled Programming

My first selfie as Dr. Waterman Manning!

I won’t even attempt to recap the past few weeks of training (or life), but the very short version is that I graduated (wooohooo!), celebrated with family and friends and managed to get two very anxious doggies back home to North Carolina. We are now getting settled in Asheville and the dogs look like little kids complete with tons of mud, scratches and sunburns. They love the new backyard and are only happy when they are outside. I’m feeling similarly and have spent countless (uncharacteristic) hours just quietly rocking on the porch and dreaming up home improvement projects. I know the storm is coming but for now, I’m enjoying 9 hours of sleep a night and no real “to-dos.”

Hard to describe the bond between classmates but it’s a bit like leaving the best teammates ever.

Running is going well and I must admit that I’m relieved to feel reinvigorated now that I’m in Asheville. It is getting hot and humid here so runs are slowing down but I’m happy to get out the door every day and enjoying slow progress with my fitness. I’ve started the process of exploring running spots around the area and was blown away by Bent Creek and the new sections of the Mountains-to-Sea trail that I’ve discovered so far. I tried to join in on a group run the other night in an attempt to make some friends but it was a pretty horrible experience (still debating if I want to write about it…). Despite that, I’ve had tempo runs, steady state runs and interval workouts that have demonstrated slow but forward progress.

The Asheville half is this coming weekend and the weather looks…not great. As much as I would like to taper down in hopes of having a great peaked result, my training hasn’t been consistent enough to warrant a taper. Instead, I’m going to train normally this week but add a rest day and extra easy day on Friday and use this as a jump off point for summer training in preparation for my fall marathon. My only goal is to have a strong last three miles, which has eluded me lately in half marathons. I haven’t chosen a race yet (waiting on vacation approval) but am excited to think about starting the (long) journey towards my Trials attempt.

Week in Review 4.24.17 to 4.30.17

MEDICAL SCHOOL IS OVER!!!!!!! Finished up my last shift in the SICU on Friday and when it was done, wasn’t sure if I was supposed to spike my badge, fist pump through the halls or run out of the building. Med school was never as bad as I expected it to be but I would never, ever want to do it again. Sorry, not running related but good riddance!

Monday: Tested out the ankle with a 30 minute trail run. All good, although I was being a wimp on the more technical portions. Legs after.

Tuesday: Simple treadmill fartlek with 10 by 1 minute on, 1 minute off. On pace was somewhere between MP and tempo.

Wednesday: Got out of the unit early and snuck in a 13 mile long run. Did a couple of miles alternating between regular pace and MP to shake out lazy legs.

Thursday: Rest Day, prorated at 4. Much needed after three days that were harder than easy in a row.

Friday: 7.6 miles easy. 82 degrees out so I felt terrible! Arms afterward.

Saturday: 3 mile shakeout. Ran to the track and back, then a mile of ins/outs.

Sunday: Sleepy Hollow Mountain Race.  Remember the last time I ran a trail race? My only goal for this morning was to use some of my lessons from last year’s Rivah. My biggest goal was to keep both shoes on, which I did! I’ll recap the rest in a Race Report tomorrow but I had a blast, stayed upright and finished somewhere around 1:01:50, although I don’t know what place I was.

Total Miles: 44 miles, 2 strength workouts

Total April Miles: 153

Going up…

Now that school is done and I have a couple of months off, I’m looking forward to getting in some more consistent training. I’ll slowly be increasing my mileage towards 55 and working on fitting three explicit strength workouts in weekly (plus my daily toothbrush squats/core etc). My next race focus is the Asheville Half Marathon. I haven’t honed in on goals yet but as I get back into workouts, I’ll be setting my A, B and C goals. I also spent a lot of time putting all sorts of possible races on my calendar for the next year. Although I don’t have my call schedule, I’m hoping that I can just keep myself in good enough shape to jump in races as I can!

 

Week in Review 3.27.17 to 4.2.17

What?! A real week of training?

Monday: 5 hilly miles in Asheville. Made a dog friend on my run who followed me for 2 miles. His name was Finn and he was a sweet old guy who loved to run. Happy to reunite him with his dad, however!

Tuesday: 6.4 miles with striders. Super slushy out.

Wednesday: Humbling 7 mile progression run. Legs after.

Thursday: 6.2 mile recovery run. As I thought for 90% of this run, getting back in shape is the pits!

Friday: 4.5 mile run.

Saturday: Another snowstorm! 12 miles on the treadmill. Mind numbing but happy to get a longer run in.

Sunday: 3.4 miles plus this arm workout which was a killer. I can barely type.

Total Miles: 44.5

This week was humbling with a capital H. Almost every run (except my long run thank goodness) felt like a total slog and I spent most of the week being grumpy about being out of shape. That said, I am beyond grateful to be able to run and lift almost at a normal level (and for friends who reassure me that my out of shape isn’t that bad). I was also extremely diligent about my pre-run mobility drills and glute activation exercises, so it’s not surprising that I was sore and tired all week.

The week ahead has the Unplugged Half Marathon and I am looking forward to it! As I’ve said, I’m going to treat it like a workout. My plan is to warm up, ease into the first 2 miles then run at steady state pace until Mile 10. At Mile 10, I’ll try to pick it up if I can. I will be wearing my Garmin to make sure I don’t get over excited and to get a sense of where my fitness is. In my dream world, I would come in under 1:30. In a more realistic world, I’d like to be under 1:32 and feel like I executed a great workout and felt comfortable cruising along.

For the rest of the week, things will be as normal. I start in the SICU tomorrow morning (my last requirement EVER in medical school) and will be back to running at an inhumane hour until I figure out what my schedule looks like.

Weeks in Review: 2/13/17 to 2/26/17

There’s no filter to undo those circles…

2/13/17 to 2/19/17

Monday: Early morning snowshoe run for 45 minutes because the snow was just too amazing to not play in. Plus, I’m signed up for the Northeast Snowshoe Championships so I figured I’d better get out and practice!

Tuesday: 8 miles with 4 miles at tempo pace. Downhill skiing in the afternoon.

Wednesday: 4.28 mile recovery run.

Thursday: 8 miles with 4.5 miles at steady state on the treadmill.

Friday: 3.25 miles easy.

Saturday: 45 minute snowshoe run at my parents. SO hard in all the snow.

Sunday: Off day.

Total Miles: 23.5 plus 90 minutes of snowshoe running.

2/20/17 to 2/26/17

Monday: 8 miles with 5 by 2 at interval pace followed by a mile at steady state.

Tuesday: 5 mile recovery run

Wednesday: 6.65 mile regular run

Thursday: 5 mile progression run

Friday: 10 miles of classic skiing at the State Meet.

Saturday: Long call. Lots of hospital walking but no run. 300 abs routine before bed.

Sunday: 11.3 mile long run.

Total Miles: 46.0

The last two weeks have been a bit of a whirlwind. When we’re on Inpatient Medicine, we typically work six days a week with one weekend day off. Since the State Meets fall on weekdays, however, I had to stack some weekends so that I could have the time off. This past week, my “off day” from the hospital was very much an on day at the rainy, windy classic State Meet. Needless to say, I’m pretty wiped out and amazed I ran at all!

The toughest girls you’ll ever meet.

And my resilient, wonderful boys relay team.

My workouts have felt pretty good lately, which I attribute in part to my being fastidious about taking my multivitamin with iron. I stopped taking extra iron after last summer because my running had decreased and the high sweat loss season was done. However, because of the size of my hematoma, I decided to add a multivitamin with iron back in and have felt much peppier on runs lately.

I finally feel like I’m getting in a rhythm with my early morning runs…which must mean it’s time to switch schedules again! I have one more week on Inpatient Medicine, then switch to Surgery Boot Camp. This has a later start time but I think I’ll continue to do my runs in the morning. As ski season winds down, I’ll also be looking to add Body Pump back in for strength training.

Treadmill Workout: Stamina Progression Run

I LOVE this run for a winter workout on the treadmill where I need to build fitness AND not go nuts on the treadmill. This is a 7 mile version but you can extend as you want by adding to cooldown or adding another mile progression segment. If you’re short on time, you can always just do a continuous progression with a short cool-down but that’s a different workout purpose.

The goal of this workout is to progress throughout your run, ending at what should be your tempo pace. It should never be over-the-top difficult, but should feel like you’re cruising smoothly through most of the workout and working pretty hard by the last mile. For each segment, you speed up through most of the segment then finish out the mile at the top speed for that segment. When the next minute comes around, you start progressing again. By doing this, you’re getting a little extra time in each zone but not as focused on holding tempo pace/effort continuously.

Right now, I start at 6.0 and go to 9.0, then cool down for a mile at 7.0. (10:00, 6:40 and 8:34 paces respectively). Pick whatever pace is very easy to start that gets you into your tempo range by the end! The example below is based on my paces, adjust as needed.

Mile 1: Starting at 6.0, increase speed by 0.1 each minute until 6.5. Finish the mile at 6.5. (Warmup)

Mile 2: Starting at 6.5, increase speed by 0.1 each minute until 7.0. Finish the mile at 7.0

Mile 3: Starting at 7.0, increase speed by 0.1 each minute until 7.5. Finish the mile at 7.5. (By now, you should be warmed up. Good time for a stretch break if you take them)

Mile 4: Starting at 7.5, increase speed by 0.1 each minute until 8.0. Finish the mile at 8.0.

Mile 5: Starting at 8.0, increase speed by 0.1 each minute until 8.5. Finish the mile at 8.5.

Mile 6: Starting at 8.5, increase speed by 0.1 each minute until 9.0. Finish the mile at 9.0.

Mile 7: Easy mile at 7.0 pace.

Week in Review: 1/30/17 to 2/5/17

Monday: Tempo run outside on the new part of the bike path! 3 by one mile with 90 seconds rest between. Total 7.4 miles.

Tuesday: 3.25 mile Treadmill Express Hills. 

Wednesday: 5 mile regular run with 4 by 30 striders in the end on the treadmill. 1 hour of easy classic skiing in afternoon.

Thursday: 7 mile steady state run with 4 miles at steady state.

Friday: 11.5 mile long run along Lake Michigan. Windy and cold but insanely sunny.

Saturday: 3 miles easy on treadmill pre-interview.

Sunday: Ugh. Done with interview season and instantly sick. Achy, sore throat, nauseous. Miserable.

Total Miles: 37.2

The good news is that I got all three workouts in this week: tempo, steady state and long run! I did a good job of getting glute activation in daily and did some form of core and basic strength before bed every night. The bad news is that I didn’t manage to explicitly lift a single day, my diet was somewhat of a scatter and I still didn’t do any yoga. Not great…

This is a pattern for me (and I presume many other people) that when mileage creeps up (even if it’s half of my usual mileage), all the extras get pushed out. My focus this week is on keeping the extras in, even if my mileage isn’t quite as high. It’s good practice for next year when I’m going to have almost no time to train.

The week ahead may be complicated as I go back on clinical medicine service (for the first time since August) and right back onto Internal Medicine, which is 6 days a week with rotating call. I start tomorrow post-call, which means that I probably won’t be there too late tomorrow but as the week goes on, the hours get crazier. The approach for this week? At least 30 minutes of running in the morning (varying between workouts and recovery) with lifting at night (I already wrote what I’m doing into my schedule) and a hope that I’ll be around 40 miles.

The hurdle may be how long I feel miserably sick for. I am rarely too sick to run but felt like if I could lay low today and go to sleep early, I might be able to stave off whatever this is.

Express Workout: Treadmill Hills

I’ve become a bit of a master at express workouts over the last year and wanted to share one of my favorites here. If you have 30 minutes, you can get a great, full workout in AND stave off boredom on the treadmill.

If you have more than 30 minutes, you can keep adding on 5 minute repeats or swap to my Long Hill Stamina run which I’ll share next week.

Training Approach for New Bedford

One of my strengths/weaknesses (can you tell I’ve been on the interview trail…) is that I am a hyper-analytical person and I am constantly thinking about how to change a process to make it better. While this is generally a good thing, at times it makes it difficult for me to relax, enjoy and experience. It also makes me attempt to exert control over situations where that is just not feasible. In terms of running, however, it allows me to look over past training cycles and evaluate what worked and what didn’t work.

Two of my most data rich training cycles are my two lead ups to the Philadelphia Half Marathon, one where things went well and I felt amazing and strong through a 1:21:45 half and one where I struggled to a 1:22:25 finish. Some of the differences may have been due to weather and iron deficiency, but one of the biggest things I noticed in my 2015 attempt at Philly was that I a) never felt comfortable and b) had no extra gear to kick up to. At first, I assumed that this was because I hadn’t done enough interval work but as I looked over my training log, the biggest difference was that in 2012, I did a TON of stamina and steady state work and very little frank interval work.

As I’m approaching New Bedford with less time than I had to prepare for the “Phillies” (both week wise and day to day time wise), I’m trying to train smart with the time that I do have. As such, I’m splitting my hard effort days between four major categories: interval, tempo, stamina and steady state. I pair interval and stamina in one week followed by tempo and steady state in the following week. My long runs are easy and one of my easy runs is a hill focused run. The rest are easy peasy.

  • Interval: Still important, just not the main focus of my training cycle. My workouts are time based because I’m almost exclusively on the treadmill due to footing and are either 10 by 1 on, 1 off (emulating 300 meter repeats) or 4 on, 3 off (emulating 1K repeats).
  • Tempo: If you only have time for one workout a week, science and numbers say this is your best bet. I alternate between mile or 5 minute repeats at T pace and continuous tempo. As I get in tuning phase in early March, I’ll add 200 meter repeats after my tempo workouts to tune up my top end speed.
  • Stamina: My FAVORITE kind of run. I do these as progression runs, starting incredibly easy then gearing up until I am at tempo pace. I’ll share my treadmill version of this workout later this week but I love that this workout is challenging but not killer. When the footing is better, I also do these as long hill repeats.
  • Steady State: The ultimate awkward run, this is a continuous run done at approximately marathon effort. It is not as hard as a tempo run but was incredibly helpful for me in preparing for Philly 2012 because I learned how to cruise comfortably.

The other benefit of this approach is that although it sacrifices some specificity for the half marathon, it builds a stronger base for whatever events I jump into for the remainder of the year.

Week in Review 10.17.16 to 10.23.16

Monday: 3 mile run with the dogs and a mini-lift at 4:30 am before TA extravaganza.

Tuesday: 7.5 mile run with the team with 8 by 400 at various speeds on grass. Hip core after.

Wednesday: 6 mile trail run. Amazing fall day out.

Thursday am: 5 miles with 10 minutes at T pace effort.

Thursday pm: 2 miles easy with the team.

Friday: 5.5 miles easy with 4 by 100 meter striders.

Saturday: Decided I had to pull the bandaid off and find out where I am. Victory 5K in the pouring rain and 40 degree weather, 19:28. Not pretty but not that ugly either. 7.1 miles for the day.

Sunday: Skied for 90 minutes in the am!!! 4.5 mile run and Body Pump in the evening.

Total Miles: 40.8

In a moment of realism, I decided that trying to train for a half or full marathon is lunacy right now. I’m traveling all over this fall for interviews and it just sets me up for frustration and failure to be trying to fit 70 miles a week of training in. What I do have time for, however, are a bunch of 5Ks and 10Ks and to try to regain some speed. Despite having almost no real workouts on my legs, I hopped in a 5K this weekend and was happy to run a 19:28. It felt easy, probably because I come with one gear right now, but I’m happy to have a starting place. I’ll race every weekend over the next four weeks and then focus in on the New Years Day 5K, which I’ve won the past two years. It’s hard to watch everyone else run goal fall races but it’s a huge relief to have a realistic training plan for my schedule right now.

I’ve also decided to scrap my 9 day cycle for now. Although I think it’s ultimately the right fit for me, it is not the right fit for my life right now where my schedule is different from week to week. I also want to be able to explore all of these new cities that I’m visiting and not be tied to a workout or distance when I’m there. For example, I’m headed back to Asheville on Thursday (yay!!) and am looking forward to doing an easy hour and change of one of my favorite loops now that the weather has calmed down. Friday morning, interviews start early so I’ll probably just squeeze something easy in on the treadmill.