Welcome back! I’m so excited to start my second year (and write about it, of course), but first things first: my amazing summer experience! I went to South America for a few weeks to work at a women’s health clinic. It was an incredible experience. I don’t say that only because I’ve lived to tell the tale, but also because I got to experience a totally new culture and visit one of the seven wonders of the world. The fact that I got to work in a healthcare setting there expanded my communication skills as well as my patience. It can be challenging to work in conditions that are very different from those we see in clinics in the US: sometimes things as basic as lighting aren’t there and you just have to deal with it. This “roll with it” attitude is something I’ve struggled with in the past. Because we’re taught to do things in a very specific manner here in the States, it can be very hard to have to adjust on the spot. Dealing with folding tables for hospital beds and performing physical exams in dimly lit rooms has definitely taught me to work with what’s in front of me. I hope that lesson will last the rest of my career.
Medical School
Getting into medical school was only the first hurdle. Learn more about how to be successful in medical school.
How To Start A “Medwives” Support Group
By Amy Rakowczyk, SDN Staff Writer
When my husband and I arrived in our new city of Columbus, Ohio for him to begin his medical training, we didn’t know what to expect, but we knew we wanted one thing for sure: to find other people in our same situation and develop some friendships.
My husband is prior military, so we had grown accustomed to joining “Family Support Groups” at each new military station. It was like a ready-made family, already created for you, all you had to do was show up.
Poker Face: Interpersonal Comparisons in Medical School
Poker, one may reasonably argue, is a game of sheer luck; he (or she) who happens upon the most desirable combination of cards will likely win the round of bets. However, as seasoned players know, the art of poker lies in its psychology. The ability of the player to keep an emotionless persona not just when dealt an appealing hand but especially when dealt a bad one—the poker face—is how competitors can trick each other to win in high stakes situations regardless of their cards.
I find at times medical school to be like a big poker game, with its players the medical students. The stakes are plentiful: a “bet” of a couple hundred thousand dollars that a medical degree will be obtained, a desired specialty (though I am in awe how some of us have already chosen or eliminated fields within months of donning the white coat), a coveted residency program, a preferred lifestyle, and more. With our futures on the line, it is thus natural that we all play our cards to the best of our abilities.
Beginning Clinical Rotations–An Exercise in Humility
Central to the skillset of every physician is the differential diagnosis; this is the process by which new patients are evaluated to establish the most likely diagnosis. Similarly, the first clinical year of medical school is like a differential for each student, except instead of a medical diagnosis, students are seeking to determine which specialty they will choose. This column explores this differential: experiences from each rotation by a current third year student.
As I write this article, I am thinking about how to compress all that I’ve seen and experienced the last several weeks into a few paragraphs. I’m not sure I’ll be able to do it justice, and if I wrote out all my thoughts it would probably exceed the page limits and the reader’s concentration. So I’m going to focus on a few aspects of this first month of being a third year medical student, and I suspect several themes will reappear and be expanded in future posts.
Column Intro: The Third Year Differential
Central to the skillset of every physician is the differential diagnosis. This is a list of possible diagnoses that helps guide clinical decision-making. By asking specific questions, performing a focused physical exam, and ordering lab tests, all through the lens of the differential, physicians are able to rule in or rule out each item on the list. The differential is not fixed, however; it is a fluid list that can be rearranged or completely changed at any time given new information. This information often comes in the form of an extra piece of history from the patient, a new finding from an imaging study, or frequently, from several lab tests coming back negative.
QBanks Before Step 1: Bomb the Questions, Ace the Test
Here’s a scenario I am asked about a lot: It’s a month before Step 1 and a student is doing lousy on UWorld questions. Or sometimes a student tells me they just took a NBME practice test and dropped from their previous score. Step 1 is getting closer and panic sets in. What should the student do? Bump their test date out a few weeks? Find a new resource? Maybe just quit medicine all together?
This scenario happens to everyone to some degree as Step 1 nears. And although the panic reaction is understandable, poor performance on practice questions before Step 1 is actually a very good thing in many cases. There are three important reasons not to worry too much about wrong answers to practice questions, which I will explain in this post.
Chronicles of a Med Student: And That’s a Wrap!
Whew! It’s been a long year and I am itching for a much-needed, well-deserved break. Thankfully, summer is here to save me. I can’t wait to talk about my summer plans and all the ways to spend the summer between first and second year (also sadly known as your last summer ever). I think it will be beneficial to recap what I’ve discovered this past year!
Should Medical Students be Sued for Malpractice?
An Ongoing Dialogue Between Medicine and Law It is no wonder why medical schools across … Read more
Staying Healthy During Medical School
Medical students and health professional know the importance of teaching others to stay healthy, especially when it comes to the prevention of many chronic conditions like heart disease or obesity. But knowledge is not always enough and doesn’t always result in self-care. The long hours, massive amounts of studying and high levels of stress that are the norm for medical school can make it difficult to start or maintain the good habits that will keep you healthy during your med school years. However, there are important reasons for doing this–and many simple habits that can make it happen.
Marriage and Medical School: The Pros and Cons of Balancing Both
Updated January 9, 2022. The article was updated to correct formatting and minor grammatical errors. … Read more
Chronicles of Med Student: A Summer to Remember
This past weekend, I had the opportunity to meet some of our incoming first years at a meet and greet event. They came in with wide eyes and big smiles, just waiting to sink their teeth into medical school. Their curiosity always got the best of them, and my classmates and myself were bombarded with questions like “What’s it like?” and “Do you have a life?”. I remember feeling that way one short year ago (and yes, even though our school year is a stretch of eleven months, it does feel short). One of the questions that they should have asked but didn’t is what they should do this summer.
Breaking the Glass Ceiling: Students With Disabilities in Medical School
Updated December 1, 2021. The article was updated to correct minor grammatical errors and to … Read more
How to use a Pea Plant to Increase your USMLE, COMLEX, and Shelf Exam Scores
Studying for the boards overwhelms most people. The sheer amount of information to know is … Read more
5 Study Tips for the USMLE Step 1
1. Set a goal
As the saying goes, “being begin with the end in mind.” Before you begin preparing for the USMLE Step 1, you should consider where you are with your knowledge base and your score, as well as what your goal target score is. To determine where you are starting from, you should take a practice test. Online prediction calculators use your scores on question banks and the USMLE practice test to estimate how you will do on the actual Step 1 exam.
When setting a goal, consider that 192 is currently the minimum passing score for USMLE Step 1, and 229 was the national average in 2014 (the most recent year for which data is available). However, depending on the specialty into which you desire to match, you may have to aim for a significantly higher score. If you’re not sure what specialty you want to pursue, you’ll want to score as high as possible, though you probably want to do that anyway. This is a table summarizing average USMLE Step 1 scores by specialty in the 2014 Match.
Chronicles of a Med Student: Reaching Out
I’m sorry, I can’t—I have to study. These are words that have become so routine to me that I barely have to think about them before they come out of my mouth. Ugh, how has it become so reflexive? I was worried that this would happen, at least in the first two years of medical school when I would spend more time with my computer and books than with actual people. The sad thing is that whenever I have a free second, it’s not really a free second because I just find myself wondering if I should be doing something at the moment instead of thinking about making plans with friends I never see anymore. And these are not only the friends I’ve made this year. Sadly those I neglect most are generally the friendships I’ve cultivated over many years.
The Best Online Resources for Medical Students
Updated on July 1, 2021. The article was updated to correct minor grammatical errors and … Read more
No Happy Ending
Republished with permission from here. One after the other, day after day it seems, I … Read more
Chronicles of a Med Student: Having It All
One of the great things about your pre-clinical years (years 1 and 2) is that … Read more
Top Tips for Sub-Internship Success
The sub-internship is a crucial rotation for all medical students, no matter which specialty they plan to pursue. During this transitional phase in their clinical training, students begin to assume more independent responsibility for patient care. A sub-internship introduces students to life as residents, and it is often a source of recommendation letters for the residency application process. Below are my top tips for success during your sub-internship.
The Million Dollar Question
Interview season. The time of year that roads and skies swarm with the best and brightest medical students to all corners of the country taking aim at the next step in their training – residency. Believe it or not, behind the shiny brochures, extravagant dinners and polished powerpoint slides, residency programs are just as nervous about attracting top talent as you are about getting your top choice.
The interview trail is usually a blur of dry cleaning bills, rental cars, and the smell of breath mints masking cheap coffee mixed with nervous sweat. The broken record of the obligatory “strengths and weaknesses” question loops in your head. One of the more terrifying moments in the day comes when an interviewer asks: “What questions do you have for me?” Regardless of who asks it–the intern only four months above you in training or the gatekeeping program director–you know you have to ask something. So why not make it count?