Medical School

Getting into medical school was only the first hurdle. Learn more about how to be successful in medical school.

Medical Training Hierarchy: Your Role as a 3rd or 4th Year Student

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surgical specialties

I’ve just started my fourth year, and while it’s a relief to be done with all of my medical school exams, I’m finding that there are plenty of new responsibilities to take on! I’m no longer the lowest member of the medical food chain, which also means that I partially have the responsibility of taking care of my M3 classmates. I am currently rotating on a surgical service where this dynamic is especially prevalent. It comes into play when scrubbing in to surgeries or doing other “higher level” tasks. I think this hierarchy is important to discuss for those M3s just beginning their first clinical year.

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Handling Sexual Harassment as a Medical Student

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sexual harassment as a medical student

Changing dressings on diabetic ulcers is not particularly pleasant. The oozing, the meticulousness of laying down protective layers, and the smell make the task less than ideal for even the strongest stomach. There I was as a 3rd year medical student, working with the resident team for well over an hour assembling the dressings on the patient’s legs to apply a wound vac. To make matters even worse and more uncomfortable, the patient continued to make sexual remarks about me. I kept quiet and finished the job with the rest of the team. In fact, even when we were done, no one mentioned the inappropriateness of the patient. It just went unsaid that this is something that is encountered frequently, and I continued to see the same patient on daily rounds.

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How to Thrive On a Rotation You Don’t Like

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rotation you don't like

It is Friday afternoon at 4 pm. I’m headed to see a consult while simultaneously attempting to shove a granola bar in my mouth and respond to several pages. My intern is somewhere frantically discharging people and post-oping the day’s OR cases. My medical student lists along several feet behind me, dragging his feet and clearly hating life. The consult turns out to be operative, so I call my staff, book the OR, activate the emergency surgery pathway, consent the patient, talk to the family and write the note in rapid succession while my medical student hovers beside me. As I hit “sign” on my note, I hear the sharp intake of breath that heralds the coming question.
“Do you need me for anything else?”
“Well, we are taking this patient to the operating room. It should be a relatively quick, but interesting case. Would you like to join us?”
“Ummm.”
“I see. Well, you don’t have to. You can go.”
“Ok. Sounds good. Oh, and I was wondering, is it ok if I take this weekend off? My friend from college is getting married tomorrow and his bachelor party is tonight, so…”
“We usually have you guys round at least one day each weekend.”
“Oh, ok. It’s just that he’s, you know, my best friend, and I’m the best man, and I kinda have to stay out with him, so…”
“Fine. Have fun,” I respond, in a flat tone and turn back to my computer.

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Interview Prep, Opening Up, and Death.

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And no, that’s not the three stages of your med school application.

’Tis the season to be applying to medical school. Which is why we got so many listener questions to address on this episode (thank you!)  Listener Magnus wanted suggestions for how to prepare for MMI and regular admissions interviews, so we invited our resident experts, Amy A’Hearn (from CCOM med student admissions) and Tom O’Shea (from CCOM physician assistant admissions, for his experience with MMI interviews) to help out.  They, along with Aline Sandouk, Jayden Bowen, Marc Moubarek and new co-host Shakoora Sabree, also answered questions from listeners Cameron and Sarah about whether opening up about personal/political views and sexual orientation is okay on applications and in interviews.  And listener Jake wanted to know how med students learn to cope with death.

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5 Tips for Developing a USMLE Step 1 Study Plan

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USMLE Step 1 study plan

Step 1 of the United States Medical Licensing Examination (or USMLE) covers all preclinical topics taught in medical school, from DNA replication to the details of disorders like ulcerative colitis and diabetes. Depending on your school’s curriculum, you may take this test anywhere between completion of your preclinical requirements and graduation, with the majority of schools offering a “dedicated” study period in which to review after wrapping up preclinical classes. No matter when you plan to take Step 1, however, one thing is clear: there is a lot to go over, and you probably do not feel like you have enough time to cover everything. Developing a reasonable study plan as you head into your dedicated study period can help reduce Step 1 preparation from an impossible task to one that seems difficult, yet doable. Studying for Step 1 will never be easy, but these five tips can make it more manageable:

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Family Strife, Chuck’s Pro-Life, & the Ebola Bureaucracy Knife

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Our own Claire Castaneda won first place in the Carver College of Medicine’s Carol A. Bowman Creative Writing Contest for Medical Students, and her piece caught Dave’s eyes and heart.  She talks with Aline Sandouk, Melissa Chan, and Tony Rosenberg about the dynamics of family strife and the pressure they can exert to follow one career path over another.  Meanwhile, Aline expresses her feelings on being left behind by her original classmates as she continues her MD/PhD studies.

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Parenting Fails, Pro-Life Wins, Free Laser Gifts

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It’s time for a change, whether we want it or not.

Oh, gosh. It’s Kaci McCleary and Amy Young’s last show as co-hosts. Irisa Mahaparn and Teneme Konne join them to discuss their impending moves to Colorado and Minnesota. Also, they lament Iowa’s new Fetal Heartbeat Bill and what some observers believe will be an associated collapse of OB/Gyn in Iowa should the law go into effect. But life goes on, and Amy–a relatively new parent–talks parenting fails. Luckily for her little Sammy, and sadly for his own children, Dave has her beat. And listener Corey reaches out on Facebook to tell Dave he’s wrong. Shocker.

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Emily Silverman, MD, and The Nocturnists

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Emily silverman

A live stage show featuring the stories of healthcare providers is now a podcast.

The day-to-day of internship, residency, and an MD career doesn’t allow much time to process the effect it’s having on the practitioner.  Rushing from one patient to the next, putting out the fires even while drinking from the firehose, and being selfless in service to the patients’ needs means that one’s own stories are buried, neglected.  More and more, however, medicine is acknowledging the need for practitioners to examine and tell their stories so that they can learn from them, teach their lessons to others, and show colleagues that they are not alone.  In 2015, Dr. Emily Silverman was in her second year of her internal medicine residency at UCSF.  She found herself with a little more time following her frenetic intern year, and with her own stories that had gone untold and unexamined.  She started to write, first in a blog she called The Nocturnists.  Then, in 2016 she organized the first live storytelling session with her colleagues.

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Reactions, Reagents, and Repose

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lab science

How much is lab medicine a part of medical school?

Remembering a recent episode in which we spoke briefly of colored test tubes, Adee writes in with a question for Hilary O’Brien, Erik Kneller, Mackenzie Walhof, and Rob Humble—what, if anything, do medical students learn about laboratory science? And we got a lot of feedback on our recent discussion of unwanted sexual attention from patients, all of it pretty good!  Which is nice…thank you, listeners!

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Q&A with Rajiv Sethi, Medical Student, Clinical Entrepreneur Fellow

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rajiv sethi

Rajiv Sethi is currently a student doctor in London, Clinical Entrepreneur Fellow at NHS England, and the founder of Sethi Health, an organization that collaborates with students, patients, professionals, and the public to improve healthcare and health education globally.

He has taken time out during medical school to undertake postgraduate studies in Public Health at the University of Manchester. He completed his MBA at Anglia Ruskin University, where he worked with the Global Health department at Health Education England. Following this, Rajiv has continued this work as Honorary Research Fellow.

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Fourth Year: A Chance To Explore

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surgical specialties

By Adelle, Medical Student

The process of applying to residency can surely be daunting. I’ve compiled a list of programs that I am interested in (as a quick refresher, I’m applying to OB/GYN programs), whether that be in terms of geography, the size of the program, proximity to family, etc. Many, many factors go into just deciding on a list of programs, and then there’s the process of actually completing and submitting applications. I feel like my life thus far has been a series of applications: college, medical school, residency . . . when will it end? Apparently not yet, because there is yet another application process: one for “away” rotations, or those away from your home institution that (usually) take place during the fourth year of medical school. They are a unique opportunity to explore medical specialties and settings in a way you will never have again.

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Night Float: Finding Mentors, Being a Mentor

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bropoalypse

Mentorship–both giving and receiving–is a crucial part of being a resident

Keenan Laraway
Keenan Laraway

Keenan Laraway, MD

Short Coat Podcast veteran Keenan Laraway, MD (CCOM ’15, Internal Medicine), returns to the microphone to give his insights into one of the most important parts of residency–finding and being a mentor.  As you listen, note how much credit he gives to his mentors for their influence on him, and how much emphasis he gives to teaching medical students himself.  Medical residency (and undergraduate medical education, partially) operates on an apprenticeship model, in which the experience and advice of one’s colleagues is integral to one’s own development.  Seeking out those relationships is therefore vital.

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Daniel Lam: Medical Student & Study Aid Knitter

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Daniel lam

Tell us about yourself.

I was born and raised in San Francisco, CA, went to UC Berkeley for undergrad (go Bears) and studied linguistics, then made a sharp left turn and decided to go to medical school. Now I’m a fourth year at the University of Chicago applying into pediatrics.* I’m a middle child, a West Wing fanatic, and a knitter! I like to knit (obviously), but I also like other things, like writing/reading, cooking/eating, other forms of production/consumption, and hanging out at cafes listening to music and doing crossword puzzles.

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