Why Med-Peds? A Current Resident’s Perspective

med-peds residents

The transition from eager-to-learn-everything MS3 to self-assured MS4 with a clear residency goal comes much easier for some than others. I had planned on going into Family Medicine throughout the better part of medical school, but late in third year discovered the combined specialty Internal Medicine and Pediatrics (Med-Peds). How was I supposed to explain my interest in this four year program to my friends, mentors and, toughest yet, medicine department chair when I was just beginning to understand it myself? And then the inevitable follow-up question, why not just complete the three year Family Medicine (FM) residency program? FM training remains the perfect choice for many students looking to get broad-based, comprehensive training on how to care for people of all ages. The purpose of this article is to point out the subtle differences between these residency paths and give my top five reasons for why Med-Peds (MP) is a unique, exciting and attractive residency option for about 400 budding young doctors every year.

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Medical Students and Mental Health

Mental health is a topic which is discussed more openly in our society in recent decades and is, slowly, become less stigmatized. This, ironically, does not seem to be the case when it comes to the issue of mental health problems among medical students. The nature of medical school, and attitudes of medical students themselves, can set up barriers between students who need help and the programs that can help them. This article looks at the widespread nature of this problem in American and overseas medical schools, and also what can be done to help solve it.

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How To Choose A Medical Specialty: A Book Review

By Brent Schnipke

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.

Note to reader: This month’s post is going to be a little different than previous articles, as I will be offering my book review of How to Choose a Medical Specialty. I’m currently on my Surgery clerkship, and will be writing about this clerkship in December’s post, so stay tuned!

In addition to providing snapshots of my clerkship experiences and a summary of each specialty rotation, this column is also about the process of choosing a medical specialty. After all, this is a major component of the third year of medical school for many students. Although learning the fundamentals of each specialty is essential, the exploration of different paths with the intention to eventually choose one is centrally important for third-year students. The first two years of medical school are generally pre-clinical (mostly classroom work), and applications for residency spots are submitted early in fourth year; therefore, third year is the main opportunity for students to explore fields that might be interesting to them, and to get exposure to many fields. This is the idea behind the title of this column, and one of my purposes in writing it has been to explore this dynamic and to share with other students some of my observations about each specialty, which may help some to make their own choice.

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Book Review: When Breath Becomes Air

If you read one book this year, make it When Breath Becomes Air. Do yourself a favor – do not read another word about this book before picking it up and experiencing it for yourself with as little foreknowledge as possible. For those of you who just can’t help yourselves, read on but be warned: due to the nature of the content there will be some spoilers.

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5 Things You Need to Know About Ranking Residencies for the Match

As you continue researching residency programs, applying, and interviewing with these programs, you’ll begin to learn more about what you’re looking for and which options exist. Pretty soon, you’ll need to turn your attention towards creating a rank order list (ROL) in order to eventually be matched with a program that you’ve interviewed with.
While this can be a daunting proposition, it’s imperative that you take it seriously and meticulously review every last detail.

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Pediatrics In Review: A Look at Clerkship #2

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.
In my first rotation, Women’s Health, I wrote about the humbling experience of helping with the birth of a child. This miracle of life is what attracts many people to the field of obstetrics, but working directly with the baby during the newborn period and throughout his/her childhood is, of course, the role of the pediatrician. As I’ve heard many times on this clerkship, “children are not simply small adults,” and understanding human development, the unique diseases of childhood, and the specific needs of young humans is often complex. For this reason, pediatrics is one of the oldest medical specialties, and remains the third largest by volume in the United States.[1]

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It’s Real: The Sophomore Slump

Chronicles of a Med Student

I strolled into second year, fresh off the plane from my South American adventures and ready to hit the ground running, expecting another experience like first year. It would be smooth sailing as long as I stuck to my schedule and my friends. I was good to go. Little did I know, the “second year slump” was about to hit me like a ton of bricks. I had never before experienced such a feeling in my life—I was accustomed to challenges, pushing through whatever stood in my way, always making it through to the other side. But to be honest, few things in my prior academic experiences have challenged me as much as medical school. Before medical school, most of the challenges I faced seemed far less daunting to me than what came in the second year of medical school, even the first year of medical school. So imagine my surprise when I found myself having my first meltdown of medical school just a few weeks into my second year: Wasn’t I supposed to be good at this by now?

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Advice for Interns on Night Float

Earlier this year SDN member bob123451 was the lucky intern starting residency on night float covering multiple surgery services—vascular, general, bariatrics, colorectal, and a number of subspecialties—at a community hospital. Understandably nervous about jumping in with both feet, he reached out to the SDN community for advice. The following tips may be helpful, should you find yourself in the same boat.

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Is a Post-Bacc Program Right for Me? Seven Benefits to Consider

It’s important to remember that as you prepare for and apply to medical school, there isn’t one set path you must take. It’s okay if your path takes different twists and turns along the way. Increasingly, applicants are taking gap years, sometimes called bridge years, between graduating from college and applying to medical school in order to gain more medically-related experience, pay down educational debt, or prepare for the MCAT exam.

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How to Balance MCAT Prep with School or Work

In an ideal world, the months before an MCAT test date would be exclusively devoted to preparing for the exam. Prospective medical students would wake each morning without any obligations outside of studying. Unfortunately, the reality for most students is that MCAT prep does not occur in a vacuum separate from other responsibilities. Instead, MCAT review occurs in the context of the typically busy life of a pre-med—taking science courses, conducting research, volunteering, and applying to medical school. Finding time to adequately prepare for your MCAT test date can be challenging, but with careful planning and the tips listed here, you can squeeze MCAT prep into your schedule.

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5 Things I Wish I Knew At The Beginning of Medical School

It is not just nostalgia and excitement that grips me as I am nearing the end of medical school. A part of me is terrified at the thought of finally having to own that white coat, to be the person in charge. There is another part (though not as dominant) that is filled partly with regret. Regret over the things I didn’t do, the things I could have done differently, the moments I missed, the unnecessary anxieties…

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Not “Ours” Anymore: Sharing Our Doctor Spouses

Medical Spouse

By Amy Rakowczyk

One thing is certain during medical school: your medical spouse is going to study and work a lot of hours. This is a necessary part of becoming a doctor. They need years of studying, preparing, and training in order to be able to perform the job. The time required means that you, the medical student spouse/partner, will have less time with them. There will be fewer hours when they are available. That is the hard reality.

It’s easy to start thinking about how unfair this is. You are left with gaping holes of time and are by default in charge of all the non-medical school items. You are working harder too, with less support. The unfairness of it can quickly turn into resentment and bitterness.

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A Scribe Case Study: Alyssa Kettler

When did you first hear about medical scribes?
I first heard the term ‘medical scribe’ from a friend of my mother, a nurse at Fairview Hospice. She knew that I was looking for meaningful work to undertake before pursuing medical school and suggested I explore scribe opportunities. After extensive online research, I began scribe training with Elite Medical Scribes.

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