The Power of the Patient-Doctor Bond: A Conversation with Michael Clearfield, DO

michael clearfield

Some people develop the passion for medicine at an early age. Michael Clearfield, DO, was not one of them – but once he did find that passion, he ran with it for miles.Although he’d been interested in science and math throughout college, and had a vague feeling that “something in healthcare would be something I’d be interested in,” it was ultimately a personal experience that cemented his future career goals. “Some personal issues happened in our family, where people got ill, and I was able to experience the healthcare team as it impacts you as an individual,” he told SDN at last year’s UC Davis Pre-Health Conference (UCDPHC15), where he delivered a keynote on opportunities in osteopathic medicine. “There were some very startling revelations to me; some positive, some negative – seeing how the system worked, and how it didn’t – and I decided that [medicine] would be a career that I would like to try and make a difference in.”

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Love and Happiness… And Medicine? Our Experience in the Couples Match

couples match

We were in the same class in medical school. It was your typical story. Boy meets girl, girl doesn’t like boy’s buzz cut, they waste a year, eventually end up as anatomy TAs working on the same dissection together, and fall in love. Standard. I knew that I was going to be a surgeon, he was thinking about ER. We moved in together. We talked about getting married. Then he went out for third year rotations and I started the Anatomy Fellowship at our school. He did Surgery mid-way through the year. To my concern, though not to my surprise, he loved it. He loved it the way I loved it. We talked seriously about what this would mean for us, both for our relationship and for our careers. We had always assumed that when the Match rolled around that we would participate in the Couples Match. Couples matching into Surgery seemed like a long shot, but we both knew we couldn’t be satisfied in another field, that we were surgeons at heart. So we decided we had to try.

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What You Should Know: Talking to Your Patients About Their Mental Health

mental health

Even student doctors who have not yet completed all of their medical training have probably realized that awkward, difficult or delicate conversations are part and parcel of a physician’s practice, and for a number of different reasons. Few conversations you will likely to have with your patients can feel more uncomfortable–for patient and doctor both–than those involving a patient’s mental health. Despite energetic advocacy for the mentally ill in recent decades, the stigma of mental illness remains and many patients may feel embarrassed, upset, or ashamed to discuss these issues with their healthcare providers. A doctor who is comfortable with this topic and can put their patient as ease, however, can more easily screen patients for mental health disorders and, more importantly, get them referrals and contact with community resources that many of them so desperately need.
But how do you start this conversation?

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Time to Start Thinking About Your Medical School Application

If you are planning to start medical school for the 2017 Fall Semester, it’s already time to start thinking about your application!
You will apply using the American Medical College Application Service® (AMCAS®) for your medical school applications – the 2017 application cycle opens in early May. AMCAS is the primary application method used by most US medical schools. For you, this means that you’ll submit only one online application, regardless of the number of medical schools you choose to apply to.
We’ve highlighted tips and resources to help you begin to prepare for completing your application whether you are applying for this upcoming cycle or sometime down the road.

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5 Soft Skills Every Pre-Med Student Needs

soft skills

Though the emphasis of the medical school application process lies on academic achievement, there are a number of personal qualities that pre-medical students should strive to develop if they wish to become superior physicians. The development of these soft skills may also make students more competitive medical school applicants when they are evident in interviews and letters of recommendation. Such soft skills include:
1. The ability to work effectively in a team
Modern medicine requires immense coordination between various clinicians and providers. Doctors must collaborate with nurses, social workers, specialists, therapists, and others in order to adequately care for their patients in today’s complex medical and social climate. The ability to lead and to collaborate with team members is a necessity for today’s medical trainees. Pre-medical students can develop this skill while working in a team setting in their college coursework (e.g. group projects and presentations), extracurricular activities (e.g. student government and student interest groups), and other major experiences (e.g. philanthropic organizations and research laboratories). Students should actively strive to lead, but they should also work to see the perspectives of all team members, and to incorporate effective strategies to help their team meet common goals.

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Spring Break: Should You Spend It On The Beach Or At The Bench?

spring break

For most researchers, working in the lab over a holiday break is somewhat different from working in the lab during the rest of the year. For example, if an experiment has flexibly, it can be started or stopped when it’s convenient for the researcher instead of planned around seminars, classes, and campus parking issues. In addition, some researchers take a vacation, adopt unconventional work hours, or hide in their office to work on a manuscript and only visit the lab to search for inspiration, a snack, or a temporary distraction.
I regularly direct several undergrad projects at the same time, work with other members of my lab team, and pursue my own research projects. And even though I enjoy mentoring my students, the researcher in me wants to take full advantage of holiday breaks. For me, a holiday break is an opportunity to set my work schedule as I please or conquer a particularly difficult experiment without being interrupted much. Alternatively, I might start an experiment, or run out to do errands and share a meal with friends, only to return to the lab when it’s convenient for me. I also want to spend some time relaxing—perhaps on my couch playing Halo—because I benefit from taking a break from directing other’s projects and thinking about how to solve a labmate’s bench woe.

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Book Review–Doctored: The Disillusionment of an American Physician, by Dr. Sandeep Jauhar

book review doctored

“It is our obligation to remove the biases that stand in the way of good medicine. We need to assure no consideration of economic self-interest will prevent us from giving our patients the safest, most effective, and most economically responsible health care possible.” So spoke the president of the American College of Cardiology to a group of inductees in 2005. In the audience sat many young doctors, including Dr. Sandeep Jauhar, a New York cardiologist struggling with many aspects of the American healthcare system. The convocation speech is filled with platitudes such as this one, and virtually no doctor, especially at the outset of his/her training, would disagree with these sentiments. The struggle, writes Jauhar, is to actually make convocation speeches come to life. How do we keep these sentiments from just being banal and clichéd statements and instead enact them, creating a real impact in the way we practice medicine? This question and the effects of our failure to answer form a central theme in Jauhar’s memoir Doctored.

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20 Questions: David Perlmutter, MD, FACN, ABIHM – Neurologist

David Perlmutter

Neurologist David Perlmutter, Fellow of the American College of Nutrition and member of the American Board of Integrative Holistic Medicine, is an associate professor at the University of Miami Miller School of Medicine. Perlmutter received a degree in biology from Lafayette College (1976) and a Doctor of Medicine from University of Miami School of Medicine (1981), where he was a Leonard G. Rowntree Research Award winner. He completed residencies in general surgery at Mt. Sinai Hospital in Miami Beach (1981-1982), and both neurosurgery (1982-1983) and neurology (1983-1986) at University of Miami School of Medicine.

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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.

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20 Questions: Terry L. Wahls, MD – Internal Medicine

Terry Wahls, MD, is a clinical professor of medicine at the University of Iowa, where she teaches internal medicine residents, sees patients in the traumatic brain injury clinic and conducts clinical trials. In addition, she’s director of the Extended Care and Rehab Service Line at the Veteran Affairs Iowa City Health Care System. She received a bachelor’s degree in fine arts from Drake University in Des Moines (1976), a Doctor of Medicine from University of Iowa in Iowa City (1982), and an MBA from University of St. Thomas in Minneapolis (2001). Dr. Wahls completed a residency in obstetrics and gynecology at Barnes Hospital, Washington University in St. Louis, as well as a residency in internal medicine at University of Iowa Hospitals & Clinics.

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Why Some Labs Don’t Train Premed Students and Why You Shouldn’t Care

So far, the vast majority of the undergrads I’ve trained during my research career have been premed students. With the numerous personal and professional advantages an in-depth research experience can provide, and how a successful research experience can support a medical school application, that is unlikely to change.
Most students prove to be an asset to my research team. They are motivated, dedicated, step up to extra responsibility without hesitation, and are helpful to their labmates. These are the undergrads who arrive at lab ready to work, ready to contribute, and ready to learn everything anyone is willing to teach them. These undergrads find the self-discipline to push through disappointment at the research bench, and like to be challenged—whether through learning a new technique, designing an experimental strategy, or interpreting data. They serve as ambassadors for their research and university at scientific meetings, present their projects at symposia, and occasionally, if all the stars align, earn coauthorship on a publication.

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Chronicles of a Med Student: Making Every Moment Count

Chronicles of a Med Student

I was ringing in the New Year with a friend when suddenly it hit me that it was 2016. I still feel like 2015 is in the future and it’s already 2016. I’m not getting any younger, but more importantly, how fast am I getting older? My birthday is close to New Year’s, so my biological clock is really in sync with the calendar year. Now that I’m in medical school, time flies faster than ever. It’s important for me to keep track of what I’m doing and to make sure I savor every moment. In order to do this, I want to make sure I make every day count by doing something useful so when I look back, I know I’ve spent my time wisely even while in school. I decided to take a quick look back at my last year to reflect on my highlights!

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How to Prepare Answers to These Tricky Medical School Interview Questions

While medical school interviews can be quite conversational, thinking in advance about the questions you will face can help you articulate your unique story more effectively. Most interviews revolve around the interviewer getting to know you better, but there will likely be a number of questions that give the ill-prepared applicant pause. Below are several strategies to help you prepare answers to these tricky questions:
“Why do you want to study medicine?”
This question will be asked at almost every medical school interview that you attend, but it can be difficult to answer unless you have reflected on your goals ahead of time. Clearly explaining why you wish to become a physician—without being cliché—is paramount to distinguishing yourself. To prepare for this question, review your personal statement for inspiration. Aim to incorporate details that are not mentioned in your personal statement, but that are related to experiences or endeavors that you have described in your essay or in the remainder of your application. This can add depth to your admissions portfolio outside of what you have already explained on paper. In addition, truly attempt to define the type of medical career that you want (i.e. community medical practice, medical education, research, etc.). Weave in your career aspirations when you answer this question to connect your pursuit of medical school to your ultimate goals.

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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?

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