Medical

Learn about medicine and how to become a physician in our articles for pre-medical students (including the MCAT), medical students, resident physicians, and practicing physicians.

Top Tips for Sub-Internship Success

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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

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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

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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

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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

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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

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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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What You Should Know: Connecting With Pediatric Patients

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What You Should Know is an ongoing series covering a range of informational topics relevant to current and future healthcare professionals.
Even for student doctors who are in training to be pediatricians or specialists in pediatric health, connecting meaningfully with these small patients can sometimes be difficult. However, this connection is necessary to establish if a doctor’s goal is to give their patient the best care possible.
It is helpful, then, to take a look at what experts say about how doctors can connect to their pediatric patients.

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The Art and Science of Narrative Medicine

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Many medical students, even those with a background in the liberal arts, may have a hard time conceptualizing the role that the humanities–in particular, the art of the narrative–may have to play in clinical practice. However, a relatively new theory and practice of medicine, called narrative medicine, is beginning to take root and contains elements of both medical and language arts.
What is Narrative Medicine?
The phrase “narrative medicine” was coined by Dr. Rita Charon, one of the founders of this movement, which began to develop in the 1990’s in response to the perception of detachment and over-professionalism in medical practice. Dr. Charon wanted to explore new ways that medical practice could become more humanized and emotive– and lead to greater satisfaction with the clinical relationship for both doctors and their patients. In her definitive article, entitled “Narrative Medicine: a Model for Empathy, Reflection, Profession and Trust” which appeared in JAMA in 2001, Charon introduces her readers to this new concept by noting that “adopting methods such as close reading of literature and reflective writing allows narrative medicine to examine and illuminate four of medicine’s critical narrative situations: the physician and patient, physician and self, physician and colleagues and physician and society…By bridging the divide that separates physicians from patients, themselves, colleagues and society, narrative medicine offers fresh approaches for reflective, empathic and nourishing medical care.”

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Chronicles of a Med Student: Enjoy Every Moment of Med School

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Chronicles of a Med Student

One of the things I enjoy most about writing this med school column is that I get to tell a unique story from a unique point of view. No two people will have the same set of experiences in med school, and I’m so glad I get to share mine. It helps me in two ways: I get to keep track of all of my crazy happenings, and I get to pause for a moment and reflect on all of them. Medical school, I’ve found, progresses so fast. Honestly, the nervous excitement I felt on my first day still lingers as though it happened yesterday. It has really flown by, and to quote some users on the forums section of the site, “residency will be here after what seems like the blink of an eye”. I’m not to residency yet obviously, but at the rate things are going, I have no evidence against this statement. It will probably be the fastest four years of my life (actually, only 3.5 now! See how quickly that went?). I’m still so used to replying to the question “So how many more years do you have left?” with 4. But it’s zipping by.

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20 Questions: Norman Pastorek, MD – Plastic Surgery

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Norman J. Pastorek MD, FACS specializes in facial plastic surgery. He trained at The University of Chicago Illinois and is board certified by both the American Board of otolaryngology and the American Board of Facial and Reconstructive Surgery. He has a private practice on Park Ave in New York.

When did you first decide to become a physician? Why?
It was really by accident. I had graduated from high school and decided to go to a college in Davenport, Iowa on a whim. At that point, I was considering being an engineer, so I took all of the required math and mechanical drawing courses. Long story short, I hated it—and I did not excel at my work because I didn’t like what I was doing.
After that first year, I went back to work in a factory where I was a welder. I was content enough doing that work, so for a time I thought I would just stay on that course. It wasn’t until I ran into an old coworker who was going into medicine that I started considering other options: he asked if I liked biology and suggested I go into pre-med. So I did.

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On The Shoulders of Giants: Tips for Aspiring Female Surgeons

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While there were many engaging sessions held at the 2015 UC Davis Pre-Health Conference, a few stood out for being exceptionally inspiring. Dr. Lisa Lattanza’s lecture, “How to Be a Successful Female Surgeon”, was one of these standouts.
This isn’t surprising, considering Dr. Lattanza’s pedigree. The chief of Hand, Elbow & Upper Extremity Surgery at UCSF Medical Center, she is known both for her surgical skills and her inexhaustible efforts to encourage and mentor the next generation of female surgeons. She is the president and co-founder of The Perry Initiative, a Bay-area-based foundation which provides educational and experiential opportunities for young women (primarily high-school and early-college-aged) interested in orthopedic surgery – a project which recently earned her the prestigious Jefferson Award for public service.

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The Changing Culture of Medical Education

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Transitioning to medical school is a significant change for most students; this naturally makes it a source of excitement, anxiety, stress, and even fear. Being a successful college student will not necessarily translate to success in graduate/professional school, although many of the same or similar strategies will help. Ultimately, adjusting to medical school is going to depend on the individual student and their school; each curriculum will present unique challenges and each student will handle them in a unique way. Although curricula vary among schools, some concepts are similar across the board. Perhaps the most uniform component of twenty-first century medical school curricula is the fact that they are constantly seeking to improve; thus the adage that “change is life’s only constant” seems to be true, at least of medical schools.

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Three New Year’s Resolutions for Medical Students

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Winter break is the perfect time for medical students to take a step back to relax, re-assess, and re-engage for the remainder of the academic year. Below are three resolutions that all medical students should make to motivate themselves for the grueling months ahead:
1. “I will schedule time for self-care” 
Many medical students simply do not spend enough time caring for their most valuable asset—themselves. Given the intense academic and clinical workload that medical school involves, it is common for students to lose sight of the importance of their own wellbeing. Use winter break to carefully review your schedule for the upcoming semester and deliberately schedule in self-care “appointments.” Self-care appointments can range from daily meditation for just a few minutes to a leisurely cup of coffee with a friend. The key is to choose those activities that help you de-stress and relax.

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The Other Preparations to Make For Clinical Clerkships

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The transition to clinical clerkships in medical school comes after two years of lectures, in-class exams, and national board exams. Without a doubt, it is an exciting transition. It is a key stage in the development of a physician, allowing the student to see real patients and to learn from practicing professionals. Clinical rotations requires the student to critically think and to apply the vast amount of information learned in the classroom to new situations. The goal is to learn to come up with a list of differential diagnoses, use the correct confirmatory test, and develop a treatment plan. This is what many students believe will be the bulk of their clinical learning during the third and fourth years. As a result, many students spend most of their time focusing only on the academic preparation for clinical rotations and do not sufficiently prepare themselves to stand out in equally important, but non-academic ways.

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20 Questions: Natalie E. Azar, MD – Rheumatology

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Dr. Natalie E. Azar is assistant clinical professor of medicine and rheumatology at the Center for Musculoskeletal Care NYU Langone Medical Center, as well as medical contributor to powerwomentv.com, member of the admissions committee for NYU School of Medicine, and instructor of the Physical Diagnosis Course at NYUSoM. She received a bachelor’s degree in psychobiology from Wellesley College (1992), where she was a Phi Beta Kappa (1991), Durant Scholar (1992), and Who’s Who Among American College Students (1991). Azar received her Doctor of Medicine from Cornell University Medical College (1996), with honors for academic excellence in anesthesiology (1998). Dr. Azar completed both an internship and residency in internal medicine at New York University Langone Medical Center (1996-97, 1997-99), and a fellowship in rheumatology at Hospital for Joint Disease, New York University Langone Medical Center (1999-2001).

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Welcome to Healthcare 5.0: A Conversation with David M. Carlisle, MD, PhD

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At this year’s UC Davis Pre-Health Conference, the concept of innovation was on everybody’s minds and lips. There’s no denying that this is an exciting time to be in the medical field; between new technologies, healthcare reforms, and an increasingly global society, things are changing at a rapid pace.
With all this newness and excitement, it’s easy to forget the reason so many of us go into medicine: to help others. And while the topic of his conference keynote was “Healthcare 5.0”, when SDN sat down with David M. Carlisle, MD, PhD, the focus was on caregiving in the most traditional sense.

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Chronicles of a Med Student: One’s Not Such a Lonely Number

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Chronicles of a Med Student

Medical school is becoming routine to me now—which is great. I’ve finally found my rhythm after a few months and feel comfortable with my learning style and studying methods. And it keeps me busy enough during the workweek. I try to accomplish most of my studying during the week so that I have the weekends to not study and actually have a life. But here’s the thing: my study habits don’t necessarily line up with those of my peers, which can leave me with some long weekends. Instead of wondering if am covering all of my bases (or if I’m forgetting to do this reading or that reading), I take a break. I can’t possibly study all the time, so I’m forced to have confidence in myself to do well. I understand that I sound quite crazy complaining about having free time, because who–especially a medical student–has ever done that?

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