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.

Chronicles of a Med Student: We’re All In This Together

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Chronicles of a Med Student

Walking into my first day of medical school was a little like walking into my first day of kindergarten (if my memory does not fail me). Everything was brand new: I was being exposed to a new way of learning in a new environment, where people had new expectations of me, and where I was going to start from square one and build up a new circle of friends. I had carried the same set of friends in grade school and though I thought initially that college would’ve felt like this on my first day, it didn’t. I had a lot of friends from high school go to the same college as me, so it just felt like we were hanging out in a new place. And again college is very different from medical school in more ways than I can put into a coherent list. Starting medical school was unlike any other start in my life (besides kindergarten, of course). What if I had forgotten how to make new friends from scratch?!

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Choosing a Specialty: The Generalist vs. the Early-Committer

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Many students arrive at medical school with a bias that their liberal arts education has instilled, namely, that they should survey everything before deciding on their specialty. Before medical school, students matriculate at colleges that pride themselves on providing a diverse exposure to a variety of subjects: Computer science majors experience the canon of Great Literature before pursuing a life of code, and English majors can take “Physics for Poets.”
For a generalist student sampling from the buffet of medicine, it can be jarring to sit in lecture next to a classmate who declares on the first day of school that she intends to become an orthopedist. These early-committers appear to have whittled down their choices from day one. They magically become apprentices to a faculty member in their chosen specialty by the first quarter, have a publication by their first year, and seem to possess an intuitive roadmap for applying to residency that the generalist cannot read.

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20 Questions : Karen M. Winkfield, MD, PhD, Radiation Oncology

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Karen M. Winkfield, MD, PhD, is a radiation oncologist with Massachusetts General Hospital, and she divides her time among clinic research in health equity and hematologic malignancies, teaching as assistant professor of radiation oncology at Harvard Medical School, and a clinical practice treating patients with lymphoma, leukemia, myeloma, myelodysplastic syndrome and other blood cell dyscrasias, and breast and gynecologic malignancies.
Dr. Winkfield received her bachelor’s degree in biochemistry from Binghamton University (1997), and her PhD in pathology (2004) and MD (2005) from Duke University. She completed an internship in internal medicine at Duke and a residency in radiation oncology at Harvard. Dr. Winkfield co-founded and directs the Association of Black Radiation Oncologists, and she’s been published in numerous journals, including the Journal of Biological Chemistry, Journal of the National Medical Association, International Journal of Radiation Oncology – Biology – Physics, Oncology, Journal of the American Academy of Dermatology, and New England Journal of Medicine. She also currently chairs the Health Access and Training Subcommittee for the American Society For Radiation Oncology and is chair-elect of the Health Disparities Committee for the American Society of Clinical Oncology.

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How to Make the Most of a Medical School Visit

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Once you have been selected for an interview at a medical school, you will have the opportunity to visit the campus. Though your priority during this visit will naturally be to excel in your interview, it is also important that you gather key information from various individuals so that you can make an informed decision when deciding which medical school to ultimately attend. Below are three tips on how to make the most of a medical school visit:

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6 Tips for Med School Interviews

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The interview is one of the most important steps in the medical school application process. It’s your chance to get to know the medical school in person while demonstrating good communication skills, professionalism, maturity, and your passion for medicine.
Below are six tips to help you make a good impression:

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The Med-Peds Residency: Big and Small, We Care for Them All

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med-peds

As third year medical students you’re rotating through your general specialties and you think you’re seeing familiar faces but in new places. Isn’t that your newborn nursery resident who assigned APGAR scores, now leading the code in the medical ICU? Some of you may have had similar déjà vu experiences but rest assured, your mind isn’t fooling you. At 79 programs across the USA and Puerto Rico, Combined Internal Medicine and Pediatric residents walk (briskly) through the halls of the hospital carrying both PALS and ACLS cards in our coat pockets. Our minds have been shaped to think broadly and decisively. We carry an air of calmness from our critical care rotations yet we know when to appropriately turn to our goofy side to connect with our patients. Through four years of versatile training, we are training to be the 21st century physician.

The Combined Internal Medicine-Pediatrics (commonly referred to as “Med-Peds”) is a four-year residency-training program that leads to dual board certification in Internal Medicine and Pediatrics. While there are many combined training programs offered in the US, the Med-Peds residency is by far the most ubiquitous and popular program available. During the four years of training, residents undergo a rigorous schedule of rotations ranging from adult and pediatric wards, MICU, PICU, NICU, CCU, Med-Peds clinic and specialty electives. By graduation, residents will have completed a total of 2 years of adult and 2 years of pediatric training. The frequency at which residents switch from one “side” to another changes depending on the individual residency program. The end product is the same: Individuals who are prepared to deal with acute, complex, chronic and preventive care for both adult and pediatric medical conditions. The broad training creates an endless list of career possibilities. We each carve out a niche that best fits the career interest we have in mind.

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Five Ways to Make Your Audition Rotation in Anesthesia (or Other Specialty!) a Success

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It is that time of year again. Medical school students across the country are preparing applications for residency and pursuing audition rotations at residencies they are hoping to woo into an interview and hopefully to match into their program.
Any audition rotation is a challenge. This is especially true for the anesthesia audition rotation. For medical school students who look great on paper, the audition rotation can either confirm they are a great candidate or confirm the program should not interview/rank them. For medical school students who do not have a stellar record, the audition rotation can open up doors.

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Chronicles of a Med Student: Drinking from a Fire Hydrant

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Chronicles of a Med Student

For the past several years, I felt like all I heard was everyone in medical school telling me how hard it is. I was a little worried, especially since I took a year off of school. How would I have the capacity to study anymore? Heck, I was used to spending my weekends and evenings lazing around, watching TV, and overall doing as I pleased. And now all of a sudden, I was expected to sit with my feet bolted to the floor staring at a computer screen with words like infundibular recess screaming at me for 9 hours a day. There was no way. All kinds of thoughts crossed my mind: I would lose all of my friends, gain weight from sitting around all day, and generally go insane.

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What I Learned During My First Semester of Medical School

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Students will feel a variety of emotions during the weeks and days leading up to the start of medical school, ranging from excitement to anxiety. Below are five key things I learned during my first semester in medical school, some of which I wish I had known before I began:
1. Every student is unique, so do what works best for you
Many people equate the preclinical years of medical school to standing before a water hose and attempting to drink all of the water that pours from it. The vast amount of information that you will be exposed to may seem overwhelming at times, but it is important to remember that generations of physicians have successfully completed their medical training. There is a way to manage this wealth of information.

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How to ace your first patient encounter

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As a medical student, you spend four years of college and the first two years of medical school studying non-stop for what feels like thousands of hours, cramming your brain with knowledge. But when the time comes to conduct your first face-to-face patient encounter, your confidence is rocked by the challenge of having to establish rapport, extract all the relevant medical history, and complete a physical exam, all while showing compassion, answering patient questions, and developing a differential diagnosis list and treatment plan in 30 minutes or less. Clinic is even worse with a meager 12 minutes scheduled for each patient encounter. 

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20 Questions: Mellissa Withers, MHS, PhD, Global Health

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Mellissa Withers, MHS, PhD, is an assistant clinical professor at University of Southern California (USC) in the Institute for Global Health and leads the Global Health Program of the Association of Pacific Rim Universities, a network of 45 universities in the region, where she teaches global health-related courses. Withers also works as an independent health research consultant, with research focusing on global reproductive health and women’s empowerment, including human trafficking, preventing unintended pregnancy, HIV/AIDS prevention among sex workers in Asia, and engaging male partners in family planning in sub-Saharan Africa. She received a bachelor’s degree in global development with a minor in ethnic studies from University of California, Berkeley (2001), a Master of Health Science (MHS) in international health systems management from Johns Hopkins Bloomberg School of Public Health (2003), and a Doctor of Philosophy (PhD) in community health sciences with a minor in cultural anthropology from University of California, Los Angeles (UCLA) Fielding School of Public Health (2010).

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Chronicles of a Med Student: And So It Begins!

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Chronicles of a Med Student

The minute the tasseled hat flew off of my head after “Pomp and Circumstance”, I knew I was no longer a kid. What a startling realization–one I’m sure many of you have experienced–for someone who has led a fairly sheltered life! Let me confess one little thing: I was scared. Not just an ordinary level of scared. The kind of scared that catches you by surprise to the point where you start bawling on your graduation day with your bedazzled cap and a brand new bachelor’s degree in your hand. I was taking a gap year and had no idea which direction my life was going to go next. I knew what I had been working for my entire life: medical school. But this was not the feeling I had anticipated when I completed my undergraduate career. I had practically planned my life out since I was in middle school: I was going to go straight from high school to college to medical school to a career. But things had changed; I had grown a little tired of the academic life and wanted to experience something new. I wanted to live a little! But figuring out what to do next and how to do it was intimidating.

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10 Signs You're an Intern

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1. 2 Days off in a row = Vacation!
In high school, I looked forward to winter break, spring break, and summer break. In undergraduate, it was the two weeks off over winter break and the week off between quarters. Anything short of a week off felt like barely time to catch your breath – definitely not a vacation. As a medical student, there was still winter break and most bank holidays. Now, as an intern, any time there are two days off in a row, what most of the rest of my non-medicine peers would simply call “the weekend” constitutes the most luxurious vacation.

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5 Things You Should Know About Secondary Applications

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Unlike other graduate school admissions processes, where there is typically only one round of applications, medical schools often have a primary application and a secondary application. The secondary application generally involves one or more essay questions that are meant to help the admissions committee better understand your background, qualifications, and career aspirations. Below are five things you should know about medical school secondary applications.

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