Chronicles of a Med Student

Opportunities in Primary Care

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surgical specialties

Medical students are bombarded with decisions regarding what they want to do with their lives, from choice of specialty to options within the field itself. Quite a few medical schools these days push for students to pursue primary care specialties. These include family medicine, pediatrics, internal medicine and (sometimes) psychiatry. There are many incentives offered for students to pursue these in-demand fields: scholarships, loan repayment options, etc. Below are a few opportunities for medical students who are set on primary care fields.

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How Nontraditional Students Benefit Traditional Students

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surgical specialties

In both high school and college, we get used to our peers being our age. Everyone turns the same age in the same range year after year. This makes it easy for friendships to form based on common interests and just being in the same stage of life. After college, however, most of our paths can diverge in a variety of different ways. Many of my non-preprofessional school friends got jobs and are even buying houses now. Others went straight into medical school, and still others waited a few years and lived out their lives before going back to school to study medicine. I think that is actually one of the most interesting and beautiful parts of medical school: the diversity in age and experience.

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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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Entering Third Year With An Open Mind

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surgical specialties

By Adelle, Medical Student

I went into my third year with a somewhat open mind in terms of what I thought I liked and what I thought I wanted to do for the next 35 years or so of my life. Internal medicine interested me because you had to know so much about, well, so much. I felt like my brain was getting bigger every day I was on my internal medicine rotation—there was just so much to know! The number of patients you can see is also fairly high on a typical internal medicine service. On the other hand, I had completely discounted general surgery—I was never very interested in anatomy class and didn’t particularly enjoy teasing apart membranes from fascia from blood vessels and nerves. The thought of doing that for the rest of my life didn’t sit well with me. But, nevertheless, I went in with an open mind.

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Dealing with Subjectivity in Clinical Rotation Evaluations

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surgical specialties

One of my friends recently got back her evaluation from a rotation she had just completed. These evaluations, paired with the rotation’s shelf exam determine your score on that particular rotation. Therefore, these evaluations can be pretty important, especially if that is the field you plan to pursue. She looked down the column of various grading parameters and found that while she had received a satisfactory grade, it was not what she wanted. She called me the next week, crying into the phone about how she would never be able to fulfill her dreams because of this evaluation. Now, this may seem crazy to those who are not in medicine, but especially with mounting stress and increasing responsibility, the smallest things can tip people off. Meltdowns like hers are definitely not unheard of, and I have come close to having one myself. It’s hard to be a third year medical student, and the subjectivity of these grading systems that can exacerbate that.

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Getting What You Want: Considering Both Life and Career Goals When Choosing a Specialty

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Chronicles of a Med Student

Under the glow of the OR lights, I could barely make out the pulsating artery through all the layers of fat. This is so cool I thought to myself. Since my first rotation had been internal medicine, I hadn’t seen a lot of hands on stuff like this. As the OB/GYN swiftly cut through the layers of fascia to get to the target ovary, I watched her quick hands harvest it and pull it out of the body cavity. The ovary itself was grossly misshapen as she gently laid it onto the mayo stand to clean it up before shipping it off to pathology. I held it in my hands and thought of how the patient would no longer have to bear the burden of the things this overgrowth was doing to her body. The surgery was a success and the doctor predicted a very good outcome and quality of life for the young patient from now on. How incredible!

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Chronicles of a Med Student: Beginning Clinical Rotations

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I walked into my first rotation with a stethoscope and granola bar in my pocket and a LOT of nerves. I had no idea what to expect. I knew I had to impress my preceptor (which I imagined was easier said than done) and ace my shelf exam because this was the specialty I wanted to pursue. Talk about a lot of pressure. A fellow medical student and I walked into the hospital on the first day and while we were very obviously lost in the hallways, a tall man walks up to us and asks, “Are you looking for Dr. ___ ?” We slowly nodded our heads, still confused. He sticks out his hand and comments “well, you’ve found him.” So began our first day.

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Chronicles of a Med Student: Flexibility in Practice

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Chronicles of a Med Student

For a typical medical student shadowing in a clinic for a day, it looks a little something like this: we enter the familiar setting of an outpatient clinic and help as the attending physician sees patient after patient in quick fifteen minute intervals. We also get to see things that patients are not privy to—the virtual stacks of paperwork that wait at the end of each visit, the phone calls for consults, the appropriate orders for the workup of a certain condition in a certain patient. It all seems like a blur. Then we think about the clinical world before we even get to practice as a physician: the years of clinical rotations and especially residency are much more daunting, with their own strict rules, long work hours, and meager pay. Do I have to end up in an office or hospital setting? This is a thought that crept into my mind after hours of clinic observation. What I saw as a pre-medical student is somewhat different than what I experience as a medical student which makes this question far more relevant.

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So Little Time: Prioritizing For Healthy Time Management

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Chronicles of a Med Student

As I enter the thick of studying for board exams, I’m reminded even more every day to stay calm, grounded, and keep my head clear. This is the last semester of my pre-clinical education (I can’t believe how time has flown!), and I’m caught in a balance of staying positive about that as well as juggling my hours of studying for board exams. I’ve experienced just about every emotion in the past few weeks, but one of them has always been there lurking underneath the surface: the feeling of being overwhelmed. I’ve touched on this multiple times before, but I cannot stress enough how important it is to stay mentally stable and sane through the medical training process! I have found myself slipping these last few weeks as I try to “do it all”, so I had to reach out.

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Chronicles of a Med Student: Gearing Up For Round Two!

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Chronicles of a Med Student

Welcome back! I’m so excited to start my second year (and write about it, of course), but first things first: my amazing summer experience! I went to South America for a few weeks to work at a women’s health clinic. It was an incredible experience. I don’t say that only because I’ve lived to tell the tale, but also because I got to experience a totally new culture and visit one of the seven wonders of the world. The fact that I got to work in a healthcare setting there expanded my communication skills as well as my patience. It can be challenging to work in conditions that are very different from those we see in clinics in the US: sometimes things as basic as lighting aren’t there and you just have to deal with it. This “roll with it” attitude is something I’ve struggled with in the past. Because we’re taught to do things in a very specific manner here in the States, it can be very hard to have to adjust on the spot. Dealing with folding tables for hospital beds and performing physical exams in dimly lit rooms has definitely taught me to work with what’s in front of me. I hope that lesson will last the rest of my career.

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Chronicles of a Med Student: And That’s a Wrap!

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Chronicles of a Med Student

Whew! It’s been a long year and I am itching for a much-needed, well-deserved break. Thankfully, summer is here to save me. I can’t wait to talk about my summer plans and all the ways to spend the summer between first and second year (also sadly known as your last summer ever). I think it will be beneficial to recap what I’ve discovered this past year!

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Chronicles of a Med Student: Reaching Out

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Chronicles of a Med Student

I’m sorry, I can’t—I have to study. These are words that have become so routine to me that I barely have to think about them before they come out of my mouth. Ugh, how has it become so reflexive? I was worried that this would happen, at least in the first two years of medical school when I would spend more time with my computer and books than with actual people. The sad thing is that whenever I have a free second, it’s not really a free second because I just find myself wondering if I should be doing something at the moment instead of thinking about making plans with friends I never see anymore. And these are not only the friends I’ve made this year. Sadly those I neglect most are generally the friendships I’ve cultivated over many years.

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