The residency application process is winding down for the current cycle. As this is my second season reviewing applications to my residency program as a resident, I’ve across some insight that I wished I had as a fourth year medical student applying to residency. Being on the other side of the fence, I gained a deeper appreciation for the process and the care my program invested in selecting this year’s applicants. I will share some insight along with examples from current residents at various programs in the country. Here are five tips for 2017-2018 cycle applicants and beyond.
clinical rotations
Choosing a Specialty: Narrowing Down Your Options
This column has focused on the process faced by every medical student, especially third-years: learning the basics of clinical medicine while trying to choose which specialty is for them. This is not an easy task, and although for many it begins before the third year, it usually is not solidified until clinical experiences confirm a student’s passion and proclivity for a certain discipline. The articles in this column have sought to offer particular stories and experiences that may be typical of a specialty, highlighting as many of the “core” specialties as possible. I am only one person, and these experiences are from my perspective as I try to sort through this process myself. This article will explore the process of narrowing down your specialty choice, including some things you may want to consider besides the obvious question, “which specialty do I like the most?”
The Value of Navigating Different EMR Systems
Electronic medical records were an inevitable advancement. Paper filing could only go so far, and EMRs allowed the healthcare industry to simplify and automate clinical tasks for greater efficiency. Hospitals and practices throughout the world use EMR systems, with a vast majority of facilities using at least one.
Boards Preparation: Training for a Marathon, not a Sprint
Updated December 8, 2021. The article was updated to correct minor grammatical and technical errors. … Read more
What You Should Know: Understanding Immunotherapy Techniques for Cancer Treatment
The American Cancer Society estimated that in 2015, there were 1,658,370 new cases of cancer diagnosed in this country and some 589,430 deaths. These widespread numbers mean that whether a new doctor enters into general practice, oncology or some other specialty, they are likely to have to work with cancer patients. Because of this, a good understanding of new developments in cancer treatment is important in order to inform and educate patients fully about their potential options.
Why Med-Peds? A Current Resident’s Perspective
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.
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.
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.
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]
Not “Ours” Anymore: Sharing Our Doctor Spouses
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.
Answering The Most Common Question in Medical Education
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.
Doctors-in-training have heard this question thousands of times, beginning the moment they announced their intentions to pursue a career as a physician: The question, of course, is some variant of “What kind of doctor do you want to be?” Before I interviewed for medical school, I was told to answer noncommittally; it was suggested that, if I already knew what kind of doctor I planned to become, it would imply the clinical years weren’t important to me. I was told to leave it open-ended so as not to rule any specialty out too early. I see the value in that—looking back, how could I have possibly had a good idea, given my limited clinical exposure before medical school? Even for students that do have clinical experience, it’s easy to imagine they could change their minds and, regardless, should be open to learning from the clinical years. Similarly, we were told not to answer too definitively during third year either—the idea being that if we tell an attending what we want to do, and it isn’t the specialty we are currently working with, we will be permanently alienating ourselves from that profession.
How Test Prep Prepares Me To Be An Effective Physician
Before medical school, the dream of becoming a physician involves helping people and curing disease. During medical school, that dream matures through educational and clinical experiences into a realization that being a physician is something much deeper, a permanent responsibility that only those who are doctors themselves will understand.
Every patient is a trial and error that can lead to life or death. Is the abdominal pain just constipation, a brewing appendicitis, or even worse, colon cancer? Is the patient presentation worthy of simple reassurance, or perhaps blood work, or—to be safe—diagnostic imaging?
Managing Bipolar Disorder in Medical School
Two days before interviewing at the medical school I now attend, I couldn’t get out of bed. At the nadir of my eighth major depressive episode in eight years, I seriously considered whether I could make the trip. Thankfully, I did. And thankfully, six days after that interview I met the psychiatrist who would finally piece together my long and steadily worsening psychiatric history.
I sat in his office, quiet and dulled compared to my spring and summer self, and began recounting my story – the weightiness of my current depression, the semester in college marked by a mere two to four hours of sleep a night (“insomnia” according to my doctor then), and the clockwork nature of my mood changes each year. Within ten minutes, he stopped me mid-sentence and said, almost casually, “You know, you show a lot of signs of bipolar disorder.”
How My Research Degree Taught Me I’m Not a Surgeon
Recognizing the connection between lab work and surgery
What surprised me the most during my medical school journey was that it was primarily lab work, not my surgery rotation, that taught me I was not a surgeon. The type of experience my lab work entailed had absolutely nothing to do with surgery or clinical medicine, so it was a peculiar and fortuitous realization. I do not believe when entering medical school that I had ever thought about doing research, but our program strongly advocated it. I met with various advisors in first year and decided I was going to transition into the combined PhD program.
Anonymous: How Mental Illness Gets Overlooked In The Hospital
Reposted from here with permission The day Mr. Webster appeared on our service, I was late for … Read more
Beginning Clinical Rotations–An Exercise in Humility
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.
As I write this article, I am thinking about how to compress all that I’ve seen and experienced the last several weeks into a few paragraphs. I’m not sure I’ll be able to do it justice, and if I wrote out all my thoughts it would probably exceed the page limits and the reader’s concentration. So I’m going to focus on a few aspects of this first month of being a third year medical student, and I suspect several themes will reappear and be expanded in future posts.
Choosing a Residency That’s Right for You
If you are in medical school, you have been making choices for a long time now, from what to major in as an undergraduate to what volunteer work during your gap year will give you the best chances at getting a coveted med school slot. But now that you are in medical school, one of the most important decisions still lies ahead: what kind of residency should you choose? This is an incredibly important choice that will shape the rest of your career. A good decision now will make it more likely that you will be satisfied with your professional life down the road.
The choice can be a difficult one. What things should you consider before you decide? Read on to find out more about the steps you should take in order to match to a residency that will leave you both personally and professionally satisfied.
Breaking the Glass Ceiling: Students With Disabilities in Medical School
Updated December 1, 2021. The article was updated to correct minor grammatical errors and to … Read more
A Guide to a Successful Gap Year
It wasn’t so very long ago that the typical medical student went straight from high school to a premedical program and then onto medical schools itself. This traditional pathway, however, is not so traditional anymore. The question of a gap year is one which comes up more and more frequently nowadays–and it is also one which can cause aspiring medical students a lot of anxiety as they make the decision about whether to take time off from academia when the undergraduate work is finished.
This article covers different aspects of the gap year, including the reasons why students take it, the fact that is it actually becoming more popular among pre-med students and different opportunities that students can take advantage of during this year off.