feature article

What You Should Know: The Pros and Cons of Medical Marijuana

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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.
The numbers alone make it a significant issue: as of 2015, 23 states and the District of Columbia have legalized the use of medical marijuana – and 9 more states are currently working on legislation to do the same. Two more states – Washington and Colorado – have gone so far as to legalize its recreational use. It is likely, therefore, that medical students today will feel the effects of medical marijuana use when they go into practice for themselves.
Medical – and recreational – marijuana use is a complex issue with medical, political, and social implications. Below are evidence-based arguments for and against this use to give student doctors the opportunity to understand the finer points of this controversy.

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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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The Importance of Disability Insurance for the Young Physician

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The thrill and responsibility of holding someone’s life in your hands, the ability to act under pressure, and the satisfaction of doing good in the world—these are among the qualities that attract people to the medical profession. In a culture that’s quickly diminishing the value of established professions, there’s still a universal appeal to becoming a doctor.This doesn’t mean seeking a career in medicine is without its obstacles. The importance of a thorough education—at least four graduate years—cannot be understated. Add in the time it takes to complete an internship and a residency, and it’s easy to see why a medical path can be too daunting for many. On average, it takes about 11 years for a medical student to become an independent doctor. If students begin medical school in their 20s, they won’t begin to see patients as a physician until they’re in their 30s. Add to that an average price tag of $166,000 in student loans for medical school, and even the most gung-ho medical students begin to balk. Suffice it to say, a career in the medical field is a huge time and financial investment.

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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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Choose Your Undergrad Research Position Wisely

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choose your undergrad research

Author’s Note: It is widely believed (and for good reason) that undergraduate research positions are highly competitive. This belief leads to the misconception that obtaining any research position is the goal.My experience with undergraduate research position applicants has taught me that having a genuine interest in the position is one of the most important tips that I can give potential undergraduate researchers. This importance is echoed by numerous colleagues I’ve spoken with on the subject over the years, and those interviewed while writing Getting In.

The misconception that any research position will do can also have lasting negative effects on the success the student has once they are in the position. Over the years I have found that students instinctively know whether they are interested in a potential position before they apply for it. Those students who take any position just to be done with the search end up in disappointing experiences, which can affect how enthusiastic their letter of recommendation is at the end.

This article provides undergraduates with a new way of approaching their search for a research position by explaining why the choices they make at the application stage are so important for getting an interview and for their success in the lab afterwards. It’s relevant because it focuses on a topic that is almost never mentioned in the mainstream advice on how to find a research position.

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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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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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Seize Your Undergrad Research Interview: Ask the Questions That Matter

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When selecting your classes each semester you apply a methodical approach. You no doubt consider several factors such as: What will satisfy major requirements? What will help you prepare for the MCAT and add weight to your transcript? And, of course, what sounds the most interesting? Essentially, you don’t play “registration roulette” and find yourself in advanced string theory when you really need a cell biology course.
Yet, when it comes to an undergrad research interview, most students don’t know that they need a solid strategy for asking questions that will allow them to evaluate the position. Instead, many approach interviews with a single goal in mind: get an offer to join the lab. Although this is a good goal keep in mind, it should not be your sole objective in a research interview.

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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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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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Q&A with Physician Writer Christine Montross

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Dr. Christine Montross is Assistant Professor of Psychiatry and Human Behavior and the Director of Counseling Resources at the Warren Alpert Medical School of Brown University. She works as a staff psychiatrist at Butler Hospital in Providence, Rhode Island. Before attending medical school at Brown, Dr. Montross graduated from the University of Michigan with a Master of Fine Arts in poetry, and undergraduate degrees in French and Natural Resources.

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Difficult Interview Questions: Learning To Hit A Curveball Out Of The Park

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difficult interview questions

By Michelle Finkel, MD with CrispyDoc

You put your heart and soul into your compelling, charismatic personal statement; you showcased your accomplishments and drive to succeed in your activities section; and you demonstrated the endorsement of respected faculty allies in your letters of recommendation. Now your hard work has paid off and helped you get a foot in the door: You’ve been invited to interview at your dream medical school or residency program.

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10 Things to Expect Your First Semester of Research

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Even if you have previous lab experience from a high school or college lab class, the first few weeks of a new research experience in a professional research lab will have its challenges, surprises, and probably be quite different from you expect. It might take a few weeks before you feel at home in the lab, but it will happen if you stick with it and commit to learning everything you can about your research project. To help you prepare for your new adventure, here are some things that await most undergraduates at the start of a new research experience.

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Chronicles of a Med Student: Time for a Reality Check

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Chronicles of a Med Student

I was about to burst with excitement the minute I started medical school. I’m pretty sure I was actually giddy: like so many other pre-meds, I had dreamt of the day when I would finally put my pretty white coat on and actually start learning about things I cared about (that’s not to say everything I’d learned previously was useless—it absolutely wasn’t, but it wasn’t what I wanted). It felt like the longest road just to get to this point and I couldn’t even begin to fathom what was to come. It really was like the journey had ended…instead of just begun.

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Attend a Pre-Med Fair – Connect with Admissions Officers and the AAMC

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Why attend a pre-med recruitment fair? Pre-med recruitment fairs are great opportunities to learn about applying to medical school, admissions requirements, and resources all in one place! You’ll be able to engage with medical school admissions officers and representatives in person to learn about specific opportunities at their schools. You will find a variety of medical schools, programs, and associations, like the AAMC (Association of American Medical Colleges), that have a wealth of resources to support you on your path to medical school.

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