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.
healthcare
How to ace your first patient encounter
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.
20 Questions: Mellissa Withers, MHS, PhD, Global Health
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).
Bedside Ethics: The Story of Jane and John
Reposted from here with permission. The circumstances under which Jane and I met were less than ideal. … Read more
10 Signs You're an Intern
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.
Graduation Day Thoughts on Student Debt
Memorial Day and Mother’s Day are May’s official holidays, but for millions, graduation day is May’s biggest celebration—as momentous as a wedding or birth. Graduation creates memories of a proud family gathering, celebrations with classmates, and the inspiring message from a charismatic commencement speaker.
I’ve had my share of graduations—high school, college at Cornell University, medical school at GW, grad school at Hopkins. Association of American Medical Colleges (AAMC) President Jordan Cohen addressed my medical school graduation. I had no idea who he was. A decade later, I went to work for him, and the AAMC has been my professional home ever since.
Q&A With Physician-Author Matt McCarthy, MD
I was having dinner with my editor three years ago, and he asked if I’d ever thought of writing a book about medicine. I had kept a journal during my intern year, but I was hesitant to write about my experiences. Some were great, but a lot weren’t and I wasn’t sure I could convey the difficult moments fairly. My editor and I spent a long time working on the tone of the book, trying to capture just how terrifying and inspiring that first year is.
2. What would you say is the most controversial part of the book?
The trickiest thing is writing about your own patients. Some medical writers believe we should only write about patients if we have their written consent. Most journalists tend to disagree with this and you occasionally see arguments about it break out on social media. In a few cases, I wasn’t able to get written consent for my book, so I had to change identifying details to protect anonymity. It’s not just about complying with HIPAA. It’s about changing personal details so thoroughly that you’re really protecting identities. Patients are vulnerable, and we have to be careful when we write about them.
5 Reasons Intern Year is Better Than Medical School
I had a certain level of (I thought well-justified) terror anticipating the start of intern year. No longer able to hide behind the protective “I’m just the medical student” blockade, I was worried about not being able to live up to the burden and the privilege of being someone’s doctor. Third year was rough and I could only imagine the horrors that awaited me as an intern. Yes, it has been a difficult year, filled with long hours and intense days. However, what I found was that contrary to my fears, intern year has been so much better than medical school. If you recently walked across the stage and accept your diploma, congratulations! Here’s what you have to look forward to:
Lost in Translation
Republished with permission from here. In the rest of the house, the noise of the party … Read more
What's On Your Summer Reading List?
For most students, summer break is an opportunity to do many things for which there … Read more
How We Found Our Voice As Hospitalists
Approximately a year ago, our CEO hired a healthcare performance company to evaluate our hospitalist group’s performance and make recommendations as to how to cut costs and improve efficiency. What soon followed was a Request for Proposal (RFP) which was released in the summer of 2014. Our CEO was searching for a third-party company to take over management of our hospitalists and save our non-profit corporation the cost of employing and managing the hospitalists. Needless to say, this was more than upsetting for the 37 employed hospitalists. Were our jobs secure? Were we going to be fired and have to apply to be hired by this third-party corporation if we wanted to stay in this community?
Up in Smoke: The Challenges of Physician Burnout
The days are long, the nights short – unless you’re on call or night float, in which case that is reversed. Regardless of where you are in your training, whether in medical school or already out of residency, there will be days when it all just feels like too much. Too much work, too much emotional energy expended, too much illness. Too many petty tasks or meaningless phone calls or purposeless turf wars. Hopefully, those times will be few and far between, buoyed by the days where you make a tricky diagnosis, have an appreciative patient, or just get out of the hospital with daylight left and go for a run. However, for a significant number of physicians, these despondent days stack one atop the next, stretching into weeks where they feel to exhausted to invest energy in their patients, let alone themselves. These individuals are likely suffering from burnout.
20 Questions: Allan S. Stewart, MD: Cardiothoracic Surgery
Thoracic surgeon Dr. Allan S. Stewart is director of the aortic surgery program and co-director of the valve repair center at Mount Sinai Health System. Stewart received his bachelor’s degree in biology magna cum laude from St. Peters College (1991), and his MD from University of Medicine & Dentistry of New Jersey (1995). Dr. Stewart completed an internship and residency in general surgery at Hospital of the University of Pennsylvania. He completed a postdoctoral research fellowship in the division of cardiothoracic surgery/department of physiology at University of Pennsylvania School of Medicine, a chief residency in general surgery at Hospital of the University of Pennsylvania, and a residency in cardiothoracic surgery at Columbia University Medical Center. Lastly, he completed a fellowship in ventricular assistance at Columbia University Medical Center. Dr. Stewart is currently associate professor of cardiothoracic surgery at Icahn School of Medicine, Mount Sinai Health System.
Tips from the Trenches: 5 Tips for Surviving Intern Year
Dear Incoming Interns,
Congratulations on matching and reaching the end of medical school! I am sure you are very excited to be graduating, and we interns are equally excited for you as it means we are about ready to say “so long” to our intern year. (Right now, I have 62 clinical days left – but who’s counting?) Intern year is one steep learning curve after another. Just about the time you figure out a particular service, you switch to the next. Over time, however, themes emerge, the transitions become easier, and the mass of random lab values, medications, signs and symptoms, slowly gel into cohesive patient narratives. Below is some of my own hard-earned advice from this year, some practical, some personal.
Helping Hands: A Conversation with Paul Rockar, Jr., DPT, MS
The first thing you notice about Paul Rockar, Jr., PT, DPT, MS, is his energy. Focused and friendly, he speaks enthusiastically about his chosen profession, using his hands to punctuate the points he’s making.
Those hands have not only helped patients function more comfortably for the past 30 years, but also have written textbooks, taught classes, and helped shape policy as President of the American Physical Therapy Association. So his favorite aspect of his career as a physical therapist comes as no surprise: “It’s not a ‘stand back and watch profession’, its a hands on profession,” he told Student Doctor Network at the 2014 UC Davis Pre-Health Conference last fall.
How to Use Study Abroad to Set Your Medical School Application Apart
All in all, studying abroad provides students with invaluable personal growth, which will translate to … Read more
20 Questions: Antoine Sayegh, MD: Medical Oncology/Hematology
Dr. Antoine Sayegh is a hematologist and medical oncologist practicing in Sacramento and Roseville, California. … Read more
The Med Student’s Guide to Analytics in Healthcare
As a future physician, you’re constantly learning. You spend years studying, memorizing, reciting, hypothesizing, shadowing, … Read more
Letter-By-Letter, Word-By-Word
Republished with permission from here. The first day of my medicine rotation, I proudly put on … Read more
20 Questions: Mary Lupo, MD, Dermatologist
Mary Lupo, MD, is a practicing dermatologist and clinical professor of dermatology at Tulane University School of Medicine. Dr. Lupo began using combination protocols for her patients that included collagen fillers, light chemical peels, and topical products such as Retin-A and alpha hydroxy acids with sun protection. She received a bachelor’s degree in biology from Newcomb College of Tulane University (summa cum laude, 1976). She received her MD from Tulane University School of Medicine (1980). She then completed an internal medicine internship at Ochsner Hospital (1980-1981) before entering the dermatology program at Tulane University School of Medicine (1981-1984), where she served as chief resident in her final year.
Dr. Lupo is a member of the American Academy of Dermatology (former committee member); American Dermatological Association; American Society for Dermatologic Surgery (former board of directors and committee member); Women’s Dermatologic Society (former president and committee member); Eastern College of Health Vocations (medical advisory board); TopMD Skin Care (medical advisory board); Strathspey Crown (founding member and operating partner); Annenberg Circle of the Dermatology Foundation; and Stegman Circle of the ASDS Dermasurgery Advancement Fund. Dr. Lupo is the author of more than 60 published articles and book chapters, and she has been a speaker on various dermatological topics at nearly 250 national and international meetings and seminars. She serves on the editorial board of Prevention Magazine, Current International, the Journal of European Academy of Dermatology and Venereology, and Cosmetic Dermatology. Dr. Lupo has been published in Journal of Drugs in Dermatology, Journal of Clinical Aesthetic Dermatology, Cosmetic Dermatology, Journal of Cosmetic Dermatology, The Skin Cancer Foundation Journal, Dermatological Surgery, Plastic Reconstructive Surgery, Dialogues in Dermatology, Journal of Dermatological Surgery Oncology, Postgraduate Medicine, and Archives of Dermatology.