medicine

Physician Burnout: What It Is and Its Impact on Future Doctors

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Physician burnout is a widely discussed topic among practicing physicians and public health researchers. Many studies have been done showing the implications of burnout on patient satisfaction, career satisfaction, and care outcomes. A few studies even try to measure the dollar cost of burnout to society. However, very few articles appear to address the impact of physician burnout on one very important demographic in medicine: future physicians. Future physicians, such as residents and medical students, are molded by the doctors who come before them. The prevalence of physician burnout is likely to affect the outlook future physicians have regarding their own careers and the possibility of them experiencing their own burnout as well.
Background
Physician burnout in the United States is becoming more common. According to one recent study, roughly 45% of physicians reported feeling signs of burnout, an increase from 39% in a study conducted in 2013. Put another way, nearly 1 out of every 2 physicians has experienced burnout or will in the future.

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Sleep Deprivation and Residents: Are We on the Right Track?

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sleep deprivation

The tradition of long hours on the floor is an old one in American medical training. And criticism of this tradition is of long standing too. The controversy over the grueling residency schedules is not a new one, but neither is it one that has been successfully resolved. It can still spark off strong feelings in both the proponents and opponents of cutting back on the length of residency shifts and/or the time off between shifts for professionals engaged in this important stage in their medical education. What’s more, it is a topic which has pitted respected healthcare institutions such as the Harvard School for Public Health and the American Academy of Family Physicians against one another, so much so that this issue is not likely to be resolved anytime soon.

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Who Makes a Good Doctor? How Medical Schools Around the World Try to Find the Best Candidates

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around the world

One of the continuing challenges for medical schools both here in the United States and around the world is to find ways to select the students who will have the best chance of successfully completing their education. The goal of a good medical education, after all, is to train students who go on to become doctors, helping to fill the enormous global demand for well-trained, competent physicians. What might surprise many students, however, is how many different ways medical colleges around the world have come up with to find these ideal candidates–and how widely medical education varies from one country to another.

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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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Choosing a Residency That’s Right for You

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choosing a residency

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.

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Challenges Remain for Female Medical Students

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female medical students

It might actually come as a surprise to many would-be medical students that gender is an issue that still affects those who are training for a career as a doctor. After all, there are more women in medicine than ever before–and certain areas of practice have become largely female-dominated. Despite this, however, gender attitudes can color nearly every aspect of medical education.
Women in Medicine: Close to Parity – at Least In Numbers
Statistically, if you just look at the numbers, the participation of women in medicine has indeed come a long way. According to the AAMC, as of 2013, of the 20,055 students who were accepted into medical schools across the country, the split between men and women was almost evenly divided: 53% male and 47% female. It is important to look at these stats in terms of their historical context in order to truly appreciate them.

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Q&A With Physician-Author Dr. Richard Friedman

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richard friedman

Dr. Richard Friedman is a professor of clinical psychiatry and a psychopharmacology clinic director at Weill Cornell Medical College, where he focuses on mood and anxiety disorders. In addition to his research, Dr. Friedman has interests in mental health policy and psychiatric practice, and is a classical pianist and long-distance swimmer. He graduated from Duke University in 1978 with a degree in physics before graduating from Robert Wood Johnson Medical School – University of Medicine and Dentistry of New Jersey in 1982. He has written for The New York Times science section since 2002, and recently became a contributing opinion writer in 2015. He has also written for The New England Journal of Medicine, The American Journal of Psychiatry, and The Journal of the American Medical Association. Dr. Friedman graciously agreed to talk with me over the phone. This interview has been edited and condensed.

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Q&A with Physician-Author Dr. Matt McCarthy

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Matt McCarthy

Dr. Matt McCarthy is an assistant professor of medicine at Weill Cornell Medical College and an assistant attending physician at New York-Presbyterian Hospital. He graduated from Harvard Medical School and went on to complete his internal medicine residency at Columbia University Medical Center. Before that, Dr. McCarthy graduated from Yale University with a degree in molecular biophysics and biochemistry, and then spent a year in Minor League Baseball. He wrote about his stint in baseball in Odd Man Out: A Year on the Mound with a Minor League Misfit. The Real Doctor Will See You Shortly: A Physician’s First Year is his most recent book, and details the trials and tribulations of internship year. Dr. McCarthy has published in USA Today, Sports Illustrated, The Atlantic, Slate, Reuters, Deadspin, and Stat. I sat down with Dr. McCarthy at an Upper East Side café to pick his brain. This interview has been edited and condensed:

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The Top 5 Ways to Improve Your CARS Score Today

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improve your CARS score

For most pre-meds taking the MCAT, the CARS section proves to be one of the biggest obstacles standing between them and admission to the medical school of their dreams. The CARS section is a highly artificial environment, unlike any test you’ve ever taken before. It can be difficult to know where to begin and what steps to take to improve your overall CARS approach. Everyone and their mother seem to have an opinion about how to do well on the CARS section, opinions that often contradict each other as often as they agree. To make matters worse, unlike the other sections of the MCAT which play to the inherent strengths of pre-meds, hardly anyone starts off with a CARS score in range of where they’d like to be on test day. Fear sets in, and the “you’re not going to get in” gremlins starting chanting their mean-spirited slogans; all because of one stinking section.

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How to Succeed in Physiology: The Course, Step 1, and Beyond

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how to succeed in physiology

Physiology is different! If you’re in the midst of learning physiology, either in a traditional or systems course, you’ve noticed that it feels different from biochemistry and anatomy. There are several reasons. First, the stakes are high, as physiology is inextricably the basis for medicine; learning physiology has long-lasting, downstream consequences for understanding pathophysiology and clinical medicine. And physiology is the underpinning for Step 1, so learning it well in your courses is essential. Second, physiology cannot be memorized (and you’re good memorizers!). Physiology must be understood, and understanding can’t be rushed. You’re learning concepts and principles, rather than isolated facts, and you’re challenged by the hierarchy of concepts, interconnections, and recurring themes. Last and oh so important, you must make peace with graphs, equations, and calculations, since they are the language of physiology. Rather than concede up front that “I don’t do graphs,” it’s best to find a system for translating the mathematical side of physiology into something intuitive that speaks to you!

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Physician Employment Contracts Part II: The Story Continues

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physician employment contract

Make sure to check out Part I here!
Today’s article takes a closer look at several key terms in employment contracts that can have a significant impact on a new physician – compensation methods, incentive compensation and outside work or “moonlighting”. Building on our first article that examined termination provisions, non-compete clauses, professional liability insurance and indemnification, we will identify key issues in evaluating compensation models and moonlighting and outline some of the questions to consider before signing on the dotted line. 

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Dr. Sandeep Jauhar, Author of Doctored

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sandeep jauhar

What made you decide to write your new book, Doctored? What were you hoping to accomplish?
When I was growing up, my mother wanted me to become a doctor. She told me, “I want people to stand when you walk into a room.” When I started my first job as a cardiologist, I realized I had been isolated from the changes occurring in medicine. I was a fellow in cardiology; I was learning about the human body, the heart, the physiology, and the therapeutics, but not about the culture of practice. I was shocked to see how unhappy many of my colleagues were. The unhappiness wasn’t just about paperwork, patients going on the Internet, malpractice, the usual things you hear about – it was a deeper, more existential problem. The problem was the systems of medicine didn’t allow them to be the kind of doctor they wanted to be – the same kind I wanted to be. When I entered medical school, I had this fantasy that I was going to reform the profession somehow. I didn’t know how, but I thought I would, somehow. When I got out, I started seeing physicians who were unhappy. I think their unhappiness was a response to this loss of ideals. I think a lot of physicians have had to compromise their ideals because of a diseased system. That’s why I wrote the book. I wanted to write about it and put it out there.

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Junior Doctor Stress and What Can be Done about It

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junior doctor stress

Junior doctors [and residents in the US] do a valuable and sometimes life-saving job for patients. They are the future in medicine and can bring enthusiasm and fresh ideas into the profession. Despite the importance of their role to society, junior doctors have sky rocketing stress levels and many have an appalling state of mental health.
The Shocking Suicide Rate Among Doctors
It is totally shocking that in the 21st century, so many bright young doctors fall prey to depression and around 400 US physicians intentionally end their own lives annually. This means that every year in America, a million patients lose their doctor to suicide. The chance of dying by suicide is greatly increased for those in the medical profession compared with ‘lay’ people. For instance, male doctors have a 70% increased risk of dying as a result of suicide, when comparing the death rates with men from the general population. One of the reasons there are more completed suicides – ironically – may be as a result of doctor training. Doctors know the human body intimately. They know about drug dosages, they know more about the effects of drugs on the body. They know how to save a life and because of this, how to take one. A determined doctor can calculate a fatal drug dose expertly or know where to cut that would be catastrophic. They also have access to powerful, death dealing drugs that are only available on prescription to the rest of the population. This may be why there are so many successful doctor suicides each year.

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A Guide to a Successful Gap Year

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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.

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