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.
Residency
Three New Year’s Resolutions for Medical Students
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.
The Other Preparations to Make For Clinical Clerkships
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.
Q&A with Physician Writer Christine Montross
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.
Difficult Interview Questions: Learning To Hit A Curveball Out Of The Park
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.
The Ultimate Student Loan Repayment Guide for Doctors
$176,000.
It’s a number newly-minted physicians or those in the process of becoming a doctor should know.
No, it’s not the average salary of those in the medical field or the cost of an average physician’s home.
It’s also not something fun like the price you can pay for a new Audi R8 when you graduate from medical school (although that would be super nice.)
Chronicles of a Med Student: Time for a Reality Check
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.
Balancing Professional School and Life
Professional school is hectic. Very hectic. Most programs require the dedication that is equivalent to … Read more
Choosing a Specialty: The Generalist vs. the Early-Committer
Many students arrive at medical school with a bias that their liberal arts education has instilled, namely, that they should survey everything before deciding on their specialty. Before medical school, students matriculate at colleges that pride themselves on providing a diverse exposure to a variety of subjects: Computer science majors experience the canon of Great Literature before pursuing a life of code, and English majors can take “Physics for Poets.”
For a generalist student sampling from the buffet of medicine, it can be jarring to sit in lecture next to a classmate who declares on the first day of school that she intends to become an orthopedist. These early-committers appear to have whittled down their choices from day one. They magically become apprentices to a faculty member in their chosen specialty by the first quarter, have a publication by their first year, and seem to possess an intuitive roadmap for applying to residency that the generalist cannot read.
The Risk Involved in Going to Medical School (and How You Can Subvert It)
Most people wouldn’t normally think of medical school as a risky investment. Sure, there are … Read more
Five Ways to Make Your Audition Rotation in Anesthesia (or Other Specialty!) a Success
It is that time of year again. Medical school students across the country are preparing applications for residency and pursuing audition rotations at residencies they are hoping to woo into an interview and hopefully to match into their program.
Any audition rotation is a challenge. This is especially true for the anesthesia audition rotation. For medical school students who look great on paper, the audition rotation can either confirm they are a great candidate or confirm the program should not interview/rank them. For medical school students who do not have a stellar record, the audition rotation can open up doors.
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:
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.
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.
Two Days to Destiny
Reposted from here with permission. Originally published March 17, 2015. What were you doing on … Read more
Opinion Column: A fundamental flaw in the USMLE exams
There exists a fundamental flaw in the USMLE exams – applicants who pass the exam cannot retake the exam. This means that applicants who score poorly in the exams are prevented from applying to competitive specialties and in some cases even from practicing as a doctor in the US. Why does the USMLE not allow candidates to rewrite exams to improve scores? To understand this, we have to delve into the purpose of USMLE.
The United States Medical Licensing Examination or USMLE as it is popularly known, is a critical set of exams that medical students and graduates must pass before they can practice medicine in the US. The USMLE is a multi-part exhaustive evaluation of a physician’s ability to apply knowledge, concepts, and principles, and to determine fundamental patient-centered skills that are important in health and disease and that constitute the basis of safe and effective patient care. It is highly regarded not just in the US, but also in various other countries around the world. So much so that one can use the USMLE in lieu of that country’s exams.
Getting your Zzzzzz’s: Struggling with sleep in medical school and beyond
“To sleep, perchance to dream – ay, there’s the rub” ~ Hamlet The irony of … Read more