Residency

Doing Small Things Great: A practical guide to contributing to your team as an MS3

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“Go forth and do great things.”
– Anonymous
No one gets into medical school without a considerable dose of ambition. We want to be involved, to make a difference, to save lives. In short, we want to do great things. We spend years waiting in the wings, our enthusiasm funneled into pre-med activities, o chem exams, and countless hours of studying in the first two years of medical school. Like a horse that has been held tightly in the starting gate that suddenly swings up at the sound of the starter’s bell, we spring forward with unbridled enthusiasm into third year, dirt flying. Having spent nearly a decade in prep (if you start counting in undergrad), we are eager to actually do something and start making a difference. And yet, so much of third year can be sitting around, waiting for the action, and, when the action happens, standing in the back of the room.

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An Apology from a Resident

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Dear Third Year Medical Student,
Congratulations! Your two years of textbook learning are complete and you are ready to launch into your clinical training. It’s an exciting time and you’re likely super-eager to jump in, get involved and save a few lives (or at least stand by helpfully while other people save the lives; let’s not get ahead of ourselves). You have high hopes of becoming a key member of your team, taking care of your patients and learning as much as possible. What you will quickly discover is that your experience will be strongly colored by the residents with whom you will work closely. As a medical student, I had the opportunity to work with some truly great residents. Enthusiastic about their field, they worked to incorporate me into the care process and would take a moment, however brief, to draw attention to valuable teaching points that I might otherwise have overlooked.

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A Day in the Life: A Look at the Medical School Clerkship Year – Part II

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Make sure to check out Part I here!

The remaining day

Following rounds, teams will typically “run the list,”or quickly review the to-do items discussed during rounds and delegate the work as necessary. Since medical students typically cannot input orders, which include things like prescribing medications, scheduling diagnostic imaging and tests, and requesting labs, this usually involves more administrative tasks: obtaining medical records from outside institutions, following up on tests, and other ancillary tasks. Most rotations also incorporate some form of formal teaching in the curriculum. As such, students may be expected to attend lunch lectures with residents or may have their own lecture schedules. Some attending physicians enjoy giving quick teaching sessions and will set aside 30-45 minutes to talk about a particular clinical topic (e.g., management of diabetes, working up an acid-base disturbance, and other common issues) each day in addition to the more formal teaching opportunities scheduled by the clerkship.

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A Day in the Life: A Look at the Medical School Clerkship Year – Part I

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A caveat, an introduction

To try and describe the clerkship year of medical school – the year-long, in-depth experience for students to actively participate in patient care in a clinical setting, usually in the third year – to those who haven’t experienced it firsthand is a difficult task. I steadfastly believe that medicine is an experiential endeavor, one that cannot be truly understood by someone until he has undergone it himself. The fact that each trainee has his own unique set of “critical-incidents,” to use a term from the medical education literature (1), that profoundly shapes the physician he will become makes the task even more arduous. Nevertheless, I will do what I can to try and give a good look at a day in the life of a third year student and what the experience entails.

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20 Questions: Karla N. Turney, PharmD, Clinical Pharmacist

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Karla N. Turney, PharmD, is an inpatient pharmacist for the Veterans Affairs Medical Center in Iowa City, Iowa, where she has been employed since 2006. She is also an adjunct faculty at University of Iowa College of Pharmacy. Turney has a bachelor’s degree in biology with a minor in psychology from Illinois State University (2001), and her doctor of pharmacy degree from University of Iowa (2006).
Prior to her work at the Veterans Affairs Medical Center, Dr. Turney had several professional practice experience rotations at sites including Osco Pharmacy, Crawford Diabetes Education Center, Fifth Avenue Pharmacy, Liberty Pharmacy, Wal-Mart Pharmacy, Siouxland Medical Education Foundation, University of Iowa Hospitals and Clinics, and University of Iowa College of Dentistry. In addition, she completed two pharmacy internships, one at Iowa Medical and Classification Center (2003-2005), and one at Iowa Drug and Information Services (2003-2005). Dr. Turney has presented on treatment of chemotherapy-induced nausea and vomiting in oncology patients and treatment of depression in oncology patients at University of Iowa Hospitals and Clinics, mumps at the College of Dentistry, oral diabetes medications at Crawford Diabetes Education Center, the new insomnia treatment Ramelteon at Siouxland Medical Education Foundation, and the Iowa mumps outbreak at the Iowa Pharmacy Association annual meeting.

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Lessons Learned on the Residency Admissions Trail

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This time last year, I embarked on my own medical residency admissions journey. I realized that the decision-making process involved in the ERAS and residency application cycle can be dauntingly ambiguous to many applicants, including myself. Gone are the lists of medical schools or colleges ordered by objective measurements such as research dollars, student-faculty ratios, and admission statistics of entering classes. While there is significant debate on which criteria should be included in ranking schools, the availability of that data at least allowed for individual interpretation based on personal beliefs.

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Top Factors to Consider When Comparing Medical Schools

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Selecting a medical school is a significant decision, as the program you attend may play a key role in determining your career path. Whether you are completing final interviews or simply starting the application process, below are several factors to consider when comparing potential medical schools.

Location

The majority of applicants have a reasonable idea of the type of setting they would like to spend four years. In general, medical schools can be in urban and suburban settings. They are rarely rural. However, realize that the area a medical school is in affects more than your personal life and cost of living. Different geographic regions will expose you to different patient populations and disease processes. If you are extremely passionate about working with certain patients (e.g., the under-served urban poor), then take location heavily into account when choosing a program.

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20 Questions: Andrew Read-Fuller, DDS, MS, Oral and Maxillofacial Surgery

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Dr. Andrew Read-Fuller is a dentist and resident with the Division of Oral and Maxillofacial Surgery at Parkland Memorial Hospital/UT Southwestern Medical Center, with a focus on the broad scope of oral and maxillofacial surgery, including dentoalveolar, orthognathic, cleft and craniofacial, and cosmetic surgery, as well as facial trauma and head and neck cancer. Read-Fuller received his bachelor’s degree in politics from Princeton University (2005), and, most recently, he is a graduate of the UCLA School of Dentistry, where he received his doctor of dental surgery (DDS) magna cum laude (2011) and his master’s degree in oral biology (2011). He is currently active in the Resident Organization of the American Association of Oral Maxillofacial Surgeons.
Dr. Read-Fuller was active with the American Student Dental Association during his time at UCLA, serving as vice president, executive committee member and president of the UCLA chapter. He has earned numerous honors and awards, including the Dr. William S. Kramer Award of Excellence –Omicron Kappa Upsilon (2010), Pierre Fauchard Academy Scholarship (2010), California Dental Association Foundation Scholarship (2010), Webb Family Scholarship –Outstanding Leadership (2009 – 2011), UCLA Affiliates Academic & Leadership Scholarship (2008 – 2010), and ADA Foundation Academic Scholarship (2008).

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