Tag: doctor-patient relationship

Ajay Koti Ajay Koti (15 Posts)

Columnist and in-Training Staff Member

Morsani College of Medicine at the University of South Florida


Ajay is a Class of 2017 medical student in the SELECT program at the University of South Florida. He is passionate about delivering primary care to underserved populations—specifically, low-income and homeless patients in urban centers. Ajay will be specializing in pediatrics, with a particular interest in child maltreatment, starting with a residency at Nationwide Children's Hospital.

M.D. or Bust

Numerous studies have documented that medical students lose empathy during clinical years, becoming jaded and pessimistic. This has been linked not only to diminished enjoyment of our work, but also to worse patient outcomes. My goal is to sustain the humanistic values that drive so many of us to medicine, so that, instead of being quelled by cynicism, our idealism can be refined by wisdom.




Empathy in Medicine

When I enter the examining room, Mr. Jones is visibly distressed. His chest heaves as he struggles to catch his breath. I glance at his charts and make note of his chief complaint: chest pain. After a brief introduction, I fire off a barrage of well-rehearsed questions: When did the chest pain first begin? Does it radiate outwards or stay localized in one spot? Is there anything that makes the pain better or worse?

A Third Year Opus — Chapter Three: The Tenant

Delirium is a bread-and-butter presentation. The differential writes itself — stroke, infection, intoxication, electrolyte imbalances, shock, organ failure. The intellectual exercise this invites was practically invented for medical students, even if the final diagnosis (dehydration secondary to gastroenteritis) and its treatment (fluids) were relatively mundane.

A Lesson in Fragility

On the first day of my psychiatry rotation I was anxious, and like most students I worried. I worried I would not have anything to say and I worried I would say too much. I worried I would say the wrong thing at the wrong time and I worried that my words would be more consequential than I ever intended them to be. I worried about my worry.

Dangers of Falling Into the Bias Trap: A Story of Two Patients

In medical school nowadays, there is a heavy emphasis on perfecting a physician’s demeanor when interacting with patients. Classes on essential patient care focus upon the social constructs of medicine, allowing permeable medical minds to ponder over various patient-care scenarios and determine the perfect method of one’s bedside manner. I used to believe such classes were ludicrous.

Introduction to Psych: Med School Edition

As physicians, it is our responsibility to understand these serious implications and to help these patients live as fully as possible. A patient is not just his or her numbers — their vitals or their lab values. A patient is not just an MRI reading or a CT scan finding. Every individual has a mind, and we must take into account mental health when treating these patients because if left untreated, they can have dire consequences. More importantly as people — as humans of society — we must not stigmatize these illnesses.

Can Doctors Be the Next Big Startup? by Matthew Bloom, DO

Everyone has heard of startups. For many of us, the term “startup” is a reference to technology companies in Silicon Valley. Companies like Google and Apple for example. These companies are so well-known to us because their products and services have and continue to significantly shape and define the world we live in today, from how we purchase almost everything we buy to how we communicate with almost everyone we know. But startups seem to have become more than just providers of goods and services — they’ve become lore of our capitalistic society: a standard for what it means to be truly successful.

Breaking Bad News: A Side of Medicine That Is Not Easy, by Sahil Munjal, MD

Have you ever had a sinking feeling in your stomach when you are about to tell something to a patient or family member that might change their life forever? I had that feeling before speaking to the wife of my patient, Mr. Smith. It had only been one day since Mr. Smith was first admitted to the inpatient unit but regardless of how long the interaction is with a patient and their loved ones, some news is always difficult to deliver.

A Patient Thank You

Patients don’t always have to let us into their rooms. As medical students, I think we don’t give enough acknowledgement or praise to the vulnerable individuals that allow flocks of medical students to bumble around their bedside. But our perceived ineptness is the last thing on the patient’s mind; a friendly face that is willing to listen to their story is just as important.

Alex Slaby Alex Slaby (1 Posts)

Contributing Writer

The Commonwealth Medical College


Alex is a third-year medical student at The Commonwealth Medical College in Scranton, PA. He received his bachelor's degree from the University of Pittsburgh in 2012. Alex is passionate about helping underserved populations and has a special interest in mental health. He has always found writing as a great outlet and hopes that others can benefit from it. In his spare time he enjoys movies, exploring new places, and leaving amateur restaurant reviews on social media.