Columnist, Medical Student Editor and Former Managing Editor (2017-2018)
OU-TU School of Community Medicine
Ashten Duncan is a third-year medical student at the OU-TU School of Community Medicine located in Tulsa, Oklahoma. A 2018-2019 Albert Schweitzer Fellow, he recently received his Master of Public Health (MPH) with an interdisciplinary focus from the University of Oklahoma Hudson College of Public Health. Ashten attended the University of Oklahoma for his undergraduate program, completing a Bachelor of Science (BS) in Microbiology and minors in Chemistry and French. An aspiring family physician, Ashten is currently on a National Health Service Corps scholarship. His research interests include hope theory, burnout in medical education, and positive psychology in vulnerable populations. Ashten is passionate about creative writing and what it represents. He has written pieces that have been published on KevinMD.com and in-Training.org and in Blood and Thunder and The Practical Playbook. Ashten is currently serving as Associate Author for the upcoming edition of First Aid for the USMLE Step 1.
The Lived Experience
As medical students, we sometimes lose sight of our purpose for going into medicine and feel that we are exerting ourselves excessively with little feedback from our environment. It is important that we remember that, while we are living through the experiences that come with our training, our future patients are also living through their own experiences. The focus of this column is to examine topics in positive psychology, lifestyle medicine, public health and other areas and reflect on how these topics relate to medical students, physicians and patients alike.
My eyes ran across the same paragraph for the fifth — or maybe even sixth — time in the span of 15 minutes. Though I was giving my undivided attention to the paragraph, I could not move past it; I was at a complete loss for how to convey my next point.
I believe in the power of storytelling. As an avid sports fan, I am no stranger to the captivating narrative of athletes.
I gritted my teeth as I stretched my pinky finger across the fretboard of my acoustic guitar, reaching for the last note in a D-sharp chord. My unconditioned hand was cramping from the fourth chord progression that I was trying to learn, and after straining a little bit more, I huffed in exasperation and slammed my tutorial book closed.
Drawing from this discussion of humility, one can see that we are not so different from our patients, which may seem obvious but is too often not embraced. We are all limited; that is the natural order of things.
To be clear, for black medical students, supporting Black Lives Matter and other health equality and social justice initiatives is not a matter of a professional oath. It is a matter of life or death, close or distant — that of a loved one or of a stranger of the same hue and shared struggles.
When I first read that the Northam picture came from a medical school yearbook, I thought about whoever might have been his Black classmates at the time.
I want my residents and attending physicians to be aware of the elements that have so far shaped my medical school experience–a certain racial awareness, if you will–and to be as enthusiastic about teaching me as I am about learning from them.
Being a medical student on clerkships often feels like performing on a stage while wearing a straitjacket. You’re unsure of how your personality and tics might be perceived, and the goal — besides absorbing as much knowledge as possible — is to make a good impression in order to land a good evaluation.
As I sat on the table in the exam room, I quietly smiled to myself at the irony: I had been on the other side of the room the entire year, and, yet, here I was again, back to assuming the role of a patient.
Michael Jordan had established himself as one of the best basketball players early in his career, but it was not until Phil Jackson’s arrival as coach that he won numerous championships … Similar to the role that coaching has in athletics, I believe coaching is crucial throughout medical school, residency and beyond as senior physicians.
As I look into the future, my greatest fears dance with my deepest hopes. I may pine for change even while wishing I could stay exactly where I am. I don’t know what I will do yet.
I know this sounds clichéed, but as my third year of medical school draws to a close, I realize that my photography adventure is pretty similar to my third year.
Columnist
Case Western Reserve University School of Medicine
Neha is a third year MD candidate at Case Western Reserve University School of Medicine. To combat the cold and snow in Cleveland, Neha spends her time napping, exploring art museums, and taking the local brunch world by storm, one sweet confection at a time. When she has saved up enough money, she plans to go on a world tour and visit every single capital of every single country.
Mind Your Mind
A very important but rarely discussed topic is that of mental health in medical practitioners, notably medical students. According to a study in the Student British Medical Journal, 30% of medical students report having a mental health condition—with a majority of 80% stating the level of available support was poor or only moderately adequate. This column was born from these alarming statistics and aims to stimulate conversation on mental health in medical students, from providing suggestions on how to maintain one’s mental health to discussing the taboo and stigma surrounding conversations on mental health in practitioners/students and how to eliminate it.
