Columns

Melissa Palma Melissa Palma (4 Posts)

Contributing Writer

University of Iowa Carver College of Medicine

Melissa Palma is a fourth-year medical student at the University of Iowa who recently matched to the Greater Lawrence Family Medicine Residency. When not in the hospital, you can find her studying or reading non-fiction while nursing a taro boba tea.

The Aesculapian Advocate

A column reflecting on the privileges and responsibilities we have as physicians-in-training to advocate for those who do not have the power to do so themselves. Devoted to issues of social justice and health equity, this column hopes to spark conversations and inspire action within each reader's community at large.




Global Health at Home: Fourth-Year Elective with Burmese Refugees

Published by Melissa Palma

As medical students across the country enter their fourth year, many will travel thousands of miles to acquire global health experiences from the far reaches of the globe. While much can be learned by exposure to the stark differences among health systems in other countries, there is no doubt that such health disparities also affect the lives of vulnerable populations in our own communities. As a fourth-year medical student, I spent four weeks conducting a community health needs assessment of Burmese refugees in my hometown of Waterloo, Iowa, where I began to learn the meaning of global health at home.

LGBT Health: The Next Frontier?

Published by Aishwarya Rajagopalan

Just last month, the Supreme Court issued a ruling declaring bans on same-sex marriage illegal. While many hail this as a major step in the quest for equality, equity in health outcomes is still lacking in the lesbian, gay, bisexual, and transgender community. Many clinicians and prospective clinicians do not receive significant training in how to address the unique needs of members of the LGBT population.

The Golden Rule

Published by Jennifer Yang

Inpatient neurology at UAB is a busy service, accepting a variety of calls every day from the ED, inpatient consults, and transfer patients throughout the state. On a particularly hectic Wednesday afternoon during my second week of rotation, our team received a page from the psychiatric ward that one of their patients, Mr. S, was being transferred to our floor after a possible seizure. The residents were busy checking out patients to the night team, so I was sent to see the patient first.

An Ode to Teamwork

Published by Aishwarya Rajagopalan

“Medicine is a team sport,” said one of many administrators who spoke to my class during medical school orientation. This utterance rang true to me, as I have always believed that medicine relies on people working together in a cooperative and respectful manner. Yet, what I never imagined is just how challenging it is to work in a group when you are the most passive person in a room. I came into medical school shy and feeling a little out of place.

The Good Doctor Williams and His Doctor Stories

Published by Brent Schnipke

“Look, you’re not out on a four-year picnic at that medical school, so stop talking like a disappointed lover. You signed up for a spell of training and they’re dishing it out to you, and all you can do is take everything they’ve got, everything they hand to you, and tell yourself how lucky you are to be on the receiving end — so you can be a doctor, and that’s no bad price to pay for the worry, the exhaustion.”

The Curse of Knowledge

Published by Aishwarya Rajagopalan

Every other person in my family assured me I have nothing to fear, that I shouldn’t toss and turn in my bed at night feeling powerless because I’m in Philadelphia, thousands of miles away from India. Most days I reminded myself that to go to India I must first drag myself across the finish line of first year. But late at night alone in my apartment, I was haunted by lab values. I wracked my brain over the latest hemoglobin, sodium, potassium and chest x-ray. What am I missing? Is there something I can see that doctors with hundreds of years of collective experience cannot? The reality is that I didn’t have the answers for the people I love, and that thought terrified me more than anything.

Achievement Unlocked: Finding the Third Year Rhythm

Published by T. N. Diem Vu, MD

Welcome, Player One! First clerkship. Ready? Go!

LEVEL 1, PSYCHIATRY ACUTE INPATIENT SERVICE, MISSION NOTES: Med student didactics at 0700 daily. Rounds start approximately at 0800. Comprehensive interview with team at bedside. Ask about daily activities and goals. Enter orders while running list. PM schedule varies. Check desk for group session and recreation schedules. Plan to admit at least 8 patients in 3 weeks. Work closely with social services to coordinate disposition.

Another Look at the Antidepressant “Myth”

Published by Mariam Bonyadi

Within the next three years, ketamine, the popular club drug referred to as “Special K,” may replace the current generation of antidepressant drugs. By substantially reducing the latency of antidepressant effect, the use of ketamine as an antidepressant may hold promise and is in fact in Phase 3 trials for FDA approval. But, how does ketamine work to alleviate depressive symptoms, and how does this approach fit with our current understanding of depression? Do we currently understand depression?

Ajay Koti Ajay Koti (17 Posts)

Columnist and in-Training Staff Member

Morsani College of Medicine at the University of South Florida

Ajay is a pediatric resident and a Class of 2017 graduate of the SELECT MD 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.

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.