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.
It’s that dreaded season again: spring. Whether you’re a fourth-year getting ready to cross the country for residency or a first-year readying for exams, I think it’s pretty safe to assume that spring is a stressful time for most of us.
The definition of “getting old” has changed dramatically in recent years. Due to the remarkable advances in medical technologies and interventions, the average life expectancy in the United States has been rising exponentially over the past 50 years. But while our bodies are lasting longer, our brains are still susceptible to the cognitive decline associated with aging.
Sunrise on the psych unit. A tentative, yawning flicker, a wash of tired fluorescence, and the hallway shudders to life—or something approximating life anyway.
Despite the fact that it’s fairly warm for this time of year, I was feeling in the spirit to try a winter-themed activity that wouldn’t require travel or cost a significant amount of money. The most obvious activity, given those requirements, was ice-skating.
As a medical student deeply interested in education, books, and writing, I try to read widely, and am always looking for reading material at the intersection of these interests. Thus when a friend of mine described Robert Coles as a gifted writer, one who placed great emphasis on the value of stories to the practicing clinician, he seemed like the perfect fit. I had previously read some of his shorter pieces, but my friend suggested I read The Call of Stories: Teaching and the Moral Imagination.
Since grade school, I’ve been blessed to play sports at different levels. Some were through organized clubs while others were at the local gym or the park nearby. Each sport required that I commit time and considerable effort to learning a unique set of skills. Some placed emphasis on hand-eye coordination, while others required endurance and footwork.
After a day of screams and sorrow and blood, / Every drop of my compassion leached from me. / Racing home to beat the dawn…
One thing I’ve always associated the holiday season with (besides lots of yummy food) is singing — anything and everything from Christmas caroling to hymns at church. I’ve never had a very good voice, but one thing I always noticed was that I enjoyed myself every time I sang. However, I always chalked it up to the situation rather than the act of singing itself.
Perhaps one of the most unique aspects in the culture of medical school is the integrative class of students that survive together through the obstacles in this metamorphosis. Individually and as a collective whole, we trudge through the same curricular rigors, learning to balance life, work, and all that in between. Many of us form significant bonds with our fellow classmates, whether through celebration or suffering. Through our mutual bonding, what quickly becomes apparent to us is the diverse background and hidden talents that make each big family unique and multifaceted. Beyond our scientific acumen, some of us juggle side-hobbies as musicians, some as chefs, some as craftspersons, others as comedians — and the torrent of talent runs abundant.
Everyone loves Katniss Everdeen. What’s not to love about the strong, independent, bad-ass woman? Given that exams and Step 1 are looming closer and closer, I’ve been feeling less and less sure of myself and wishing that I could channel my inner Katniss Everdeen and emerge victorious against the Capitol–and by the Capitol, I mean exams). When sharing these thoughts with a friend, it occurred to me that I could step into Katniss’s shoes for a day by taking archery lessons. So, my friend and I gathered a group to see if any of us could hypothetically be the next winner of The Hunger Games.
Mental health has been on my mind lately, but not only because of the “Physician Mental Health” and “Resiliency Training” lectures we’ve been receiving during this block. A few weeks ago, one of my best friends from home texted me to say one of her medical school classmates had committed suicide a few days ago.
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.
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.
