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.
You see, when starting your anesthesiology clerkship it feels as if you are learning a completely new skillset and knowledge base. Of course you are drawing on common principles in physiology, pharmacology, and anatomy. But how they play out, and how you apply those concepts, are fresh. Here are some tips to maximize your learning, assist your resident and really start to appreciate the field.
The start of medical school is an exciting point in every student’s path toward finally becoming a physician. While you should be spending the majority of your day learning and part of each day marveling in the uniqueness of human anatomy and physiology, it is important for us to remain aware of the barriers to care that exist within the systems we train, and eventually practice in. But now more than ever, being a medical student with a penchant for innovation and entrepreneurship can lead to opportunities to create real change and impact real patients.
Last week marked my first week as a doctor. Like thousands of my colleagues, I began intern year with a combination of enthusiasm and dread. On my first day of clinic, I woke well before dawn, full of nervous energy. I collected my precious intern paraphernalia — my stethoscope, my Pocket Medicine guide, and my crisp long white coat. I filled the pockets of my new uniform, smoothed the hems, and, as a finishing touch, began applying the pins I wore throughout medical school to the collar.
The road to medical school mostly requires good grades in the hard sciences, high entrance exam scores, volunteering, and other quality extracurricular experiences. Once in medical school, the curriculum is a rollercoaster ride of learning anatomy, physiology, pathology, diagnosis, and treatment. At first glance, the journey seems to leave little room for anything else. Along the way, we also often hear about cultivating behavioral decorum and social intelligence as soon as our third year clinical rotations begin, or possibly even sooner.
As I reach the conclusion of an over decade-long training process to become an internal medicine physician I find myself facing a dilemma I really did not expect. Yet while my training has prepared me to care for the sickest patients, I really don’t understand how to get paid for my work. The long and complicated medical training process does little to prepare young physicians for real world practice where a plethora of insurance, billing, documentation, and pharmaceutical companies prey on naive young physicians.
On the journey to become a physician, your education will take you to a lot of different places, both geographically and developmentally. Throughout this process, the cost of transportation is an important and worthwhile factor to monitor. Transportation can become a large a part of your budget; however, there are several things you can do and steps you can take to keep it well within your budget during the time spent in medical school and beyond.
Every medical student dreams of having that “Aha!” moment where you instinctively realize your future specialty. Unfortunately, it never seems to be as simple. That moment is often insidious and occasionally tainted with self-doubt.
As an “underrepresented minority” in medicine, my personal experiences of mistreatment while navigating the challenges of pursuing this career are mostly invisible to the rest of society, but I know that they are far from mythical or unique. In fact, my experiences harmonize perfectly with the tales of so many African-American physicians before me and even in the accounts of the students I currently mentor. Everyone asks, “Aren’t things different now for African-Americans?” Yes. But, are they better? Sadly, not exactly.
I am honored by this opportunity to offer you some advice on how to prepare for your professional career in what has become a treacherous health care system. I will not elaborate on why I think the health care system is “treacherous.” I will assume — and even hope — that you have at least some inkling that things are not rosy in the world of medicine.
Stephanie Marango, MD, RYT is a physician-educator, yoga teacher trainer and author of The Wisdom of Your Body. In this interview, she tells us what led her down the path into integrative medicine.
In case you were wondering: robots won’t replace anesthesiologists any time soon, regardless of what The Washington Post may have to say. There’s definitely a place for feedback and closed-loop technology applications in sedation and in general anesthesia, but for the foreseeable future we will still need humans. I’ve been practicing anesthesiology for 30 years now, in the operating rooms of major hospitals. Since 1999 I’ve worked at Cedars-Sinai Medical Center, a large tertiary care private hospital in Los Angeles. So what do I want to tell you, the next generation of physicians, about my field?