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?
At 8 a.m. every morning of the work week, I show up to class and make every bit of a dramatic entrance — slapping high fives to people in the front row, cracking a joke at He-Man’s (the class ‘buff guy’) expense, taking a moment to survey the classroom for an empty seat (next to people I haven’t sat with yet), throwing long distance secret handshakes to anyone from my lab table that’s paying attention … and smiling as big as I can stand it. And though this behavior is admittedly odd and seemingly manic, it is actually a completely honest expression of everything that my smile represents. Some of my classmates have noticed and asked me about it. At 2 p.m. on October 10, one of Dr. Rudy’s former patients reminds me of the substantial and universally relevant answer to why I am the way I am.
Heidi Moawad, MD is a neurologist, professor and author of “Careers Beyond Clinical Medicine.” In this interview, she tells us about what led her down this path and about her research.
Congratulations! You’ve made it to the clinical portion of medical school. Now you’ll work alongside interns, residents, attendings, pharmacists, social workers, and a myriad of other health care workers to provide quality care for your patients. As a resident, I’ve seen medical and PA students struggle with feelings of anxiety, incompetence and disorganization. They are excellent with patients, but often have difficulty with team dynamics and understanding their roles as clinical students. Here are some tips for success modeled after Covey’s “The Seven Habits of Highly Effective People.”