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Vinayak Jain (4 Posts)

Columnist

Kasturba Medical College

Vinayak is a fifth-year medical student at Kasturba Medical College in India. A research stint at Johns Hopkins got him interested in medical education. He is particularly interested in clinical competencies, affective milestones and the incorporation of humanities in MedEd, on which he delivered a TEDx talk. In his free time, he enjoys sleeping, eating and being a medical student.

In the Quest for Competence

Medical education today struggles to keep pace with actual medical practice. Moving from an information-driven curriculum to a value driven one has propelled a vast array of research and scholarship in teaching methods, assessments and competencies. In this column, I hope to share insights on some of these areas as well as call for learning that is more adaptive and less standardized.




In Our Assessments We Trust

Published by Vinayak Jain

To understand the issue surrounding assessments, we must understand that it has become increasingly challenging to train physicians suited to face contemporary changes. To future physicians who have access to a repository of ever-expanding information on their smartphones, being tested on ‘high-yield’ minutia serves little purpose. Being able to think critically (and perhaps even imaginatively) in order to make sense of that information for patient care is what counts. And thus, no matter how standardized an examination is, lack of contextual reference renders it futile.

Leading the Rounds: The Medical Leadership Podcast — “Joy and Justice in Leadership with Dr. Ijeoma Nnodim Opara”

Published by Caleb Sokolowski

In this episode we interview Dr. Ijeoma Nnodim Opara. Dr. Opara received her medical degree from Wayne State University School of Medicine (WSUSOM) and completed a med-peds residency at the Detroit Medical Center where she served as chief medical resident. Currently, she is a double-board certified and an assistant professor of internal medicine and pediatrics.

Dissecting Anatomy Lab: The Final Disposition

Published by Kate Crofton

Why would someone choose to donate their body to medical education? We have a dishonorable history in medicine of illicitly sourcing cadavers for dissection: robbing corpses from graves, murdering people for their bodies and salvaging the unclaimed dead from city hospitals and morgues. Today, we call the bodies we learn from “donors” instead of “cadavers” to honor their autonomy and personhood, their choice to be in the room. 

Taking a Wider View: A Medical Student’s Perspective on Reforming Obesity Medicine Training

Published by Shradha Chhabria

As physicians, we must work to lift patients up when they are struggling, rather than shaming them into well-being. As Dr. Donald Berwick once noted, it is not always patients’ diagnoses, but their helplessness that kills them. Indeed, the helplessness we instill through our focus on individualism and molecular pathology in the clinical setting will ensure that this epidemic kills millions prematurely and costs billions of dollars. If obesity is a disease caused by society — its inequities, trauma, and expectations — then the solution for obesity should address more than just the patient sitting in front of us.

Couples Matching for the Uncommitted

Published by Arianna Yanes, MD

After four years of intensive studying, two years with long hours in the hospital and three years of dating, we made the decision to apply to dermatology and plastic surgery. Recognizing the competitive nature of both of these fields, we quickly realized that matching together may not be feasible. We wanted to take each other into account in the process without either one of us making a large sacrifice in the quality of our training program to be together. Open communication and transparency were critical for us throughout the process. 

Dissecting Anatomy Lab: The Lifecycle of Anatomy Instruction

Published by Kate Crofton

It is the day before the first anatomy lab for the first-year medical students, and a single professor walks alone, up and down rows of tables laden with 26 naked, embalmed bodies. He silently shares a few minutes with the donors, a private thank-you. Soon the donors will be covered in white sheets, and the students will tentatively spill through the locked wooden doors of the labs, a rush of anticipation, teamwork, questions and learning.

Tissue Paper Skin

Published by Coco Thomas

I believe these inadequate approaches circumvent the answer the interviewer is actually trying to provoke: are you self-aware enough to know your faults?

Every one of us is imperfect, fallible, and vulnerable to making mistakes. Being a strong physician requires self-reflection and awareness, and interviewers want to know if you are willing to be honest with yourself and others. I can’t tell you how to answer this question, but I can tell you how I did.

Dissecting Anatomy Lab: The Assembly of a Medical Student

Published by Kate Crofton

In the golden glow of a fall day, 104 first-year medical students parade out of the medical center carrying boxes of bones to aide our anatomy lab studies. The crates look suspiciously like instrument cases, perhaps the size of an alto saxophone, and it feels absurd to march back to our houses a la The Music Man, knowing all the while that we are bringing real live (well, dead) human skeletons into our living rooms, kitchens and coat closets.

The “Problem” with Politics and Medicine

Published by Carly Polcyn

In 2018, a patient filed a complaint against a medical student for wearing a “Black Lives Matter” pin on her white coat. When the student reached out to her school’s administration, she received this response: “It is best to not raise barriers in the way we present ourselves … Some of your political pins may offend some people, and it is probably best not to wear them on your white coat or while you are working in a professional role.”

Course Correction: Growing Distrust in Physicians and Looking Ahead

Published by Faiz Saulat

As we seek to understand this phenomenon, there are many subjective variables that contribute to the trust between patients and providers. Measuring trust in a reliable and consistent fashion is challenging in itself. With these limitations in mind, three salient factors are involved in the decline of patient trust in physicians: one, a commodified health care system; two, lack of quality time spent with the patient; and three, racial influences on the patient-provider relationship.

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Narrative in Cirque

Published by Amber Allen

When I was 17, I went to the gynecologist for a Pap smear because my mom said, “Once you have sex you have to get one.” It felt like punishment, but it was also the only way I had a chance of getting birth control. I went to three different doctors and exam after exam, they kept saying I could have cancer. I did a ‘colpo’ — whatever that is. After that, they did three different procedures on me, three, all to take pieces of my cervix. I don’t remember what they were called or what even happened. All I remember is the pain.

Amber Allen Amber Allen (1 Posts)

Contributing Writer

University of Texas Southwestern

Amber Allen is a fourth year medical student at the University of Texas Southwestern in Dallas, Texas Class of 2021. In the fall of 2016 she graduated from the University of Texas at Austin with a Bachelor of Science and Art in biology with a Bridging Disciplines certificate in children and society. In 2020 she graduated from the University of Texas Health Sciences Center at Houston with a Master of Public Health and a focus in epidemiology. She enjoys all genres of dance, traveling, and spending time with her two schnauzer puppies, Kado and Willow. After graduating from medical school, Amber would like to pursue a career in full-spectrum family medicine.