We will recall when, during the summer of 2020, the moral and political duty to engage with the most momentous anti-racist movement since the 1960s reanimated a nation paralyzed by fear. By the fall, cataclysmic wildfires on the West Coast poisoned the air from San Francisco to New York City. Coronavirus, cultural upheaval and manifestations of climate change all bore down on us as we entered the most consequential and divisive national election in living memory.
Rachelle’s winding journey to medical school is filled with twists and turns, with each fork in the road driving her in a novel direction. At age 20, she worked as a waitress, giving her the opportunity to travel and live in new places along the west coast and abroad. Each city brought a sense of excitement and adventure; each adventure brought her closer to finding her true calling.
This phenomenon of imposter syndrome is prevalent in many of us pursuing medicine. Especially for those of us who are first-generation physicians, we are left to fend through uncharted territories. While we try to do our best to navigate this difficult path, we are left feeling that there is someone else better suited for our spot in medicine. We feel that we are not deserving of this privilege. As we pass through these high obstacles — basic sciences, board exams, core rotations, even electives — we stew in self-doubt after each success.
His parents attended a parent-teacher conference with the hopes of encouraging his teachers to transfer him to the gifted track. After their inquiry, the principal explained, “It would be better for Chris to be in the remedial track, so he can see people who look like him.” This instance of racism would be the first of many for Chris, whose journey to medical school required him to rise above institutionalized racism and implicit biases.
Mercedes drove two hours to the nearest healthcare clinic to get her first physical exam in ten years. I met Mercedes while shadowing a primary care physician, Dr. L. In the clinic, Mercedes divulged to me how nervous she had been driving in – she knew what the meeting held in store. Her fears were confirmed: just five minutes into her exam, Dr. L advised her, “Mercedes, you have to lose weight.”
Failure was never an option for me. // Every time I fail… / I am reminded that I have let my country down.
“As long as we make leadership something bigger than us…we give ourselves an excuse not to expect it every day, from ourselves and from each other.” In this episode we interview Drew Dudley. Drew has been called one of the most inspirational TED speakers in the world, and he is on a mission to help people unlearn some dangerous lessons about leadership.
She was a woman in her early twenties accompanied by her husband. She was a first-time expecting mother at 19 weeks gestation with twins. They had received regular prenatal care and had been doing everything as the doctor had instructed to ensure a healthy pregnancy. She made this appointment because she felt something was off, her motherly instincts already keen. She and her husband had just gotten back from their ultrasound on the floor below, and they already knew the news that the doctor would give.
I have become, in these last 6 months, a twisty little ouroboros. I eat my tail because it’s all I know, and I savour my pain and confusion. I am always full and always empty and a little twitchy from all the coffee. We are one of the few medical schools in the country to push ahead early with in-person rotations during the pandemic.
Moreover, homelessness and COVID-19 both disproportionately burden marginalized populations — in particular, Black communities and Native Americans. When COVID-19 began spreading through the community, it came as no surprise that it would disproportionately impact those living in congregate homeless shelters. Overcrowded shelters, the inability to physically distance, and poor access to handwashing and hygiene facilities are coalescing for an unsafe environment that could accelerate disease transmission.
In this episode, we discuss bullying in medicine, driving cultural change, as well as his belief that one person can change the world. We hope you enjoy this episode of Leading the Rounds.
Gather a group of American and Chinese first year medical students in one lecture hall, and you will notice some obvious differences right away. The Americans will likely be older with more work experience under their belt already. There will be more women on the Chinese side, and most have been full-time students all their lives. Dig beyond appearances and ask them what their daily curriculum consists of, and you will find even more interesting differences. Although they are two of the world’s largest producers of doctors and healthcare professionals overall, the Chinese medical system greatly differs from its American counterpart in both composition and organization.