Columnist and Medical Student Editor
Philadelphia College of Osteopathic Medicine
Coco Thomas is a medical student at the Philadelphia College of Osteopathic Medicine in Philadelphia, PA, class of 2024. In 2016 she graduated from The University of Scranton with a Bachelor of Science in nursing. In her free time she enjoys traveling, going to the beach and hanging out with her dog, Zoey.
Switching Stethoscopes
After working in the Emergency Room as a registered nurse for three years, Coco made the transition into medical school at Philadelphia College of Osteopathic Medicine. The column Switching Stethoscopes describes a medical student's journey from nurse to doctor, while reflecting on the "non-traditional" path some students take to become a physician.
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.
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.
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.”
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.
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.
Over the next four weeks, I will share a series of essays with you in which I tell some of those stories. This writing results from the work of a summer, supported by a summer research fellowship in Medical Humanities & Bioethics at the University of Rochester School of Medicine and Dentistry, in which I interviewed nine first-year medical students, two third-year medical students, eight anatomy and medical humanities professors, two Anatomical Gift Program staff, three palliative care clinicians, two preregistered donors and one donor’s family member.
Regardless, with this data in mind, it is important for students in medical education to understand that we are entering the profession at a time where the reputation that precedes us is not ideal. This also means that the capacity to alter this perception is dependent on the way we practice upon entering the workforce.
Dr. Creagan was the Mayo Clinic president 1999 to 2001. He was responsible to the Mayo Clinic CEO who directed answered to the internal board of governors and the external trustees. He believes that this gave him a fascinating insight into what he called the “Masters Of The Universe.”
Recently two prominent children’s hospitals have made unprecedented announcements. Boston Children’s Hospital and Chicago’s Laurie Children’s Hospital announced that they would stop performing certain surgeries on children born with intersex traits. These announcements come after huge direct efforts by advocacy groups like The Intersex Jusice Project, lead by Pidgeon Pagonis, and InterAct, a national intersex youth advocacy group.
In a hospital room lit blue / By the rays entering in from the clouded sun
I entered the office of the Community Health Council of Wyandotte County, Kansas City, on a muggy, late-summer day during my family medicine rotation. The air-conditioned building boasted a large front room with sporadically placed desks, children’s books and toys, and what looked like a large food pantry. I flexed my elbows and wagged my arms to fan out the sweat from my Black body enshrouded in my white coat.
We have seen our classmates’ faces, memorized each other’s hometowns and politely chuckled at every “fun fact” introduction despite having heard it countless times. Some of us have admitted to writing down random facts about others as we hear them, hoping to review them later and somehow kindle more profound relationships than the pandemic naturally allows. We virtually contact each other later with a random sentiment trying to relate to someone’s favorite sports team or vacation place.
Contributing Writer
Mayo Clinic Alix School of Medicine
Kelsey is a first-year medical student at the Mayo Clinic Alix School of Medicine in Scottsdale, AZ, Class of 2024. In 2020, she graduated from Arizona State University with two Bachelor of Science degrees in biological sciences and family and human development. She enjoys hiking, spending time with friends, volunteering, and checking out local restaurants in her free time. After graduating from medical school, Kelsey would like to pursue a career in OBGYN or Emergency Medicine, but she is still exploring to find new areas of interest. She would love to work with underserved populations and contribute to public health advancements in the future.
