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Neha Kumar (18 Posts)

Columnist

Case Western Reserve University School of Medicine


Neha is a third year MD candidate at Case Western Reserve University School of Medicine. To combat the cold and snow in Cleveland, Neha spends her time napping, exploring art museums, and taking the local brunch world by storm, one sweet confection at a time. When she has saved up enough money, she plans to go on a world tour and visit every single capital of every single country.

Mind Your Mind

A very important but rarely discussed topic is that of mental health in medical practitioners, notably medical students. According to a study in the Student British Medical Journal, 30% of medical students report having a mental health condition—with a majority of 80% stating the level of available support was poor or only moderately adequate. This column was born from these alarming statistics and aims to stimulate conversation on mental health in medical students, from providing suggestions on how to maintain one’s mental health to discussing the taboo and stigma surrounding conversations on mental health in practitioners/students and how to eliminate it.




Adventure #1: Not Your Mother’s Yoga Class

It should be no surprise that when I asked my fellow medical students their suggestions for ways to de-stress, one of the first answers I heard from all of them was: “Yoga.” I should admit that I have always been a bit skeptical of yoga — I enjoyed cardio-based workouts far more. However, after doing some research, I found a study by Bansal et al. which found that medical students in India who did yoga every day for just one month showed significant improvements in both their general and mental wellbeing.

Resilience in Medical Education: Defining Burnout and How Role Models Can Help

Medical school is a notoriously challenging experience during which students undergo tremendous personal change and professional growth. Though the stressors that come along with this are varied and unique to each student’s context and experience, they may be categorized within a few common themes. Harvard psychiatrist Raymond Laurie has previously described the concept of “role strain” with respect to negotiating relationships with their families, friends, partners, peers, attending physicians and patients. Additionally, with regard to students’ concept of themselves, individuals who have high achievement may be challenged in new ways both intellectually and emotionally.

Why Would Anyone Choose Family Medicine?

Throughout medical school and especially during our clinical rotations, students are often told to keep an open mind about choosing a specialty. This is sound advice, especially since many people change their minds once they are exposed to other fields. However, that does not mean that all specialties are perceived as equal — even in a primary-care focused medical school, third-year medical students often run into prejudice against FM. Worse, they may run into stereotypes about family med which could be enough to sway them away from the specialty they would really love.

The Dangerous Devolution of Physicians into Technicians

With more applicants than ever, and a relatively static number of medical school and residency spots, there has been an increase in the use of metrics such as standardized test scores, GPAs and research publications to differentiate between applicants. Unfortunately, an emphasis on the unquantifiable attributes of physicians — the qualities that actually differentiate great clinicians from good ones — seems to have fallen by the wayside.

Review of Dr. Sandeep Jauhar’s Memoir “Doctored”

Doctored: The Disillusionment of an American Physician is Dr. Sandeep Jauhar’s second book. In keeping with good narrative nonfiction, Jauhar offers a mix of personal stories, thoughtful interludes and an obvious effort to back up claims with facts and statistics. He offers compelling anecdotes, which allow the reader to situate him or herself into the context of health care in New York City. These personal vignettes are especially helpful for highlighting concepts difficult to discuss; an ethical dilemma or complex criticism of the health care system becomes much easier to understand when tied to a tangible person or place.

Not Safe, Not Fair: The UK Junior Doctor Contract Dispute

In the UK, there is currently a dispute over the new junior doctor contract. “Junior doctors” are defined as anyone in training and who is not a consultant. Many have deemed the new contract neither safe nor fair, and despite doctors striking, the Department of Health are intending to impose this contract in August 2016. On April 26, there will be a 48-hour full strike including emergency care — the first of its kind in the history of the National Health Services (NHS) — in the hope that the government will change their mind.

Is it Time to #endstep2cs? An Interview with the Initiative Founder and a USMLE Representative

In March 2016, six medical students at Harvard Medical School launched #endstep2cs, an initiative aimed to garner support for the termination of the United States Medical Licensing Exam (USMLE) Step 2 Clinical Skills (CS) that is currently administered to medical students prior to graduation. This past week, we talked with Christopher Henderson, one of the organization founders, and Dr. Peter Katsufrakis, the senior vice president for assessment programs at the National Board of Medical Examiners (NBME), to discuss the faults and merits of both the CS exam and the student-led initiative to end it.

MedSchool Financials: Transportation, by Joseph Chiweshe, MD, MPH

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.

Perspective (2016)

When I started neuroanatomy, I was fascinated by the brain. However, I found it difficult to keep track of the where structures were spatially when there were so many different ways to dissect it. To help myself study, I drew a coronal section alongside an intact hemisphere so I could better appreciate the structures in relationship to one another. When I spend any amount of time creating a piece of artwork, I retain it much more quickly, as if my hands are translating it into my memory.

Nicole Cifra Nicole Cifra (1 Posts)

Contributing Writer Emeritus

Upstate Medical University


Nicole is a MD/MPH Candidate at Upstate Medical University and will be graduating in May of 2016. She will be completing a pediatric residency at University of Rochester and plans to pursue a fellowship in adolescent medicine. She is passionate about eating disorders prevention and treatment.