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Tehreem Rehman (4 Posts)

Contributing Writer

Yale School of Medicine

Tehreem Rehman is an MD/MPH candidate at Yale/Johns Hopkins. She is invested in addressing the impact of adversity and trauma on psychopathology, clinical and community interventions for violence, and the relationship between healthcare provider biases and health inequity. Tehreem blogs at www.tehreemrehman.wordpress.com and can be reached on Twitter @tehreem_rehman.




Laws that Shackle Doctors: How Can We Prevent Another Planned Parenthood Shooting?

Published by Tehreem Rehman

On November 27, 2015, a horrific shooting at a Planned Parenthood clinic in Colorado Springs left three people dead. This tragedy is a stark reminder of the grave consequences that may accompany inflammatory political rhetoric and poor legislation. After his arrest, Gunman Robert Dear declared “no more baby parts” to investigators. Dear’s terrifying actions have been linked to the national ongoing attack on reproductive rights as well as inadequate gun control laws. As a medical student, I fear that we will have many more Robert Dear’s in this country unless we make sure that political interests do not continue to impede on patient-provider relationships.

Food for Thought and Thought for Food: Aberrant Reward Signaling in Eating Disorders

Published by Mariam Bonyadi

With each new year, we are pressured to construct a “new self” guided by resolutions. We design a “new year, new me,” fueling the marketing of self-improvement products around December and January. The explosion of fitness equipment in stores during this time attests to the pervasiveness of an annual self-improvement routine in our culture. Importantly, this phenomenon of constructing resolutions to improve body image represents some of the elements of our potentially misaligned “beauty culture,” where popular culture could be involved in driving individuals to extreme measures to achieve weight loss.

Anatomy as Art: Installation #9

Published by Nita Chen, MD

At Albany Medical College, upon our orientation to gross anatomy, we are asked to draw our feelings on blank index cards prior to entering the cadaver laboratory. As we progress through the year, our sentiments regarding anatomy may remain the same, or may change, and these drawings allow us to look back at this milestone we crossed as budding medical students.

A Primer on the Zika Virus

Published by Marc Katz

If you’ve had the chance to look away from your class notes and at the news over the past few weeks, you’ve undoubtedly heard about the Zika virus. You may have even had family members ask about the virus and if you, as a future health care provider, are concerned about the recent outbreaks. Consider this your SparkNotes for the Zika virus.

Stress Reduction and Mindfulness in Medical School: Yes, It’s Worth It

Published by Erin Ayala

There’s a lot of talk about mindfulness these days — its importance, its effectiveness, the benefits of meditation and even the structural changes in the brain that result from it. (Do you want a less reactive amygdala and increased neuronal density in the hippocampus? Meditate!) It’s one thing to read about the benefits of doing something, but as many know, it’s another thing to actually apply it and understand it. So how can medical students use stress reduction strategies “in the context of the high-stakes, high-stress and time-limited environment of medical school.”

A Critique of Cultural Competency in Health Care

Published by Jennifer Tsai

The cultural competency framework that has become the mainstay of medical education is often times employed in incredibly reductionist ways. It seems to propose that exposing physicians to homogenized, static and packaged ideas of culture will aid them in estimating patient behavior, preference or response in the clinic, thereby diminishing health care inequality. Training like this paves the way for even well-intentioned student-doctors to be explicitly ignorant under the auspices of clinical benefit. It spoils the good intent to create better patient outcomes by legitimizing the validity of stereotypes and the development of physician bias.

Our Cadavers, Ourselves

Published by Leigh Finnegan

My cadaver has pink fingernails. I saw them on the first day of class, after we pulled back the white plastic sheet with the number “22” scrawled on it with permanent marker, and cut away the damp cloth that had been covering her cold skin. Her arms were folded across her chest, and on her fingers was a sparkly, ballet-pink polish, not chipped or peeling despite having been there for the 13 months since she’d died. I don’t know why it’s there. I don’t know if she painted them thinking she was going to survive to enjoy it, or if she was someone who always wanted to look her best, even in death.

Vaccines: Our Role in a Civil Conversation

Published by Eric Donahue

Vaccines have become a cornerstone of modern public health and have greatly reduced the burden of infectious disease across the globe. They are also the center of major debate in America. Conjuring furious arguments with divided opinion, where vaccine safety gets more attention than vaccine effectiveness. In the era of Facebook, Twitter and every imaginable social media outlet, opinions and facts flood computer screens, distorting truth and instilling doubt. To support an argument, it is not difficult to find an article or group that agrees with you. Medical professionals constantly find themselves concerned and restrained by an apathetic response to reason and science.

Murky Waters in Flint, Michigan

Published by Joniqua Ceasar

The images of water from Flint, Michigan water came into my mind and I lingered at the sink a few minutes too long. I became heartbroken for the children whose bodies may have been irreversibly and negatively impacted. I became enraged at a system that would prioritize saving pennies over properly protecting its citizens from preventable harm. Governor Rick Snyder, his appointed “emergency financial managers” and other leaders allowed this crisis to develop over years as they mistreated Black citizens through racist policies, violated the public trust, and endangered lives. A significantly poor and majority black city was told it was okay to use polluted water to prepare their children’s dinners. Families washed their dishes in what could be mistaken for urine. They scrubbed their pearly whites with toxins to avoid cavities.

The Right Time to Lose a Patient

Published by George Prousi

Although there is really never a right time to die or even witness death, it is important to acknowledge that death is a reality, and one to which all health care practitioners will be subjected at some point in time. For that reason, I raise the question: is there an appropriate time to lose a patient? From my perspective the answer is yes, and for good reason.

Anatomy as Art: Installation #8

Published by Nita Chen, MD

At Albany Medical College, upon our orientation to gross anatomy, we are asked to draw our feelings on blank index cards prior to entering the cadaver laboratory. As we progress through the year, our sentiments regarding anatomy may remain the same, or may change, and these drawings allow us to look back at this milestone we crossed as budding medical students.

Whiteness

Published by Austin Wesevich

Before my year abroad, I decided to pursue a masters of public health at the Brown School of Social Work at Washington University. During the weeklong MPH orientation last fall, we had an eight-hour mandatory session on cultural awareness, which included drawing our cultures with crayons on blank sheets of paper and sharing them with the group. Throughout the day, one of the students kept emphasizing how much she has been grappling with her white privilege lately. At the time, I had trouble appreciating what she was referring to, but after almost four months in Africa, my “whiteness” is part of my daily thoughts.

Austin Wesevich Austin Wesevich (5 Posts)

Columnist

Washington University in St. Louis

Austin is an MD/MPH candidate at Washington University in St. Louis (WashU) who is taking a year off of medical school to complete a Doris Duke research fellowship in Malawi through UNC - Chapel Hill. After spending the last eight years in St. Louis as a WashU undergrad (chemistry, music) and graduate student, Austin is loving the opportunity to experience a new culture and explore his interests in global health. His column seeks to illustrate a raw, human, vulnerable lens on the joys and struggles of working abroad.

Lessons in Lilongwe

Global health work can seem glamorous, exotic, and noble. Lessons in Lilongwe presents introspection and critical observations to illustrate what global health research and living in Africa are really like. Come join Austin on his year off of medical school for a research fellowship in Lilongwe, Malawi.