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.
One of my housemates and I decided early on in my time in Malawi that we needed a code word that would mean, “Austin, stop worrying about money and schedules. Just enjoy the experience and let go.” We decided that “chocolate chips” would be our secret phrase for capturing this sentiment. That way, regardless of the social situation, my housemate could remind me to let go of control and just be.
How can doctors-in-training take advantage of the distinct liberty they have to bond the patient Stephan, a fourth-year medical student in Cincinnati when interviewed and now an ophthalmology resident, reflects on how the art of connecting deeply with patients is not prioritized — but this can be remedied. He tells a story about a patient he met on his internal medicine rotation that illustrates how medical students are in a unique position to cultivate relationships in health care.
Happy New Year! We hope you all had an enjoyable holiday with friends and family as we say goodbye to the dusty, long hours of 2015 and welcome the shiny, new year of 2016. As we begin our fourth year of existence, we would like to take a moment to express our deepest gratitude to all of you — our loyal readers and writers who provide lifeblood to the corpus that is in-Training.
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.
Four years. I had gone four years without crying in a faculty member’s or an advisor’s office. And there I was, sobbing all over myself, as I tried to explain the situation. A couple of days prior, I received a terse email from the training director, saying I needed to come in to meet with her. She was not happy with my most recent feat as a doctoral student.
December 10, 2015 marks the one-year anniversary of the inception of White Coats for Black Lives, a national organization of medical students that aims to eliminate racial bias and racism in the practice of medicine — as they are threats to the health and well-being of people of color.
Today is International Human Rights Day and the one-year anniversary of last year’s national White Coat Die-In to support the #BlackLivesMatter movement. The coordinated die-in protests drew national attention highlighting racism as a public health issue. Across the nation today, silent protests at medical schools in New York, Philadelphia, Houston and San Francisco call on medical schools and academic medical centers to move beyond mission statements and slogans in their efforts to promote racial justice.
One year ago, on December 10, 2014, over 3,000 medical students participated in the National White Coat Die-In. We knelt to the ground, rested our backs on concrete and tile, looked up at the ceiling and contemplated what it meant to be a citizen. We embraced a deafening silence pregnant with the implications of erasure. Our bodies, cloaked in the privilege of a white coat, painted a complicated image of advocacy and appropriation.
Our American democracy was founded on the promise of freedom of religion, a conviction that invites immigrants from all over the world and enables our country to grow and prosper. Our health care system is strong because we celebrate that diversity — understanding diverse perspectives and cultural practices is fundamental to providing the highest quality of care. Today, hatred and xenophobia have been thrust into our daily lives in a way that degrades our common humanity and impairs our ability to work together.
Reform. Disrupt. Innovate. These words are undeniably components of today’s medical vernacular and as medical students we are positioned in the middle of a dynamic health care landscape. The past few years have set forth a unique training phase for aspiring physicians. Medicine is evolving; not only from a legislative perspective, but also through a continually stronger relationship with technology that is driving human understanding into previously incomprehensible territory.
The Ontario government is cutting physician services. Two rounds of unilateral fee cuts, with the most recent on October 1, saw physician fees cut by 1.3 percent. Different from other public sector employees, physicians have a commitment to patient care, limiting their legal and ethical ability to take job action. As a medical student not currently earning a salary — but rather paying $24,000 a year in tuition — and junior member of the Ontario Medical Association (OMA), I can only passively observe the reaction of many doctors in Ontario to these cuts, and the accompanying provincial government’s almost apathetic response.
In undergrad chemistry lab, you likely were introduced to the terms accuracy and precision, often represented visually by the spread of darts on a dartboard. You were told to keep track of significant figures based on how well the various graduated cylinders and titration pipettes could measure volumes. The goal was to express the answer with as much certainty as possible, given the tools at your disposal.
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.
