Founder and Editor-in-Chief Emeritus
University of Colorado School of Medicine
My name is Ajay Major, and I am currently an assistant professor of medicine at the University of Colorado School of Medicine specializing in lymphoma and myeloma, and a physician-publisher in the medical education and narrative medicine spaces.
My journey into publishing began in April 2012 when I founded in-Training, the online peer-reviewed publication for medical students, and served as editor-in-chief for four years. Since that time, we have founded several additional online publications for the medical education community, including in-House, The Palate, Mosaic in Medicine, and Intervene Upstream.
To support these publications, we founded Pager Publications, Inc., a 501c3 non-profit literary corporation that curates and supports peer-edited publications for the medical education community, in 2014. Since our inception, Pager Publications, Inc. has published six print books, with all proceeds used to support our constituent publications.
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.
At the fundamental core of what the upcoming holiday is intended to represent, beyond the shopping and the impossibly large set of dinner plates in front of us, is the idea of gratitude. In the often busy lives of medical students, it is too easy to let this holiday merely be a break from the endless studying, a time to catch up on all the lectures you have let slip through the cracks, a time to spend home with your family and long-ignored friends or a time to catch up on that ever-elusive sleep.
“Tell me about an experience that moved you in some way.” “Before I entered physician assistant school, I worked for about a year as a volunteer emergency medical technician in New Orleans with the New Orleans Emergency Medical Services. I wanted to work in something I knew would challenge me and determine if medicine and me really were a good fit. That experience definitely did the trick! There were so many patients who impacted me, but one in particular created a very poignant memory.
Columnist
The University of Texas Medical Branch School of Medicine
Rosemary Beavers is a medical student at the University of Texas Medical Branch in Galveston, Texas. She intends to specialize in neurosurgery after graduating in 2018. Rosemary is passionate about humanism in medicine, feminism and sexual assault education, all of which govern her overarching goal to open comprehensive care clinics in third world countries for survivors of sexual violence. When she’s not studying, she loves to paint & laugh with friends.
Humans of Medicine
Humans of Medicine — rather obviously modeled after Humans of New York — strives to show the personal interests, struggles and humanity that exist behind people who have devoted their lives to the medical profession. Self-identity is too often compromised for the sake of one’s career in our realm, and it’s important for the world to not forget that there exists a music lover, salsa dancer or star chef with an actual story outside of the caretaker role. Humans of Medicine is a compilation of unique stories coming from the lips of doctors, medical students, nurses, PT’s, OT’s and PA’s.
