On behalf of Pager Publications, Inc. and the staff of in-Training, we are proud to announce the official launch of in-House, the online magazine for residents and fellows. in-House aims to build a community for new physicians as they navigate the monumental transitions in learning and personal growth in their graduate medical education.
Welcome, Player One! First clerkship. Ready? Go!
LEVEL 1, PSYCHIATRY ACUTE INPATIENT SERVICE, MISSION NOTES: Med student didactics at 0700 daily. Rounds start approximately at 0800. Comprehensive interview with team at bedside. Ask about daily activities and goals. Enter orders while running list. PM schedule varies. Check desk for group session and recreation schedules. Plan to admit at least 8 patients in 3 weeks. Work closely with social services to coordinate disposition.
How can doctors-in-training practice not just patient-centered, but family-centered medicine? Carissa, a graduating fourth-year medical student in Indianapolis intending to pursue an obstetrics and gynecology residency, shares the lessons she learned as a medical student when her mother was diagnosed with breast cancer.
On March 4, 2015, JAMA Psychiatry published an article entitled “Depression and Suicide Among Physician Trainees: Recommendations for a National Response” calling for “[a] national commitment to support residents and fellows throughout the challenges of medical training.” However, we believe that the term “physician trainees” should also be inclusive of medical students.
I am a medical student, yes. I am also a survivor of sexual violence. With the recent Columbia University commencement, the surge of articles surrounding the narratives of Emma Sulkowickz and Paul Nungesser prompted me to reflect on this latter identity. When histories of sexual harassment at my school emerged last November, my survivor status edged its way into my path toward doctorhood. I know I will always carry the mark of my trauma with me, and I am learning how I will better empathize with patients because of it.
As medical students we’re told over and over to treat the whole patient, emphasizing unity of body, mind and spirit, recognizing the things that make us unique: upbringing, culture, values and beliefs. But on the way to achieving this holistic view of our patients, we often lose ourselves in the process. Barraged with metabolic pathways, pathological markers and exams, medical school tends to become a zero sum emotional game.
For most medical students, the third year of medical school is their introduction to life in the hospital. This results not only in exciting learning opportunities, but also emotional tolls — grief, fear, anxiety, exhaustion — that can lead to serious problems including burnout, depression, and anxiety.
There is another reason wellness is now stressed so heavily in medical schools, and it is one that is not often talked about — physician suicides. As many as 400 physicians commit suicide each year. That is equivalent to four medical school classes who take their lives every single year.
One of the things that I have struggled with most in medical school is depression. Not learning to recognize, diagnose or treat it, but actually dealing with the effects of this condition. I soon realized that this problem is much bigger than myself, and needs to be talked about openly. This is my story.
Have you ever spent a night curled up in a ball of blankets rocking yourself, tears streaming down your cheeks, just wishing you could go to sleep and wake up a couple of months later? As a teenager, I had more of these nights than I did nights of restful sleep. There was no particular trigger. I had an idyllic childhood, growing up in a quiet suburb with a loving, supportive family.
It has been a little over two years since Kaitlyn Elkins, a second-year medical student at Wake Forest, took her own life. Her death stunned friends and family, who had been largely unaware of her protracted struggle with depression that was ultimately revealed in her suicide note. Kaitlyn’s mother, Rhonda Elkins, dedicated herself relentlessly to advocating for mental health awareness before succumbing to her own grief, committing suicide one year later.
Yet when nine black individuals were horrifically slaughtered in an historic black church in South Carolina by a white male (Dylann Storm Roof) who said, “You rape our women and you’re taking over our country — and you have to go,” all of a sudden psychiatry and mental illness become the legitimate explanation. Of course, Roof later confessed that he hoped his actions would start a “race war” and he was seen in pictures wearing a jacket with flags of apartheid South Africa, as well has sporting a license plate with the Confederate flag.
Contributing Writer
Cleveland Clinic Lerner College of Medicine
Joshua Niforatos is a medical student at Cleveland Clinic Lerner College of Medicine. Born and raised in the suburbs of Chicago, he eventually made his way to University of New Mexico (UNM) where he earned bachelor degrees in both cultural anthropology and biology. He then went on to earn a Master of Theological Studies at Boston University School of Theology where he studied theology, anthropology, and ritual.
