Columnist and in-Training Staff Member
Morsani College of Medicine at the University of South Florida
Ajay is a pediatric resident and a Class of 2017 graduate of the SELECT MD program at the University of South Florida. He is passionate about delivering primary care to underserved populations—specifically, low-income and homeless patients in urban centers. Ajay will be specializing in pediatrics, with a particular interest in child maltreatment.
M.D. or Bust
Numerous studies have documented that medical students lose empathy during clinical years, becoming jaded and pessimistic. This has been linked not only to diminished enjoyment of our work, but also to worse patient outcomes. My goal is to sustain the humanistic values that drive so many of us to medicine, so that, instead of being quelled by cynicism, our idealism can be refined by wisdom.
A torrential thunderstorm forced nearly the entire homeless population of Tampa Heights out from under their tents and awnings in favor of the more generous cover of a highway overpass. It was the closest Tampa had come to a publicly funded homeless shelter.
“Hello there,” I thought upon meeting my first patient in medical school. I did not get a response. Not that I was expecting one; my first patient was, as are most medical students’ first patients, a cadaver. She was draped with a bed sheet. Even when we began making the first cuts on her back, we kept her covered from the waist down.
Connor Forbes, fourth-year medical student and recent matcher out of the University of British Columbia Faculty of Medicine gives us his expert advice on succeeding in medical school and beyond.
The words by now flow off my tongue. “I’m Sarab, the fourth-year medical student” comes off in a rhythmic flow without a second thought. My position is comfortable, even simple. I am expected to be there, participate to some degree and occasionally know the right answer — I am, after all, a fourth-year post-match medical student.
My classmates and professors tell me I overthink it. “You overanalyzed the problem.” “Stop mulling it over.” “Just focus on the buzzwords and you’ll rock the exam.” “Jump through the hoops and move on.”
The subject of mental health is especially close to my heart; my struggle with depression and anxiety has had an immense impact on my experience during medical school. Yet I never realized how utterly commonplace this is until reading a recent piece on Medscape, “Med Student Suicide, Depression: National Response Needed.” I had no idea, none at all, how many others there were struggling just like me. What I do know is, had there been a screening method in place and more than a half-ditch effort to de-stigmatize these problems, my medical school experience could have been vastly different.
On the day of my white coat ceremony, I felt like a pretender. I squirmed in the rigid, wooden seat, staring at the gilded columns and towering proscenium of the hall, wondering when I’d be found out. I imagined them calling me to the stage, slipping on the coat, then seeing me in it and saying, “Well, that doesn’t look quite right.”
In her memoir “The Cancer Journals,” radical feminist and civil rights activist Audre Lorde documented her experiences as a woman with breast cancer recovering from a mastectomy. Lorde was a black lesbian and patient who is “defined as other in every group I am a part of. I’m the outsider, both strength and weakness.”
President Obama’s executive actions on immigration over the past few years have been met with reactions of both jubilation and opposition. At the border in the Rio Grande Valley, the new law’s effects are acutely felt within a community that prides itself on the blending of American and Mexican culture. The new rules will allow countless mixed status families to remain intact without fear of deportation.
We have made it to an era when even fast food restaurants stock biodegradable straws. Corn-derived utensils have been released from the confines of the Whole Foods salad bar and have made their way into a wider range of restaurants and delis. There are pockets in this nation where composting is a city-maintained public service, where green bins enlist each and every home in the neighborhood to move one step closer to a greener lifestyle and to leave a lighter footprint on this earth. But the medical community — perhaps the one institution that has the most potential for enacting change — is lagging in the area of environmental consciousness.
Parallels are often drawn between the fields of aviation and medicine. It has been said that the number of hospital-related preventable deaths in the United States alone is equivalent to 20 large airplane crashes, with no survivors, each week. With the advancements made in flight safety, doctors are now looking to the field of aviation to improve patient safety.
During our medical training, taking a proper history and doing a thorough clinical examination within a limited time period are the two skills that we are expected to master perfectly. Our teachers tell us that a good history gives you 75 percent of your diagnosis and the clinical examination gets you 90 to 100 percent of the diagnosis.
Columnist Emeritus
Dubai Medical College
Tania Tabassum is student in the Class of 2015 at Dubai Medical College, UAE. She started medical school right after graduating high school. She loves finding lost books, music, cooking, Tumblr and watches an unhealthy amount of TV shows. She believes that life is all about balance and excess of anything really isn’t good.
The Making of a Medic
"The Making of a Medic" explores that which transforms the head of a high school graduate to that of a medic, shedding some light on what the life of a medic is really like, away from the myths and speculations. This column focuses on the reflections of personal experiences rather than the scholastics of medical school.
