From the Wards

Katelee Barrett Mueller Katelee Barrett Mueller (2 Posts)

Contributing Writer

Tufts University School of Medicine


Katelee Barrett Mueller is an eighth year MD/PhD student at Tufts University School of Medicine, with interests in clinical and translational research and narrative medicine.




Anonymous in Training: How Mental Illness Gets Overlooked In The Hospital

I followed my surgical rotation with my rotation in psychiatry. My experience was in many ways the opposite of surgery — there was more time to care for each patient, and there was more time to care for ourselves. I would show up at 7:45 in the morning, spend the day conducting lengthy interviews with my one or two patients and then rounding on these same patients later with the team, leaving by 5 p.m. It was refreshing to have time to study, time to exercise, time for sleep. But the work itself troubled me.

Declaring Death

Somehow I managed to complete a full year of clinical clerkships without bearing witness to a patient’s death. This seems like a marvelous and lucky thing, and it is for all the patients whose care I played a role in over the past year. However, this might not be such a great thing for me, as a future clinician. Medicine is two parts science and one part humanity. The science part can be read in journals and learned from books, but the humanity part is learned by experience.

Drug Addicts and Crazy People

“Great, six weeks of crazy people!” This is the sort of attitude with which I went into my psychiatry rotation. Couple this with the fact that while most schools only have four required weeks of psychiatry, my school has six weeks. Of course, I would have more free time compared to other rotations — it is called “psychation” for a reason — but at what cost? Mental illness was something that made me uncomfortable.

A Good Doctor

Friday afternoon psychiatry didactic sessions are a holy time among medical students. A golden weekend rapidly approaches and the afternoon, typically spent trudging through paperwork, is instead spent listening to residents talk with minimal effort required to listen. At the end of a frantic third year of rotating, sometimes it’s nice to just set the busy work down and take it all in. Granted, I’ll actually have to learn the info at some point before the test, but for one afternoon it’s nice to be passive.

The Silver Lining

We stood in the shadows, a staggered line of nurses, students and surgeons in matching blue scrubs and masks. It was the middle of the night. Our tired bodies sagged against the walls, our bloodshot eyes dancing between the clock above and the gasping life below. A young man was dying in the operating room. He lay on the cutting table with his arms splayed wide, like a martyred saint stretched upon the cross.

Racial Discrimination as an African-American Medical Student

My recent psychiatry clerkship inspired me to examine racial relations during third-year rotations. This reflection originated from a physician submitting a particularly disturbing evaluation of me. She wrote: “[The student does not] recognize and address personal limitations or behaviors that might affect their effectiveness as a physician … [The student is] defensive, rigid, intense and intrusive; unable to see nuances in human behavior that is necessary for analyses of the human psyche; lower emotional quotient than peers.” Her response left me with an open-jawed, stuporous gaze. I could not believe that she had made this kind of assessment after interacting with me in only two patient encounters for less than half a day!

After the Autopsy

I went through medical school without experiencing the death of a patient I had personally cared for. In contrast to what may be seen on the trauma service, my surgery clerkship was full of routine procedures: appendectomies and cholecystectomies, port placements, excisions of pilonidal cysts, and miscellaneous “ditzels,” as pathologists may refer to them as. Sure, I have had patients who were quite sick and did not have much time left to live. For example, I once performed a neurologic exam on a comatose teenager in the ICU, whose arteriovenous malformation had bled wildly out of control despite prior neurosurgery. But with the constant shuffling of rotations that medical students must endure, I was always in and out of patients’ lives before they had a chance to leave mine.

Diane Brackett Diane Brackett (2 Posts)

Medical Student Editor

University of Central Florida College of Medicine


My name is Diane Brackett and I'm a Class of 2016 medical student at the University of Central Florida in Orlando. I'm from Cape Cod, Massachusetts, and spent my undergraduate years in Maine. I love to go for walks, bike rides, and play ice hockey in my free time. I will be doing my residency in anatomic and clinical pathology at Massachusetts General Hospital in Boston.