Contributing Writer
University of Wisconsin School of Medicine and Public Health
Ryan is a Class of 2020 MD/PhD student at the University of Wisconsin School of Medicine and Public Health. He graduated in May 2012 from the University of Wisconsin-Madison with a BS in molecular biology. He enjoys thinking and writing about health care policy, and is also an avid tennis player, instructor, coach, umpire, and fan.
On January 20, 2017, Donald J. Trump was inaugurated as the 45th President of the United States, giving control of the White House, the House and the Senate to the Republican Party. Congress is expected to move quickly on President Trump’s agenda: one of the top priorities is the repeal of the Patient Protection and Affordable Care Act.
On a late March day in 2010, President Barack Obama signed the Affordable Care Act into law. For many Americans, it was a day of celebration as they would finally be able to get the healthcare they needed at a price they could afford. For others it was a day of frustration and confusion, because even from the beginning it was apparent that this plan was not perfect. Over the past six years we have watched the success and failures of the bill as it was slowly put into action. In that time more than 20 million people have gained health insurance.
Whenever I go to the hospital, I wear my grandpa’s socks. They looked distinguished on an older man, but a little childish on a me, a 25-year-old medical student. I’m okay with that. Feeling like an overdressed kid on Easter helps to balance the overwhelming pressure of becoming a physician.
Following the event, we resolved to dedicate our efforts to raising awareness at Einstein about domestic sex trafficking. We knew our colleagues might be just as uninformed as we had been. Later that year, we developed research on how to best teach sex-trafficking issues to medical school students.
When I was six, a set of strawberry hair ties foiled my endeavor for independence. My mother had a way of twisting the plastic ornaments at the end of her operation so they sat together like two friends on a bus, neat and obedient at the crown of my head. Despite my assertions, (“I can do it myself!”) I could never align their orbits.
When many people hear about human trafficking and health care, they usually think about sexual health: sexually transmitted diseases, pregnancy, and so forth. However, the health problems of trafficking survivors are much more vast and complex. It is also important to note that not all trafficking survivors are trafficked for sex.
It was a tangent during conversation, but I felt my jaw tighten as soon as I heard it. Proposed changes, increase in work hours, for the good of the patients and of the doctors too. It was a Friday evening as I was working on a project with colleagues. As we scuttled toward a new topic, my thoughts were heavy and my hands, anxious. A friend brought up the proposed revisions concerning medical interns’ work hours the Accreditation Council for Graduate Medical Education is pushing to a vote in February. ACGME is looking to raise the number of hours that can be worked consecutively by medical interns from 16 to 24 hours, plus an extra four for patient handoffs.
Theater, however, has given me more than just fun memories from my childhood. Its life lessons are ones that I have held onto my whole life and have directly impacted my path towards medicine. In fact, I believe that everyone, especially future physicians, should participate in theater not only because it can be a very rewarding extra curricular, but also because it can give you specific skills, such as the ones outlined below, to use later in your practice.
My friend sat dutifully by my side in the squeaky plastic chairs of the emergency department waiting room. She tried her best to subtly come up with conversation ideas to keep me talking; our misguided belief in the old wives’ tale about keeping a person with a concussion awake showed how much more we had to learn.
As medical students, we are familiar with the Triple Aim for health care improvement in the United States — to improve the patient care experience, improve the health of populations, and reduce the per capita costs of healthcare. While the move towards a quality-focused and patient-centered health system is encouraging in many ways, it cannot be accomplished by a workforce of burned out and jaded professionals.
Medical school can be an overwhelming journey for many students as the pace, quantity of content, and work hours far exceeds even the most prepared students’ expectations. The overall demand of medical school makes having a “normal life” very challenging; that is, the ability to attend happy hours or frequent social events, see local professional teams play or cultivate hobbies all become difficult to orchestrate between the endless pages of reading or practice UWorld questions.
In the five years that have passed since I met the 14-year-old girl who opened my eyes to the terrible crime of sex trafficking in the United States, much has changed. We have made strides in state and federal legislation to protect survivors, national human trafficking prevention months have been declared, and victims are no longer treated as criminals.
Contributing Writer
Albany Medical College
Preeti Panda is a 4th year medical student at Albany Medical College where she is pursuing an MD with a Distinction in Advocacy. Her research focuses on the sex trafficking of domestic minors and the role of health care providers. Preeti graduated from Cornell University in 2011 with a major in Biological Sciences and minors in both Global Health and Law & Society. Prior to medical school she served as an Americorps member at a charter high school where she worked with low-income and at-risk youth.
