Contributing Writer
University of California Riverside School of Medicine
Marilyn is a first-year medical student at University of California Riverside School of Medicine in Riverside, California class of 2023. In 2010, she graduated from University of California Los Angeles with a Bachelor of Arts in psychology. She enjoys hiking, tennis, and playing with her two dogs. After graduating medical school, Marilyn would like to pursue a career in surgery or internal medicine.
In Nicaragua, where I was born and raised, we routinely stayed at home for dengue outbreaks, violence and hurricanes. I had experienced at least three lockdowns as a child, and now as an adult, I was experiencing another. Although the Nicaraguan lockdowns I experienced happened in the 1990s, the COVID-19 lockdown was still familiar.
As a White male, there are certain things that I will never understand. I was raised in an upper-middle-class family in a safe neighborhood — one with adequate resources, education and funding. I have never had to live in fear in my community, worry about my safety on my street, or been threatened or condemned because of how I look. My reality is inexplicably shaped by the privilege and opportunities that I have been given. I realize that to me, racism appears nonexistent because I have not seen it.
Is medical education doing enough to address future physicians’ abilities to understand the perspectives of their patients? As a medical student, my growing disillusionment begins with medical school and the lack of opportunities afforded to us during our education to discuss matters such as racial inequality.
I applied to medical school twice. In retrospect, I was unsuccessful the first time for a few reasons: my timing was terrible, I had too much humility about my achievements and I didn’t ask for enough opinions about my application from people who were rooting for me. My trauma was also too raw and recent to write in a way for strangers to understand.
I am calling for international solidarity and aid for Yemenis who are currently living in the worst conditions imaginable without clean water, food or shelter. Today in Yemen, there is war, an economic crisis, cholera outbreaks, the Chikungunya virus and COVID-19, all in the same country.
Sameera was an Iraqi refugee who had recently arrived from Tijuana, Mexico. She fled violence from what seemed like every corner of the globe, starting with Iraq, then to Yemen, Brazil, Mexico, and now to a small, bare and cold cell somewhere in southern California.
A medical student, to whom I will refer as X, posted on their social media page they were going to kill themselves. Their letter was direct, raw and, as many suicide notes tend to be, apologetic. They explained they felt they no longer had the strength to keep fighting; it was simply “time for them to go.”
When it comes to our younger family members, this means acknowledging their social as well as functional and emotional needs. With this in mind, we should consider three key principles as we focus on the mental health of our younger family members.
“Defund the police” has become one of the slogans of the protests shaking our nation amidst the COVID-19 pandemic. But what does this term truly mean, and could defunding the police be helpful for both the police and the health care community?
Interviewers who ask these questions in a professional setting typically consider these issues to be academic — purely topics for discussion that might provide useful insight into the way the applicant views the world. But for applicants who have been affected, these issues are not merely academic and their discussion can invoke significant emotional turmoil. So before we continue to tacitly accept this shift in interviewing, it is important to consider its purpose and impact on those being interviewed.
In a typical year, medical students have to pass this one final patient actor bonanza before they can become doctors. Like all other USMLE exams, Step 2 CS is eight hours long. However, this is the only Step exam that isn’t administered on a computer; rather, it’s offered at just five centers in the country, located in Atlanta, Chicago, Philadelphia, Houston, and Los Angeles.
It feels preemptive to discuss emergence while sitting in the living room where I’ve spent 15 hours a day for the past month — bradycardic afternoons mirroring the day prior. Yet each day the sun emerges, and we along with it, venturing out onto balconies and porches. As medical students, we take our pro re nata walks and remember to cross the street so our paths don’t intersect those of our neighbors.
Contributing Writer
Oregon Health & Science University
Rachel is a second-year medical student at Oregon Health & Science University in Portland, OR. In 2019, she graduated from OHSU-PSU School of Public Health with a masters in public health. She is the current Board Chair of the student-run Bridges Collaborative Care Clinic and hopes to practice medicine somewhere at the intersection of housing, mental health, and addiction care.
