Writer-in-Training, Columnist and in-Training Staff Member
Philadelphia College of Osteopathic Medicine
Aishwarya is a second year medical student at the Philadelphia College of Osteopathic Medicine. She relishes any opportunity to talk policy, social determinants of health, mental health parity and inclusion topics. Outside of school, Aishwarya enjoys yoga, green tea with lemon and copious amounts of dark chocolate.
Doctor of Policy
Doctor of Policy is a column dedicated to exploring and challenging contemporary health policy issues, especially in the fields of behavioral health, health care access, and inclusion, all from the eyes of a public health girl in a basic sciences world
I climbed into bed on October 11 excited: for the first time in years, I could pinpoint what I was feeling — I was happy. Pure, simple happiness, something that had eluded me for years in the throes of depression and anxiety as a teenager, was a feeling I could recognize again. Wow, I thought, maybe this will be my year.
The cultural competency framework that has become the mainstay of medical education is often times employed in incredibly reductionist ways. It seems to propose that exposing physicians to homogenized, static and packaged ideas of culture will aid them in estimating patient behavior, preference or response in the clinic, thereby diminishing health care inequality. Training like this paves the way for even well-intentioned student-doctors to be explicitly ignorant under the auspices of clinical benefit. It spoils the good intent to create better patient outcomes by legitimizing the validity of stereotypes and the development of physician bias.
These words, spoken by Dr. Gabrielle McMullin, a vascular surgeon in Australia, refer to a recent case wherein a female surgical resident won a case against a surgeon accused of sexually assaulting her in the Melbourne hospital where they both worked. Ironically, winning this workplace harassment lawsuit has made it impossible for the surgical resident, Caroline Tan, to find a job. In the surgical profession, speaking up against assault has resulted in Tan being labeled not as a victim or a brave woman who spoke up, but as a troublemaker.
“Good morning, Howard. I love you” / James whispered at seven o’ clock / Every morning / Like clockwork
One year ago, on December 10, 2014, over 3,000 medical students participated in the National White Coat Die-In. We knelt to the ground, rested our backs on concrete and tile, looked up at the ceiling and contemplated what it meant to be a citizen. We embraced a deafening silence pregnant with the implications of erasure. Our bodies, cloaked in the privilege of a white coat, painted a complicated image of advocacy and appropriation.
Stamina waning / Along with my patience / For the number of patients / Presenting with an emesis of symptoms
As I settle into my second year of medical school, I’m confronted with the fact that I’m one-fourth of the way to an M.D. — that an entire year has passed, and unsurprisingly, all those predictions my deans made at the very beginning came to pass: time flew, we learned more than we thought we ever could, and upon close self-examination, we’re very different from how we were this time last year.
I was sitting in class on Tuesday, October 6, when one of my friends showed me a link about a local college that was under lockdown, as we often do with current events. But this time, after seeing the message, I felt my stomach sink. My heart was in my throat. My mind instantly flooded with thoughts. Did my mom go to work this morning? Was she teaching today? I hadn’t heard from her since last night. The school was the Community College of Philadelphia (CCP).
Please say / ninety-nine, / No not like / that, say it
Approximately one in three women under the age of 45 have had an abortion. Approximately one in three women under the age of 45 have a tattoo. Think about your community. How many tattoo parlors can you think of? How many can you easily access? How many abortion clinics can you think of? How many can you easily access?
“Are you sexually active?” / His stethoscope gleamed in the light / Of the hospital room.
Distilling lengthy science publications into short summaries is challenging. The pioneers at Useful Science have made it their mission to communicate evidence-based snippets of science to the general public.
Writer-in-Training
Faculty of Medicine of Memorial University of Newfoundland
Kelly Aminian is a first year medical student at Memorial University of Newfoundland. She holds a BSc in neuroscience from Carleton University and an MSc in clinical neuroscience from King’s College London. Her hobbies include playing harp and travelling.
