Tag: clinical competency

Jarna Shah Jarna Shah (4 Posts)

Editor Emeritus: Former Medical Student Editor (2013-2015) and Physician Guest Writer

University of Illinois College of Medicine


Jarna Shah is an CA-2 resident in anesthesiology at the University of Illinois at Chicago. She is interested in the development of medical education, mentorship, and healthcare. She is the Co-Editor-in-Chief of in-House (in-housestaff.org), a sister publication of in-Training. In her free time, she bakes ridiculous desserts, practices martial arts, and writes novels every November.




Competency-Based Medicine: Why it Matters and How it Will Affect You

On October 4 – 5, 2013, the American Medical Association hosted the “Accelerating Change in Medical Education Conference” in Chicago, IL., bringing together leaders in the realm of medical education for discussions aimed at “closing the gap between current physician training and the needs of our evolving health care system.” In attendance were two in-Training editors, Emily Lu and Jarna Shah, who reported on the conference and offer their in-depth medical student perspectives on the …

Review of Systems

With my Fisher-Price stethoscope drooping to my knees, I opened up my first practice as a young boy, working out of my family’s kitchen, my hours fluctuating with my nap schedule. I was a dragon-seeker bent on improbable rescues, and as I would fiddle with my tools, I would imagine a future where patients returned to my office full of life and gratitude. What I did not count on as a five-year-old—or even as a …

On Becoming a Doctor: Excellent Medical Student, Terrible Clinician

There is a saying that you enter medical school wanting to help people but exit it wanting to help yourself. It may be a cynical view, but a realistic one. The criteria to being a good medical student are far different from being a good doctor. Medical education may be breeding a legion of self-serving, grade-grubbing, SOAP-note spewing machines rather than the “empathetic,” “compassionate” and “caring” physicians of admission essays yore. I was no different. …

An Unusual Case: Cyclic Vomiting Syndrome (CVS)

Believe it or not, but cyclic vomiting syndrome (CVS) is a real diagnosis. I will describe a patient I encountered who fits the classic description. The patient is a male in his 50s who presented to the emergency department with one week of intermittent vomiting and epigastric pain. He has a few of these episodes every year and was diagnosed with CVS during his previous hospitalization, but was unaware of his diagnosis. The current episode …

The Incompetence of Competence

It was 3 a.m. in the emergency room. I had the ultrasound probe in my hand and was searching for a 50-something-year-old man’s bladder. He had not been able to urinate for over 10 hours and was in terrible pain. I figured his bladder had to be the size of a basketball by now. I stared intently at the black and white fuzzy screen, trying to interpret the landmarks. I did not see the large …

Andrew Petersen (2 Posts)

Contributing Writer Emeritus

University of Cincinnati College of Medicine


Andrew hails from Thousand Oaks, CA and studied psychology and integrative biology at UC Berkeley. He is now a Class of 2013 medical student at the University of Cincinnati and is planning to match into internal medicine.