Tag: humanism in medicine

Caleb Grote (1 Posts)

Contributing Writer Emeritus

University of Kansas Medical Center


I am a MD/PhD student that recently graduated from the University of Kansas Medical Center. My PhD research was focused on the role of sensory neuron insulin signaling in the pathogenesis of diabetic neuropathy. I matched into orthopedic surgery at my home institution.




My First Ethical Dilemma

It was Friday of the seventh week of my family medicine clerkship. I was tired. Tired from the day and, honestly, tired from the clerkship. I was ready for a change of pace. The next patient was Mr. S., a 30-year-old male, here for an establish care visit. I did not recognize the name. I reviewed his chart before the encounter, two visits in the system, both to the ER for cocaine-induced angina. I stereotyped him immediately. Not that this was right, but I did. I think everyone does.

Joji

How can doctors-in-training effectively voice doubt and dissent in the medical school environment? Joji, a fourth-year medical student who plans to go into family medicine, describes the conflicts he has had with his school’s administration, and what it feels like to live in fear of dismissal.

Tarik

How can doctors-in-training honor the experiences of patients’ family members? Tarik, a fourth-year medical student, shares the lessons she learned from an Egyptian man who served as the primary caregiver for his wife, who had advanced multiple sclerosis.

Palliative Care: What Makes a Life Worth Living?

The traditional structure of medical education begins with teaching normal anatomy and physiology followed by the various pathologies and treatments. Once students reach the clinical years, we are taught to think in the form of a SOAP note. First, perform a history and physical; then, order the necessary diagnostic tests to obtain your subjective and objective information. Next, form your assessment and plan — what is the problem, and how do you fix it?

An Exploration of the Diagnosis and Treatment of Chronic Disease from the Patient’s Perspective

The role of a medical caregiver is often daunting. While balancing multifaceted skill sets such as understanding of pathophysiology, proper application of clinical skills, minimizing health care costs, physicians must also maintain the primary goal of empathetic and supportive care for each patient. It is thus sometimes inevitable for physicians, medical students, or any other health care professionals to get caught up in any one of these pursuits and neglect another.

The Funeral

Recently, I’ve found myself dwelling on the past. Maybe it’s just a phase, but I hope it’s a sign of maturity, that I’m moving into a new stage of my life. Usually, I find myself thinking about a dreary February day I spent in Toronto. I was there for my grandfather’s funeral. I can’t recall much because I was seven. However, there are few things I remember: heavy, gray clouds smothering the sun, the gloominess and gray scale of a suburban Toronto cemetery, and the hoards of somber and unknown people, all lost to the sadness and reverence of those final moments.

Bedside Ethics: The Story of Jane and John

The circumstances under which Jane and I met were less than ideal. That day, I had already seen a family of maggots making a happy living in someone’s foot and been chastised by my attending for failing to recognize the imprecision of my visual acuity in assessing a patient’s ascites — how else could I do so without a measuring tape in my pocket and daily charts of his abdominal circumference?

Chelsea

How can doctors-in-training build relationships with patients despite language barriers? Chelsea, a fourth-year medical student who will soon begin family medicine residency training in Boston, recalls the lessons she learned about the power of nonverbal communication from a patient she met while working in Rwanda.

Cynical Yet? A Med Student One Year Later

I used to work as an anesthesia tech at a hospital in Austin, TX. I was surprised the first time a doctor asked me, his incredulous tone dripping with disbelief, “Why would you want to want to go to medical school?” It wasn’t the last time that happened, it wasn’t exactly making me excited to go to school, and it wasn’t a flattering reflection of the doctors that said it, but physician cynicism about the future of health care wasn’t something new to me, either. People fear change, but I think people’s perceptions about impending change are shaped just as much by their perceptions of themselves, especially the interacting dynamics between themselves and their evolving environment.

Ajay Koti Ajay Koti (17 Posts)

Columnist and in-Training Staff Member

Morsani College of Medicine at the University of South Florida


Ajay is a pediatric resident and a Class of 2017 graduate of the SELECT MD program at the University of South Florida. He is passionate about delivering primary care to underserved populations—specifically, low-income and homeless patients in urban centers. Ajay will be specializing in pediatrics, with a particular interest in child maltreatment.

M.D. or Bust

Numerous studies have documented that medical students lose empathy during clinical years, becoming jaded and pessimistic. This has been linked not only to diminished enjoyment of our work, but also to worse patient outcomes. My goal is to sustain the humanistic values that drive so many of us to medicine, so that, instead of being quelled by cynicism, our idealism can be refined by wisdom.