Contributing Writer
Philadelphia College of Osteopathic Medicine Georgia Campus
Amanda is a Class of 2018 medical student at the Philadelphia College of Osteopathic Medicine Georgia Campus. She graduated from the University of Central Florida in 2013 with a Bachelor of Science in Psychology. Amanda enjoys creative writing, drawing and cartooning, and anything sport-related, especially Tae Kwon Do.
“Neuroanatomy lab exam. You’ve got this. You studied hard. You’re good at anatomy, you know that. Okay, found a tag you definitely know. Start at the one you know. You’ll be okay.” It’s the way I try to start every exam. I try to talk myself up to push away all of the negativity slowly flooding my brain. Anxiety is a tough card to be dealt, especially in medical school. There are only so many ways to cope with the mounting pressure.
The sarcophagus before me dominates the exhibition. Intricately carved animals, including a line of fierce lions, arise from the slab of marble. Peering more attentively, I even notice the Greek goddess of wisdom, Athena, wielding her characteristic shield and helmet. A horse pulls a chariot, and perhaps that is Hector there on the ground, the Prince of Troy now fallen.
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.
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.
Physicians in-training are granted a privilege unparalleled in society. Human beings generously donate their bodies for our learning. They lay naked, exposed on cold stainless steel tables while strangers, who will never know their name, study them intimately. Like a grandfather telling stories to the next generation, their organs reveal to us a story of life.
“It hurts when my sister steps on me and when I bump this spot on something in the house,” the enthusiastic boy said as he pointed to the offending bump on the big toe of his de-socked foot, eager to help me diagnose his problem.
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.
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?
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.
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.
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?
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.
Curator of Inside Stories and in-Training Staff Member
Columbia University
Annie Robinson completed a Master of Science in Narrative Medicine at Columbia University in 2014. She previously studied the healing power of stories as an undergraduate at NYU’s Gallatin School of Individualized Study.
Annie works as Narrative Coaching Specialist with Eating Disorder Recovery Specialists, helping individuals in the early stages of eating disorder recovery through mindfulness, meditation, yoga, and narrative practices. She is also the Program Officer at Health Story Collaborative, a non-profit that creates forums for individuals to tell their stories of personal health challenges, and curates another oral narratives projects called On the Road to Recovered: Voices from the Eating Disorder Recovery Community.
Annie is a coordinator and full-spectrum doula for The Doula Project in New York City, providing compassionate care for women during experiences of abortion, miscarriage, and fetal loss.
As a yoga teacher, writer, educator, and co-founder of NYC-based wellness community Pause, Breathe, and Connect, Annie shares her passion for integrative approaches to wellbeing. She is dedicated to creating spaces for people to explore the healing potential of interweaving of stories, spirituality, and somatic experience.
Inside Stories
Inside Stories is an oral narratives project which invites medical students to share their experiences in medical school in the form of brief podcasts published and archived on in-Training. The project aims to provide a means of personal healing, self-realization and empowerment through the sharing and receiving of personal stories, as well as to cultivate community among students in the often isolating medical school environment. The title Inside Stories reflects the project's mission to encourage students to go inside themselves and bring forth things that often go unspoken. It also represents the inside look listeners are granted into the sometimes private, challenging and confusing experiences students may have.
Made possible in part by a grant from the Arnold P. Gold Foundation and FJC.
