Medical Student Editor and Contributing Writer
Sidney Kimmel Medical College at Thomas Jefferson University
Esika is a medical student at Sidney Kimmel Medical College at Thomas Jefferson University in Philadelphia, Pennsylvania, Class of 2025. She attended Penn State University for premedical studies. She enjoys biking, going to museums, and trying new restaurants in her free time.
Awareness of mental health and burnout concerns amongst physicians is simply insufficient; there is a dearth in actionable guidelines for training programs and medical schools to better medical student wellbeing.
Over the next few days, workup revealed she was experiencing paraneoplastic cerebellar degeneration, a manifestation of her occult cancer. In a matter of three days, a patient who had come in for seemingly benign constipation was told she had metastatic lung cancer.
The interviewer smiled, gave a vague answer and followed it with a diatribe about how present-day residents have it so “easy.” How his generation had to “walk through feet and feet of snow” to get to work and how work hour restrictions did not exist. Caught off guard, I wondered what sparked such an emotional response to a common interview question.
It was my third day on my home dermatology elective, and I boldly volunteered to see a patient by myself. As a third-year medical student strongly considering dermatology for my future career, I had studied for weeks for this rotation, hoping to make an impression as a confident, knowledgeable and reliable doctor-in-training. Usually, medical students shadow for two weeks before seeing patients on their own, but I was eager to be more independent. This was my chance to demonstrate everything I was working toward.
Deadlines rush on, relentlessly. / Another email signed, / “Best regards.”
My attention swung back and forth between my mom, my screen and the pairs of eyes periodically peering into the hospital room. I focused on the next question on my screen. Another patient had expired as if they were a carton of milk left too long in the fridge.
Third-year rotations forced me to reckon with my emotional capacity as a human and future physician. With each patient encounter, I had to decide whether my skin was too thick or too thin.
Studying blood clots / While I sit for hours on end / Affixing my own.
Longitudinal community service presents health trainees with clear benefits including development of communication and interpersonal skills, understanding how to teach and insight into community level issues and personal well being.
Simply put, the humanities seek to capture the mosaic of human existence across the chasms of jubilation and despair, life and death, love and fear. The humanities are both disciplines of academic study and modes of expression.
You’ve taken everything / Nothing is left
I came across a photo on social media of some classmates that appeared almost identical to another one I had seen months ago — beaming medical students crowded together against a brick wall of a campus apartment. Déjà vu. But there was one difference. Nearly all the students in this picture were white, whereas all the students in the older picture were non-white.
Contributing Writer
Penn State College of Medicine
Mariam Shalaby is a third year medical student at Penn State College of Medicine in Hershey, PA class of 2023. She graduated from the University of Pittsburgh in 2018 with a Bachelor of Philosophy in music and a Bachelor of Science in natural sciences. She enjoys spending time others, playing musical instruments, and trying new foods in her free time. After graduating medical school, Mariam would like to pursue a career at the intersection of medicine and public health.
