Columnist
Mayo Clinic Alix School of Medicine
Neha Deo is a fourth year medical student at the Mayo Clinic Alix School of Medicine in Rochester, MN class of 2023. In 2018, she graduated from the University of British Columbia with a Bachelor of Science in Biology with Distinction. She enjoys working out, keeping up to date on high fashion culture, and spending time with friends. After graduating medical school, Neha would like to pursue a career in dermatology and engage in global health education and research to create opportunities for Fijians like herself.
Navigating Different Relationships in Medical School
It can be difficult to balance relationships with medical school -- not just a romantic one, but also those with our family and friends. With this column I hope to show a more vulnerable side of the challenges that come with balancing medical school and maintaining our personal relationships. If you are reading this and are feeling the same, just know you are not alone!
I went to college in Canada, and whenever I’d think about medical school, I’d romanticize how great moving to the United States would be in terms of opportunities and career development. However, in college, I was in a romantic relationship when I applied to medical schools in the U.S., and with that, I was very cognizant that I’d have to be in a long-distance relationship for at least four years…
My health deteriorated as I started my second year in medical school. I suffered from intense nausea and abdominal pain, only getting four or five consistent hours of sleep per day. These health issues had started and worsened during the second year, eventually culminating in an emergency cholecystectomy.
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.
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.
Students across the country in all grade levels, from preschool to graduate school, had their educational routines upended by the COVID-19 pandemic and its associated lockdown. In medicine, there were special challenges associated with adapting safety protocols to a field that inherently requires human interaction.
My medical school career was complicated by more than just complex cardiac physiology or biochemical pathways. Little did I know that at the end of my second year I would go from knocking on a patient’s door during a clinical session, to sitting in an exam room myself.
if we can just cling / and weather this weather, / we can make some things / much better and better.
This phenomenon of imposter syndrome is prevalent in many of us pursuing medicine. Especially for those of us who are first-generation physicians, we are left to fend through uncharted territories. While we try to do our best to navigate this difficult path, we are left feeling that there is someone else better suited for our spot in medicine. We feel that we are not deserving of this privilege. As we pass through these high obstacles — basic sciences, board exams, core rotations, even electives — we stew in self-doubt after each success.
As I reviewed the notes, it occurred to me that many of my peers and I have displayed some of the signs and symptoms of mental illness. Our professor’s lectures emphasized the importance of recognizing these features in patients, but what about identifying them in ourselves? Should it also be our duty to recognize the signs and symptoms in our colleagues?
A few years ago, I found CrossFit. Since then, I have spent a large share of my free time training and improving my health and fitness. As with any sport, there was a large learning curve. However, as I trained, my mind and body adapted. I made strides both athletically and mentally that I never thought were possible. I never imagined that this preparation and development would translate to a seemingly opposing task: medical school.
You don’t have to sit in silence and painfully nod along with an attending’s racist, misogynistic lectures because you’re their medical student. You don’t need to pick the skin off your cuticles to stop yourself from replying. You don’t need to learn how to hide your grimaces behind your mask because you know you’ll have to listen to them attack your identity for the next several weeks.
Contributing Writer
Saint Louis University School of Medicine
Apshara Ravichandran is a third-year medical student at Saint Louis University School of Medicine in St. Louis, MO. In 2018, she graduated from Williams College with a Bachelor of Arts in anthropology and chemistry. She enjoys reading, running, and going to the local dog park in her free time. After graduating medical school, Apshara would like to pursue a career in a pediatric specialty or child psychiatry.
