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.
The pressure and anxiety surrounding Step 1 is one of the main reasons cited by the USMLE to justify its adoption of a pass-fail grading system. However, many medical students are met with more trepidation about their future as this major anticipated change in Step 1 takes effect.
Presenteeism does not simply exist for seasoned providers; it seeps down the medical training pipeline and perhaps poses the greatest threat to trainees at the start of their careers. The fear of missing out as the “beginner on the team” can be paralyzing when there is so much important knowledge beyond us. Such pressure persists longitudinally, too, as trainees at every level fear that taking time off will appear as a lack of dedication to clinical education or will result in lower performance evaluations.
When the start of M3 year came along, I was ready: ready to put my First Aid book to rest, ready to be involved with patient care, ready to observe physicians in their realm of expertise and ready to find my place in the broad field of medicine. Now, halfway through the twelve months of clerkships, I ask myself, was it all I imagined it would be as an inexperienced first-year student?
if we can just cling / and weather this weather, / we can make some things / much better and better.
I’m not the first to think / under my breath, even out loud: / To test positive for Covid. / Even after this morning.
Remember why you’re here. Remember what you value. Decide what your ‘meaningful suffering’ is and don’t waver. For if we do, we too may one day find ourselves running down the hall, away from the very reason we decided to become doctors.
In this interview, we talk to Dr. Stephen J. Swensen. He is dedicated to the support of thoughtful leaders who aspire to nurture fulfillment of their staff. He is a recognized expert, researcher and speaker in the disciplines of leadership and burnout.
I had developed a strong friendship with Ms. D during the rotation, and her passing became one of the first confrontations with grief that I encountered as a rising medical student.
Thank you for your contributions and your readership over the past year. It has certainly been a difficult one, and we are exceedingly grateful that you all used in-Training as a platform to share your reflections, opinions, and solutions. Run by medical students and for medical students, your ongoing support is what makes us a premier online peer-reviewed publication. We look forward to seeing your contributions in 2021, and we’re excited to see where the year takes us (hopefully some place better!).
Having a family, for some of us, is also non-negotiable. We want to be moms, and we have the right to pursue more than just medicine. So let us flip the script in our mind. Our mindset should not be a question: “Can I have a baby during my training?” Instead, let us decide, “I will have a baby during my training, and this is how.” Own it. Do not apologize for it.
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.