Founder and Editor-in-Chief Emeritus
University of Colorado School of Medicine
My name is Ajay Major, and I am currently an assistant professor of medicine at the University of Colorado School of Medicine specializing in lymphoma and myeloma, and a physician-publisher in the medical education and narrative medicine spaces.
My journey into publishing began in April 2012 when I founded in-Training, the online peer-reviewed publication for medical students, and served as editor-in-chief for four years. Since that time, we have founded several additional online publications for the medical education community, including in-House, The Palate, Mosaic in Medicine, and Intervene Upstream.
To support these publications, we founded Pager Publications, Inc., a 501c3 non-profit literary corporation that curates and supports peer-edited publications for the medical education community, in 2014. Since our inception, Pager Publications, Inc. has published six print books, with all proceeds used to support our constituent publications.
Back in April of this year, we came across an article published in JAMA Psychiatry that called to attention the poor state of mental health for many physicians-in-training. We were excited by the publication of this seminal piece, an opportunity for medical educators, students and institutions to have an earnest conversation about the ugly stain of burnout and suicide that tarnishes the healing profession.
Today, a person’s zip code is a better indication of their health than their genetic code is. We know that physical communities experience shared sickness, whether linked to trauma, viruses or unavailable nutrition, and there are established biomedical consequences to poverty and segregation. Acknowledging these links, however, only gets us so far; successful intervention demands thinking deeply about the relationship between patients and their communities. Rochester, NY is home to an innovative attempt to combating these issues. It is one that challenges traditional ideas of what factors define health and consequently, what metrics define therapy.
Truthfully, I pick her name off the new patient list because it belongs to a woman, and several of our male patients have already come upstairs flagged for aggression. It is too early in the morning, and late in the week, and I haven’t yet learned that female patients can be just as unpredictable as the men. I am in a hurry this morning, and I make the mistake of not skimming through her chart before I go in to see her. I don’t know any more than the barebones: her name and her chief complaint upon admission.
As soon as we walk through the recovery program doors, we are greeted with enthusiastic welcomes and familiar smiles. For the past two years, three of my friends and I have been leading exercise workshops at a rehabilitation program for patients overcoming addiction. At first I was nervous about how our program would be received. Would the clients be annoyed by our presence? Would they want to participate in our exercise routines?
The subject of mental health is especially close to my heart; my struggle with depression and anxiety has had an immense impact on my experience during medical school. Yet I never realized how utterly commonplace this is until reading a recent piece on Medscape, “Med Student Suicide, Depression: National Response Needed.” I had no idea, none at all, how many others there were struggling just like me. What I do know is, had there been a screening method in place and more than a half-ditch effort to de-stigmatize these problems, my medical school experience could have been vastly different.
President Obama’s executive actions on immigration over the past few years have been met with reactions of both jubilation and opposition. At the border in the Rio Grande Valley, the new law’s effects are acutely felt within a community that prides itself on the blending of American and Mexican culture. The new rules will allow countless mixed status families to remain intact without fear of deportation.
The nightmare begins like any other. At first, everything seems familiar. But slowly, you realize something is not right — something is out of place. Outside the window, clouds black as night gather, lurching forward like a hurricane. The thunder is so intense you feel the electricity pulsate through your chest. An impending doom consumes your emotions. The room seems to press in on you like some scene from “Alice in Wonderland.” Then the words creep in.
In addition to its beneficial effects in patients with mood disorders, exercise has been found to be an excellent anxiety reliever. 30 million Americans suffer from severe anxiety that impairs daily functioning. This article will discuss anxiety disorders and research regarding the role of exercise in their treatment.
In recent weeks, President Obama signed the Clay Hunt Suicide Prevention for American Veterans Act, a landmark step in promoting access to services and in supporting efforts to reduce deaths by suicide among veterans. Nearly 20 percent of deaths by suicide in the United States each year are by veterans, particularly veterans who served in active duty and combat.
There is a well studied phenomenon in medical education: student physicians begin to burn out out early. According to several multi-center studies, burnout occurs in roughly 50 percent of students before they even earn their medical degrees. Personally, this manifests in the fading width of the bright smiles we adorned during our white coat ceremonies while our teeth begin to change to a color that only coffee-executives could be proud of. In short, we begin to care less.
It was not at a specific moment in time nor the result of an inciting event, but soon after medical school began, I started to forget who I was. I don’t mean early-onset Alzheimer’s or a drug-induced psychosis type of forgetting; I mean lost all sight of what made me me type of forgetting.
After a nearly 40-year moratorium, a controlled study of the therapeutic use of LSD in humans has been published in The Journal of Neural and Mental Disease after the pioneering work of Swiss psychiatrist Peter Gasser. Sponsored by the Multidisciplinary Association for Psychedelic Studies (MAPS) and approved by the BAG (the Swiss Drug Enforcement Agency), the study has completed treatment of all subjects after having enrolled its first patient in April of 2008. Many hallucinogens, such as psilocybin and MDMA, are being investigated today for their clinical benefits as a result of a gradual effort to reexamine the pharmacologic and psychiatric interests in hallucinogens.
Medical Student Editor and in-Training Staff Member
Albany Medical College
Steven attends Albany Medical College as a student of the Class of 2017. Raised in Queens, New York, he earned a BA in English with a minor in Biology from Binghamton University in May 2013. Some of his interests include poetry, martial arts, traveling, and continental philosophy. He is currently aspiring to become a radiologist.
