The Iranian Consultative Assembly, the equivalent of a parliament, legalized living non-related donations in 1988 and set up a new government-run transplant matching system. Within this novel framework, living donors could choose to have their organs typed and registered in advance. If they are needed, a third-party independent organization, the Dialysis and Transplant Patients Association (DTPA), would set up contact between the donors and recipients. The donors would be compensated by a payment from the government, free health insurance, and sometimes additional payment from the recipient. The payment from the government is said to be in the range of $2,000-$4,000.
I believe these inadequate approaches circumvent the answer the interviewer is actually trying to provoke: are you self-aware enough to know your faults?
Every one of us is imperfect, fallible, and vulnerable to making mistakes. Being a strong physician requires self-reflection and awareness, and interviewers want to know if you are willing to be honest with yourself and others. I can’t tell you how to answer this question, but I can tell you how I did.
In 2018, a patient filed a complaint against a medical student for wearing a “Black Lives Matter” pin on her white coat. When the student reached out to her school’s administration, she received this response: “It is best to not raise barriers in the way we present ourselves…Some of your political pins may offend some people, and it is probably best not to wear them on your white coat or while you are working in a professional role.”
As we seek to understand this phenomenon, there are many subjective variables that contribute to the trust between patients and providers. Measuring trust in a reliable and consistent fashion is challenging in itself. With these limitations in mind, three salient factors are involved in the decline of patient trust in physicians: one, a commodified healthcare system; two, lack of quality time spent with the patient; and three, racial influences on the patient-provider relationship.
The notion that a person’s health is only impacted by the clinical care they receive is not a reasonable one. Currently, as a first-year medical student, I have had the privilege to learn from a variety of professionals that have once again reminded me why I am on this path and why I want to serve underserved populations.
Imagine inserting your broken arm into a metallic, sleeve-like device, then sparks fly, machines clang and voila! You have gotten yourself a nice, fixed arm in a shiny new cast. It is more and more common to see scenes like this on display in recent sci-fi productions. These flashy Hollywood gadgets may seem far-fetched, but surgeons have been conducting robotic-assisted procedures for over thirty years.
Secret / The caterpillar munching on hair / beneath your scrub cap
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!).
He and I became friends and fell in love, in part over our shared love of running. I think he would be proud to see how quickly I cover the ground between the chemistry building, my house on campus and my car.
My first day in the morgue was a shock to the system — the smell of death, the sight of rigor mortis and the comfort of everyone around me with the task at hand. I thought my prior health care experience prepared me for this, but it clearly did not.
Rachelle’s winding journey to medical school is filled with twists and turns, with each fork in the road driving her in a novel direction. At age 20, she worked as a waitress, giving her the opportunity to travel and live in new places along the west coast and abroad. Each city brought a sense of excitement and adventure; each adventure brought her closer to finding her true calling.
His parents attended a parent-teacher conference with the hopes of encouraging his teachers to transfer him to the gifted track. After their inquiry, the principal explained, “It would be better for Chris to be in the remedial track, so he can see people who look like him.” This instance of racism would be the first of many for Chris, whose journey to medical school required him to rise above institutionalized racism and implicit biases.