Writer-in-Training and Columnist
Wayne State University School of Medicine
Caleb Sokolowski is a second-year medical student at Wayne State University School of Medicine in Detroit, Michigan. In 2018, he graduated from Michigan State University with a Bachelor of science in Human Biology. Caleb is interested in medical ethics, policy, and education. In his free time, Caleb participates in number of activities including sports, CrossFit, paddle boarding and cycling.
Leading the Rounds: The Medical Leadership Podcast
As physicians, we are immediately thrust into a leadership position from the moment we finish medical school. Despite this, most medical students will obtain little formal leadership training. We seek to improve our leadership abilities as burgeoning physicians. We developed this podcast to challenge ourselves to explore ideas in leadership development and how they apply to medical training. We hope to educate and motivate others to further develop themselves as leaders in healthcare.
“As long as we make leadership something bigger than us…we give ourselves an excuse not to expect it every day, from ourselves and from each other.” In this episode we interview Drew Dudley. Drew has been called one of the most inspirational TED speakers in the world, and he is on a mission to help people unlearn some dangerous lessons about leadership.
I have become, in these last six months, a twisty little ouroboros. I eat my tail because it’s all I know, and I savor my pain and confusion. I am always full and always empty and a little twitchy from all the coffee. We are one of the few medical schools in the country to push ahead early with in-person rotations during the pandemic.
In this episode, we discuss bullying in medicine, driving cultural change, as well as his belief that one person can change the world. We hope you enjoy this episode of Leading the Rounds.
A man sleeps in the sun on a bench across from the hospital. On the bench diagonally opposed, across and beside him, an almost-doctor eats cold noodles.
Patient 15 was a fit 38-year-old female with a past medical history of dilated cardiomyopathy who presented for follow-up on her most recent echocardiogram results. Flipping through the past notes, prior echos, family histories, I was captivated. A previous echo revealed an ejection fraction of about 50% — her heart was already revealing its impending fragility. The most recent echo, just five months later, revealed an ejection fraction of 20% — her heart was failing!
In the extremely efficient and fast-paced environment of health care, the emotional needs of patients and their families may become secondary to their medical treatment plan. But emotional stressors may be directly associated with poor outcomes in regards to the healing process and overall quality of life. Thus, these needs may be addressed by face-to-face communication that allows for better patient education. Such investment of time is most rewarding when both the patient and family members have the opportunity to explain their fears and worries regarding treatment.
We sit in a clumsy ring / under fluorescent lights, / halfway into the allotted one hour / before we realize that we are having / a conversation born a whole decade ago.
It was a Saturday morning and there were close to fifty volunteers who gathered at a homeless shelter in Riverside, CA ready to give out hygiene care packages and offer free showers, haircuts, clothes, and food. Eager medical students and physician assistants provided free health care screening and visits. Efforts like these are fairly common — nothing groundbreaking.
In the neuro intensive care unit, I took part in a meeting with my team to update a family on the status of their loved one. It was my first time in this type of meeting, especially for a patient that I was directly involved in caring for. To our team of medical professionals, he is our 51-year-old male patient with a 45-pack-year smoking history, but to his family, he’s a son, a husband and a father.
My friends and I wished we knew how to flourish from the beginning, so we decided to create Wards & Boards, a peer-to-peer mentorship mobile app. The app compiled advice from fourth-year medical students who completed each clerkship designed for third-year students beginning their first rotation.
I began my journey with the Deaf community before coming to medical school starting with a basic American Sign Language class just to learn a few routine signs. I continued with the American Sign Language Club at Geisinger Commonwealth School of Medicine, hoping to learn more medical signs for any future interactions with Deaf patients. Through the club, I recently met an incredible four-year-old boy named John at a local community event to meet Peppa Pig.
I actually don’t remember his name; he wasn’t my patient. I just saw him during rounds every day during my internal medicine clerkship. He was in his late-80s, and he was very ill. He had a long history of COPD, most likely attributed to his even longer history of smoking. He had been admitted to our service for a severe respiratory infection a few days prior to me starting the rotation. This was my last rotation of my 3rd year, and I walked in thinking I had seen enough COPD patients to know exactly what to expect.
Contributing Writer
Florida International University Herbert Wertheim College of Medicine
Rachel Fields is a fourth year medical student at Florida International University Herbert Wertheim College of Medicine in Miami, FL, class of 2021. In 2014, she graduated from University of Central Florida with a Bachelor of Science in biomedical sciences. In 2016, she graduated from University of Central Florida with a Master of Science in biomedical science. She enjoys yoga, CrossFit, and spending time with her dogs and family in her free time. After graduating medical school, Rachel plans to pursue a career in internal medicine.
