An excerpt from Medical Myths: A Sceptic’s Journey.
The German Baron Karl Friedrich Von Munchausen (1720-1797) was famous for his tall tales. Returning from the war, he described himself riding on a cannonball and even reaching the moon. Stories were compiled …
The truth about Baron Von Munchausen, Munchausen’s Syndrome, and Munchausen’s by proxy
For applicants seeking to match into a competitive specialty, it can be challenging. In fact, it’s not uncommon for programs to receive over 100 applications for a single residency position. To sort through that many applications, many programs use filters. One type of filter is a USMLE “cut-off” score: applicants who don’t score above a certain minimum won’t be considered further.
That’s why, for applicants with lower-than-average USMLE scores, my advice …
3 strategies for matching into a competitive specialty, even with a lower USMLE score
In the U.S. and worldwide, cases, hospitalizations, and deaths from COVID-19 are surging. The health care workforce is overworked, and increasingly, more people appear to be experiencing mask fatigue. In the midst of this, there is exciting news. A few weeks ago, initial promising results from two phase 3 COVID-19 vaccine trials were released. The vaccines reportedly showed 90 to 95 percent efficacy, exceeding expectations, and providing much-needed optimism.
Vaccines are …
COVID-19 vaccines: Channeling the 7 habits to get from vaccines to vaccinations
There were recently many news articles and coverage exalting a physician for working 250 straight days during COVID. 250 days, that’s nearly 8 1/2 months without a day off.
While this physician displays dedication and caring, I don’t think we should celebrate this as an achievement. The truth is he’s working every day all day for one of two reasons. Either there is no one else, and he’s a victim of …
Physicians who work themselves into the ground have nothing to be proud of
So there’s this 60-year-old African American physician, and she is fed up. She’s working at a local hospital because she wants to sleep in her own bed rather than continue the life of a locum tenens. After a weekend call where she’s on her 29th hour in the OR in two days with only three hours of sleep, she refuses to do another case. “I’m tired,” She says, “I’m sleepy. …
Meet the doctor who really believes that laughter is the best medicine
This article is sponsored by Doc2Doc Lending. Find out more about personal loans for physicians from Doc2Doc Lending.
For the vast majority of us doctors, a career in …
A doctor-centric approach to evaluating if a loan is the right decision
There’s nothing like the holidays and a new year around the corner to remind us that 2020 is almost over. This year let’s try to take nothing for granted. Especially since millions of Americans will soon sit down to a holiday meal with one or more loved ones missing. Those empty chairs are a reminder of what we have endured this year. Whether it be loved ones who are sick, …
Empty chairs at the table this holiday season
For most of us, medical training through all the pains of medical school and residency is often bearable when we fantasize about life on the other side of all of this. Life as an attending physician, when the sky suddenly turns all rainbow, when the money starts to fall from those skies — we’re finally our own bosses, and then we’re supposed to live happily ever after. The reality, however, …
Being an attending: What no one tells you in residency and medical school
The first thing my husband said when I told him about MBA school was, “the NBA has a school?” It didn’t help that we first had our conversation about MBA school during the NBA playoffs but really – NBA school? I quickly overcame this moronic start to the conversation by saying “M” as in Michael Jordan – MBA school. He got it from there and every day since. And every …
To MBA or not to MBA as an MD: a physician’s journey
Over and over again, I find myself repeating the same words to myself as I watch the sunset over the Sacramento River on my dreary commute back from my job in clinical research: hope over fear.
It was with hope that 2020 began—a catalyst year in which we had the wind at our backs and the promise of a better future just over the horizon. 2020 promised the inevitability of change, …
In the face of uncertainty, choose hope over fear
I enter the hospital to work again. I must work as I have three small children and a husband presently out of work because of COVID. He is “non-essential.”
A violinist is playing at the employee entrance. I know they do this to lift our spirits. But it’s a slow, sad string that reminds me of the titanic. And yes, every day I clock in, I feel as if it’s a …
Pay attention to science and medicine, or else you may be the next careless victim
A quick preview of any journal will note a plethora of physician jobs spanning the country. Many of these jobs offer a partnership track and promote a democratic philosophy.
As someone who has worked on both sides of the equation, I wanted to share a few thoughts. You may not agree with all, but here they are, nonetheless.
First, consider your long-range plan. While it’s exciting to contemplate a first job while …
Practical thoughts on pursuing a partnership track
I am a critical care and emergency medicine physician, I have had COVID-19 infection twice, and I’m tired.
My first infection was early on in the pandemic. I had to place a Blakemore tube in a young man who was going to die from his massive bleeding from cirrhosis. I didn’t know then that the patient was positive for COVID, as he didn’t have any “typical” symptoms. I placed the tube …
I am an emergency and critical care physician. I had COVID-19 infection twice and I’m tired.
For students studying at Caribbean medical schools, success in the residency match is a major concern. And it should be, because Caribbean medical students have unique challenges. At the same time, strategizing early in your medical school career can significantly impact your ultimate success.
Here are five rules that are critical in residency match success:
1. Yes, your exam score matters. The reality of the current day residency match is that programs …
What Caribbean medical students need to know about the residency match
With the surge of information surrounding COVID-19 released in the news this year, an interesting concern arose regarding ibuprofen’s use in patients with COVID-19. In March of 2020, French authorities were the first to investigate anecdotal reports of severe COVID-19 infection in patients who had taken ibuprofen.
The initial concern involved the ACE-2 receptor. The theoretical concern was that NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen might …
The ibuprofen COVID-19 paradox
I recently met a student and aspiring surgeon who asked me if I was happy with anesthesiology and a career in medicine in general. I told him that aspiring to medicine is wonderful and that while I am indeed happy with my career choice, it does come with daily challenges, both professional and personal. This led to a discussion of work-life balance, particularly with regard to family life, in which …
Advice to aspiring medical students on work-life balance
With the rapid growth of modern medicine and awareness in lifestyle and environmental influences, individuals can live longer and healthier lives. Approximately 15.2 percent of the U.S. population consists of individuals 65 years and older. To make the added years of life expectancy fulfilling, older adults need to stay socially connected and involved. One key method is through the development of meaningful …
The value of intergenerational relationships
Doctors are often called “heroes” – a surprisingly uncomfortable label. Physicians are already tired of being held to a higher standard than the average person; raising the pedestal is problematic. While doctors are compassionate individuals who care about bettering lives and curing illnesses, we are also human. At the end of a standard workday, we would like to live normal lives. Unfortunately, the hours are longer, and we are never …
The pedestal that’s killing doctors
First of all, congratulations on making it this far in your journey towards becoming a physician. It truly is a privilege to be in the position of a third-year medical student because unlike the previous two years, we are now able to address the needs of actual patients, and in many cases, their family members and caregivers, whether they be emotional, mental, physical, or socioeconomic.
I admit that it sounds trite …
To the third-year medical students who feel like they aren’t learning anything
An excerpt from Patients at Risk: The Rise of the Nurse Practitioner and Physician Assistant in Healthcare.
On a sunny Tuesday in March 2015, the steps of Capitol Hill were draped in white as nurse practitioners from across the United States descended on the nation’s capital. Their …
Proponents of independent non-physician practice make a dangerous assumption
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