Students, residents, and educators writing on KevinMD about how physicians are made: medical school, the match, residency, duty hours, supervision, assessment, mistreatment, and the path from student to practicing physician. Many contributors write while still in training, and many write anonymously. For a maintained record of what students and physicians have said about medical school since 2004, see Medical school: what students and physicians say, in their own words. For what residents and attendings have said about residency itself, see Residency: what residents and attendings say, in their own words.
Amid the COVID-19 pandemic, medical education is receiving unprecedented attention. By and large, the focus has been on the immediate problem of what to do with medical students. The answer has hinged on medical students being designated as “non-essential” to patient care, and has (for the most part) entailed avoiding clinical activities. A long-term problem that has received less attention is, why are medical students non-essential in the first place? …
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Why are medical students non-essential?
Since the first case of COVID-19 on January 21st, there have been countless stories highlighting the health care heroes. Individuals are risking their lives and demonstrating unanticipated sacrifices to close the wounds on a bleeding health care system. Amongst those watching these stories are students of future health care professions, getting a glimpse at what their lives might look like should there be another outbreak. Common sense would suggest supporting …
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How the USMLE fails COVID-19
Several weeks ago, after hearing that I plan to begin medical school this August, someone asked me if I still would have chosen to become a physician had I known about COVID-19.
When I submitted my AMCAS application one year ago, I never imagined that I would be waiting in quarantine, wondering whether I will have a white coat ceremony. It never crossed my mind that I would be reading articles, …
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After the pandemic, would I choose medicine again?
I come into the peace of wild things
who do not tax their lives with forethought
of grief. I come into the presence of still water.
And I feel above me the day-blind stars
waiting with their light. For a time
I rest in the grace of the world, and am free.
These verses flashed on my computer screen, the glare lighting my face as I sat in my bedroom. I paused my usual work and …
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The power of poetry during a pandemic
Ten years from now, the internist stands in the emergency department. Doctors run past him as he stares at the number of gurneys pushed against the wall with struggling patients who all need assistance. There are not enough gowns for him, and his colleagues, the sheer volume of blood needed surpasses what the hospital provides, and he has never faced a hospital emergency room in a time of such uncertainty …
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The long term effects of COVID-19 on medical education
I see you.
Studying. Reading the updated guidelines for patients with COVID-19, reviewing differentials, and management algorithms for common chief complaints during this time of restricted direct patient contact. Embracing online boot camps. Completing residency paperwork. Thank you for preparing.
Relaxing. Trying out a new yoga video. Watching Netflix by the hour. Reading a new book. Going for a run or walk. Thank you for re-charging your batteries so you can serve …
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An open letter to graduating medical students
As many of the spring MCAT dates have been canceled due to the onset of COVID-19, pre-med students across the country will be faced with daunting decisions on when to test and how to prepare for arguably the most definitive examination of their careers thus far. Students’ strategies surrounding the MCAT can affect anything from their academic schedule to the cycle in which they will matriculate. Throw the tremendous costs …
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COVID-19 and the MCAT: What should premedical students do?
As American cities continue to shelter-in-place to mitigate the spread of COVID-19, thousands of medical students are in limbo as they wait to see when they will be able to take their licensing examinations. The growing backlog of test-takers is particularly problematic for the Step 2 Clinical Skills examination, a one-day clinical performance exam which is held on limited dates at one of five testing locations across the …
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There is no place for USMLE Step 2 CS during a pandemic
I still remember the morning of Monday, March 11th, 2019, with vivid clarity. I was on my last rotation of medical school. My medical ICU team was preparing for morning rounds. Vital signs and lab results suddenly seemed less important as my rotation friends, and I anxiously awaited “the email.” At precisely 10 a.m., we would learn if our years of hard work had paid off with a residency position. …
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Unmatched: a setback or a step forward?
I recall clearly the effect that the first step of the United States Medical Licensing Exam (USMLE) had on my medical education. The test is generally taken at the end of the second year of medical school, about halfway through the 4-year curriculum. What made the test so important is that its result could effectively rule a student out of certain highly competitive specialties (e.g., dermatology, orthopedic surgery, …
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The impact of removing numerical scores from USMLE Step 1
My call to medicine came while sleeping on an old couch in a hospital room in Eastern Turkey, while my close friend lay waiting for a diagnosis. We were scared, but one physician put us at ease, giving us a plan, and being there to help whenever he could. It was that service of medicine, that desire to have a career that allowed me to be with a person at …
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Now is the time to eliminate tuition in the health sciences
Just another day as you work into the depths of the night. Medicine engulfs your life as your focus is centered on your responsibilities for tomorrow. You may or may not have time to sit down and enjoy a meal in silence. You may or may not have the opportunity to say good-bye or hello to a loved one. I hope we all had the foresight to realize what we …
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What does sacrifice in medicine really mean?
As medical trainees, we will shape the rapidly changing health care environment in this country. We are fiercely advocating for our disadvantaged patients, debating the price of life-saving medications, and carefully considering how the upcoming elections will shape the health care system in which we both provide and receive care. All the while, we handle our responsibilities and prepare to care for critically ill patients during a seemingly inevitable pandemic. …
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Medical trainees need knowledge and education on health care systems and policy
Our goal in medical school is to learn how to preserve the quality of life. Yet, in order to better understand human life, we are immediately faced with death by means of anatomy lab.
From week one, we are tasked with removing the skin and fat from a cadaver’s thorax — desensitizing ourselves to death enough so we may cope with dissecting someone’s beloved mother or adored husband. It’s difficult not …
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How death is a blessing and a burden
As a cardiologist, a mom of three school-aged kids, a physician’s wife, and associate dean of student affairs, I am acutely aware of how the COVID-19 pandemic has affected our communities. In this time of constant change and concern, it is important to find joy in whatever we can. This week is Match Week. Instead of our senior medical students celebrating their accomplishments together, they are social distancing and foregoing …
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7 ideas for an alternative Match Day
Being a medical student during your clinical years imparts a certain feeling of invincibility. For many of us, this is our first-time taking care of patients. Our history-taking and physical exam skills are being honed like superpowers. Our clinical knowledge is growing. We begin to take ownership of patients as our own.
With all but two clinical rotations left in my third year, and at the peak of my own feelings …
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7 reflections on grief and personal loss as told by a medical student
Student G.M is a 228. When she came to our school, she was a 31. When she went to college, she was a 1270.
Now we must make this number a caring, feeling person who has the empathy to impact the lives of patients for decades.
Makes sense, right? Wrong!
I played basketball in college — intramural. I was not bad, but I was not good. I liked to go to the gym …
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Medical students are more than just numbers
If you open Google and do a search for “Caribbean medical schools,” it will quickly become clear to you that not everyone is a fan, but just because something doesn’t work for one person doesn’t necessarily mean it hasn’t worked for hundreds. Established, upper-tier Caribbean medical schools are credible alternatives for hardworking students unable to secure seats at U.S. schools. That’s a provable fact. Thousands of students across multiple Caribbean …
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How can you determine a Caribbean medical school’s quality?
On January 26, 2020, Kobe Bryant passed away. People all across the world have been impacted in different ways. Two weeks have passed, and Kobe is still the main topic of conversation on social media. To each person, Kobe meant something special. To many, Kobe signified strength; to others, courage. People have grown up with Kobe as a household name. People mourn for Kobe as if losing a family member. …
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Kobe Bryant’s memory should serve as a reminder to enjoy life to its fullest
