A guest column by the American College of Physicians, exclusive to KevinMD.com.
Those of us who provide clinical care inevitably have patients who simply don’t do what we tell them. And this isn’t limited to only primary care but is encountered in all specialties and by subspecialists and consultants alike.
Not only can this be frustrating …
Why patients don’t do what physicians tell them
The dawn of 2018 brought new hopes and new promises for me as I began the third year of my medical school journey. This marked the beginning of a challenging era, one that would test my capabilities to the fullest but also one that was the culmination of countless sacrifices and the fulfillment of years of yearning. After all, this was what I had come to medical school for.
Third year …
Here’s what the third year of medical school taught me
Preparing for medical school demands displaying your passion for both medicine and helping others. Like medical schools, other graduate school programs (think: business or law) require strong grades, test scores, leadership experience, and resumes. But medical school requires so much more than that. Good extracurricular activities for medical school are a particularly important part of the application process.
Through your application — personal statement, AMCAS experience list, secondaries, and interviews — you must …
What kind of extracurricular activities do medical schools look for?
We’ve all heard about the importance of greater stakeholder collaboration in health care. It’s the premise of current movements aimed at improving the outlook on some of the most costly, chronic conditions.
Like most physicians today, I maintain a tight work schedule to keep bottom-line margins in the black. On a daily basis, I see between 25 and 30 patients while also serving as the medical director of employee health for …
3 ways physician-pharma partnerships are improving quality of care
It’s a common scenario: a patient shows up to my office lugging a bagful of over-the-counter supplements, defiantly informing me that they “don’t believe in prescription drugs.” In the very next breath, they present a lab slip with a list of bloodwork that their alternative medicine doctor wants me to order to help diagnose their myriad symptoms.
I’ll admit, my initial natural reaction in this situation was a feeling of annoyance …
When Western medicine fails patients and clinicians
This article is sponsored by Careers by KevinMD.com.
When searching for a new job, building strong relationships is an important part of the process, especially when you’re working with a physician recruiter. The relationship you create with your recruiter will set the tone for your job search and ultimately have an effect on whether or not you …
6 ways to better work with physician recruiters
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 79-year-old man is evaluated for pain in the buttocks region. He was diagnosed with non-Hodgkin large B-cell lymphoma 6 months ago. Although his lymphoma has responded well to therapy and he is without evidence of active disease, he required hospitalization three times for chemotherapy-associated complications during his treatment course. He has been …
MKSAP: 79-year-old man with a sacral ulcer
Early voting began recently in Texas with unprecedented excitement, as a record 15 million registered voters made their way to the polls. Reports say polls are looking more like Black Friday shopping lines than early voting locations. Although we cannot predict the results of the election, one thing is clear: healthcare is the top issue. This is hardly surprising given …
It’s time we start voting at our local hospitals
There is a saying among students that medical education is like “taking a drink out of a fire hydrant.” The simile evokes the torrent of information and the impossibility of taking it all in.
The type of people who are admitted to medical school aren’t used to being wrong; to call them perfectionists wouldn’t be too far from the truth. Many secured a seat in medical school because they had made …
Being a physician was never the objective. The goal was becoming one.
I swiped this editorial cartoon by Steve Sack from the redoubtable Dr. David Gorski’s blog, who goes by the nom-de-web of Orac. Recent epidemiology shows reducing the fraction of vaccinated children in the population rather promptly leads to a resurgence of the diseases vaccines protect against. This is the concept of community or herd immunity. …
Why demanding a randomized controlled trial for vaccines is disingenuous
Sanjay Gupta. John Locke. Jill Stein. Charles Krauthammer. What do they all have in common?
If you guessed that they are all physicians, then you’re right.
Less salient, however, is the fact that all of them pursued passions outside of medicine. (Dr. Gupta is an Emmy Award-winning medical reporter. John Locke was a physician-philosopher. Stein and Krauthammer both made their mark in politics.) In doing so, they avoided an existential trap that …
Why medical students should not let medicine define them
Anger. Jealousy. Envy. Frustration. I was feeling all the emotions when NYU announced in August that their incoming and subsequent classes would be tuition-free into perpetuity. One consolation: at least I wasn’t one of the chronologically unfortunate that graduated from the school just months, or a year, before that announcement. For them, the time difference was small, but the difference in loans was vast — one year of tuition costs …
You shouldn’t worry about public service loan forgiveness
I remember sitting in my residency academic adviser’s office as I was discussing the plans I had designed for my community project at the end of my intern year. I can only imagine what she thought as I looked at her with a blank stare when she had suggested I should create an original research project around this. “What?” was all I had managed to mumble out of my mouth. …
5 lessons on doing research as a resident
“There will always be suffering. It flows through life like water …”
Those famous lyrics sung by Nick Cave in his Lime-Tree Arbour ring true for many of us. They take on an entirely different layer of meaning for physicians.
Even the very journey of becoming a physician is marked by suffering. While many of our classmates frequented football games, nightclubs, and social events, most of us were studying day and night …
The gift of suffering in medicine
I still remember the warm, fuzzy feeling of receiving my first few interview invitations. Unlike medical school, I received much more “love” from residency programs. Since I was part of the inaugural class of a new medical school, I interviewed for a lot of programs: 16 anesthesiology, six transitional years, and three preliminary medicine programs. After my first few interviews, it became apparent that most residency interviews tend to be …
What I wish I knew on the residency interview trail
An excerpt from Dead Execs Don’t Get Bonuse$: The Ultimate Guide to Surviving Your Career With a Healthy Heart.
The details of the careers and tragic deaths of these CEOs are a matter of public record, and the disruption that followed their deaths was enormous. Take Ranjan Das, for example. …
What we can learn from the tragic deaths of CEOs
“Passion isn’t a path in the woods. It is the woods.”
-Tom Robbins, “Half Asleep in Frog Pajamas”
I’ve met plenty of accidental physicians. These have been photographers, travel writers, artists, outdoor guides and chefs who awoke one day to find themselves doctoring. Their passions didn’t die — they were just delayed by lifestyle choices. By the time they recognized a need to follow their passion, they were at least partially through …
It’s better to not go into medicine than try to get out of it
On my first day of medical school, my father, a dentist, told me he’d just been diagnosed with stage four pancreatic cancer. Cancer had crept back into my life — except this time not into my body.
At age 12, I was diagnosed with brain cancer. After an aggressive surgery, I was tumor-free for 10 years. Then, at 23, I received the news of an inoperable recurrence.
While going through radiation and …
There’s no textbook for when your father is dying
Have you ever felt so cold? I mean bone-chilling cold. I don’t mean the same kind of cold that northern winters can leave you feeling. I am talking about working in a hospital that is climate-controlled, and you are undoubtedly shivering.
I still remember my first day on the job as a neonatology fellow. I was anxiously walking to the operating room to attend the delivery of a 25-week infant. As …
A physician loves the adrenaline surge
Sometimes things go just the way you want them to, and sometimes they don’t.
Compare and contrast the case of two different patients, and how things went trying to get them the care they needed.
The first patient, let’s call him Mr. Smith, called up one day last week with a brand-new symptom, which after a phone call was ultimately determined to be disturbing enough that he was offered a same-day appointment.
After …
When physicians order tests: a tale of 2 patients
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