I had heard about night float: a daunting rotation for interns as they cared for patients they often were not well acquainted with, putting out fires until their usual team could take over in the morning. Given this reputation, I was surprised to find a night float week on my schedule as part of my internal medicine clerkship, a core rotation as a third-year medical student.
My first patient was a …
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Medical student Devin Behjatnia discusses his article “The case for a standard pre-med major in U.S. universities.” Devin outlines why he believes a unified pre-medical studies major would better prepare students for …
In medical school, we are taught how to recognize the signs of depression, how to assess for suicidal ideation, and how to document risk. We memorize screening tools, safety plans, and algorithms. But what we rarely learn, if at all, is how to hold the emotional weight of these encounters. We are not formally taught emotional literacy. Some may argue that emotional literacy can be learned informally over time, but …
The U.S. primary care system is unraveling. Fewer graduates are choosing it, and patients are struggling to find someone who stays. But in the background, one group continues to step up: international medical graduates (IMGs).
Quietly and steadily, they are filling the spaces others have left behind.
They are physicians who trained abroad, adapted to new systems, passed more hurdles than most of their U.S.-trained peers, and still chose to serve.
And yet, …
For the last several years, burnout (a syndrome typically defined as emotional exhaustion, cynicism, and poor efficacy) has been a hot topic in the world of health care. But as a bit of good news, the AMA recently released that the rates of physician burnout are at the lowest they have been since the beginning of the COVID-19 pandemic. However, I would argue that if 43 percent …
In medical training, there are moments when the question quietly shows up. It might be during a night shift, after a long stretch without sleep, or while catching up on charting. The thought is simple, but heavy: What if I had chosen something else? What if I had gone into engineering, or business, or any path that didn’t ask quite so much?
This reflection started as an assignment for a medical …
“Did I get dumber?” This poignant question from a medical student, asked in frustration after receiving a lower-than-expected grade, became the focus of a forty-five-minute academic coaching session. Simply put, my role as a learning specialist was to foster a mindset shift: from “my grade determines my self-worth” to “my grade reflects where I am in my learning right now and guides my next steps.” Helping the student build this …
Leadership training in medicine is often framed around titles and administrative skills, preparing students to one day manage teams or step into academic or hospital leadership roles. While these skills are important, they miss the deeper, more urgent need in medical education: helping future physicians understand themselves, navigate complex health care systems, and make intentional career decisions aligned with their values.
Why traditional leadership training falls short
Countless physicians enter practice only …
Many health care providers are still coming to terms with the opioid epidemic. The development of drugs such as Oxy opened a door for widespread opioid use, and the aftermath of this failure has led to rampant addiction in our country’s most vulnerable. As the system gradually regulated legal opioids, dangerous alternatives like heroin and fentanyl increased in prevalence. Other nonopiate medications like amphetamines have also become common in communities. …
There is a generation change happening in how health information and care is accessed, understood, and delivered, driven by Gen Z. They are the first generation of digital natives and the first to fully benefit from the Affordable Care Act, which has cut uninsured rates in half for 19- to 25-year-olds, improving access to preventive care services.
But now, as they enter adulthood and are becoming responsible for their own …
In a little area outside our free clinic in Miami, ten of us sit together in a group. The air is thick and unmoving. Some wear torn shirts while others arrive in stylish outfits. A few have not had the chance to shower in weeks, but all show up, bringing their full selves to the group. These are the people who call the streets home, men and women who sleep …
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Academic physician executive William Wertheim discusses his article, “America, our health care workforce training isn’t evolving alongside our needs.” He argues that the U.S. medical system is training professionals who will not …
Before I ever introduced myself as a future doctor, I was a listener.
Not because someone told me that listening was important in medicine, but because, as a first-year student, I quickly realized I had no answers—but I did have ears. And heart. And a quiet seat at the edge of patient stories and preceptor reflections.
In the early days of medical school, everything felt unfamiliar. The terms, the pace, the sense …
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At first glance, medical school can be simplified to “drinking from a fire hose.” Endless Anki cards, color-coded notes, iPads filled with diagrams.
Cramming and regurgitation, funny acronyms and mnemonics. Obscure conditions. Buzzwords.
It feels like memorizing a ton of conditions and running through the routine steps of diagnosis, treatment, management, clinical investigations, and so on — until you can recite them in your sleep.
You’re buried in biochemical pathways, pathophysiology, and pharmacology, …
The United States and Japan, while separated by geography, language, and culture, share more in common than first meets the eye—particularly when it comes to health care. As post-war democracies that developed robust medical infrastructures in the latter half of the 20th century, both countries have grappled with similar challenges: Aging populations, rising costs, workforce burnout, and persistent health disparities. Yet their respective approaches—the U.S.’s pluralistic, market-driven model and Japan’s …
Throughout my academic career I learned that medicine can be pursued through any major. Although the traditional path is through biology, as long as the correct prerequisites are taken, you are eligible to apply. As time went on, I began to think to myself, “Why isn’t there a common pre-med major?” This major would set students up to conquer the rigorous curriculum of medical school. Additionally, if students decide not …
The memories are still raw: Stepping off the plane alone, unsure of what came next. Where was the campus? The car? A place to live? I didn’t know a soul. I was in a different country, surrounded by uncertainty.
There were moments I truly wondered if I’d make it. I was afraid I’d fail—that this dream might slip through my fingers. How could I study medicine on a tiny island and …
I sat in my pink childhood bed, my name still written in cursive above it from when I redesigned the room at seven years old, staring at the letter that shattered my dream. I had been dismissed from medical school for “professionalism” concerns. I didn’t know what came next. No roadmap. No support. Just the crushing reality that everything I had worked for was suddenly gone.
Medical education demands resilience and …
A faculty-wide email recently announced that shadowing in our emergency department would no longer be recognized as a valid educational activity. I wrote back asking why. The reply was brief, dismissive, and telling:
“It doesn’t pay the rent.”
That line has stuck with me—not just because it was flippant, but because it revealed something deeper about how we now view education.
Shadowing has long served as the first bridge between curiosity and calling …
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Pediatrician Daniel Johnson discusses his article, “From isolation to innovation: the power of learning communities in health care.” He reflects on the collaborative, case-based learning that makes medical training exciting and contrasts …
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