Students, educators, and physicians writing on KevinMD about medical school: admissions and what they select for, the cost of tuition and the debt it leaves, the curriculum and what students say it does and does not teach, Step 1 and the test-prep industry, pass/fail, mistreatment and depression in training, the match, Caribbean schools, and what should change. Most contributors are students writing while still in school, many of them anonymously. For what physicians have said about paying off that debt and the money decisions that follow, see Physician personal finance: what physicians say about their own money, in their own words. For a maintained record of what students and physicians have said about medical school on KevinMD since 2004, see Medical school: what students and physicians say, in their own words. For what physicians and deans have said for and against affirmative action and diversity in admissions, see Race and medicine: what physicians say, in their own words. For what international and Caribbean graduates have said about the Match and visas, see Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words.
Since the beginning of the fourth year of medical school, I have lived in six different cities and have been fortunate to call a Michigan apple orchard, an island on the Mississippi River, and a little apartment in the Coolidge Corner neighborhood of Boston home. I come to you as an emergency medicine intern fully immersed in the second month of residency excited about what the future holds as a …
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How to separate good medical students from superb ones
I’m not really sure who is at fault, but somewhere along the way, our educational system decided that teaching personal finance is unnecessary. We learn calculus, the rules of dodgeball and even sewing, but financial management is taboo. Then, all of a sudden, we head to undergrad and medical school, and before we know it, we’re in our late 20s or early 30s financially illiterate.
The consequence of this was shown …
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It’s time to learn the basics of financial management in medical school
With the transition to residency, I’ve spent a lot of time thinking about next steps in my career. I even did a self-reflection exercise for a class in which I listed out professional decisions that will come up in the next few years (including choices like fellowship selection, type of practice setting, whether to pursue management roles, and more). I then rated the different options on a set of six …
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Medical schools should improve long-term career counseling
If someone asked you on day one of medical school, as a fresh-faced first year, to name the essential components of a successful career, what would you have answered? A solid education? Good test scores? Publications? An $800 otoscope? Some are more obvious than others. Who of the enlightened among us would have mentioned a proper work-life balance? How about a strong support system — or the right mentor?
Navigating the …
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How I met your mentor: tips to finding sponsorship and mentorship
Now that you’ve turned in your AMCAS (phew!), you’re probably wondering how to tackle the monster of secondaries coming your way. One of the most common questions asked in one form or another is the diversity essay for medical school. Have you ever wondered why diversity is such an important component of the medical school admission process? I’ve heard a lot of pre-med students eager to write this off …
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How to write a medical school diversity essay
Just recently, New York and Virginia became the first two states to mandate that mental health become incorporated into school curriculums. New York passed a law for educators to teach material on mental health beginning from elementary school continuing on to high school. Virginia’s legislation intertwines mental health education with physical and health education for 9th and 10th graders. While these two states should certainly be …
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The new mental health education mandate doesn’t go far enough
Education can be expensive. Higher education can be even more costly. Even partial scholarships can be deceptive as one might opt for a more expensive school for the sake of redeeming “free money.”
As a student, I had no financial understanding of return on investment when I was considering higher education. All in, I plowed through more than a quarter million dollars in my college and medical school after substantial scholarships …
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Is debt-free medical school a financial blunder for doctors?
We want competent physicians, but we also want compassionate ones. How do we get them? Is it nature or is it nurture? Is it more important to search out more compassionate students, or should we instill compassion somehow in the ones we start along the training pipeline? I think the answer lies in nurturing what nature has already put there.
My background is in pediatric critical care, which I have practiced …
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Can empathy be taught to physicians?
I left the library at 10 p.m. the night before the last exam of my first year of med school. As I hopped on my bike, I took comfort in my typical pre-test refrain: I’m done studying. I did everything I could. Of course, I’m not really done studying: I still have three years of school left packed with end-of-block finals, end-of-rotation exams, and the behemoths of the medical testing world, …
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Reflecting after the first year of medical school
It is no secret that medical school is getting very expensive. Over the past 20 years, the cost of medical school has greatly outpaced the rate of inflation, and medical school debt is rapidly rising.
The average medical student now graduates with over $192,000 in student loans, but with the cost of attendance for the most expensive private medical schools approaching $100,000, there are some physicians who are finishing residency with $300,000 or …
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Is going to medical school a wise financial decision?
The season has opened, and panic has spread among senior year residents, chief residents, and hospitalists out in the community. Fellowship applications are live and being viewed by the programs applicants think they want to rank one, two, and three. These incredibly intelligent physicians are refreshing student document network daily now and soon to be hourly as the weeks go on. The anxiety is building as people are waiting to …
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Tips for fellowship applicants from a program administrator
I was always worried about doing well on board exams. I didn’t want to simply pass them; I wanted to excel. Before I took exams, rumor had it that a person would have to intentionally fail Step 1, 2, or 3 and that failing Step 2 CS was virtually impossible. The truth, I learned, is that thousands of physicians-to-be fail one of these exams every year.
I know, because I’m one …
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The culture of perfection in medicine is a disease
Today is a strange day.
I treated myself to a slice of nondescript doughy hospital pizza for lunch today. If this was an actual pizza place, and I had a choice, I would never order this pizza. But today, the pizza tasted fantastic. In fact, it tasted like the best pizza I’ve ever had.
Why you ask?
Because this would likely be the last time I’d ever eat this hospital pizza. I enjoyed …
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Medical training is over. What’s the next chapter?
Dear third-year medical students,
Welcome to the wards.
I remember this stage — basking in the glory of completing pre-clinicals, in the excitement of finally switching heavy textbooks for living, breathing people, in the realization that medical education now lies in the hands of those I wanted to heal. I would be sleeping less, but living more, because this was my purpose.
Remember this moment because this will be the most difficult year …
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Medical students: Welcome to the wards
Everyone knows that the process of applying and getting accepted into medical school is highly competitive. Last year, 51,680 people applied for seats in U.S. medical schools. Collectively, they submitted 816,153 applications — a whopping 16 applications per person on average. Only 21,338 applicants matriculated to a U.S. school last fall, or 41 percent of applicants.
So how do the admissions committees evaluating all these applicants make their …
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Getting beyond the numbers in your medical school interview
I could see the excitement on my six-year-old daughter’s face as we pulled into the parking lot and unloaded her new bike from the car. She had been anxiously awaiting this moment for several weeks — she was going to learn to ride a bicycle. She watched with increasing interest as I unscrewed the training wheels, tightened her handlebars and handed her the bike. She got on her new bike …
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Third year of medical school is like learning to ride a bike
Literature coming from business and human resource management suggests that women are over-mentored and under-sponsored. However, if you have been reading reports about women in medicine, then you likely have heard that women are both over-mentored and under-mentored. Where does the truth lie? That depends on various factors including the definitions of these terms.
What exactly do these words mean? In the business sector, mentorship is …
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What’s better: mentorship or sponsorship?
Young, aspiring doctors are the Iron Youth of this generation. In Erich Maria Remarque’s All Quiet on the Western Front, young German soldiers are called the Iron Youth as part of a campaign to generate enthusiasm for fighting in the war; these soldiers soon realize the true horrors of war and its lasting impact on the psyche. The analogy is not necessarily to compare residency to war but to highlight …
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8 things I would tell my younger self
Everybody gets nervous at the doctor’s office. Physicians ask all sorts of personal questions about what people eat, how much they drink, and how things are at home. Even questions that would seem completely harmless in another context — such as how work is going, or what hobbies a person enjoys — seem surrounded by hidden meaning and purpose. After all, who doesn’t want to “pass” their annual checkup?
Part of …
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Don’t worry, medical students don’t judge
