Approximately 300-400 physicians commit suicide annually. Given that a typical doctor has about 2,300 patients under his or her care, that means more than a million Americans will lose a physician to suicide this year.
In a study of six medical schools, almost seven percent of students said they had thought of ending their lives in the last two weeks. In another recent study, 29 percent of residents …
Stop exploiting medical students and residents
One of the most difficult situations for a parent is one in which your child is sick. To be in a situation where you cannot control how the child responds to interventions is very challenging. Under normal circumstances, you follow your normal daily routine: up in the morning, breakfast, get dressed, off to school or daycare or activities for the day, a nap in the afternoon, pick up from school …
Being a resident and a parent is hard when your child gets sick
In my first year in the hospital, as a third-year medical student, there was one refrain I often heard from physicians and staff alike: This is a hospital, not a hotel. It was an expression of the frustration engendered by “needy patients,” those who were upset that their breakfast was late or that the room was too hot or that they couldn’t speak with the physician just this second. Often, …
Patients and doctors should give each other the benefit of the doubt
It’s 5:50 a.m. and my alarm is buzzing. It’s been going off intermittently since 5:30 a.m. Even though I really don’t need to be out of bed until 6:00 a.m., I’ve lived with myself long enough to know my biggest vice is the snooze button.
I roll out of bed and get ready for the day — blue scrubs, messy bun, enough makeup to feel like I tried, freshly clean teeth …
A day in the life of an OB/GYN chief resident
At the beginning of this year, I bought a ukulele. I started intern year at a sprint, like anyone does, arms full of hope which was quickly extinguished, lost in an atmosphere so devoid of hope that all of it flew out of my arms to settle into places so far in between it might as well have been floating in the vacuum of space.
The cloak of physicianship burdens upon …
A ukulele helped this physician get through intern year. Here’s how.
In his famous novel, Moneyball, Michael Lewis illustrates the phenomenon of professional baseball scouts focusing on all the wrong characteristics when looking at players. He describes how scouts focus on fastball velocity as a way to compare pitchers, despite the lack of correlation between fastball speed and the quality of a pitcher. As it turns out, the most important factor in a pitcher is deception, not a high-velocity fastball. The …
Residents need to learn medicine, not how to pass a test
On a normal Tuesday, one of my fellow residents did the same things we all do. She woke up before sunrise, put her best face forward, came to work, saw patients quickly, wrote notes, said “good morning” to everyone at morning conference, saw more patients, wrote more notes, then went home. She said “good night” to her loved ones — her parents and siblings at home — and went to …
Doctors don’t have the luxury of grief
To me, five years ago:
Right now you are 28, seated at the top of everything: chief resident of the entire pediatric department. You are in charge of 19 other interns and residents. You are resilient, kind, funny and determined. You seem to have the solution for everything, yet you don’t actually have the answer to anything. At least that’s how you’ll feel on most days in your new leadership role. …
As a physician, you will fail at your job in these different ways. Learn from them.
The other day I was sitting at home looking out the window at an achingly crisp, clear blue sky. A slight, cool breeze was wafting through that open window, and faint birdsong accented a view of tree tops in blooms of pink, red, and white. The blue-tinged mountains were hovering in the distance, proud and majestic.
Only, no. I was actually at work. Underground. In front of a computer screen, whose …
Life can be meaningful even in the midst of residency
Fireworks, champagne toasts, sparkly hats, and the ball drop are all items that we conger up in our minds as we think of the New Year. For the majority of the world, January 1st represents the transition from one year to another on the calendar. New resolutions are made, and there is a global fresh start. However, for those of us in the medical field, there is another new year …
3 reasons why July 1st should be a day to celebrate
Every July, recently graduated doctors from medical school transition into hospitals, clinics, and surgical rotations. Doctors completing their internship year welcome the second year with additional leadership roles. This period of transition is coupled with the pressure of doing well, the stress of proving your competency on attending rounds, and the desire to receive respect from your team.
It is easy to become confused and frustrated as you learn to navigate …
5 ways to transition to residency
My wife and I were in a unique situation after graduating medical school. We had met in the first year of medical school in and became friends. During our second year we started dating, and by end of third year, we were married. By the beginning of fourth year, we were proudly expecting. By June 1st, 2016 we were fortunate enough to share our graduation from medical school with our …
4 tips for finding a work-life balance during intern year
They say you never forget your first crush. Or your first date. Or your first kiss.
And you don’t.
Just as we have landmarks events that shape us in the adolescence of our personal lives, physicians also have landmark events that shape them in the adolescence of medical training: residency.
No longer a child of medical school, needing constant supervision and clinical babysitting by elders, resident physicians start with a refreshingly nascent view …
Residency as a series of mini-interventions against physician suicide and depression
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I knew that residency would be indentured servitude for (in my case) three years.
I knew it. I prepared for the fear, the shaming, and the isolation as best I could.
And I have for the past 11 months done OK. I am not the smartest or fastest. But I am told that I am passionate about my patients and have an “adequate fund of knowledge.”
Woohoo. Adequacy!
I have had dark moments. And …
Resiliency training in medicine is a farce
Dear intern,
It will be the best of times, and it will be the worst of times.
But what a special time this will be. It will be a time of learning the details and nuances of clinical medicine — the diagnostic features of sarcoidosis and the second, third and fourth line treatments for community-acquired pneumonia. You will learn how to learn, and you will forget what you learned, only to learn …
Dear intern: Some advice about your first year
When I started my intern year, I was told that I was going to be sleep deprived and it was going to be the worst years of my life.
Yes, there were times I racked up a sleep debt, but it was for patient care. And because of the camaraderie and relationships I formed (both inside and outside the hospital), I will forever remember residency with a smile.
Rather than the words …
11 tips medical interns need to hear before they start
Thinking outside the box is a somewhat cliché way to illustrate thinking beyond the norm and imagining what “could be” with an innovative mindset. This imagery of being stuck in a box rings true for many physicians, given how many of us are quite literally surrounded by the four white walls of an exam room most of our lives.
Physicians work hard to treat each patient individually, but this feeling of …
10 ways for doctors to think outside of the box
I will walk into the hospital with a clean, ironed white coat buttoned to the top, dress shoes polished, a tie neatly knotted under my collar, my maroon stethoscope rearing to go — and I will be largely unprepared for what lies ahead. Along with countless others across the country, I will begin my medical internship, a year considered by many to be the most important in a physician’s working …
A new medical intern begins. These 2 mottos will serve him well.
In my last year of training, I came to realize the difference between doctors who felt successful and those who didn’t. From the beginning, I had always been hard on myself. I always thought about the decisions I made for every patient in detail, played them over and over in my head, and wondered what I could have done differently for each one. Whether or not their outcome was satisfactory, …
How to maintain a sense of accomplishment as a physician
The Match. The happiest time of any medical student’s life. Years of hard work culminating into one moment of affirmation. It’s enough to bring any student, proud family and friends to tears. That is unless you find the daunting words pictured below:
Match Results: We are sorry, you did not match to any position.
Though I wish and hope that no one else has to see this screen, reality is in 2016 …
A different perspective of the SOAP
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