Studies have varied in their estimates of depression in medical school students, but they all show a similarly startling trend. Medical students have a higher depression rate than their non-medical counterparts. This culminates later in life with physicians with higher than average alcohol abuse problems and higher than average suicide rates, with male MDs 1.5 times as likely, and female MDs twice as likely to commit suicide than their
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shutterstock_48780514 I knew that friendly Mr. S on our hospice unit had been a decorated World War II hero, having fought for the United States on the Italian front lines in 1944. I knew that a grenade had exploded right next to him four weeks into combat, sending him to the hospital for months with terrible shrapnel injuries. I also knew that he wished ...

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The holy grail of clinical reasoning is, in a word, assessment. Ought we to measure clinical reasoning as a function of experience, knowledge base, or as a process measure? In medical parlance, there is no “gold standard.” In 2015, to tell whether your doctor is a great diagnostician is based more on reputation than hard evidence. This gap in evidence is all the more interesting given recent press about the inattention ...

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Receiving medical school interview offers simultaneously provides relief, justifies the incredibly hard work you’ve put into your primary and secondary applications, and confirms that you are indeed cut out for medicine. In other words, you’ve convinced them -- at least on paper -- that you will succeed in their program and make an excellent doctor. So why do they even want to interview you? Consider what schools can only learn about you in ...

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The human experience is an exercise in connection. Nothing is seen, heard, or felt in isolation. This is what can make womanhood in a large urban city so challenging. A catcall is not a single comment, heard on a single morning about the tightness of your jeans or the way your hair falls; but instead carries with it every unsolicited thing you’ve ever heard about your body, a shadow of ...

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It’s 2 a.m., and the patient’s blood pressure is beginning to rapidly decrease. Every IV line is occupied by an antibiotic or IV fluids, and we are in need of a vasoactive medication. The nurse comes to my computer and sternly states, “We can no longer avoid it. I think the patient needs a central line.” I quickly say “OK,” but I don’t move. I am momentarily frozen by my ...

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It is the fourth year of medical school, and I have been dreaming in the language of ERAS (electronic residency application service). In less than one month, I will put my name into the sorting hat of applications as part of the match’s algorithm to interview, and hopefully I’ll be matched to a pediatric residency position. Based on 2014 program director survey data published by the National Residency Matching Program (NRMP) ...

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In August of 2002, as a spry young adult, I stepped foot onto the University of Missouri’s campus.  Eight years later, I was a double alumnus of my wonderful alma mater, and today, my heart still bleeds black and gold.  Although I was happy to begin a new phase in life, Mizzou was not my first choice for college. After graduating high school, I had spent a summer at Xavier University in ...

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Most people who apply to a graduate school and/or graduate medical programs apply to get accepted the first time of applying. No one wants to have to apply a second time and definitely not a third time. After a second rejection, a lot of people would probably recommended someone picking another field to enter or even giving up altogether.  For me, both of my rejections were taken hard and still ...

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I have the privilege of being a first-year medical student. Awkwardly learning how to perform the physical exam, repeating the same questions to collect an HPI from standardized patients, unsure of how all of my mediocre skills will translate to the precision of the physicians I attempt to emulate. I have settled into the pace of lectures, and the rush of experiencing the human body has left me as I ...

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