There was a morning where I felt like the smallest human being on earth. It was a morning spent in the OR, where it seemed like I could do nothing right. I placed the Foley incorrectly on my first attempt, and then ended up removing it incorrectly as well. I nonchalantly brushed past the robot we were using for the case, which was already draped and prepped, and whose sterility I ...

Read more...

As a third-year medical student rotating on the internal medicine service at the VA Hospital, I took care of an elderly patient who was suffering from decompensated alcoholic cirrhosis.  His condition was complicated by hepatorenal syndrome, multiple electrolyte imbalances, and hepatic encephalopathy. It was most complicated however by various ethical challenges and by the social and familial factors surrounding this patient’s course of treatment during his one-month stay on our service ...

Read more...

asco-logo A recent AMA Wire article highlighted the resident depression endemic and identified some strategies for improvement. The upshot: Too many trainees are unhappy with their jobs. The most important tool used to gauge trainees’ satisfaction with their training programs is the ACGME survey. Since the ACGME is the organization that formally accredits training programs, ...

Read more...

Charles Bukowski once said, “Wherever the crowd goes, run in the other direction. They’re always wrong.” How does one become a master?  What process do we use to have the highest probability of success? Here are some examples. "Picasso was an extraordinary craftsman, even when measured against the old masters. That he chose to struggle to overcome his visual heritage in order to find a language more responsive to the modern world ...

Read more...

On my recent tour of residency programs, I had the pleasure of meeting many foreign medical graduates (a.k.a. FMGs; not to be confused with international medical graduates, who are U.S. citizens who go abroad for medical school). Almost uniformly, they struck me as confident, mature and articulate. Many were older than me, some by as much as 10 or 15 years. Most had extensive research experience, and a few had even ...

Read more...

Popular shows like Gray’s Anatomy, ER, and House, MD have given the television watching public a good eyeful when it comes to the inner workings of medicine, hospitals, and emergency rooms. They have also shown us how the personalities of those who take up the stethoscope and reflex hammer run the gamut from the sweet, demure, tentative types to the sons of bitches who cut first and ask questions later. I ...

Read more...

As a fourth-year medical student, I love introducing myself to patients as the "extra eyes and ears of the team, so feel free to tell me anything you forgot or would like to address, even if you think it's irrelevant or burdensome. I will be your advocate." As I establish rapport with them, the walls come down, and they often provide important information that helps my team provide the best care ...

Read more...

Aristotle said, “To avoid criticism: do nothing, say nothing and be nothing.” Sometimes I wish I was nothing; surely that would just be so much easier. I screw up all of the time. And I hate it. My latest gaffe was killing our simulated patient by causing him to aspirate. I’m sure no one else in my group is still perseverating on the events that unfolded during the sim. I also ...

Read more...

Svetlana Meet Dr. Svetlana Kleyman, a powerhouse chief surgery resident with a heart of gold, who works 16-hour days and runs marathons in her free time. Just 18 months before she was to graduate from SUNY Downstate, she developed a spinal infection that left her paralyzed from the waist down. After months of rehab, she was cleared by her doctors to resume work ...

Read more...

There’s a window in the driveway to the dental school that always catches my attention.  Usually, the old, horizontal blinds are hanging at a lopsided, half-open-half-closed stance.  Occasionally, though, they are open all the way, and you can see inside. For the first few months of my dental school education, I felt like that was my only window into dentistry: through the obstructed, double-paned division between me and the dental school ...

Read more...

Most Popular