I was on the cusp of my first year in medical school, and time was running out. Classes started in two weeks. I needed a place to live: Ideally someplace cheap, not too far from school. There was an opening at Phi Chi medical fraternity, a large brick house of faded elegance located less than a block from my classes at the University of Minnesota. At $75 a month for a ...

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I recently read an article entitled, “Are you a victim of patient profiling?” and it got me thinking about my medical school career thus far, particularly my recent preparations for USMLE step 1. Patient profiling is part of medical school curriculum. Many of the practice questions that I’ve done for Step 1 have relied on patient profiling (a euphemism for prejudice I believe) to get the correct answer. If the question starts ...

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I've been a practicing oncologist for all of seven months, and so was surprised when my chief asked that I take part in our quality review panel. The quality review panel is an internal group that is tasked with the responsibility of looking into allegations that a patient's care was not in keeping with best practice or what is generally considered the standard of care. Cases (often in the form ...

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This quarter of medical school has by far been my favorite, because almost everything we do has an explicit clinical correlation. Each week we work in small groups of 10 or so students to go over patient cases, practice respiratory and cardiovascular (our two organ blocks this quarter) physical exam skills, and interface with real patients in the hospital. These experiences have been both exciting and humbling, and two in ...

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A few months ago, we had an opportunity for one-on-one time with standardized patients (SPs): the trained actors that are well-versed in how us medical school fledglings should and shouldn’t be performing physical exams. It was a laid-back, non-graded session wherein we could ask for advice and even have the SPs walk us through exactly what we should do. So, when it came time for the abdominal exam, I asked my ...

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"Ultimately, I am convinced that in my future lies not simply a profession performed ably, but a vocation performed lovingly and devotedly." Soon, after the coming pomp and circumstance fade into fond memories and well-framed photographs, I will be in the hospital. Soon, I will have my own patients in the clinic. With these occasions, life will be what I hoped it once would be some years ago – being a ...

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Recently, I began to think of death as a friend. My grandfather was hospitalized on Mother’s Day, and by the time my parents called me on Monday morning they couldn’t tell me anything more than, “He’s in the ICU with multiple seizures. They’re taking him off ventilation tomorrow.” Reaching for the knowledge I’ve spent all year chipping away at textbooks to acquire, I asked about neurologic exams, autonomic drugs and ...

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I remember opening that email. The overwhelming weight of nervous emotion that collapsed into a wave of ecstasy as I read, then re-read, then read again those words: “Congratulations. You have been accepted.” That moment marked the end of so much. The destination had been reached. The long nights of studying made worthwhile, the pre-requisites taken and survived. Trying to compile an accurate reflection of one’s life wading through resumes, CVs, ...

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Whatever we learn to do, we learn by actually doing it; men come to be builders, for instance, by building, and harp players by playing the harp. -Aristotle I groaned. "Don't make me operate with him again! I assisted him in surgery just last week!" I was low man on the totem pole and there was no point arguing. All of the residents and fellows kept track of the rotation and I knew ...

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I argue with my father a lot. He works as an intensivist at a community hospital in Indianapolis while I am about to graduate from a highly academic internal medicine program in Chicago. Needless to say, we have very different perspectives. He sometimes expresses views similar to those written in an article, “When I Was a Resident: How Duty Hour Rules Are Creating a Lost Generation of Physicians." I started ...

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