Has anyone else noticed the growing presence of ultimatums in medicine today? The New England Journal of Medicine published a discussion of the ethics of not hiring smokers.  My hospital adopted this policy six months ago and they are not alone.   There is a tobacco blood test that new employees have to pass.  If they fail, they can look for a job elsewhere.  I do not know the exact details, ...

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I began the medical school application process 10 years ago.  I was 23, single and most of my role models worked full time.  I had no idea that a part-time medical career lay in my future.  Quite a bit has changed since the days of hoping and praying and crossing my fingers for a medical school acceptance letter.   In the past 10 years I have, at varying times, declared ...

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