As a wife and mother, I have days that are very difficult, especially since my husband is in training. I go several days in a row where I only see him right before bedtime, and some days he is unable to see our son at all. I often feel like I have no control of our schedule, and am lucky to get any family time. During residency, it was not unusual for him ...

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How to insert a central line had been drilled into me long before my first attempt, and I was admittedly nervous performing my first procedure as an intern. But, as a senior resident, watching the intern in front of me insert his needle into the patient’s neck was ten times more anxiety-provoking. I wanted to guide him successfully through the first of many procedures he would need to master, in ...

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Anyone considering attending a Caribbean or any foreign medical school should do due diligence. An Internet search is step one. If the school does not list residency match statistics, that could be a red flag. It would not be easy to accomplish, but try to speak with some current students or recent graduates of any schools you are thinking about. If the school won't give you any names, use caution, and ...

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I was asked by one of my readers recently to write a post on how I maintain work-life balance during the all-consuming intern year of medical training. I love this idea because keeping myself sane while spending 80 percent of my time in the hospital has proven to be a constantly challenging task, and I’ve come up with a few ways to cope. Instead of giving tips that sound good ...

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There were a lot of happy faces on March 20th as depicted in this brief video of the excitement on the campus of the University of Rochester School of Medicine. Similar scenes took place at every U.S. medical school because 93.9 percent of the 18,025 graduates of U.S. allopathic medical schools matched in a specialty. But for the 1,093 (6.1 percent) U.S. graduates who didn't match things were not ...

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The patient was hacking sputum into a tissue when the resident and I entered his room. “How long have you had that cough?” “Oh this? As long as I can remember.” “But it’s been worse lately?” “Yeah.” “Worse how?” “More stuff coming out each time. See?” He opens the tissue. “How much sputum is there?” “Sputum?” “The stuff you cough up.” “I don’t look that close.” “More than two spoonfuls?” “Oh yes. Definitely.” “And the color?” “White-ish.” “Ever see any streaks of blood?” “Never.” “And how long have ...

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So you want to match into surgery?  This video shows you what it takes.  From the University of Chicago Pritzker School of Medicine, who also created the ever-popular Frozen parody.

The “age of the giants” has passed. The idea of larger-than-life doctors devoting themselves completely to patient care and sacrificing their personal lives in the process is giving way to an era of recognizing the limits to a physician’s work life. This change in attitude has been advanced, in part, by resident work-hour restrictions. These Read more...

At the end of one of my earlier rotations where I first worked with a team consisting of residents and an attending physician, I sat down with the senior resident for feedback. Much of our final grade for each rotation in medical school comes from a subjective assessment of our abilities, ranging from clinical competence to professionalism. She told me I had done a good job with taking ownership of my ...

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Physician burnout has been previously described as heartbreaking, and this may be an understatement.  The growing complexities of health care delivery, intricacies of documentation practices as required by Meaningful Use, and difficulties inherent to billing and reimbursement are only a few of the issues faced by residents and attending clinicians these days. Unfortunately, these topics are still not formally taught in American medical schools. As students, we really do not know ...

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