I knew that residency would be indentured servitude for (in my case) three years. I knew it. I prepared for the fear, the shaming, and the isolation as best I could. And I have for the past 11 months done OK. I am not the smartest or fastest. But I am told that I am passionate about my patients and have an “adequate fund of knowledge.” Woohoo. Adequacy! I have had dark moments. And ...

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Dear intern, It will be the best of times, and it will be the worst of times. But what a special time this will be. It will be a time of learning the details and nuances of clinical medicine — the diagnostic features of sarcoidosis and the second, third and fourth line treatments for community-acquired pneumonia. You will learn how to learn, and you will forget what you learned, only to learn ...

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When I started my intern year, I was told that I was going to be sleep deprived and it was going to be the worst years of my life. Yes, there were times I racked up a sleep debt, but it was for patient care.  And because of the camaraderie and relationships I formed (both inside and outside the hospital), I will forever remember residency with a smile. Rather than the words ...

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Thinking outside the box is a somewhat cliché way to illustrate thinking beyond the norm and imagining what “could be” with an innovative mindset. This imagery of being stuck in a box rings true for many physicians, given how many of us are quite literally surrounded by the four white walls of an exam room most of our lives. Physicians work hard to treat each patient individually, but this feeling of ...

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I will walk into the hospital with a clean, ironed white coat buttoned to the top, dress shoes polished, a tie neatly knotted under my collar, my maroon stethoscope rearing to go -- and I will be largely unprepared for what lies ahead. Along with countless others across the country, I will begin my medical internship, a year considered by many to be the most important in a physician’s working ...

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In my last year of training, I came to realize the difference between doctors who felt successful and those who didn’t. From the beginning, I had always been hard on myself. I always thought about the decisions I made for every patient in detail, played them over and over in my head, and wondered what I could have done differently for each one. Whether or not their outcome was satisfactory, ...

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The Match. The happiest time of any medical student's life. Years of hard work culminating into one moment of affirmation. It's enough to bring any student, proud family and friends to tears. That is unless you find the daunting words pictured below:

Match Results: We are sorry, you did not match to any position.
Though I wish and hope that no one else has to see this screen, reality is in 2016 ...

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Here are some questions that are still on my mind as I approach the tail end of my chief year. I’m thinking about the best ways to offer constructive feedback.

  • What is the best way to approach a struggling learner?
  • What is the best way to give guidance and feedback without being perceived as a tyrant or overbearing?
  • How can I maximize the potential of my team members and the trainees ...

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I was walking home from classes last week when I ran into a few friends from my medical school class sitting outside at a local bar. I was done for the evening, so I pulled up a chair, ordered a beer, and joined the conversation. They were talking about the wards. I’ve been on a year off since we’d all been third-year medical students together, so it was fun to ...

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The ACGME recently formally increased its work-hour limits for resident physicians, a change that was widely covered in the press.| This decision has also been significantly misreported.  While it may seem like all residents will now work for longer hours, in reality, only first-year interns will be allowed to work longer 24-hour shifts, where the previous maximum was 16 ...

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