As a doctor, I often explain to patients how long recovery is likely to take. We offer timelines because uncertainty is often the hardest symptom to bear.
I know this from the other side too. Four weeks after giving birth, I found myself jogging outside at 11 p.m., with an app counting my steps. I was 12 kilograms heavier than before pregnancy and could barely look at myself in the mirror. …
The recovery no one schedules after maternity leave
Last year around this time, a student offered me $1,000 to write the personal statement for their residency application.
Not to coach them through exercises that would help them write it themselves. Not to edit a finished draft. One thousand dollars for me to write 800 words about their life that they could submit alongside their transcripts and Dean’s Letter to the Electronic Residency Application Service (ERAS).
At first, it would have …
The residency personal statement is an identity problem
The momentous annual occasion known as Match Day was recently upon us. Thousands of medical students across the country opened envelopes that revealed their academic destiny for the next several years. What medical students learn during several intense years of study and practical application has evolved over time, with increased recognition that biomedical knowledge is necessary but not sufficient to develop humanistic, person-centered physicians. Noticeably missing from the curriculum, however, …
Medical education needs diversity and true excellence
In 2019, I completed my medical training in Russia and arrived in the United States as a Fulbright Scholar. My award carried the U.S. president’s personal signature, a powerful welcome to a country I saw as a place of opportunity, freedom, and cultural exchange. It felt like a once-in-a-lifetime honor that most foreign physicians can only dream of. Then came the COVID-19 pandemic. In early 2020, while still in the …
International medical graduates need real protections
If you have just matched into residency, the profession is about to begin shaping you in ways that are not always visible at first. You have made the right decision and chosen a life of service, one whose rewards are far greater than a bank account will ever reflect. What follows is not part of a curriculum, and it will not be captured on a slide. It is learned more …
Finding meaning and purpose in medical residency training
I read a recent JAMA Viewpoint on medical trainee unions not just with disappointment, but with a deep sense of recognition. It presents a narrow and skewed interpretation of unionization, framing it not as a response to systemic dysfunction but as a threat to medical education and hospital finances.
We do not unionize for marginal gains or lighter schedules. We are responding to an embedded educational hierarchy that excludes us …
Why residents unionize: systemic reform, not entitlement
There are moments in life when everything you imagined for yourself fits inside a single envelope. This week, every fourth-year medical student in the United States will open the same one at the same moment. Some people scream. Some people cry. And a few people quietly realize their life just went somewhere they never planned to go. Match Day is the moment medical students learn where their futures begin. Last …
What Match Day teaches us about unexpected life paths
Sarah, a new attending, has been asked to work with June, a PGY-1 resident who has struggled with new admissions.
On rounds, June recommends a urinalysis for a patient with advanced dementia and new agitation.
“Why a UA?” Sarah asks.
“Behavior changes can indicate a urinary tract infection in older adults,” June replies, confident and fluent.
Inside, Sarah splits. She wants to teach, to pause, invite uncertainty, and help June reason through delirium and …
Why medical education assessment kills curiosity in residents
When an attending doctor recently took me aside after a particularly hard clinical case with a first-year resident, she made pains to point out to me that the resident felt she wasn’t being treated fairly by nurses, because she was a woman. The physician went on to describe the difficulty of being a woman in a professional world where male colleagues are taken more seriously and treated with more respect, …
The physician-nurse hierarchy in medicine
When I was a child, I watched a neighbor struggle after a stroke. He survived, but without rehabilitation he remained trapped in his disability, dependent on others for every task. That memory shaped my understanding of medicine: Survival alone is not enough. Patients deserve a chance to reclaim independence and dignity.
Years later, after completing medical training abroad, I came to the United States as an international medical graduate (IMG), determined …
An IMG’s story of exclusion in U.S. residency
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Clinical research physician Khutaija Noor discusses her article, “Why clinical research is a powerful path for unmatched IMGs.” She addresses the intense pressure and profound disappointment international medical graduates (IMGs) face when …
How IMGs can find purpose in clinical research [PODCAST]
For thousands of International Medical Graduates (IMGs) every year, the third week of March is defined by a single, gut-wrenching question: Did I match? The entire future seems to hinge on a single email. We spend years navigating exams, clinical rotations, and visa applications, all for a shot at a residency spot in the United States. But what happens when that email doesn’t bring good news? For many, it feels …
Why clinical research is a powerful path for unmatched IMGs
It’s July—the official new year for medicine.
You’re either a brand-new intern, wide-eyed and exhausted, equal parts proud and terrified, or maybe you’re stepping into fellowship, wondering how you’re suddenly supposed to be the expert. You’re navigating hallways you haven’t mapped yet, still figuring out whether your badge works on the north wing or the south elevator, trying to remember where you parked, and already questioning if you made a huge …
Dear July intern: It’s normal to feel clueless—here’s what matters
The residency match process is one of the most defining and often most daunting milestones in a medical student’s journey. It represents the culmination of over eight years of dedication, sacrifice, and hard work in pursuit of a dream many of us have nurtured since childhood.
Building a strong application is challenging for everyone. Whether you’re navigating personal doubts, managing financial strain, lacking mentorship, or simply trying to figure out the …
Residency match tips: Building mentorship, research, and community
An older woman with osteoporosis fell at home, developed back pain, then went to urgent care and was diagnosed with a “muscle strain.” During a follow-up visit in my office, she told me she’d had transient urinary incontinence after her fall, and on exam she had midline back tenderness, hip flexor weakness, and hyper-reflexive knee jerks. This woman had suffered a vertebral fracture, not a pulled muscle.
One of my patients …
When doctors forget how to examine: the danger of lost clinical skills
A nation that can map the human genome, transplant a face, and land rovers on Mars somehow cannot guarantee its citizens a timely doctor’s appointment. The official story blames “complex market forces,” “geographic maldistribution,” or the ever-handy “burnout.” But beneath the diagnostic babble lies a simpler, more uncomfortable truth: A powerful medical guild has learned that scarcity pays—and it intends to keep the spigot only half-open.
A cloister in white
Walk the …
When the white coats become gatekeepers: How a quiet cartel strangles America’s health
“We are sorry, you did not match to any position.”
That sentence alone is enough to crush someone who has spent over a decade chasing the dream of becoming a physician. But what came next was a blur of rushed decisions, emotional exhaustion, and the pressure to uproot my life—without knowing if the choice was right for me or my family.
I entered SOAP, the Supplemental Offer and Acceptance Program—advertised as a …
2 hours to decide my future: Why the NRMP’s SOAP process is broken
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Otolaryngologist Kevin C. McMains discusses his article “The hero’s journey: Understanding professional identity formation in graduate medical education.” Kevin discusses the ongoing crisis of burnout and mental health issues in medical training, …
Professional identity: a new narrative for medical education [PODCAST]
In the race to get into competitive medical residency training, today’s medical students are chasing something that may surprise you: scientific abstracts, posters, workshops, and research papers.
Lots of them. Not necessarily new ideas or meaningful research—just enough to stack their résumés and stand out during the screening of their application for postgraduate residency match. But while scholarship can be a powerful tool in shaping their future, there’s a growing question …
Why medical students are trading empathy for publications
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Occupational medicine physician Robert Nathan Clapp discusses his article, “Why you should take a closer look at occupational and environmental medicine.” Addressing the pervasive issue of physician burnout, Robert introduces occupational and …
An introduction to occupational and environmental medicine [PODCAST]
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