Exhausted. Aching. Hungry. Slightly delirious. Mile twenty-four of a marathon? Or hour twenty-four of a twenty-eight-hour shift? I am a resident. I am a runner. I am also a rather tired human since, as I type these words, I'm both post-call and post-run. However, this post-call/run state of body and mind is one I have learned to love and embrace during this residency whirlwind. I'm not myself unless I'm wearing scrubs or running clothes. ...

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Even though physicians do not talk about transferring residencies, it is more common than is often believed. According to the AAMC website, about 30 percent of residents do not finish the initial program they started. Quantifying that number further, the ACGME recently reported 1,044 residents transferring from their program. There are a variety of reasons for transferring residencies: A spouse being accepted for ...

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"A moment’s insight is sometimes worth a life’s experience." — Oliver Wendell Holmes, Sr. Several years ago, an anxious senior medical student was preparing his application for The Match, the clearinghouse through which 37,000 candidates hope to secure one of the 33,000 available residency positions. It is a nerve-wracking time. Each student compiles documents, assembles records, creates lists of activities, summarizes research, catalogs volunteer projects, selects the perfect photo and solicits faculty ...

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I woke this morning at 3:30 a.m. My mouth was dry. I tried to urinate, but something roughly the color of quinoa came out in small quantities. So I assumed I was dehydrated. It could have been the bourbon and scotch before dinner — or the two IPAs at dinner. Or the four IPAs after dinner at trivia. Or the scotch after trivia. But something told me I was dehydrated. I ...

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After countless hours of hard work and three demanding years of medical school, it’s now time to face the spotlight! If your interview invites have started rolling in and you are feeling intimidated by the thought, follow these tips to land your first choice of clinical residency. 1. Be prompt with your responses to interview invites  Be sure to set your inbox to automatically refresh every hour during the interview season so you ...

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While riding shotgun in the family minivan on the way home from a fall break water park trip, I received the following text message:

I thought of you today! One of the residents here had done a great job with a complex (and really sad) labor and delivery patient, and the nurse was telling me how awesome she was … so I thought to myself that I should do what you ...

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Recently, I saw a photo of a slide from the American College of Surgeons Clinical Congress: “The Program Directors Guide to Implementation of Well-being Programs.” While I applaud the ongoing focus in medicine on wellness for both trainees and faculty, I am troubled by the perceived need to standardize and program wellness, creating a “checkbox” that may not improve actual well-being. As a recent graduate now living my best life ...

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I still remember the warm, fuzzy feeling of receiving my first few interview invitations. Unlike medical school, I received much more "love" from residency programs. Since I was part of the inaugural class of a new medical school, I interviewed for a lot of programs: 16 anesthesiology, six transitional years, and three preliminary medicine programs. After my first few interviews, it became apparent that most residency interviews tend to be ...

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I had the fascinating experience of interviewing for residency at 20+ weeks’ pregnant. Although a number of people told me that I was doomed, I found the experience to be quite enlightening. Since I couldn’t hide the fact that life outside medicine was going to be important to me during residency, I felt empowered to ask the “don’t ask” questions during my interviews. What did I have to lose? The ...

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The glorious season is upon us. Yes, it is finally autumn. But it is also the season of ERAS with all of its letters of recommendation, USMLE scores, medical school transcripts, and personal statements. I have dutifully reviewed dozens of applicants whose last names begin with the letters “T” through “Z.” I have noted the test scores and grades. I have considered the caliber of medical school and whether the LORs ...

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