De-Stress the Distress of Medical School: A prescription for stress reduction

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 “I was a little excited but mostly blorft. “Blorft” is an adjective I just made up that means ‘Completely overwhelmed but proceeding as if everything is fine and reacting to the stress with the torpor of a possum.’ I have been blorft every day for the past seven years.”
― Tina Fey, Bossypants
I believe I have spent much of medical school fairly blorft. Elevated levels of stress seem to be a universal medical student experience. Studies looking at medical students around the globe – from Pakistan and Malaysia to Greece and India – show we all struggle with elevated levels of stress1. Stress, as it is used today, was first defined in 1936 by endocrinologist Hans Selye as “the non-specific response of the body to any demand for change”2. That definition highlights the point that not all stress is bad – a certain level can actually be useful during medical school. Knowing the importance of Step I board scores was stressful, but undoubtedly drove me to study harder than I would have had I treated it as no big deal. However, sustained, elevated levels of stress can be detrimental to both mental and physical well-being. For example, stress levels have been found to be correlated with depression and anxiety amongst medical students3. The good news is that there are steps you can take to reduce and manage your stress.

Signs of stress

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Ten things I learned in medical school (Other than, you know, the medical stuff)

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I learned a great deal during the preclinical years of medical school, much of which served me well during my clinical training (although I never found a practical use for memorizing the Krebs cycle beyond boards exams). Clinical training was a whole new world, filled with hidden lessons that I didn’t find in any of my textbooks.
10. Late is a four-letter word. Be on time; rounds do not wait for the medical student. A lot of being a third year med student is simply being there. When I was on my surgery clerkship, New York was hit by hurricane Sandy. The next day, we were all there for morning rounds. On time.

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20 Questions: Andrew Read-Fuller, DDS, MS, Oral and Maxillofacial Surgery

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Dr. Andrew Read-Fuller is a dentist and resident with the Division of Oral and Maxillofacial Surgery at Parkland Memorial Hospital/UT Southwestern Medical Center, with a focus on the broad scope of oral and maxillofacial surgery, including dentoalveolar, orthognathic, cleft and craniofacial, and cosmetic surgery, as well as facial trauma and head and neck cancer. Read-Fuller received his bachelor’s degree in politics from Princeton University (2005), and, most recently, he is a graduate of the UCLA School of Dentistry, where he received his doctor of dental surgery (DDS) magna cum laude (2011) and his master’s degree in oral biology (2011). He is currently active in the Resident Organization of the American Association of Oral Maxillofacial Surgeons.
Dr. Read-Fuller was active with the American Student Dental Association during his time at UCLA, serving as vice president, executive committee member and president of the UCLA chapter. He has earned numerous honors and awards, including the Dr. William S. Kramer Award of Excellence –Omicron Kappa Upsilon (2010), Pierre Fauchard Academy Scholarship (2010), California Dental Association Foundation Scholarship (2010), Webb Family Scholarship –Outstanding Leadership (2009 – 2011), UCLA Affiliates Academic & Leadership Scholarship (2008 – 2010), and ADA Foundation Academic Scholarship (2008).

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If I Had a Million Dollars (But I Don’t)

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Someday, after years of school (then more school) and residency training, we will start earning doctors’ salaries. In the meantime, finances can be tight, but there are ways to cut costs, optimize the money you do have, and maybe even bring in a little extra on the side.
There’s an old moniker you can’t change what you don’t acknowledge. It’s hard to make a budget if you don’t know what you’re spending currently. Take a few weeks and keep track, ideally a full month. Write down everything, regardless of how you pay for it – cash, check, credit card, bitcoin. . . Even if you have a 0% interest credit card and won’t be paying it off for a while, write it down. Then, consider your monthly income. If you’re ending the month in the black – congratulations! You’re on the right track. You may still want to decrease your expenses to reduce your overall loan burden. If you find your monthly cost of living exceeding your income, it is definitely worth your while to take a hard look at what you’re spending and how to cut back.

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Practical Advice for the Medical School Applicant

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As students begin to prepare for the next cycle of medical school application, I want to review some of the practical pieces of advice that every applicant should know. The actual process of applying to medical school is resource intensive: it costs thousands of dollars, hundreds of hours, and will strip you of many relaxing weekends that you would have otherwise enjoyed. Since you’ve made the decision to apply, here are some things that will help you make the best of it.
Remember that your MCAT score is a number. Your GPA is a number. These two things make up a major component of your application and you can’t change either of them now. You can’t change your letters of recommendation, either. The personal statement is a modifiable aspect of your application at this point, so you want to make sure to do a good job on it. But what else is there?
The answer to this lies in the details. This is what separates a good application from an excellent application. It is also what could separate a marginal application from one that gets an interview invitation. Every year, there are a few key mistakes that really put some students at a disadvantage. When schools are looking to offer acceptances, they are not only looking for good students. In addition to being smart, they are looking for people who will one day care for patients and be their colleagues. It is no surprise that those selected to become student doctors are usually meticulous, mature, intelligent, team players, and caring. Your application needs to reflect this.

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This is No Lake Wobegon: When Medical School Means You’re No Longer Above Average

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 “Lake Wobegon, where all the women are strong, all the men are good looking, and all the children are above average.” 
– Garrison Keillor, A Prairie Home Companion

While NPR’s Garrison Keillor entertains listeners with weekly monologues highlighting news from Lake Wobegon, his fictional home town, it is that closing line “and all the children are above average” that has taken hold in the popular culture. The Lake Wobegon Effect refers to that normal human tendency to overestimate one’s abilities.

The problem is that an average is just that, an average, meaning that while some are above, there are also those below. We all want to be above average. Who shoots for the mean and makes it into medical school? The truth is, if you made it into medical school – or even if you’re somewhere earlier along the path – you have almost certainly been “above average” academically and otherwise most of your life. You were on the honor roll from the time you started receiving grades. You graduated near or at the top of your high school class, many being valedictorians. You were in your college’s honor society and graduated some version of cum laude. You were accepted to medical school.

Average just isn’t in your vocabulary.

And then medical school happens. . .

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Navigating Your Future: A Roadmap to Specialty Exploration

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Congratulations! You’re in medical school. What you will soon realize is that your answer to “What do you want to be when you grow up?” is going to have to change. Simply saying “doctor” is no longer enough. You need to start to figure out what kind of doctor you want to be. And, although applying to residency may feel very far off, there are steps you can do starting in your first year to help you pick the specialty that best suits you.
Most of us have fairly limited exposure to different specialties as pre-meds; mine consisted primarily of shadowing cardiothoracic surgeons. Yet there is a huge diversity among medical specialties, some of which you may have never heard about. Physiatry, anyone? Others you know of can be quite different than what you had envisioned. A friend of mine recently shadowed an interventional radiologist and was surprised by the surgical nature of the specialty.

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The Dual Path: What to consider when considering an MD-PhD

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“When you come to a fork in the road, take it.” – Yogi Berra
I was sitting in the back of a filled auditorium listening to a presentation about the medical school application process when I heard the question that would forever change my life’s trajectory. “What about MD-PhD programs?” a woman sitting somewhere down in front asked. That was the first time I had heard of the dual degree program. Having struggled to decide on my career path, this seemed like the best of all worlds: I could get an MD and a PhD.

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20 Questions: Marc F. Stern, MD, MPH, FACP, Correctional Health Care

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Marc F. Stern, MD, MPH, FACP, is a correctional health care consultant in private practice. He received a bachelor’s degree in biology from University at Albany (1975), and started his medical studies at Universitélibre de Bruxelles, facultéde Médecine in Brussels, Belgium, and transferred to University at Buffalo School of Medicine where he received his MD (1982). He completed a one-year residency in internal medicine at University at Buffalo Affiliated Hospitals (1985), and a VA/NIH fellowship in primary care medicine and health services research at Regenstrief Institute in Indiana and Richard L. Roudebush Veterans Administration Medical Center (1992). Dr. Stern received his MPH from Indiana University School of Public Health in Bloomington (1992).

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9 Things to Do Before Applying to Medical School

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Think about including these steps in your path to medical school:
1. Work or volunteer in the medical field. Working or volunteering in a health care-related environment or organization will not only enhance your medical school application, it will benefit you. It’s a chance to see if you enjoy working in the health or medical field, network with like-minded peers, take on increased responsibility and leadership roles, and build your resume.
Consider internships and research opportunities at health care facilities or research institutions in your local community. Shadowing a doctor or health professional is another good way to find out if a career in medicine is right for you. Research and leadership positions on campus are also a great way to build your application and test out this career path.
Get Medical Experience

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Three Tips to be an All Star First Year Medical Student

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1. You need to view the process of learning differently. One of the biggest challenges to starting medical school is the paradigm shift that must occur from your studies as an undergraduate student. Though many of you may not go directly to medical school from undergrad – the average age of matriculating medical students is around 24 – you may still be holding onto your study habits from your college days.

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How to Not Get Into Medical School

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As an undergraduate student, I wanted to know how to get into medical school, and I wanted it straight from the source: the medical students. I figured that because they got in, they must have it figured out.
Then I got accepted into medical school and realized the truth. While there are some real lessons to learn to be more successful, medical school admissions can be a pretty arbitrary process. It’s actually more of a crap shoot than you would like to think. I gave myself less than a 1% chance of getting in to my current school, yet here I am. My state school, where I considered myself very competitive (higher than average stats, etc) didn’t even put me on their waitlist. Why? No clue.

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