Central to the skillset of every physician is the differential diagnosis. This is a list of possible diagnoses that helps guide clinical decision-making. By asking specific questions, performing a focused physical exam, and ordering lab tests, all through the lens of the differential, physicians are able to rule in or rule out each item on the list. The differential is not fixed, however; it is a fluid list that can be rearranged or completely changed at any time given new information. This information often comes in the form of an extra piece of history from the patient, a new finding from an imaging study, or frequently, from several lab tests coming back negative.
Medical School
Getting into medical school was only the first hurdle. Learn more about how to be successful in medical school.
QBanks Before Step 1: Bomb the Questions, Ace the Test
Here’s a scenario I am asked about a lot: It’s a month before Step 1 and a student is doing lousy on UWorld questions. Or sometimes a student tells me they just took a NBME practice test and dropped from their previous score. Step 1 is getting closer and panic sets in. What should the student do? Bump their test date out a few weeks? Find a new resource? Maybe just quit medicine all together?
This scenario happens to everyone to some degree as Step 1 nears. And although the panic reaction is understandable, poor performance on practice questions before Step 1 is actually a very good thing in many cases. There are three important reasons not to worry too much about wrong answers to practice questions, which I will explain in this post.
Chronicles of a Med Student: And That’s a Wrap!
Whew! It’s been a long year and I am itching for a much-needed, well-deserved break. Thankfully, summer is here to save me. I can’t wait to talk about my summer plans and all the ways to spend the summer between first and second year (also sadly known as your last summer ever). I think it will be beneficial to recap what I’ve discovered this past year!
Should Medical Students be Sued for Malpractice?
An Ongoing Dialogue Between Medicine and Law It is no wonder why medical schools across … Read more
Staying Healthy During Medical School
Medical students and health professional know the importance of teaching others to stay healthy, especially when it comes to the prevention of many chronic conditions like heart disease or obesity. But knowledge is not always enough and doesn’t always result in self-care. The long hours, massive amounts of studying and high levels of stress that are the norm for medical school can make it difficult to start or maintain the good habits that will keep you healthy during your med school years. However, there are important reasons for doing this–and many simple habits that can make it happen.
Marriage and Medical School: The Pros and Cons of Balancing Both
Updated January 9, 2022. The article was updated to correct formatting and minor grammatical errors. … Read more
Chronicles of Med Student: A Summer to Remember
This past weekend, I had the opportunity to meet some of our incoming first years at a meet and greet event. They came in with wide eyes and big smiles, just waiting to sink their teeth into medical school. Their curiosity always got the best of them, and my classmates and myself were bombarded with questions like “What’s it like?” and “Do you have a life?”. I remember feeling that way one short year ago (and yes, even though our school year is a stretch of eleven months, it does feel short). One of the questions that they should have asked but didn’t is what they should do this summer.
Breaking the Glass Ceiling: Students With Disabilities in Medical School
Updated December 1, 2021. The article was updated to correct minor grammatical errors and to … Read more
How to use a Pea Plant to Increase your USMLE, COMLEX, and Shelf Exam Scores
Studying for the boards overwhelms most people. The sheer amount of information to know is … Read more
5 Study Tips for the USMLE Step 1
1. Set a goal
As the saying goes, “being begin with the end in mind.” Before you begin preparing for the USMLE Step 1, you should consider where you are with your knowledge base and your score, as well as what your goal target score is. To determine where you are starting from, you should take a practice test. Online prediction calculators use your scores on question banks and the USMLE practice test to estimate how you will do on the actual Step 1 exam.
When setting a goal, consider that 192 is currently the minimum passing score for USMLE Step 1, and 229 was the national average in 2014 (the most recent year for which data is available). However, depending on the specialty into which you desire to match, you may have to aim for a significantly higher score. If you’re not sure what specialty you want to pursue, you’ll want to score as high as possible, though you probably want to do that anyway. This is a table summarizing average USMLE Step 1 scores by specialty in the 2014 Match.
Chronicles of a Med Student: Reaching Out
I’m sorry, I can’t—I have to study. These are words that have become so routine to me that I barely have to think about them before they come out of my mouth. Ugh, how has it become so reflexive? I was worried that this would happen, at least in the first two years of medical school when I would spend more time with my computer and books than with actual people. The sad thing is that whenever I have a free second, it’s not really a free second because I just find myself wondering if I should be doing something at the moment instead of thinking about making plans with friends I never see anymore. And these are not only the friends I’ve made this year. Sadly those I neglect most are generally the friendships I’ve cultivated over many years.
The Best Online Resources for Medical Students
Updated on July 1, 2021. The article was updated to correct minor grammatical errors and … Read more
No Happy Ending
Republished with permission from here. One after the other, day after day it seems, I … Read more
Chronicles of a Med Student: Having It All
One of the great things about your pre-clinical years (years 1 and 2) is that … Read more
Top Tips for Sub-Internship Success
The sub-internship is a crucial rotation for all medical students, no matter which specialty they plan to pursue. During this transitional phase in their clinical training, students begin to assume more independent responsibility for patient care. A sub-internship introduces students to life as residents, and it is often a source of recommendation letters for the residency application process. Below are my top tips for success during your sub-internship.
The Million Dollar Question
Interview season. The time of year that roads and skies swarm with the best and brightest medical students to all corners of the country taking aim at the next step in their training – residency. Believe it or not, behind the shiny brochures, extravagant dinners and polished powerpoint slides, residency programs are just as nervous about attracting top talent as you are about getting your top choice.
The interview trail is usually a blur of dry cleaning bills, rental cars, and the smell of breath mints masking cheap coffee mixed with nervous sweat. The broken record of the obligatory “strengths and weaknesses” question loops in your head. One of the more terrifying moments in the day comes when an interviewer asks: “What questions do you have for me?” Regardless of who asks it–the intern only four months above you in training or the gatekeeping program director–you know you have to ask something. So why not make it count?
Chronicles of a Med Student: Enjoy Every Moment of Med School
One of the things I enjoy most about writing this med school column is that I get to tell a unique story from a unique point of view. No two people will have the same set of experiences in med school, and I’m so glad I get to share mine. It helps me in two ways: I get to keep track of all of my crazy happenings, and I get to pause for a moment and reflect on all of them. Medical school, I’ve found, progresses so fast. Honestly, the nervous excitement I felt on my first day still lingers as though it happened yesterday. It has really flown by, and to quote some users on the forums section of the site, “residency will be here after what seems like the blink of an eye”. I’m not to residency yet obviously, but at the rate things are going, I have no evidence against this statement. It will probably be the fastest four years of my life (actually, only 3.5 now! See how quickly that went?). I’m still so used to replying to the question “So how many more years do you have left?” with 4. But it’s zipping by.
The Changing Culture of Medical Education
Transitioning to medical school is a significant change for most students; this naturally makes it a source of excitement, anxiety, stress, and even fear. Being a successful college student will not necessarily translate to success in graduate/professional school, although many of the same or similar strategies will help. Ultimately, adjusting to medical school is going to depend on the individual student and their school; each curriculum will present unique challenges and each student will handle them in a unique way. Although curricula vary among schools, some concepts are similar across the board. Perhaps the most uniform component of twenty-first century medical school curricula is the fact that they are constantly seeking to improve; thus the adage that “change is life’s only constant” seems to be true, at least of medical schools.
Three New Year’s Resolutions for Medical Students
Winter break is the perfect time for medical students to take a step back to relax, re-assess, and re-engage for the remainder of the academic year. Below are three resolutions that all medical students should make to motivate themselves for the grueling months ahead:
1. “I will schedule time for self-care”
Many medical students simply do not spend enough time caring for their most valuable asset—themselves. Given the intense academic and clinical workload that medical school involves, it is common for students to lose sight of the importance of their own wellbeing. Use winter break to carefully review your schedule for the upcoming semester and deliberately schedule in self-care “appointments.” Self-care appointments can range from daily meditation for just a few minutes to a leisurely cup of coffee with a friend. The key is to choose those activities that help you de-stress and relax.
The Other Preparations to Make For Clinical Clerkships
The transition to clinical clerkships in medical school comes after two years of lectures, in-class exams, and national board exams. Without a doubt, it is an exciting transition. It is a key stage in the development of a physician, allowing the student to see real patients and to learn from practicing professionals. Clinical rotations requires the student to critically think and to apply the vast amount of information learned in the classroom to new situations. The goal is to learn to come up with a list of differential diagnoses, use the correct confirmatory test, and develop a treatment plan. This is what many students believe will be the bulk of their clinical learning during the third and fourth years. As a result, many students spend most of their time focusing only on the academic preparation for clinical rotations and do not sufficiently prepare themselves to stand out in equally important, but non-academic ways.