For a typical medical student shadowing in a clinic for a day, it looks a little something like this: we enter the familiar setting of an outpatient clinic and help as the attending physician sees patient after patient in quick fifteen minute intervals. We also get to see things that patients are not privy to—the virtual stacks of paperwork that wait at the end of each visit, the phone calls for consults, the appropriate orders for the workup of a certain condition in a certain patient. It all seems like a blur. Then we think about the clinical world before we even get to practice as a physician: the years of clinical rotations and especially residency are much more daunting, with their own strict rules, long work hours, and meager pay. Do I have to end up in an office or hospital setting? This is a thought that crept into my mind after hours of clinic observation. What I saw as a pre-medical student is somewhat different than what I experience as a medical student which makes this question far more relevant.
medical student
4 Reasons First-Year Medical Students Should Reflect on Their Initial Clinical Experiences
Many medical schools are now enhancing their preclinical curriculum (which is typically taught in the first two years of the program) with mandatory and optional clinical opportunities. Though intensive clinical exposure is typically reserved for third- and fourth-year rotations and sub-internships, students whose early curriculum provides clinical experiences should reflect on the impact of these opportunities.
If you are in a medical school with early clinical exposure, consider evaluating these experiences for the following reasons:
What to Expect as a Med School Spouse: Years 1 and 2
By Amy Rakowczyk, SDN Staff Writer
Congratulations! You are now officially a Medical Spouse. This is a highly rewarding, and also a highly challenging role. You’ve undoubtedly heard that “medical school is hard” and that there is a lot of studying and exams ahead. Your spouse is about to embark upon a completely new path, and you as the spouse, are along for the ride. This article is here to help you understand what’s in store so you can prepare yourself for the next two years!
Is a Combined Bachelor’s/MD Program Right For You?
By Jessica Friedman
For students who are fully committed to a career in medicine, combined programs – those that grant you acceptance to both undergraduate college and medical school – can be a great option. They allow you to earn a bachelor of arts or science and a medical degree and are called BS/BA-MD programs. Some programs are as long as 8 years (4 years of college and 4 years of medical school), some are 7 years (3 years of college and 4 years of medical school) and a few are 6 years (2 years of college and 4 years of medical school). The more abbreviated programs are especially rigorous since you complete your college degree in a shorter time. Students in these programs often are in school year round.
Before deciding to apply to combined programs, you should understand the plusses and minuses of doing so.
All in the Family: A Profile of Family Medicine
Central to the skillset of every physician is the differential diagnosis; this is the process by which new patients are evaluated to establish the most likely diagnosis. Similarly, the first clinical year of medical school is like a differential for each student, except instead of a medical diagnosis, students are seeking to determine which specialty they will choose. This column explores this differential: experiences from each rotation by a current third-year student.
My first day on Family Medicine might be the best depiction of the specialty: my clinical preceptor and I moved between our three clinic rooms, barely able to keep up with the 20+ patients that had appointments. We saw a patient following up on depression with new-onset low back pain; a middle-aged woman with a classic urinary tract infection; a husband and wife geriatric wellness visit; an adult woman with diabetes; a 9-year-old with strep throat; and a few cases of sinus infection to round out the day. By the end, I was exhausted and wondered how I would ever learn everything that my preceptor knew about such a wide variety of disease processes and patients. By the end of the rotation, I was still nowhere near his level or my other professors’ – years of residency and clinical experience still separate us – but had at least developed a sense of how to manage many of the common illnesses, and feel that I have a good understand of the breadth and variety of family medicine.
Time Away From Formal Academics Can Enhance Application
Whether or not a student should take a “gap year” (or two) often comes up during our conversations with applicants to medical school. Based on MedEdits’ experience working with students, we find that gap years are becoming increasingly common and that this extra time away from formal academics can enhance a student’s candidacy.
The Association of American Medical College’s (AAMC) 2016 Matriculating Student Questionnaire (MSQ) reports that the age of matriculants continues to rise, with 60.6% reporting that more than a year had passed since graduating from college, up from 57.9% in the 2014 MSQ. Matriculation data from colleges of osteopathic medicine show that the average age at matriculation in both 2015 and 2016 was 24.
A Med Student’s Guide to Becoming a Physician-Scientist
When medical students start to think about areas of practice to specialize in once they graduate, the area of medical research can sometimes be overlooked in favor of more traditional practice areas such as internal medicine or surgery. However, for some doctors-to-be, the pull towards such research is strong and it is an important part of the healthcare system, as the discoveries that such scientists make can have an impact on techniques used to improve patient care and outcomes.
This article covers the work and scope of physician-scientists as well as educational pathways these professionals pursue in order to undertake their important work.
Things I Didn't Realize About Medicine Until I Became a Physician
Recently SDN member medinquirer noted that it’s common for premed students to learn about medicine through shadowing, volunteering, working in related fields, etc. But surely, said medinquirer in his post, there are things you don’t realize about medicine until after you become a full-fledged, practicing physician. What are those things? Here are some of them of them, as shared by members of the SDN community:
SurfingDoc:
No one teaches you about billing, prior authorizations, etc. until to have to do them. There is no real “education” in those endeavors, but they are part of the system and a requirement of the job.
The Undifferentiated Medical Student Podcast: Your Virtual Mentor for Choosing a Specialty
What is the Undifferentiated Medical Student podcast? Give us an intro.
TUMS is an interview-based podcast about choosing a medical specialty and planning a career in medicine. Many medical students feel lost when it comes to picking a medical specialty and planning their careers (myself included). There are many reasons for this (and some I personally faced):
-they are overwhelmed by the number of options
-they may feel they don’t understand enough medicine yet to start the discussion
-they don’t have a mentor
Balancing Medical Education and Parenthood
One thing most people will agree that medical education and parenthood have in common is … Read more
Where to Apply to Medical School: Factors to Consider when Making Your School List
If you’re applying to medical school this year, you’re probably starting to think about what school you’d like to attend. Many students are encouraged to apply broadly, and on average, applicants apply to 16 medical schools. While the right number of schools is different for everyone—you may apply to more or less—a good rule of thumb is to only apply to the medical schools you would attend if accepted. This will save you time and money overall, even if it means doing more research before the application cycle begins.
The Match: A Guide for the Big Day
It’s almost here! The day you’ve been waiting for! Before we talk about how to … Read more
Put Your Patients First When Choosing Clinical Attire
Dress like an intern, not a hipster, not an executive
When I was in first-year medicine I had my ears pierced and grew my hair out. I went to attend a surgery and showed up with my piercings in and my little ringlets popping out from beneath the surgical head mask. The consultant gave me a look of consternation, the same look you’d expect from your curmudgeon next-door neighbor who’s disgruntled at kids skateboarding outside his house. He said to me, “Those piercings you have there; that hair of yours; you don’t look like a med student. I’ll tell you what. If you go back to the locker room, take out those piercings, and tuck that hair into your cap, you can observe this surgery.” I acquiesced. But I hadn’t learned the lesson yet.
Mental Health and More: A Look at Psychiatry
Central to the skillset of every physician is the differential diagnosis; this is the process by which new patients are evaluated to establish the most likely diagnosis. Similarly, the first clinical year of medical school is like a differential for each student, except instead of a medical diagnosis, students are seeking to determine which specialty they will choose. This column explores this differential: experiences from each rotation by a current third year student.
Addiction is a Brain Disease — So Let’s Treat It Like One
Reposted from here with permission. As a medical student, I always carry naloxone in my … Read more
So Little Time: Prioritizing For Healthy Time Management
As I enter the thick of studying for board exams, I’m reminded even more every day to stay calm, grounded, and keep my head clear. This is the last semester of my pre-clinical education (I can’t believe how time has flown!), and I’m caught in a balance of staying positive about that as well as juggling my hours of studying for board exams. I’ve experienced just about every emotion in the past few weeks, but one of them has always been there lurking underneath the surface: the feeling of being overwhelmed. I’ve touched on this multiple times before, but I cannot stress enough how important it is to stay mentally stable and sane through the medical training process! I have found myself slipping these last few weeks as I try to “do it all”, so I had to reach out.
Residency Applicants Beware! Make Sure You Understand the Match Participation Agreement
With Match Week approaching, this is an exciting and hectic time. As you prepare for the next phase of your medical career, it is also important to understand legal issues involved in the Match®, administered by the National Resident Matching Program (NRMP)®. As part of the online enrollment process for the Match, residents accept the NRMP’s Match Participation Agreement (MPA). Residents cannot register for the Match unless they accept the MPA. The MPA is a binding contract exceeding 30 pages. Many residents never read the MPA during the online enrollment process. Others may skim the MPA, but not read the terms carefully. Lurking within the MPA, however, are numerous restrictions on what residents may do before, during, and after Match Week. Applicants who fail to comply with those restrictions in the MPA may commit a match violation, which could lead to substantial penalties and adverse consequences for your medical career. Therefore, it is essential to be aware of your obligations under the MPA and to assure your compliance with the MPA.
Use Mind Mapping to Write a Personal Statement that is Unique to You
Mind mapping is a brainstorming technique that can help you see the big picture of your life story, key personal strengths, and professional competencies. As such, it can be an invaluable method for students preparing for personal statements, medical school applications, interviews, etc.