How To Choose A Medical Specialty: A Book Review

By Brent Schnipke

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.

Note to reader: This month’s post is going to be a little different than previous articles, as I will be offering my book review of How to Choose a Medical Specialty. I’m currently on my Surgery clerkship, and will be writing about this clerkship in December’s post, so stay tuned!

In addition to providing snapshots of my clerkship experiences and a summary of each specialty rotation, this column is also about the process of choosing a medical specialty. After all, this is a major component of the third year of medical school for many students. Although learning the fundamentals of each specialty is essential, the exploration of different paths with the intention to eventually choose one is centrally important for third-year students. The first two years of medical school are generally pre-clinical (mostly classroom work), and applications for residency spots are submitted early in fourth year; therefore, third year is the main opportunity for students to explore fields that might be interesting to them, and to get exposure to many fields. This is the idea behind the title of this column, and one of my purposes in writing it has been to explore this dynamic and to share with other students some of my observations about each specialty, which may help some to make their own choice.

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Scary Smart: The Widespread Use of “Study Drugs” on American Campuses

stimulant use

While the American college experience can be a time of great discovery and learning, the pressure to achieve academically is also great—especially for those bound for medical school, law schools or other highly competitive career tracks. This pressure has led to high levels of stress to perform well in school—and to the increased use of “study drugs” to help students live up to these expectations. However, while there are short-term advantages to be had with the use of stimulants in regards to study, these medications are dangerous when used out of context, and studies have shown that they actually are correlated to lower grade point averages. This article looks at the problem of stimulant use on college campuses, and also at what colleges can do to help mitigate the issue.

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5 Things You Need to Know About Ranking Residencies for the Match

As you continue researching residency programs, applying, and interviewing with these programs, you’ll begin to learn more about what you’re looking for and which options exist. Pretty soon, you’ll need to turn your attention towards creating a rank order list (ROL) in order to eventually be matched with a program that you’ve interviewed with.
While this can be a daunting proposition, it’s imperative that you take it seriously and meticulously review every last detail.

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Advice from 20+ interviews: Part 2

Don’t miss Part I of this article, which covered how to prepare before the interview and general interview advice.
COMMON INTERVIEW QUESTIONS
1. Tell me about yourself
You should have prepared for this! Like I said, have your key bullets/road map ready. Try to keep it around 5 minutes too. This question usually comes up on closed file interviews (where they don’t look at your file beforehand). You may want to cover a bit of question 2 (below) if you have time, since it may not get asked separately. I think it’s always best to include things beyond the typical premed experiences. Talk about your cultural background, travels, cool hobbies, non-medically related endeavors, odd jobs… They’ve always loved those things most. Mention the relevant premed stuff too, but don’t forget about what I mentioned in the previous sentence. Stand out as a person, not a premed machine!

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Advice from 20+ interviews: Part 1

interviews

I did 21 interviews. Don’t ask how much it cost because I don’t enjoy thinking about it! Basically, it was roughly the “Top 25” schools if you listen to US News. Since I gained a lot of experience, figured out what works, and had quite a bit of success (with the interviews themselves, not just decisions), I thought I would share what I learned with all of you who want to prepare for interviews.

The Key: Many applicants view interviews the wrong way, in my opinion. To me, it was my time to take control of the conversation and put out exactly the impression that I wanted them to get. You have the spotlight and power to present yourself and your achievements/activities in whatever light you choose. Your confidence and charisma are your greatest assets, and you can use them to make almost anything seem incredible. You shouldn’t be scared – you should be excited, since this is one of the few times you really get to control this process!

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Reflections On An Encounter During My Elective in Vanuatu

Despite being on the top of a hill, the hospital was remarkably unimposing and unimpressive: just one floor high and composed largely of corrugated iron and brick. It consisted of a handful of wards, an A and E “department” and a few small rooms to see outpatients in. It contained several courtyards. Outdoor corridors connected the different wards. The courtyards and corridors were lined by people, patients, families and extended families. Mothers breastfed, children ran around playing games, other adults dished out food or did their washing in a nearby sink in the grounds, whilst some simply sat. By contrast the hospital wards were quite empty—only a few inpatients in each of the four specialities (pediatrics, general medicine, general surgery, and obstetrics and gynaecology). Many of the rooms in the wards were empty. Faded, once-colourful, patterned curtains hang limply. Paint flaked, and biblical quotes peeled off the dirt-washed walls. In the stifling heat even the ceiling fans seemed to be taking a siesta. The hospital was basic to say the least: there were no computers, no observation machines and I had little confidence in when the bed sheets were last changed. Instead a manual blood pressure cuff lay dusty in the corner of the cupboard, adult oxygen saturation probes were clamped onto children’s feet and thermometers were used from patient to patient without cleaning. Inhaler spacers were replaced by plastic bottles with a hole cut in the bottom. Ventilators were replaced by a dedicated doctor bagging the patient throughout the whole operation. Intensive care simply did not exist.

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The Soft Skills You Need to be a Leader in Medicine

Medicine needs a strong core of leadership now more than ever. Medical students and new physicians spend massive amounts of time training and studying the basics of medicine, yet they may not be receiving training in many of the soft skills required to be a leader in today’s medical environment.
Being knowledgeable about disease and various forms of treatment is absolutely vital, but soft skills are what separates a good physician from a great physician. These skills include communication, collaboration, and confidence. As physicians, we are expected to practice as a team, and ultimately be the leader of that team. Let’s discuss how you can prepare to be a leader in medicine.

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It’s Real: The Sophomore Slump

Chronicles of a Med Student

I strolled into second year, fresh off the plane from my South American adventures and ready to hit the ground running, expecting another experience like first year. It would be smooth sailing as long as I stuck to my schedule and my friends. I was good to go. Little did I know, the “second year slump” was about to hit me like a ton of bricks. I had never before experienced such a feeling in my life—I was accustomed to challenges, pushing through whatever stood in my way, always making it through to the other side. But to be honest, few things in my prior academic experiences have challenged me as much as medical school. Before medical school, most of the challenges I faced seemed far less daunting to me than what came in the second year of medical school, even the first year of medical school. So imagine my surprise when I found myself having my first meltdown of medical school just a few weeks into my second year: Wasn’t I supposed to be good at this by now?

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Is a Post-Bacc Program Right for Me? Seven Benefits to Consider

It’s important to remember that as you prepare for and apply to medical school, there isn’t one set path you must take. It’s okay if your path takes different twists and turns along the way. Increasingly, applicants are taking gap years, sometimes called bridge years, between graduating from college and applying to medical school in order to gain more medically-related experience, pay down educational debt, or prepare for the MCAT exam.

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How to Balance MCAT Prep with School or Work

In an ideal world, the months before an MCAT test date would be exclusively devoted to preparing for the exam. Prospective medical students would wake each morning without any obligations outside of studying. Unfortunately, the reality for most students is that MCAT prep does not occur in a vacuum separate from other responsibilities. Instead, MCAT review occurs in the context of the typically busy life of a pre-med—taking science courses, conducting research, volunteering, and applying to medical school. Finding time to adequately prepare for your MCAT test date can be challenging, but with careful planning and the tips listed here, you can squeeze MCAT prep into your schedule.

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5 Things I Wish I Knew At The Beginning of Medical School

It is not just nostalgia and excitement that grips me as I am nearing the end of medical school. A part of me is terrified at the thought of finally having to own that white coat, to be the person in charge. There is another part (though not as dominant) that is filled partly with regret. Regret over the things I didn’t do, the things I could have done differently, the moments I missed, the unnecessary anxieties…

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Humanitarian Opportunities for Medical and Pre-Med Students

Although repeated to the point of being cliche, “to help people” is one of the most popular answers would-be doctors give when asked why they want to go into medicine. The great news is that there are many humanitarian work opportunities for pre-med students, med students and even new doctors to undertake that will not only hone their clinical skills and make them more culturally competent physicians, but also allow them to give medical care to those who might not otherwise receive it.

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Not “Ours” Anymore: Sharing Our Doctor Spouses

Medical Spouse

By Amy Rakowczyk

One thing is certain during medical school: your medical spouse is going to study and work a lot of hours. This is a necessary part of becoming a doctor. They need years of studying, preparing, and training in order to be able to perform the job. The time required means that you, the medical student spouse/partner, will have less time with them. There will be fewer hours when they are available. That is the hard reality.

It’s easy to start thinking about how unfair this is. You are left with gaping holes of time and are by default in charge of all the non-medical school items. You are working harder too, with less support. The unfairness of it can quickly turn into resentment and bitterness.

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An Introduction to Student Loans

Consider these three questions. First, what is a loan? Second, how is it typically is structured? Third, do you know how much you will be paying back if you borrowed x amount? I always wished someone had personally educated me and answered these very questions.
It has been almost 20 years since I chose my college (an expensive one), and almost 10 since I made my decision to pursue a career in pharmacy (a smarter choice, but still expensive one). I consider myself fortunate because my profession (for the most part) allows me to pay back the student loan I have accumulated and still enjoy a lifestyle I had imagined.

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A Scribe Case Study: Alyssa Kettler

When did you first hear about medical scribes?
I first heard the term ‘medical scribe’ from a friend of my mother, a nurse at Fairview Hospice. She knew that I was looking for meaningful work to undertake before pursuing medical school and suggested I explore scribe opportunities. After extensive online research, I began scribe training with Elite Medical Scribes.

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Book Review | in-Training: Stories from Tomorrow’s Physicians

in-training: stories from tomorrow's physicians

In early 2012, medical students Ajay Major and Aleena Paul started in-Training.org, a website dedicated to the medical student community at large with a goal—according to the site—to become “the intellectual center for news, commentary, and the free expression of the medical student voice.” Since then, the site has grown by leaps and bounds, recently celebrating their 1000th article publication. Four years after the launch of the website, Major and Paul—who are now beginning their residency training—compiled around 100 of these essays into a book: in-Training: Stories from Tomorrow’s Physicians.

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