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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Five Tips for Staying Healthy and Productive in School

staying healthy and productive

While your dream of getting accepted to medical school probably involves countless nights studying, hundreds of volunteer hours, and a very long application process, taking time for yourself may not always be at the top of your priority list. What many aspiring doctors tend to forget is that taking some time to relax can actually boost your productivity once you get back to work.

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Answering The Most Common Question in Medical Education

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.
Doctors-in-training have heard this question thousands of times, beginning the moment they announced their intentions to pursue a career as a physician: The question, of course, is some variant of “What kind of doctor do you want to be?” Before I interviewed for medical school, I was told to answer noncommittally; it was suggested that, if I already knew what kind of doctor I planned to become, it would imply the clinical years weren’t important to me. I was told to leave it open-ended so as not to rule any specialty out too early. I see the value in that—looking back, how could I have possibly had a good idea, given my limited clinical exposure before medical school? Even for students that do have clinical experience, it’s easy to imagine they could change their minds and, regardless, should be open to learning from the clinical years. Similarly, we were told not to answer too definitively during third year either—the idea being that if we tell an attending what we want to do, and it isn’t the specialty we are currently working with, we will be permanently alienating ourselves from that profession.

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Conquering Organic Chemistry

Organic Chemistry is a hurdle every premed must undertake. For many, it can dissuade you from pursuing your dreams of becoming a physician. This guide is here to prevent that, and instead help you come to terms with the beast commonly referred to as “orgo” or “ochem.”
First and foremost, let’s debunk a couple myths surrounding the subject.

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How Test Prep Prepares Me To Be An Effective Physician

minorities and the mcat

Before medical school, the dream of becoming a physician involves helping people and curing disease. During medical school, that dream matures through educational and clinical experiences into a realization that being a physician is something much deeper, a permanent responsibility that only those who are doctors themselves will understand.
Every patient is a trial and error that can lead to life or death. Is the abdominal pain just constipation, a brewing appendicitis, or even worse, colon cancer? Is the patient presentation worthy of simple reassurance, or perhaps blood work, or—to be safe—diagnostic imaging?

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Managing Anxiety on Test Day

managing anxiety

Taking the MCAT can be a nerve-wracking experience. In fact, many students develop significant test anxiety as a result of the MCAT’s role in the medical school admissions process. If this scenario describes you, here are several tips to help you successfully manage this anxiety:

1. Review difficult details and concepts on your test day
As you study for the MCAT, proactively compile a list of those details and concepts that you consistently struggle to understand. On the morning of your exam, wake up an hour early to review this list. This can help you refresh your memory and begin the MCAT in a much calmer mood.

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What Students Should Know About Post-Baccalaureate Pre-Medical Programs—Part Two: SMP Students

In Part One of this series, we discussed post-baccalaureate pre-medical programs for career-changers (i.e. those who have not yet taken any of their medical school prerequisites). In this article, we will address a different kind of post-baccalaureate program—the Special Master’s Program, or SMP—that is designed for pre-medical students who need to show academic preparedness via additional coursework before applying to medical school. 
Let’s face it—one of the most important components of your medical school application is your numerical data. Is your MCAT score competitive? Is your BCPM GPA strong? For many medical school hopefuls, falling short on one or more of these aspects is a frightening reality. And while studying for and retaking the MCAT is a relatively simple way to address weaknesses in your test results, remedying a low GPA can be trickier.

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Managing Bipolar Disorder in Medical School

Two days before interviewing at the medical school I now attend, I couldn’t get out of bed. At the nadir of my eighth major depressive episode in eight years, I seriously considered whether I could make the trip. Thankfully, I did. And thankfully, six days after that interview I met the psychiatrist who would finally piece together my long and steadily worsening psychiatric history.

I sat in his office, quiet and dulled compared to my spring and summer self, and began recounting my story – the weightiness of my current depression, the semester in college marked by a mere two to four hours of sleep a night (“insomnia” according to my doctor then), and the clockwork nature of my mood changes each year. Within ten minutes, he stopped me mid-sentence and said, almost casually, “You know, you show a lot of signs of bipolar disorder.”

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How Nontraditional Students Can Best Position Themselves When Applying to Med School

A friend of mine studied film in college and subsequently found himself working as a cameraman for a documentary television program about the lives of EMTs and ER physicians. He experienced some very tense situations, and from his work decided that he wanted to do more than document how people received medical care—his desire was to participate in the action of helping others as a doctor.
Unfortunately, his film education was the furthest possible undergrad experience he could have from pre-med. He had no applicable science credits, no anatomy or physiology, and the only shadowing he had done of physicians had been with a camera in hand. In short, his path would be an arduous one, and he was soon going to turn 31.

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Paving the Road to Medical School

The path to becoming a doctor can feel daunting. For those of us that don’t come from a medical family, it can be challenging to navigate what all you need to do to be a competitive candidate. As a third year psychiatry resident looking back on my pre-med days, I realize just how lost-in-the-woods I felt at times trying to figure out how to get where I wanted to go. Here are half a dozen steps you can take to help pave the way to medical school. 

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Medical School Interview Do’s and Don’ts

One of the most important phases of the application process is your interview. It’s your chance to demonstrate your communication and interpersonal skills, judgment, maturity, and the qualities that are important for a future physician. It’s also your opportunity to see if the school’s learning environment and culture is a good fit for you. It may seem early to start thinking about interviewing, but some medical schools start as early as July, while others interview throughout the fall and spring until their class is filled.
To help make your interview day a success, here are a few do’s and don’ts to keep in mind as you prepare.

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Poker Face: Interpersonal Comparisons in Medical School

interpersonal comparison

Poker, one may reasonably argue, is a game of sheer luck; he (or she) who happens upon the most desirable combination of cards will likely win the round of bets. However, as seasoned players know, the art of poker lies in its psychology. The ability of the player to keep an emotionless persona not just when dealt an appealing hand but especially when dealt a bad one—the poker face—is how competitors can trick each other to win in high stakes situations regardless of their cards.
I find at times medical school to be like a big poker game, with its players the medical students. The stakes are plentiful: a “bet” of a couple hundred thousand dollars that a medical degree will be obtained, a desired specialty (though I am in awe how some of us have already chosen or eliminated fields within months of donning the white coat), a coveted residency program, a preferred lifestyle, and more. With our futures on the line, it is thus natural that we all play our cards to the best of our abilities.

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Physician Burnout: What It Is and Its Impact on Future Doctors

Physician burnout is a widely discussed topic among practicing physicians and public health researchers. Many studies have been done showing the implications of burnout on patient satisfaction, career satisfaction, and care outcomes. A few studies even try to measure the dollar cost of burnout to society. However, very few articles appear to address the impact of physician burnout on one very important demographic in medicine: future physicians. Future physicians, such as residents and medical students, are molded by the doctors who come before them. The prevalence of physician burnout is likely to affect the outlook future physicians have regarding their own careers and the possibility of them experiencing their own burnout as well.
Background
Physician burnout in the United States is becoming more common. According to one recent study, roughly 45% of physicians reported feeling signs of burnout, an increase from 39% in a study conducted in 2013. Put another way, nearly 1 out of every 2 physicians has experienced burnout or will in the future.

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Top 3 Myths about MCAT Scores Busted

As with any high stakes exam, it’s not surprising that there are a number of rumors circulating around the MCAT exam. So we are busting three of the top myths about the MCAT scores and score scale.
Myth #1: The MCAT exam is graded on a curve. 
There is no curve associated with the MCAT exam. Instead, the MCAT exam is scaled and equated so that scores have the same meaning, no matter when you test. What does that mean, you ask? There are many different test forms that are produced for a testing year, any of which you could see on your exam day. The forms of the exam are designed to measure the same basic concepts and skills, but each form contains different sets of questions. While care is taken to make sure that each form is about equivalent in difficulty, one form may be slightly more or less difficult than another. We adjust for these differences in the difficulty of test questions when we convert the number of questions you answer correctly to the MCAT score scale. This ensures that scores have the same meaning across test administrations and testing years.

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Post-Bacc Program Guide

post-bacc program

Post-baccalaureate or “post-bacc” programs, for short, are often discussed among pre-med students. While post-bacc programs can benefit students with many types of backgrounds, they are not for everyone–and knowing this ahead of time is important, as the cost for these programs is anywhere between $20,000-$40,000. This article covers just what post-baccs are, as well as important information on who should consider such a program and what students should ask about before actually signing on the dotted line.

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Who Makes a Good Doctor? How Medical Schools Around the World Try to Find the Best Candidates

around the world

One of the continuing challenges for medical schools both here in the United States and around the world is to find ways to select the students who will have the best chance of successfully completing their education. The goal of a good medical education, after all, is to train students who go on to become doctors, helping to fill the enormous global demand for well-trained, competent physicians. What might surprise many students, however, is how many different ways medical colleges around the world have come up with to find these ideal candidates–and how widely medical education varies from one country to another.

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