med-student

anonymous asked:

What universities have really good medical schools

Look into:

  • Harvard University
  • Stanford University
  • Johns Hopkins University
  • University of California - San Francisco
  • University of Pennsylvania
  • Washington University in St. LouisYale
  • UniversityColumbia University
  • Duke University
  • University of Washington
  • University of Chicago
  • University of California - Los Angeles
  • University of Michigan - Ann Arbor
  • University of California - San Diego
  • Cornell University
  • Vanderbilt University
  • University of Pittsburgh
  • Northwestern University
  • Icahn School of Medicine at Mount Sinai
  • New York University
  • Baylor College of Medicine
  • University of North Carolina - Chapel Hill
  • Case Western Reserve University
  • Emory University
  • Mayo Medical School
  • University of Texas Southwestern Medical Center
  • University of Virginia
  • University of Wisconsin - Madison
  • Oregon Health and Science University
  • University of Iowa
  • Boston University
  • Ohio State University
  • University of Maryland
  • University of Minnesota
  • University of Colorado - Denver
  • University of Florida
  • Georgetown University
life update

I’ve been relatively quiet on here this weekend; I’ve just been stressed and trying to relieve the stress by doing lots of work and relaxing.

My CT scan was on Friday. It was a bizarre experience. I accidentally wore my medical student badge into the imaging center, and that was a little weird because I got a lot of looks from other patients. I was directed to a changing room but I didn’t have to change into a hospital gown, I spent five minutes lying in the machine with my arms above my head, and then it was over.

My grandmother is doing well. Her recovery has been an up and down process, but she sounded a lot better the last time I spoke with her.

Today, as mentioned, I met with the learning specialist to finalize my study plan for the Step period. One of the study habits that works best for me is waking up early (around 6am) and getting a bunch of work done before noon (4-5 hours). This always makes me feel a lot better, as I prefer to chill out at the end of the day, talk to boyfriend, etc.

Of course, being awake at 2am is not a good start to that routine, but we stayed up late this weekend (on Saturday for Trivial Pursuit and yesterday because boyfriend played a show) and it’s thrown off my clock.

Ok this is enough words. Also, people have left some great asks in my box, so look out for responses soon!

10 things to get before your first semester of medical school

I’m almost done with my first semester of medical school!

Thank all the stars.

In celebration that I have 2 weeks left, I’ve come up with a list of the things I should have had the moment I started to make my life easier. These are nothing more than suggestions to anyone who will be starting soon. Remember, it’s a personal experience, and everyone’s will be different, and it’s what you make of it. I just like sharing.   

And if you’ve got something to add, please do!

1. Netter’s Anatomy Flash Cards

If you even have the thought that you might want them, just get the stupid cards. These suckers have saved me anytime I have been stuck somewhere and I need to study. You can grab them between breaks, read them on the couch, make games out of them. Anatomy really doesn’t vary in terms of material and everyone takes anatomy. 

2. A bunch of those 70 cent notebooks 

But Sass, you say, I want the nice notebooks! And you get those lovely book bound notebooks with the heavy paper (if it so pleases you). BUT you’re going to need scratch paper, And yes you  can use regular ruled paper or computer paper. BUT if you aren’t a fan of “holy crap I wrote something important on that paper” situations or if you’re a compulsive hoarder (we all become hoarders in med school) it’s just so much easier to have these cheap-os. 

3. Some kind of calender 

I don’t care how you do it, but do something. Use Google Calender, get a planner, put sticky notes everywhere, get a whiteboard calender DO SOMETHING. You may not realize it yet, but medical school says “hey we need every inch of brain power and long term memory you have” so believe me when I say, you will forget so many things if you don’t put it somewhere. 


4. A good pillow 

Despite how it might seem, sleep is a necessity, not a luxury. So why make yourself have a harder time getting to sleep? Quick answer, don’t. Do what you can to make it easy for you get whatever amount of sleep you’re getting (every second counts). A great pillow is the simplest solution, though comfy bed sheets or a fluffy comforter can help too.   


5. Reliable internet 

First of all, the majority of medical education now functions via the computer, you need internet. Secondly, I know we are living off “future money”, but current you will be a much happier person if your internet doesn’t constantly cut out. Even if you study at school all the time and are never home are you gonna lie and say you don’t lose your mind watching netflix (or any variation) because the video won’t buffer? If nothing else, invest in this. 

6. An arsenal of writing utensils 

You will need good pens that make you happy (you need happy). You will also need pens you know you will not miss you never see them again. You will need board markers because whiteboard learning is a gift. You will need highlighters because neon yellow is the calling card for need to know. You will need pencils because we live in a world of mistakes.

7. Vitamin D 

*Disclaimer I am not a doctor, this is just a suggestion, ask a medical professional to know if you should take any supplements* Do you wanna know a vitamin most people are deficient in? Vitamin D. Do you know where we get Vitamin D from? The sun. Do you want to know how often first year medical students go outside? If you guessed “only when they remember” then you are correct. Some of us are lucky enough to be outside. The rest of us need a bit of help. 

8. Snacks

Not just any snack. A good, reliable, filling and hopefully healthy snack. Med students come in three varieties when it comes to eating. Eats like a normal human, eats out a lot, and forgets to eat. I fall into the last category because I just don’t have food with me. So find a snack that makes you fall into the first category . 

9. A phone that works and can access wifi

At the minimum, you need this. You need a way to stay in contact with the people who matter to you, to be notified when you’re in the library and their about to be a quiz, when you’re still new to this hole med school thing and you get your first text from a new friend. You’ll want to pull up grades on the fly, or see that they changed a class in your email. You just can’t avoid it, you need a phone that gets you connected. 

10. Confidence in yourself 

Let me tell you something about medical school. It’s the hardest thing you’ve ever done so far. It’s endless hours of learning words you didn’t even know existed, things you may never see again, and pictures you can’t even grasp. It’s a world full frustration and of feeling like you aren’t good enough, or as good as everyone else. But you are. You made it this far and you can do this. So if there is one thing you do get, let it be this. Let yourself believe you can do it, and that you have the ability to be successful. 

Medical school teaches you how to be 100% person. As a future doctor, you have to be intelligent - of course. You have to be truly devoted, strong, confident yet humble and ready to work harder than you could’ve imagined ‘till now. You have to be striving for perfection, because you can’t afford to be 99% right. You are either 100% right or 100% wrong.
—  My professor of Internal Medicine on ‘Introduction to Internal Medicine’. 
The Blight of Third Year

My third year of medical school has been an exercise in restraint.  I am consistently disappointed by the terrible descriptors used to discuss patients.  Smelly, stupid, ignorant, etc., are all words I have heard used to define patients.  This mostly comes from the residents and is often defended by the fact that they are working long hours in difficult conditions with little sleep.  But to me this is no excuse.   

It is no surprise then that students exposed to this behavior are destined to repeat it.  This has been called the “hidden curriculum” of medical school.  Far from the shining examples of patient care gone right is a world of loathing and dissatisfaction.  Doctors find themselves pulled away from family, bothered by seemingly meaningless problems, and thrust into a world where costs matter but cannot be contained. They then let loose their resentments in the only direction they can: at patients.   

Perhaps this is why the third year of medical school, the first clinical year, is where cynicism takes root (Hojat, Vergare, Maxwell, et al., 2009; Newton, Barber , Clardy, et al, 2008).  We have created a cycle of discontent.  Students flock to the wards, after years of cramming book knowledge, only to have their fantasies quickly quelled by those ahead of them.  Instead of learning the finer points of end of life care, I have found myself in surgeries that the surgeons jokingly called “autopsies,” since the patient might has well have been dead (and likely would be soon). Rather than being part of a teachable moment, I have seen patients given unnecessary antibiotics to satisfy their “complaining.”  And I have seen patients who, for cultural reasons, denied care and were called ignorant, missing the opportunity to explore a culture not our own.

Many have attempted to explain this slow erosion of compassion.  Reasons abound, from the introduction of electronic health records, which diminishes direct patient contact, to the push for evidence-based medicine, making algorithmic and science-oriented medicine predominate over individualized care. But as a third year student the causation is obvious – poor role modeling.

Imagine if the above scenarios had gone differently.  What if the residents had voiced concern over operating on a dying patient who was unlikely to get benefit from the intervention?  What if the attending listened?  That would have been a dramatically inspirational moment, one that would have greatly impacted me as a student.  A lot of money is being spent on learning how we can improve student empathy and patient-centeredness.  Perhaps the solution is a sizable bolus of compassion.

Third years are so impressionable as they flood the wards in their short white coats, scurrying after attendings like baby ducks after their mother.  They are easily influenced because they are searching for a way to fit in and impress.  We do not need another lecture or activity to guard students from the fate of bitterness. We need instructors to step up at each opportunity, to share teachable moments, and to perhaps ask themselves, “what would I want my doctor to do?”  One day it might be them, laying on the gurney, benefiting from those wonderful lessons in compassion.

Citations

Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182-91.

Newton BW, Barber L, Clardy J, Cleveland E, O'sullivan P. Is there hardening of the heart during medical school?. Acad Med. 2008;83(3):244-9.