Monthly Archives: June 2009

Second Rate

Sorry for the lack of updates. I have just started YET another summer of research and there’s an awful lot to learn. I have also been doing some traveling here and there and enjoying one of my last summers.

The Waitlist

I know firsthand from talking to my classmates that a lot of medical students that were accepted off the waitlist often feel like they are second-rate students. They weren’t good enough for the first round of selections and they only got in because the school had a quota to fill.

They call this the alternate syndrome.

The Solution

To any applicant accepted off the wailist, let me reiterate and repeat that regardless of your background, degree or ranking by the admissions committee: everyone is starting at the same starting line

Medical school is a brand new start. A clean slate for everyone. If you keep comparing yourself to others and what they have already done, you will miss the picture of what you are about to do! Medical school is an interesting and challenging period and each individual handles it differently.

Some of the best undergraduates end up being below-average medical students while waitlisted students excel. Your past matters only up to a point. When you begin medical school, your efforts and dedication from there on will determine how far you will go.There really is no difference between the 100th ranked student and the 101st who just happens to be on the waitlist.

So if you just got off the waitlist, congratulations! You are going to be a medical student and eventually a doctor. What do you call a medical student that graduated at the bottom of his class? A doctor. Don’t let this alternate syndrome mentality prevent you from trying and being your best.

Unsustainable

First: I would like to thank everyone for their comments / emails / support. I greatly appreciate them all.

I have been running this site for almost a year now. During that time, I have had several popular posts, I made a fairly complete flow chart outlining the whole medical school admissions process and I have had several thousand readers. However, I believe this site is not sustainable without some changes and further personal  incentive.

I’m not trying to be greedy. There is a cost to run this site, it’s approximately $80 a year for the server, domain name, etc. Additionally, the time needed to run this site, maintain it, and create more content can be quite a burden. For all the time (and time is precious) I put in, I don’t get any money out of it. And lately, less and less satisfaction. If only this site could be more sustainable…

I believe if there was a reward system (Either personal satisfaction or monetary) in place, I would be more inclined to create content. I know this is the internet, information should be for free! But considering my knowledge and experience, I think I could go out and easily charge $50 / hour doing medical school admission consulting. I don’t want to charge money for this site. For my qualifications: I got into medical school early, I did well in my undergrad studies,  and I believe I did fairly well on my interview. Furthermore, I have helped out with the admissions process, reviewed essays and references, been an interviewer and have successfully helped more than 10 people I know successful get admitted.

So I’m asking readers, What should I do? Should I switch to advertising, a subscription, sponsorship or a donation model to keep this site running. Each will have its own pros and benefits. It sucks that I have to even consider this, but I have to consider my own needs too and as a medical student with doing well in my studies as a priority and growing debt, I don’t want to have to worry about this site.

Any help would be appreciated. Thanks for posting comments, I appreciate all of them. Some of them are very helpful, encouraging and thought provoking.

EDIT: The main purpose of running this site is NOT for the money. A commenter posted out that there are a lot of free services out there I could use to. After reading that, I think what I actually want is a connection between the effort and work I put into this site and a reward or personal satisfaction. (I posted in the comments about this). I am not planning to shut down my site, just perhaps find some motivation and reevaluate my reasons for running this site.

It feels like I’m writing to an empty audience sometimes, a monoquily if you will. The main purpose of this blog is not to journal my day, write about my feelings and thoughts (although I do that now and then). It want to help people understand the medical admissions process, help them become better students and make them more informed about health issues.

Perhaps it’s a writer’s block or burnout, but there are days when I log-on and I just don’t want to do anything. Somewhere along the way, I lost a bit of the joy I had in the beginning. It’s partly due to doing the same thing over and over again – helping people with their “What are my Chances” questions or the should I take Organic Chemistry in the summer? – but another aspect is it’s hard to get satisfaction out of helping an anonymous person you have never met and who’s only purpose in contacting you is to get something out of it.

I help out people all the time in person, giving them strategy and tips on how to do better in school, what medical school is like, etc. And although that’s the same thing, I get some personal satisfaction. I can see my results. I will hear back from them if they get into medical school and that makes it worth it. There is a connection between my efforts and a final reward, whether that is personal satisfaction or gratitude.

Why I don’t think I will be a Primary Care Doc

I have nothing against primary doctors. Family physicians and front-line health care workers are important. They are severely understaffed. The shortage is a real concern. But the more I think about what I want as a career, what type of a balanced life I want to live and what type of things interest me in medicine, the more it seems as if becoming a specialist is for me.

While looking at how doctors choose their residency, I came upon a survey published in the CMAJ.

And don’t get me wrong, it’s not the prestige and money that’s attracting me to choosing a specialty. I think it’s the academic challenge and ability to pursue intellectual interests is what appeals to me. I love teaching, I have tutored and taught science classes for the last 4-5 years. I enjoy research, as long as I get a fair bit of autonomy and responsibility.

Finally, I love academia. I’m pretty certain I want to pursue academic medicine, practice in a university-hospital setting, have teaching hours. If I didn’t pursue medicine, graduate school would have been my next choice.

I guess I still haven’t gotten any closer to deciding on what specialty I would like. More to come, as I find out myself.

Mind Your Manners

Despite helping the sick and needy, it still surprises me as to how rude some doctors can be to their staff, students and patients.

A simple please or thank you. Facing your patient when talking to them. Not yelling at people to follow instructions. Being punctual with your appointments, apologizing for the long waits.

Perhaps they have been in a position of power too long or that patients are willing to do anything they say, but doctors should not look down on their staff and patients.

People say bedside manner does not matter as long as your doctor is smart, finds the right diagnosis and gets the job done. I disagree.

The process is just as important as the end result. Compassion is as important as hard work and precision to details. It’s not that one is greater than another, it’s that both are needed!

“Nobody cares how much you know, until they know how much you care”

And patients who have doctors who care are much more compliant with their treatment and much more likely to follow instructions. Manners do matter.

How to Best Prepare for Medical School

What Should You Do To Prepare Yourself Before Starting Medical School

Looking back over my first year of medical school, I can say it has exceeded my expectations. It was life changing. It was exciting. Definitely thought provoking. School was tough and I ended up learning a lot about myself as a person. Thinking back, there’s nothing I could have done the summer before starting to prepare myself for this journey.

Don’t Pre-Study – There is really no point in reading textbooks, studying anatomy, learning biochemistry or doing anything academic related before starting school. For one, they’ll teach you all the medicine you will need, and in a more organized and structured format. Secondly, you will be learning medicine for the rest of your career. It really is life-long learning, the education doesn’t end in the classroom. What’s an extra 3-4 months of your own self-study, before you know anything, going to do? You won’t even know what you don’t know. You will have no clinical setting to learn and practice in.

What you Should do

There are a number of activities I would recommend people do before starting medical school. A lot of them are practical and many of these things will help answer questions you will eventually think about.

Get a Job – Medical school is expensive. If you can, be productive with your time. Do something you like where you can learn. Most people find it hard to hold a job while studying for classes in medical school. The more you earn now, the more less worried you will be financially during next year.

Travel – See the world. Remember, these are one of the last summers where you have large chunks of time do pursue anything you want. For people going into 3 year programs, your summers are over! Take advantage of the few remaining breaks you have to do something you have always wanted to do.

Talk to Medical Students / Doctors – Remember that the path you are about to embark on -  although special and selective – is by far not that unique. You are entering a profession with a long history and a large number of practitioners. It would be a waste not to benefit from their wisdom and experiences. Ask what their days are like, what aspects of their jobs they like. Try to figure out what kind of a life you would want to live in 5 years, 10 years.

Learn about different specialties – I don’t mean study the knowledge  needed for each specialty. Figure out what the different specialties are. What’s the difference between a family doc and a surgeon. What are their day to day responsibilities? What makes each field interesting? What are the pros and cons. Medical school is short in a sense that you have to decide what you want to do for the rest of your career in just a few short years. You will be so busy just keeping up and learning that there is not much time to consider what fields you like.

Write down your goals (outside of medicine) – You will find that the longer you stay in medicine, the less you will be like your former self. Try to keep who you are in perspective. Write down things that you enjoy doing. Dreams and ambitions. Even after just one year, when I look back on what I wrote last year I find myself a vastly different person. I can already sense external factors – money, prestige, politics – things that did not influence me as much before, start pressuring me. Know who you are, don’t let a career define you. People are so much more than just a profession.

Spend time with family / friends - I don’t want to sound cynical, but as you learn, study and have obligations – you will spend less and less time with the people you love. Enjoy your time with them.

This list is by far not exhaustive. Ask around your class, and you’ll find that people did all sorts of wonderful things before they started. What did you do the year before medical school? Feel free to share, I’m sure others would love to hear what you did.

http://www.medaholic.com/2011/06/18/what-should-you-do-the-summer-before-starting-medical-school/