Monthly Archives: March 2011

The Long Road to Becoming a Doctor

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There’s no shortcut to becoming a doctor. There are ways where you can shave a year or two here or there. You might apply to a combined 6-7 year BA/MD program in the states. You can save a year if you apply abroad (either in the UK, Ireland, Australia, etc) right out of high school. You might end up doing only 2 or 3 years of undergrad and get accepted to a Canadian school that doesn”t require applicants to have a degree. Hundreds of people graduate from 3 year programs at McMaster and Calgary each year. You may even be the youngest graduating medical student of your year, but to become a doctor, and not just someone who can pass licensing exams, takes a lifetime.

What I mean is that graduating in the shortest amount of time or at the youngest age doesn’t make you a doctor. It’s not about how many letters behind your name you obtain or how many hoops you can jump through quickly. To become a “doctor” is more than just having an MD behind your name.

You can’t know what being a doctor is until you have been at it for a while. Some people may take ten years, some twenty, before they are comfortable and aware of what being a doctor means. Your view of medicine and the role you play evolves as you go through your medical training. Your patient encounters shape who you will eventually become.

My view of what being a doctor means four years ago, two years ago and today is constantly changing, and will continue to do so. You began to appreciate and understand life and death in new ways. You meet many people that will alter the way you see the world. You will take care of society’s forgotten and marginalized: drug addicts, people suffering from mental health, homeless citizens, people who have never known what being healthy means.

As I reflect back on the last few years, I remember a time when I was impressed by people who had graduated earlier than their peers, perhaps achieved some big shot position soon after and had a distinguished career established sooner than expected. Now I realize, that’s only a small part of the bigger picture.

I guess my main point is you shouldn’t care about how long it takes for you to become a doctor. Some people have to apply several times before they make it in to medical school. Lots of people have had other careers before they decided to become a doctor. Others have been in school their whole lives and have never known anything else. Whatever the case is, each person becomes a doctor in their own time. And even if a person takes the shortest route (straight from high school, graduates early, chooses the shortest program, etc), it still adds up to a long time. So don’t worry about how long it takes for you to become a doctor but focus on becoming the best doctor you can be.

Posting Consistency

I’ve been inspired by my friend Josh over at www.medhopeful.com and his recent challenge for 30 Posts in 30 Days Challenge. Another post on Youtube Success also pointed out the importance of consistency.

So in light these recent inspirations, I am committing myself to at least one post a week, with a goal or 2-3 posts in a week. I have no clue what I am going to write about right now, but I feel that by setting a standard, I will rise up to the challenge of writing consistently. Now, I might slow down during Carms season or if I’m on a particularly busy rotation but I have a now set a minimum of one post a week.

Future posts will probably still be focused around life in medical school, patient encounters and personal experiences, med school admissions, studying tips, book reviews, interesting health care topics. I am less inclined to write about the MCAT (despite it being the reason for over 50% of visitors to this blog). It’s just it seems so removed from my day to day experiences.

It’s been almost 4 years since I have written the MCAT. I can only remember the most basic of organic chemistry. My general science knowledge has been replaced with clinical knowledge. I haven’t written an essay in over two years. I would probably fail the verbal section on the MCAT. The MCAT is just a test that I haven’t done in a long time, and I feel it wouldn’t be fair to myself or my readers if I wrote about it.

I’m more than willing to answer questions about the application process, but questions like, how do I set up a schedule to study for the MCAT, or what’s the best question book to study physics from, just seem so… distant.

I’m happy to say that after struggling about the purpose of this blog a year ago, I am more at peace with the direction it’s going in. It’s self sustaining with what little ads and referral links that are here. I have more day to day experiences to write about and there’s less pressure for me to post on this blog, which has surprisingly lead to me posting more.

So let me know if there are any posts, topics, questions you would like me to write and post about. I’m always open to suggestions and good ideas.

Case Files Internal Medicine

As some of you may know, I’m hoping to apply to a Internal Medicine residency for Carms next year. I have several electives all lined up in various specialties and different schools. To prepare, I’ve been going over several resources and I would just like to do a quick review of one of my favorite ones:

Case Files Internal Medicine

Case Files Internal Medicine, Third Edition (LANGE Case Files)

A quick summary

A easy read with 60 cases with high-yield information. Each case takes approximately 5-10 minutes to get through and covers all the most essential information you must know. Fun to learn from and very memorable. If you read this thoroughly before your IM rotation, you’ll be one step ahead.

Pros

  • Reads easily, cases capture your attention. Simple yet thorough language.
  • Sticks well, able to retain a lot of information through memorable cases.
  • Covers the KEY facts for each topic
  • Good flow charts and tables as supplements
  • Teaches you how to think through a case from start to finish

Cons

  • The questions at the end of each case is probably a bit too easy
  • Can get repetitive if you try to sit through and read all the cases in an afternoon. Break it up and read a case or two a day over a month
  • May not provide the depth as a full textbook like Harrison or a resource like UpToDate
  • Missing specifics of treatment (ie dosage, follow up plans, prognosis)

Conclusion

  • Great book to read for IM, especially if you’re just starting out and want to get the basics on common presentations.
  • Best to read early in your clinical years, perhaps just before your IM rotation
  • Will need to supplement with a heavier text after you’ve mastered all the basic knowledge
  • Cheap price tag, good quick reference
  • Easy to read, practical knowledge you can use on the wards

<a href=”http://www.amazon.com/gp/product/0071613641/ref=as_li_qf_sp_asin_tl?ie=UTF8&tag=opsomd-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=0071613641″>Case Files Internal Medicine, Third Edition (LANGE Case Files)</a><img src=”http://www.assoc-amazon.com/e/ir?t=opsomd-20&l=as2&o=1&a=0071613641″ width=”1″ height=”1″ border=”0″ alt=”" style=”border:none !important; margin:0px !important;” />

Amazed

It’s medical school admissions grading season and as usual, I am amazed by the quality of applicants in this year’s pool. They are all so accomplished and motivated, having done much more than me. I always wonder how they let me sneak into medical school…haha.

Which brings me to the point, sometime’s it’s just the luck of the draw that you didn’t make it in this time. Your accomplishments are not worth anything less, it might just be that this year the adcom wanted a certain type of applicant or whatnot.

Good luck to all the applicants out there!

Clerkship Year

It’s shocking how much you change as person in your first clinical year. For the most part, the first two years of medical school is a continuation of your undergrad class experience. You may learn more knowledge at a quicker pace, but the format remains the same. You study for a test, you write the test, you go on to the next subject.

8 months since entering the wards, I find myself a different person. Not so much that my personality has changed but more because I have been exposed to things I have never seen or done before.

You see new life come into the world, you see people take their last breaths. You have to discuss with patient’s and families about the end of life and how they wish to proceed. You meet and interact with the most marginalized groups in society. People who live on the streets, drug addicts, people who have gone through a lifetime of abuse. You get the chance to open up someone’s body to fix them. Suicidal people no longer faze you. A year ago, the though of sticking your finger into someone’s rectum was revolting. Now, it’s just another routine examination that is necessary to do.

People trust you because you wear a white coat, or because you hang a stethoscope around your neck, even when you feel like you know nothing. It’s a whirlwind of emotions and experiences that I have yet to sort out. It’s all jumbled up, there’s little time to just think about it all because that time is often spent making up for lost sleep.

“You can’t understand it until you get there,” said those who have gone there before me. I agree with them.

Less than a Year

The CARMs Match day was just this Monday… which means in about a year’s time, it’ll be my turn.

It frightens and stresses me out. It seems like there’s still so much to learn and do. I feel the pressure to start “playing the game” by showing my face to program directors, arranging electives, looking good for references, etc.

It’s the stress of getting into medical school all over again… but this time you’re competing nation-wide… with other medical students.

:(

Determinants of Health

“What really makes people healthy is not the health-care system but education, income, social status, housing, nutrition, having a sense of hope and a sense of the future. Those are the things that have far more impact on your health or my health than a health-care system.” – Dr. Louis Francescutti

A good article published by the Vancouver Sun about Doctors too self-interested to put patients first has some wise words from Dr. Francescutti who is the president of the Royal College of Physician and Surgeons. The more you know about the system, the more you realize how broken it is. When concerns shift from solving medical problems to social issues like finding housing or funding, you gain an appreciation for how important these determinants are to health.

The article also discusses some other interesting topics, entitlement amongst medical students, elitism, the feminization of medicine (more females). Go check it out!