Monthly Archives: June 2011

25 Tricks to Remembering Names

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Being good with names is a skill everyone can benefit from. It makes meeting new friends easier, socializing smoother and people will respect you. As Dale Carnegie puts it, a person’s name is to that person the sweetest and most important sound in any language.” We want doctors to care and remembering our names is one of the easiest steps to show it. People have received job rejection letters over misspelled names. Names are important! They make our daily interactions more pleasant and people will be more likely to remember your name if you remember theirs!

I used to be pretty bad with remembering names. Some would stick while others I would be forgotten within the first few seconds. However with trial and practice, I have used several methods that have helped me remember 95% of the names of people I’ve met, if even only for several minutes. I sat down and brainstormed all the tricks I use for helping me remember names. Hope this helps!

  1. Commit Yourself - Remembering names is just like any other skill. The more you practice, the better you get. Make a deliberate effort to remembering people’s names. Don’t make excuses of having a bad memory – remembering other people’s names is a conscious action.
  2. Pay Full Attention: Stop and Listen – The crucial period for remembering a name is within the first 5-10 seconds of hearing it. Concentrate and focus when a person says their name. Mentally repeat the name to yourself a few times. The most common reason for forgetting a name is that people don’t paying attention or were not listening when a person said their name. How can you remember a name if you didn’t even hear it? Treat this first interaction as if they were announcing the winning numbers of a lottery draw. Often, I find paying attention to the introduction of a name the first time is often enough to make me remember their name. Don’t think about your own introduction and how you’ll make a good first impression when somebody is introducing themselves. Remembering their names will be one of the best first impressions you can do.
  3. Repeat Their Name, Name, Name in your Head – three times usually does the trick
  4. For Tricky Names – ask for pronunciation - If the name is Tricky or Uncommon – Ask them to pronounce - Very often you’ll hear a name that you can’t make out clearly or a name that you haven’t heard of before. This happens a lot with cultural names. Instead of making a fool out of yourself by butchering their name, ask them to repeat their name slowly or even better yet to spell it out. Again, people aren’t offended if you didn’t catch their name on the first go. They’ll be glad that you took the time to get their name correct. Even for common English names, I find that asking them to spell their name helps me remember them. It can be as simple as clarifying whether the name was Kevin, Calvin or Kelvin.
  5. Spell out their Name – Is that S-T-U-A-R-T or S-T-E-W-A-R-T?
  6. Ask for First and Last Name – I’ve been guilty of this, sometimes I ask what’s your name (if I forgot), they’ll say their first name, and then I’ll say, “Sorry, I meant your last name”
  7. Ask for the story behind Unique Names (nicknames) – How does someone get a name like Sarge? Apparently he was in the army…
  8. Ask for a nickname (Do they prefer) – Do you prefer Mike or Michael?
  9. Exaggerate Sounds, Words and Letters of their Name – It’s related to saying their name in your head with a twist. Instead of saying Murray, I might say murRAY in my head, anchoring it more uniquely in my memory.
  10. Write down their name right away! – One of the easiest tips, especially if you’re in a meeting and you have paper in front of you. Just write down people’s names and where they are sitting, and use it as a cheat sheet.
  11. Make Visual Associations with the Name - Building upon the concept of remembering a name in multiple ways, mental imagery or silly sounds will help solidify a name. For instance, if you meet a Victoria, you could picture her dressed up in Victorian-era clothes. The more exaggerated and wacky the associations the more likely is it going to stick. If the person has a shared name with a celebrity or another friend, you can look for common associations between the two. Even creating a mental imagery of the two people standing together will help you remember. Picturing your best friend Kevin with the Kevin you just met will create an image you can refer back to if you ever forget their name.
  12. Associate Name with someone you know – Kevin? Just like your best friend Kevin right?
  13. Associate Name with someone famous – Justin? He does look like Justin Beiber
  14. Use their name during conversations – Once you hear their name, repeat it, repeat it, repeat it. Say it to yourself in your head several times. Use it in the conversation to address the person. For instance, if somebody introduces themselves as Sally, you could follow it up with “it’s nice to meet you Sally.” Just the action of saying a name out loud makes it hard to forget. It strengthens your memory of the name through different senses. I guarantee that if you say their name immediately, you will remember their name until at least the conversation is over. It will make the conversation more natural too, but don’t overuse their name either.
  15. If you forget, admit it and ask again – Sometimes, despite our best efforts we will forget our name and it can be embarrassing. However, you should immediately ask for their name once you forget. The sooner you do, the less awkward it will be. To forget somebody’s name in the first ten minutes is totally acceptable, to not know their name after meeting them multiple times will be a big turn-off. You could say, “Sorry, I’m bad with names and I forget your name, could you repeat it again.” People will actually appreciate your honesty and won’t take any offense to it. In fact, people will be happy that you found them important enough to take the time to find out their name. If you meet the person for a second time and forgot their name, you could say, “I remember your face, but I can’t recall your name.” Admitting what that you don’t know is sincere and people appreciate the honesty.
  16. Use a Third Party to Help – Hey buddy, I forgot your friend’s name over there, what was it again?
  17. Eavesdrop for name – look for information on a sheet of paper they’re holding, overhear it in a conversation, look at their name tag
  18. Substitute a name to stall for time – man, pal, buddy, bro, maam, my friend
  19. Ask for Contact Information- ask for email and phone number – You can combine this with what’s your last name?
  20. Write down their name afterwards – After talking to someone, writing down their name will help you recall who they are the next time you meet them.I usually do this after meeting a lot of people I know I might meet again. I will open up a word document or usually a piece of paper will do. I start with the date and location and then attempt to write down the names of the people I met along with a brief description. A sample entry would be, “Welcome BBQ – Paul – shaggy hair, thick glasses, funny, likes tennis.” I try to include a physical description along with some personal details to make it as memorable as possible. It will only take several minutes to do it but the benefits will be far greater than the time spent. Again, just the fact that you’ve added a layer of writing to your memory will solidify your remembering that much more. Furthermore, if you know there’s a chance you’ll be in the same setting again, you can always open up the word document and do a quick scan to refresh your name memories.
  21. Use Technology to Help You – There are so many technologies that can help you remember names. You can ask for an email or phone number after meeting someone to stay in touch. Social networks like Facebook or Twitter is just another tool that can help you remember someone. Just add them after meeting them and you would have created a names list. You can also extend the conversation on the Internet to further to get to know them. Interacting with people is not limited to face to face time, use whatever means you’re comfortable with.
  22. Don’t make excuses – Don’t ever think I’ll never meet this person again. A stranger is just a friend you haven’t met!
  23. Follow up with further meetings – Hey let’s hang out next week…
  24. If you see them again, and you’ve forgotten, Re-introduce yourself – I usually say, I remember your face and talking to you last time, but I’m horrible with names. My name is xxx, what was yours again?
  25. Be Genuinely Interested in Them – I have found that showing a genuine interest in other people to be the best way to remembering their names. I never forget the names of people that I find entertaining. I don’t have a hard time remembering someone who did a favor for me. Try to find something interesting and positive in everyone you meet and get to know the person. Build a story around them and it will make remembering that name that much easier.

There are several phases. The initial introduction being the most important and the step that most people neglect. Concentrate on the first few tricks listed. If you do the first few steps well, the rest of the tips will not be necessary. Second part is to prolong the time in the name introduction, enough time for your brain to process. Next is to solidify the name with different associations, whether it be by audio or visual methods. If you’ve forgotten, there are some tricks to draw out a name again. The last few tips are for long term memory.

Remembering names is an important skill to develop! If you have any tricks or methods that worked for you, please feel free to share in the comments below.

Workhorse

When your days become all work and no play,  your morale and enthusiasm quickly plummets. I’m currently stuck in one of those ruts where you have disdain for everything – rounding, answering pages, being in the hospital.You begin to wonder why anyone would subject themselves to this kind of a career. Eat, sleep, work and repeat, often times without the sleeping or eating.

Perhaps it’s because of summer and the weather is so nice outside. Maybe it’s third year clerkship burn out. Whatever it is, just got to keep grinding through and hope to make it out in one piece.

Edit: Can you guess which rotation I’m on?

What should you do the Summer Before Starting Medical School

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Dear Medaholic, I am starting medical school this fall and was wondering what advice you could give me on how to best prepare for medical school? Sincerely, Medical Student (Year 0, Class of 20XX)

How Can You Best Prepare for Medical School?

I have previously written that Nothing Can Prepare You for Medical School – where I espouse that the summer before med school you should NOT be spent studying. Instead, you should save up some money, work, travel, spend time with family and friends, pick up some hobbies, relax and do NOTHING medicine related.

But since every year people keep asking, I’m going to outline a few things that you can do to prepare yourself for medical school.

1. Living Arrangements

Lots of undergraduate students move to a new city to begin their medical school journey. Make sure you have all your living arrangements done before school starts. Figure out things like where you are going to live, is it going to be a dorm, apartment, or house? Do you want roommates, do you need to buy furniture? What stuff do you have to bring, and what things can you buy new? What transportation method are you going to use to go to classes (walking, public transit, personal vehicle). Are there places around you where you can go for groceries, dining and entertainment?

Even if you are living at home or in the same city, make sure you ask these questions because things may change during medical school. Having this all done before school starts will save you from headaches and you can better focus on getting to know your classmates and your studies.

2. Finances

Med school is expensive, so you better have a plan on how you’re going to pay for it. Most people use a combination of government loans and lines of credits (LOC) from commercial banks. Do you have enough in savings by yourself or will you need parental contributions? Apply to as many scholarships and bursaries as possible, anything that offsets the cost will be worth it in the long run. If you can find a good paying summer-job, it might be wise to work before school starts. Due to time constraints, very few people work during medical school.

At the least, set a budget on how much you’ll be spending on housing, food, entertainment and educational costs. You’d be surprised how much annual fees, textbooks, medical equipment can add up to.

3. Tie Up Loose Ends

If you have any unfinished projects, do your best to bring them to a finish. The last thing you want is not being able to do new things because you are tied down by unfinished business. If there’s research that’s unpublished, do your best to submit it somewhere. If you were part of a student group, do your best to leave on a good note. Finish any commitments you have promised on.

There will be lots of new opportunities for you as a medical student, if there are commitments you no longer want to continue, make sure everything is tidied up before you go.

4. Continued Commitments

Likewise, there are lots of activities you may want to continue doing during medical school. Make plans to schedule them into your new life. Write them down so you don’t forget. Set dedicated time for it. Sports, music, hobbies are all things that will make your medical school experience more rounded. If you had some research project you want to continue, let your supervisor know about your new schedules.

If you’re in a committed relationship, realize that your time commitments will change in medical school and adjust accordingly. If you think it’s no longer possible to maintain a relationship (eg. moving away), please see point #3 above.

5. New Starts

If there are things you wanted to try but never had a chance to, now is the best time to do so. The summer before medical school will be the only time where you have truly no academic commitments. Your undergraduate classes would have finished but your new studies would not have started yet. If you’ve always wanted to start running, do so now, and continue doing so once school starts.

If you’re moving to a new city, find some friends you can get along with. Settle yourself into your new community. Find a gym, church, club, etc that you can fit in with. Think of the whole experience as starting secondary education all over again.

6. Rest and Relaxation

Travel, Travel, Travel! You will rarely get another 3-4 months of no commitments. Do an exchange somewhere foreign. Go on that backpacking hike you’ve always wanted to do. After this summer, you will not have another chance to go 4 months without doing anything medically related.

Sit on a beach all day, read leisure novels, watch TV. You’ve worked hard all during undergrad, take a break now, because you’ll continue working hard throughout medical school and beyond.

7. Life Outside of Medicine

Remember you do have a life outside of medicine. Friends, family, significant others. If you are engaged, the summer before med school starts is the perfect time to get married. The next chance you’ll get is either the summers between or after graduation.

Spend time with people whom you love. Spend time with friends NOT in medical school. There will be times, especially during clerkship, when you’ll be so immersed in your medical bubble, you will find it hard to imagine what life outside would be like.

8. A Career in Medicine

Whatever you do, DO NOT STUDY. Don’t review your anatomy, biochemistry, physiology notes. Don’t start memorizing disease and drug names. Don’t try to brush up on your Latin. The truth is you don’t know how to study medicine yet. Even if you had class notes from the year above you, you just won’t get much out of it. You will learn medicine in med school.

Looking back, how I studied in undergrad is different from how I study now. How I studied in preclinical years is different from how I study now. And I’m confident that next year and during residency, I will study differently too. You will adjust your study habits appropriately to your level of training. It’s akin to a high school student studying for the MCAT. If he’s not writing the MCAT then, what’s the point?

Instead, I would recommend thinking about  career specialties. What kind of medicine do you want to practice. Learn about surgical and non-surgical specialties. Evaluate what’s important to you in life. How many more years of training do you expect to do. Find Mentors – whether they are docs or upper year students/residents, ask about what a life in medicine is about. Figure out the pros and cons. Set some realistic expectations. Read about what Medicine is about. I’ve provided a list of books I’ve read that have changed how I view medicine.

Recommended Reads

I would also suggest you read 101 Things You Wish You Knew Before Starting Medical School

What did you do before medical school started? How did you prepare for medical school?

Grand Rounds – Medical Blogosphere

I’ve been featured in this week’s Grand Rounds over at Health Business Blog (re: Golden Weekends)

If you’ve never heard of grand rounds before, it’s a weekly round up of the best medical/health  themed posts and writing in the blogosphere.

To check out the schedule for the next Grand Rounds, head over to Blogborygmi’s Grand Rounds calendar. Careful, reading medical blogs can be addicting!

Are We Training Too Many Female Doctors?

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Sorry for the controversial title but the topic of women in medicine is becoming quite a hot issue in recent years. Especially since over 50% of Canadian and US medical students are now female, one has to wonder about future work force implications, especially when these female docs decide to start their own families and take maternity leave. Before I begin, let me just state my position (so I’m not seen to be a sexist chauvinistic antiqued male medical student): I fully support women in medicine and believe they are equal, if not better than their male counterparts, at providing medical care. However, there may also be a workforce shortage in the foreseeable future because of this “feminization” of medicine and I believe that new ideas and a change in the system will be needed. Now that’s out of the way, let’s start with some controversial articles.

This weekend, Dr. Karen Sibert, a female anesthesiologist and a mother wrote a provoking article in the New York Times titled Don’t Quit Your Day Job. Below is quoted text verbatim

Students who aspire to go to medical school should think about the consequences if they decide to work part time or leave clinical medicine. It’s fair to ask them — women especially — to consider the conflicting demands that medicine and parenthood make before they accept (and deny to others) sought-after positions in medical school and residency. They must understand that medical education is a privilege, not an entitlement, and it confers a real moral obligation to serve.

In summary, Dr. Sibert addresses a sense of entitlement amongst female physicians who believe they can have it all, both a career and a family. In response, Dr. Michelle Au (theunderweardrawer.blogspot.com) wrote a response The Mommy Wars, Medical Education where a good counterpoint is given. Quoted from the article.

Instead of pointing the finger at women doctors for being the reason for the shortfall in physician numbers and productivity, it might first be helpful to examine the circumstances under which parents feel like they need to go part-time or leave medicine altogether–a decision which, after almost a decade of training (and sometimes more), I can’t imagine anyone would take lightly.  In medicine, you can treat the symptoms all that you want, but there is no cure until you can identify the underlying cause.

Definitely some strong points made, though I probably side more with Dr. Au’s position. I did a search on this topic and came up with some further reading

If you can get through all the comments too, it’s quite a debate. There’s also no clear blueprint or outline on how to address this problem and I don’t think it will be a simple solution. Not being an expert at the topic, I give you medaholic’s overly generalized summary. Please feel free to leave some commentary to correct me of my ignorant ways.

  • We are currently training more female doctors than male doctors
  • There are still more male doctors overall in the workforce because older generations were almost exclusively male
  • Newly trained doctors (both sexes) work less hours than their predecessors from the generation before
  • Female doctors work less hours than their male counterparts
  • Females are more likely to take time-off work to raise their families
  • Females are more likely to go into primary care specialties (family medicine, pediatrics, obsgyn)
  • There will be a shortage of physicians

Things I think we can do to improve the situation

  • Acknowledge that physicians today are unlikely to make the same sacrifices (family, personal life) as the generation before
  • Acknowledge that modern medicine is different from medicine of the past – more complex, team based
  • Continue to encourage both genders to pursue medical careers
  • Train more doctors, both females and males
  • Males should take on equal responsibilities at home – stay at home dad’s? part time male docs?
  • Restructure the hours in medicine, less overnight call, more shift work?
  • Provide nursery/child care options for working mothers

If you have any more ideas or thoughts, I would love to hear them in the comments. Thanks!

Golden Weekend

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There is a term coined by medical residents known as the Golden Weekend. It refers to a weekend when a resident is not on call and where you are not expected to be working. A weekend where you get Friday evening, Saturday and Sunday off.

In other words, a Golden weekend is just a regular weekend, one which most people experience four to five times a month whereas for a resident it happens maybe once a month.  Medschoolhell.com has an nice short post on the Golden Weekend. Only in medicine is something as mundane as a normal weekend considered a prized possession.

I’m currently having a golden weekend and enjoying it. Granted as a medical student I’m not working nearly as many hours as a typical resident. Looking back at my call schedule in clerkship, I was on call for Obsgyn (3/6) weekends,  for Internal Medicine (6/8) weekends (brutal!), and for Surgery (4/6) weekends.  In Psychiatry I was only on call 1 weekend out of 6, Pediatrics 2 out of 6 and for Family Medicine I was never on call on the weekends. My Emergency rotation always had a shift on the weekend too but I was not working weekday hours either.

After awhile, you begin to expect to work on the weekends. It can really suck at times, especially when you’re working during holidays, special events or in between rotations. People look forward to these Golden weekends so much that they will often take two shifts on the same weekend, typically a Friday and Sunday, so that they won’t have to take another weekend shift later in the month. I haven’t heard a term used for those weekends yet, but I suppose it would be a Black / Unhappy / Rusty / Hell / weekend.

So if you’re having a “golden weekend” this week or just a “normal” weekend, go out, have fun and I hope you’re enjoying it!

Additional thoughts – Which weekend day is best for being on call?

  1. Friday – having call on Friday is like having a normal weekday + roughly 12 or more hours on top. Your Saturday morning/afternoons are usually wasted catching up on sleep, but at least you have Saturday evening and Sunday to relax.
  2. Sunday – nobody wants to be in the hospital in the early morning on Sunday, at least you get Monday off to be post-call.
  3. Saturday – you finish work on Friday and roughly 12 hours later you’re expected to be in the hospital for another 24+ hours. Your Sunday is wasted recuperating and by the time you wake up, you just want to rest because Monday is just around the corner.
  4. Friday + Sunday – an absolutely tiring weekend, You finish your Friday call, sleep and then wake up just to feel miserable because you’re on call the next day. The worst part is you would not have gotten any rest before your next week of work. By the time the next Friday rolls around, you would have worked roughly 12 days in a row. Gross.

Rewarding

I received this in my inbox a few days ago and it definitely brought a smile to my face.

Hey medaholic,

I just wanted to give you some feedback and let you know how much I have enjoyed your blog. I first started reading it over a year ago when I was preparing for my MCAT. I have read posts on a few different topics, now I check it lots just to see if you have any new interesting thoughts :) I really enjoy the way you think and some of the things you talk about.

I was accepted to med school a couple weeks ago and start this fall!

Good luck with your medical school studies! It’s a fun filled, action packed, profoundly humbling and wonderful experience. Try to enjoy every part of it because it does fly by so fast!

Glad I could help someone out there, I hope I can continue to help inspire / challenge / motivate others to be their best. If not, at least be of some amusement.

Use Dropbox – No more USB Keys Needed!

If you are not already using dropbox, I will try to convince you that you should get this program/service today! I’ve been using it in the last year and it has totally changed how I store files on the “cloud”. Plus if you sign up using my referral link, both you and me get a bonus 500mb storage! Alternatively, you can always go to www.dropbox.com but will miss up on the referral bonus.

What is dropbox?

A: If you go to the dropbox main page, there’s a short 2:00 minute video that explains what dropbox is succinctly. The beauty of dropbox is not that it’s an online storage location, but that it’s a synchronized storage file. What this means is if a file is on your computer folder, it will be automatically updated in your dropbox online and across all your computers.

How do I use dropbox to improve my life?

(1) No More USB needed – Gone are the days where I need to carry a USB key around all the time. As long as I have internet connection, I can grab all my files quickly off any computer. For example for a powerpoint slideshow, instead of having to save multiple versions, transferring it to your usb key, or emailing it to yourself – you can just create the file in your dropbox folder and work on it as usual and be assured that you will have it on hand for your presentation.

(2) Share Notes – In med school, we had classmates that took awesome notes. However, it was a hassle for them to email us all the notes, and then have to email us revisions whenever there were any mistakes. Instead, several classmates and I made a shared folder of notes. It was easy to share class notes between us all and we could all make edits to the notes if we saw mistakes. The best part was it was automatically synchronized. It completely changed how we shared notes in school.

(3) Studying and Reference Notes – In clerkship, I store several reference documents in my dropbox. Things like antimicrobial guide, common drug dosages, clerkship schedules. I know that I can access this information on any computer / on my phone at any time. I could study anywhere as long as I had a computer/internet connection. Gone were the days where I had to hog up inbox space to hold temporary documents, I now just dropbox everything.

So give it a try today and go download dropbox, and let me know what you think!

Everyone gets 2GB free to start with and there are simple things you can do to increase your storage size. You can easily get another 1-2GB from the Getting Started Page, linking to your social networks and by referrals. If you have a university email, you can also get 500mb per referral.

Note: If you use my referral link, you will get an email stating that I have invited you to use dropbox. You’ll also get 500mb bonus storage. However, I will be able to see your email addresses (don’t worry, I’ll never do anything malicious with them) and once the referral is complete (you’ve installed the program), I will delete your emails from my referral page.


Top 10 iPhone Apps Every Medical Student Must Have

If there’s one medical tool I use all the time when I’m on the wards, it’s my iPhone. In fact, from personal experience, over 80-90% of my classmates, residents and staff physicians use an iPhone or iPod Touch. The reason why the iPhone is so popular is because it’s got the best apps for the job. Medications are properly dosed, medical calculations are done correctly and you’re able to look up obscure information at your fingertips ensuring patients receive better care.

In my opinion the iPhone is currently the best smartphone for medical students and health care professionals. When it comes to having the best apps for the wards, Apple’s iOS is the clear winner.

I’m going to share with you 10 best medical apps that every medical student should have. This list was made from my personal experience using them. I’ve included my own personal rating (out of 10), and will be briefly listing the pros and cons to each one. Anything >8, I would strongly recommend you get it right away (hint: most of them are free!)

1. Medscape Mobile (10/10)

Easily the best FREE fully comprehensive medical app. For anyone that has ever used emedicine online, this is their exact same complete database in your pocket, all available for download for offline use. Their drug references are easy to use, their pictures relevant and their article collection extensive.

Pros: Extensive article collection, with over 4000+ in depth clinical references. You’ll be able to find even the most obscure diseases. Thorough information, easy to read, up to date with references. All downloadable to be used offline!

Cons: Because each article is finely detailed and subdivided into many sections, it’s not as quick as some other apps at getting information to your fingertips.