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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/

Summer is Here

Finally done school! 3-4 months pursue other hobbies and do anything else other than medicine.

Congrats to all the readers who received an acceptance into medical school. Enjoy this last summer before your long journey begins. To everyone who was waitlisted, best of luck in your wait and hopefully someone will free up a spot for you. Finally, for those rejected, don’t give up! If this is your goal and you want to become a doctor, you will get there. It’s only a matter of time.

Feedback: I have now worked on this blog for almost a year now. I’ve gotten lots of wonderful comments from readers but I want to know a few things.

Has this blog helped you in anyway? It’s always nice to hear success stories, and if I was able to provide you with something useful on this site, what was it?

What type of articles would you like to read? More stories from medical school? Admissions information? More about me?

When I check the stats for this site, I see that every week hundreds of people come to read what I have written. However, few leave comments or provide feedback. As a writer, I find it frustrating sometimes not knowing who my audience is. Are you mainly high school students looking for university advice? Current medical students or residents? Interested public?

Let me know.

The Essential Guide to Choosing the Right Medical School for You

masters in health administrationWith medical school decisions coming out, I thought I would share my thoughts on How to Decide which Medical School is Right for You. 

There are 17 medical schools in Canada, 130 in the United States and many more overseas. In order for you to differentiate each school, you should definitely have certain criteria and boundaries. Every person has their own set of values but if you know ahead of time what they are, it will make applying to and choosing a medical school to attend much easier.

This topic is not a new one and I have drawn from several sources to compile this post. There will be many similarities between choosing a medical school and choosing a undergrad institution. If you want more resources, I have provided several links at the end of this article.

The Most Important Factors to Consider when Deciding on a Medical School

  1. Location
  2. Academics
  3. Finances
  4. Student Life
  5. Personal

Late April Updates

I never thought I would have one of these posts…I remember when I was in high school and university, I stumbled upon several medical student blogs. They were often full of anecdotal  stories, their frustrations and rambling thoughts. Every once in a while, they would have nothing to write and instead post up a bunch of links and act as a middle man. I promised when I started this blog, I wouldn’t fill it with mindless rants, I would always have something to say or share.

Drawing Blanks – Well, I really have nothing to write about at this moment. My schedule has gone into overdrive with several exams looming, papers to write, several meetings to attend, summer plans to arrange all along with keeping some sanity in my personal life. When school is finally done this year, I promise I will write a few reflective posts on how I have changed and what I have learned. I will also talk a bit more about admissions having seen firsthand the entire process from start to end now. It’s definitely interesting how much work gets put into it.

Lastly, I will be possibly working on a complete guide to medical school admissions. I know there are already a lot of resources out there, but no definitive work has really synthesized all the information. I know it’s a large task to undertake, but I feel like I have a clear and thorough understanding of most of the components and it would be valuable to share it with everyone.

So without further delay, here are some links

Doctor Diaries - An NYT article about a documentary of 7 doctors from when they began medical school over twenty years ago to where they are now. I haven’t watched it yet, but it does look promising. When I do have time, I’ll be sure to check it out.

Physical Exam – Another excellent article by Dr. Pauline Chen about the importance of having good clinical and bedside observational skills. Especially with all the high technology, the “art” of medicine is largely being supplanted by the “science.” Definitely some food for thought. Perhaps more training and importance placed in these basic skills will help keep health care costs in control?

A Better Health Care System – A piece written by Atul Gawande in the New Yorker (I swear I don’t live in New York!) I came upon this article while I was writing a paper on health care costs and reform and he definitely frames the current situation very accurately. A lot of the main arguments presented here relate to the current shift to electronic health care records around the world.

Google Flu Trends - If you haven’t already checked out Google’s Flu Trends, it’s a nice collection of data from google.org on the incidence of flu in America. With all this talk about Swine Flu (it’s the new “thing”), it’s reassuring to know that many people have been expecting and preparing for a crisis like now. The head of google.org, Dr. Larry Brilliant, recently stepped down from executive of google’s philantropy arm to lead the Skoll “Urgent Threat Funds” which includes preventing future pandemics.

Don’t Become a Doctor - One of my absolute favorite series by Incidental Findings, it’s of immense value for anyone to read this – premeds, medical students, residents, doctors and the general public. I am playing around with the idea to start a Reasons to Become a Doctor Series. Obviously, with my limited experience I would be unable to contribute much, but by recruiting other medical bloggers I would like to get as many perspectives on this issue as possible. Similar story from Forbes.

Stay tuned for more original content coming soon!

Inadequate, Inspired and Incomplete

It doesn’t take long after I begin to feel comfortable with my schoolwork, clinical science, the study of medicine in general before reality reminds me of the work still to be done. I am humbled again and realize that for every question I know, there are a dozen which I have no answers too.

Shadowing – I’ve been spending more time outside of class following doctors and surgeons around, partly to get more of a clinical exposure and partly to see what specialties I would be interested in. If you are a medical student shadowing someone, it is the preceptor’s responsibility to PIMP you. (PIMP being an acronym for Put In My Place, a process where the doctors ask increasingly difficult questions until you feel inadequate and are motivated to do your homework)

Being asked questions is a good way to learn and put your classroom teachings in context. For example, a physician may point to different parts of an X-ray and ask you about anatomy and physiology. You feel confident when you know the answers. When harder questions are asked such as the pathology and symptoms of certain diseases come around, you become less certain. Soon enough, there will be questions where you will be completely lost on. It is always nice to be reminded of the gaps in your knowledge and it always motivates me to do better.

Experts -  Shadowing any doctor (or any other highly accomplished professional for the matter) is always inspiring. As I observe them talking with patients and going over cases, I can see the clarity of their mental processes and how much care they put in. Watching a surgeon perform an operation smoothly and precisely is awe-inspiring.

I wonder if I will be like my mentors? Will I have their bed-side manners and clinical judgment? Will I miss something important and cause harm? It’s even harder to imagine that in three short years, I will “officially” be a doctor (albeit one in training) and that people will trust me with their lives and secrets.

A Work in Progress - Which brings me to my final point, I am still incomplete. I have just started on this long journey, and if you ask any physician, they will tell you that the learning never stops. All doctors are life-long students of medicine.

Rome was not built in one day. Likewise the surgeons, internists, specialists and family docs who right now seem to have such innate ability to interact, diagnose and treat patients did it gradually through many stages. That’s why, each morning I make it my goal to be a better person than I was yesterday. Although my daily challenges and successes may seem insignificantly small, through an accumulation of baby steps, one day I hope I can be a good doctor.

Playing the Waiting Game

For applicants this cycle, the wait is almost over. You have finished or are just completing your last set of exams. Some of you may be taking your last undergraduate class ever. And all that is left is the dreaded countdown till decisions day.

There is few I can say that will make the wait easier. You can pour over the statistics as much as you want, how many people are interviewed and out of that number how many acceptances are sent out, and you can talk to as many people about what your “chances” are, but in the end you will still have to wait.

I remember when I was waiting, I would feel great one day and the next I would be a wreck. The worry and anxiousness drove my crazy, until I realized that worrying had no benefit at all. There was no reason to figure out the admissions game worked if I knew I had given it my all. I did not bother other people to see how they thought they did on the interview. Even when the big day came, I didn’t make such a big deal out of it. I didn’t have any celebrations / grieving parties planned, it was just like any other day.

I did lose a little sleep the night before, but at that point, I knew it was already out of my hand and had already been decided. As long as you were satisfied with your efforts and you gave it your best, there’s no need to “try” anymore.

Our main business is not to see what lies dimly at a distance, but to do what lies clearly at the hand. – Dale Carnegie

Waiting for admissions decision is no different than waiting for your exam marks, course grades, MCAT scores. The stakes may seem higher and the implications of not making it in seem more dire but not making it into medical school is not the worst thing that can happen to you.

So to all those waiting, hang in there. Patience is an important virtue to learn. Hope everything works out.

Featured on Grand Rounds 5.30

Grand Rounds

Grand Rounds: Photo Credit NY Times

I am happy to say this is my second time featured on Grand Rounds, the best of medical writing on the web. This time’s rounds are hosted by pharmamotion so be sure to check out all the other neat posts by doctors, patients and students around the world.

Handling Criticism

There are days where I miss the anonymity of being an undergrad science student. Where professors didn’t know you, attendance was not taken and there were no real responsibilities other than looking out for yourself. In medical school with smaller class sizes, PBL learning groups and clinical sessions, feedback, self-evaluation and criticism is unavoidable. You know everyone and everyone knows you. And if you make a mistake or do something wrong, someone will not hesitate in telling you.

I have learned that taking criticism and constructive feedback appropriately is an important skill to have, not just for school but in life. You’ll have to be able to differentiate when critical comments are justified and when they are unwarranted. Furthermore, it’s important to be able to understand and learn from them and see when there are real issues to be addressed.

Accept self-criticism properly- The first type of criticism you will receive will be from yourself. As an undergrad you’re used to being a smart student, a top student. And even though I was fully aware that statistically half the class would always be below average, I found it very hard to accept after my first exam that I belonged to this bottom group. It has taken my entire first year, a new way of studying and a doubling of my efforts to finally become “average.” It’s a long learning process and learning to handle criticism and setbacks is just one of the many lessons.

As I got to know my classmates more, my past achievements and experiences in comparison seemed to be insignificant. There was always someone who would be smarter, more talented, more sociable, harder working, athletic, or better than me at certain activities. This can do terrible things to your self-esteem. You can become quite harsh on yourself, finding all your character faults or counting the times you have failed.

Instead of just focusing on the negatives, you must take time to appreciate all your own accomplishments, even if they seem insignificant to others. Compare yourself to yourself. If everyday, you can wake up and be a better person than you were yesterday, you have already made progress.

Look for the Truth in Evaluations – Getting feedback and advice from preceptors and supervisors can be a scary experience. No one likes to know that their best efforts were full of mistakes and errors. Though it might sting, often times there are valuable lessons to be found.

More so, if several evaluators repeat the same weaknesses, this should be an area you need to focus and improve on. Don’t always handle criticism with a hostility. A enthusiastic and humble attitude makes the difference between a frustrating comment and an opportunity to grow.

Separating the Critic from the Criticism – No one loves a messenger of bad news, so please don’t shoot the messenger! For the most part, your preceptors and professors are on your side. Every teacher wants to see their students mature, develop and succeed and sometimes in order to do that, they have to pass you through the fire for refinement. It may be uncomfortable but if you see it for what it’s worth, you can emerge as a changed person.

Ignore the ignorant – There will be critics that will give completely untrue comments. First see if there is any grain of truth to what they are saying. If their tone or choice of words is a hostile one, put on a tough skin and ignore the critics. Handling criticism is as much about listening attentively to criticism and picking out useful information as it is selectively listening.

Take the Internet with a Grain of Salt – Finally, a wise advice for anyone, anything that anyone says on the internet should be taken with a grain of salt. You should take what you read carefully and always evaluate it on your own. Not everything you read is true or correct. Even my posts should be evaluated critically.

My personal experiences with forum members and running this blog have taught me a lot about responding to what others say. The majority of readers have interesting points to share, some even thank me. But there are also people that are outright malicious. I try to moderate appropriately when this does occur but ultimately, you learn to ignore naysayers. Not everyone will agree with you. You will not always be correct. There will always be arguments and pointing of fingers. It’s fine to agree to disagree and if you do so appropriately, both parties can walk away on good terms.

Thanks for reading. If you have a tip, experience or story to share about handling criticism, feel free to leave a comment!

The Shortlist – Year One

I was talking to a graduating medical student and asked him how he figured out which specialty / residency he wanted to do. His reply was “there are two ways to go about it.”

The first way is to start listing what interests and what criteria you would like (lifestyle, procedural, continuity of care, shift work). You then rule in specialties that fit these guidelines. The other way is to start with a list of all the medical specialties and begin ruling out programs you would NOT do or have no interest in.

He asked me then to list my top 5 prospects and bottom 5, and told me to keep track of my thoughts on them. Hopefully, by the end of third year before applying for programs, I should have an understanding of what I would like to do. So without further delay, my shortlist as an M1.

Top 5

  1. Internal Medicine
  2. Radiology
  3. Ophthalmology
  4. Orthopedics
  5. Family Medicine

Bottom 5

  1. OBS / GYN
  2. Pathology
  3. Dermatology
  4. Anesthesiology
  5. Psychiatry

It will be interesting to see what I will have as my top prospects this time next year. I’m sure as I shadow more doctors and gain more exposure to the different specialties, this list is bound to change. For now, I think I like working with my hands and the reward of curing a patient appeals to me. Also, continuity of care and patient interaction is fairly big on my list, although my choice of radiology does seem contradicting.

What are your top prospects for specialties? And for people who have graduated already, how did you come to decide on your specialty and what drew you to it? What turned you off from other ones?

Indecisive About Medical School

Credit garry61A friend recently brought up an interesting point of view. He is just about to finish his undergraduate degree in life sciences, he’s done well so far and his GPA shows it. He wrote his MCAT and applied to multiple medical schools this year and received and attended several interviews. And the strange thing is that after completing all these individual steps, he’s still not sure if Medicine is what he wants to do.

He may very well end up with an acceptance in hand and decline it. And that’s perfectly reasonable.

It must be strange to think that with so many applicants out there wanting to pursue a career of medicine so bad that there are a few applicants each year that receive an acceptance and have no clue with what to do. I spoke to a graduating medical student the other day who retold his story of how he was accidentally accepted into medical school. His original intentions were to go into public health and he only applied to medical school as a backup, so he wouldn’t regret it in the future. Strange how things work out.

There are other applicants who defer their acceptance for a year to complete their master’s or even work abroad. The fact is getting into medical school is not the only thing that matters in life. There are many goals and pursuits that are just as worthwhile and meaningful to pursue.

Furthermore, medical school and the process of becoming a doctor is a large commitment. Apart from the debt of tens of thousands, by the time you practice you would have sacrificed your youth in school, studying, memorizing, learning.

This isn’t a decision that should be taken lightly. Ultimately, it should be you who should make the decision. Not your parents, your peers, expectations of others. If you think there’s something you love doing way more, I would urge you to consider that.

For instance, if you’re a varsity athlete who has a chance of making the Olympics but also has medicine in the back of your mind, pursue what you would LOVE doing more. This goes beyond just athletics. If you want to do research, work abroad, teach, or whatever more than go to medical school, you should seriously consider it.

The worst case scenario is you realize you don’t like what you’re doing and you apply to medical school. It’s much much harder to do it the other way. By the time you graduate from medical school, your accumulated debt and sacrificed time will compel you to go into practice right away. It will be hard to start another career at that time.

Medicine is a flexible field.  – For most people, it’s big enough in scope and depth that everyone finds something they like doing. Whether that’s working with their hands in surgery or satisfying their curiosity with research, medicine has something for everyone. Even the math and physics types may be surprised at how many sub-specialties  have a use for their knowledge.

So if you are one of those people who are indecisive about whether medical school or medicine is for you, give it some long and serious thinking. Medicine has a lot of rewards and unique opportunities but it’s not for everyone. But it would be reckless to enter this profession without knowing what being a doctor is really like, what kind of a person you are and what you would like to do.