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Still Here

Just with nothing to write about… I apologize. I remember when I started this website, I wanted to make it a complete resource for medical school applicants. But then medical school started, and after a while, you sort of just move on to new challenges and things to learn.

I have a lot of thoughts on the MCAT, Interview Process and admissions in general, but I am either (1) bored of writing about the stuff (2) too busy with non-medicine stuff.

I wish I had the motivation to write articles about how to study for the MCAT, but I feel like I would just be rehashing advice given by many other people. I don’t have a particular unique perspective or knowledgeable experience with it, after all, I only wrote the test once.

It’s strange how much a person can change in just two years. My my my, how my goals have changed since.

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The End of the Beginning

Nothing like final exams of your preclinical years to realize just how little you know about real medicine. Although I’m currently full of head knowledge, who knows how much of it will actually translate to clinical knowledge.

I’m starting to grow dreary of classroom learning. It’s been almost two decades of traditional teaching, I look forward to moving on.

At the same time, I think I’ll miss the classroom setting. The joys of being a student who’s only true responsibility is to learn. And learning is fun.

A bittersweet beginning perhaps.

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Helping by Proximity

I was planning to write a nice long “How to Prepare for a Multiple Mini Interview” article to help medical school applicants. Instead, I have used that time to help prepare my friends for their medical school interviews.

I find that I don’t have the time or energy to do both. After helping out my friends for several hours, I often feel drained. I want to keep anything interview related out of my mind.

Theoretically, an article is more replicable, long term and can reach a larger audience reader. However, I can’t help but feel inclined to help my friends who I know personally. I also feel like I can make a more positive and definite impact with the help I give them. I also find it more rewarding as I can actually see their improvement.

So it comes down to should I help out friends I know in real life, where I have a bigger impact and find more rewarding although it being tiring, OR should I posts article that have a further reach, will take less time and energy to propagate after writing it, but often at times feels quite empty?

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No Better Time to Apply Then Now

http://www.flickr.com/photos/dmason/5901759/

There was a recent New York Times article on the Surge in U.S. Medical Schools across the country.  If you’ve been following the trends, there has also been a surge in Canadian Medical Schools in the last few years and the government is pushing hard for new seats in the near future. Northern Ontario School of Medicine (NOSM) was created to help create more rural doctors. In the last 3-4 years, there has been roughly a 15% increase in seats across Canada. There is no better time to apply to medical school than now! With a current shortage of doctors, impeding retirement from up to 30% of current physicians and a booming aging population, Canada needs doctors now more than ever.

However, like the comments in the article pointed out, an increased amount of doctors is not the solution to rising costs and quality patient health. There is still a lack of doctors going into primary care like family medicine or pediatrics. Although the trend is changing according to globecampus.ca, still not enough medical graduates are choosing to become general practitioners.

I’m all for increasing medical school spots in Canada. Every year, I know many qualified applicants get rejected because there are not enough spots. Instead, these students end up going abroad to complete their medical training, a loss to Canada. Training and keeping our doctors here is vital to the success of Canadian health care. We shouldn’t have to keep relying on foreign doctors to fill in the gaps. Although we benefit from medical professional migration, we end up hurting the countries we take from. We need to create solutions to our own problems.

So if you are a student considering medicine in the next 5 years, now is as good as a chance as there will ever be for you to be accepted into medical school. Granted you will still need to have a competitive GPA, MCAT and extracurricular activities, the chances of you getting in has dramatically increased.

But if you do become a doctor, please consider primary care practice. What Canada really needs is not more doctors, but more of the right type of doctors. There will always be a role for specialists in the system but what we  really need now are more front-line doctors who can see patients before their problems escalate and help our population in the prevention of disease.

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Below Average

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I was shocked when I realized my first medical school exam marks were below class average. And it still bothers to me when my class marks are below average. Medical school is humbling experience where half of the students,  all who excelled in their undergraduate degree, find themselves below average.

There is an old phrase that asks “what do you call the medical student who graduates last in his class?” The answer is still “doctor.” In a way, medical students regardless of their ranking in the class are still bright hardworking students. They have already been selected from the cream of the crop, what really is the difference between 99.0% and 99.5% percentile in comparison to the entire population? When you’ve been in the rat race for so long, it’s hard to forget about the rat race mentality. To compensate, many schools use only a pass/fail system for grading to avoid unnecessary stress and competition.

So is it reasonable for a person to be upset about receiving below average grades in medical school? For me, I use this feedback to find my weaknesses, as a reminder to not let my ego get the best of me, and as a way to challenge myself. After a while in medical school, you realize that your preclinical grades don’t really predict whether you’ll be a good doctor or not. Similarly, there are so many vital skills that are learned but aren’t tested, like history taking and physical examination skills that are essential in medicine. I’ve realized that I may not be the best at memorizing pathophysiology, biochemistry and clinical guidelines, but I have discovered I have a strong understanding and visualization of anatomy. I’ve realized I may not be able to explain detailed molecular mechanisms quickly and I often confuse drug mechanisms, but I can summarize complicated cases succinctly with all the main points.  You realize that you are below average in some areas and above average in others.

Through this whole journey, I’ve set my goal to be simple. Improve in my weak areas and minimize mistakes that can happen from them. Become better at recognizing places where I can err in and take action to prevent it from happening. Use my strengths to the best of my abilities and to compensate in my weaknesses. And in the process discover yourself and work on improving yourself.

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I’m Back

Finally have some time to reinstall the website and add in some new features. It should be all done by the end of the week.

A scary thought crossed my mind tonight. I know how to get into medical school. I understand how the system works. I played the game and succeeded.

What happens if I don’t succeed in becoming a good doctor? What if I am inadequate?

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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.

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Why I chose Med School over Grad School

Credit: slight clutter

There was a time during undergrad when I wanted to pursue both medical school and graduate school. Both pathways appealed to me and I did not know what I wanted to do. As a biology and physics major, I was a devout science follower.  The chance of discovery new science and expanding the boundaries of human knowledge made a graduate degree in the sciences convincing. Similarly, I was equally excited over the idea that as a doctor, I could care for patients and help people during profound moments in life.

However, what made the decision easier for me was the significant overlap between the two choices and some special aspects that medicine had that pushed me to pursue med school.

Science – If I pursued grad school, I would have done scientific research. As a medical student, I would learn the science of physiology, pathology, pharmacology and the applied science of medicine. I love science, so either way worked for me because I knew I would find intellectually challenging work.

Research – For research, both pathways offered plenty of chances to do basic bench work or clinical research. The advantage of being a grad student is that you would have dedicated time to concentrate and become proficient at conducting research. You would have specified mentors that would train, teach and help you along the way. Yet, I knew that as a medical student, there were just as many opportunities to do research. In fact, the scope of scientific research might be enriched with the clinical aspect. Furthermore, with an MD, I could use it as leverage for better projects and funding.

Teaching – Another aspect that was important to me was the opportunity to teach. As a graduate student, you would start off as a TA or an assistant teaching undergraduates. With persistence and some luck, you might get an faculty position and begin to co-teach classes. And if you hopefully get tenured, you might be able to finally teach the classes you like in the way you like. On the other hand, as a medical doctor you get to teach all the time. Whether it’s through advising patients on their health or teaching new residents and medical students, the teaching opportunities are there. Furthermore, if you wanted to, you could always pursue academic medicine and have the chance to teach in the classroom.

Duration – The education time line for both were more or less equal. As a graduate student, you would spend around 3-6 years working your post-graduate degree while being paid peanuts. As a med student, you first spend 3-4 more years in med school followed with a 3-7 year residency where you are paid peanuts and a bit more. Both choices involved more schooling. To me, this was not the deciding factor. And if medicine didn’t work out, I could always get a PhD afterwards…

The reason why I chose a life of medicine over that of a scientist is the patient. Practicing medicine involves treating and helping people not diseases and I knew I wanted to work with people. The doctor-patient relationship is truly a special and unique partnership. I think that’s why a lot of med students and doctors are drawn to the profession in the first place. As a grad student, I wouldn’t have that same interaction. There’s something rewarding about being responsible for and caring for someone when they are vulnerable and need help the most.

Medicine exposes you to many of life’s most profound moments: Birth, Sickness, Death.

The chance for work with and serve patients, the sick and weak, is why I chose medicine. Besides, many of the other factors like science, research, teaching are also an important and integral part of medicine.

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The Secret to Success

Why do people succeed? How do they do it? Don’t we all want to know the secret to success? Countless numbers of self-help books have tried to discover it. The media always speak of the latest success story. And no matter how old it gets, we still love hearing about rag-to-riches stories. What is the key to success?

One way I have tried to tackle this question is through biographies. I have always been curious to see how the rich, famous and powerful found their success. What special activities did they do? Who did they know? What was their motivation and their inspiration? Because of this natural fascination, I must have read at least fifty different biographies and autobiographies in my lifetime. It didn’t matter who the person was – businessman, scientist, doctor, writer, politician, holocaust survivor – I was always looking to see how other people did things differently.

And my conclusion is…

There is no Secret

There is no single piece of advice – a secret limited to only a select few – that will make you successful. In fact, you already knew that.

You see, when I say there is no secret to success, what I mean is that everyone already knows the secret(s). A formula for success most certainly exists. In fact, you have heard it hundreds and thousands of times. They are:

Work diligently, be passionate – love what you do, be kind to others, have patience, know thyself, think positive thoughts, step outside your boundaries, think outside the box, have a commitment to service, dream big, have persistence, be courageous, respect others, speak up, be yourself, be grateful, have a good attitude, follow your dreams. And so on…

All these cliches advices, adages and old sayings are the keys to success. These lessons have been learned, followed and shared for thousands of years, from the earliest Greek Philosopher’s to modern day blog posts.

There is nothing new under the sun…

Yet, each time I read these words of wisdom, I find something new. No matter how many times I have heard them, they mean something different to me each reading. There is a reason I believe these “secrets” are called secrets. Because we are able to draw fresh inspiration from these proverbs over and over again, their renewable nature is the mystery itself.

Much like the classic vase and faces optical illusion, the common wisdom we all know and take for granted is in fact not so common at all. Each person will interpret the “secrets to success” differently. Some people will see the vase, some will see the faces. As with the secrets to success, each saying can be viewed in infinite ways.

For example, the advice of “hard works pays off” meant different things to me at different stages in my life. When I was preparing to take the MCAT, I could see the correlation between time and effort studying to a good test score. The more I studied, the better I did on practice tests, and the better my eventual score. Similarly, there were other times when I saw what would happen when I did not put in any effort. After each experience, I would view and reaffirm the concept “hard work pays off” in a different light.

One habit I frequently do is to take a old saying, motivational quote, proverb, verse, prose or any advice and dwell on it for a week. For instance, I would choose a quote that particularly speaks to me such as “Success is the ability to go from one failure to another with no loss of enthusiasm.” And for that entire whole week, I would start my days thinking about this quote and throughout the day see what it means to me. And sure enough, throughout that week, what turns out to be a simple sentence becomes a profound life lesson. I start noticing areas where I fail at because of lack of enthusiasm. I become more aware of the powerful effects a contagious enthusiasm can have on others. And at the end of that week, I have gained a very valuable and powerful lesson of success.

So really, there is no secret to success. At least not in the hidden sort of way. Instead, we all already instinctively know the secrets to success. The real mystery is decoding what they mean to your life at this point in space and time. If you can unravel the secret from these timeless words of wisdom, you will have found your secret, and your success.

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Strong Opinions

A trait I’ve noticed in medical students is that they’re strongly opinionated. Compared to undergrad students, medical students have something to say about everything. Not convinced, ask your average college student about health care, politics, economics, social issues or poverty. A good majority will not know about the topics, be undecided or have mild answers.

Ask a medical student and expect to listen to an earful.

Part of this phenomenon is due to a self-selection bias. The type of students who are admitted into medical school tend to be curious, vocal, and passionate. They get involved with student politics, world issues and have given most of these things much though. I’m not saying that you can’t be an outspoken student as an undergraduate, the incidence just happens to be much higher in med school.

Sometimes the intensity does get to me. It can create a divisive environment where neither party is willing to back down. Students will impose their views on others and make their voices heard.

On the flip side, being passionate and strongly opinionated, holding to one’s opinions unreasonably or stubbornly  can be admirable. It’s what makes physicians such good advocates. It’s what drives student to strive to do what’s best for the patient. It’s strong-minded people that push for improvements in the status quo, and ultimately those who persist, through criticism and self-doubt, are those who get the job done.

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