“Is There A Doctor On The Plane?”

I was all set to write a wrap-up of my month abroad before starting on another away rotation. I had a wonderful time, learned an incredible amount of information that I could never have obtained in the States, and got to spend a month exploring a wholly different culture. It was great. I was jazzed to write about it.

And then I flew home. Continue reading

“Nate Does Not Have A Career In Critical Care”

Disclaimer: I am especially salty tonight because I have trudged one small step closer to the inglorious age milestone of 30, and have little to show for it except two aborted jobs, knee pain, and a shitty Mazda with an outstanding recall for premature airbag deployment.

Read on.

This month, I’m taking a hybrid course called Critical Illness, which as you might imagine focuses on the unique aspects of caring for the very sick or injured. We spend a week learning “skills” in our simulation center, followed by some combination of an ICU week and two weeks of case-based learning, similar to what we did first year. Continue reading

Up and Away

I only have one month of research left! Thank god. I can’t wait to get back to clinical medicine.

Medical school is a fascinating place. It’s bound to be; you’re taking 100 or so of the highest-stress, maximum type A personalities that exist and forcing them to attend class, scrap for grades (sometimes), and cohabitate for four years. If we had time for lives and drama, it would make a fantastic reality TV show. Continue reading

Rules for Step 2

In case you haven’t figured it out by now, medical school is actually three different curricula in one.

There’s the Learn To Be A Doctor Curriculum, which is where you haphazardly learn to take care of people mostly by screwing up over and over again. This has almost zero connection to the rest of medical school, as the bulk of the Learn To Be A Doctor Curriculum is taught in residency. Not incidentally this is why medical students are often not allowed to Do Things, which as you’ll recall is practically the only thing I want to do. Things. Continue reading

Taking a (Practice) Step 1 Exam

When I started my embarrassingly long trek toward medical school three years ago, I studied for and took the MCAT. That exam was hands down the worst testing experience I’ve ever had – a six-hour MonsterTest covering basic science. I wrote about the studying process while cloistered in isolation in my Charlottesville apartment, where I didn’t see the sun for three or four days at a time. It was often hard to stay focused, which I covered.

Periodically I would take a practice test, a soul-sucking exercise in self-flagellation that I, of course, also wrote aboutContinue reading

Rules for Step 1

I haven’t written in a while because I’ve been in a hole these last couple weeks studying for Step 1, or “the boards” as it is colloquially known. Step 1 is the first of three licensing exams you have to take to become a doctor.

Which, of course, means that Step 1 has almost nothing to do with doctoring. It’s not that bad a test, actually, it’s just incredibly challenging to assess medical knowledge. Step 1, for instance, focuses on the basic science – the science underpinnings to how the body works and what goes wrong in disease. Future exams, like Step 2 and 3, focus on the bigger picture of diagnosis and treatment. Continue reading

Soapboxing

A change from the usual today.

On Friday, the Washington Post published an interesting profile of a cardiologist in Arizona named Jack Wolfson. Dr. Wolfson has made a name for himself recently as a physician who encourages his patients to not vaccinate their children. Also, he goes on TV a lot now to talk anti-vaccine stuff, even as children in the southwestern United States have measles.

MEASLES! Continue reading