Category Archives: Medical School

Believing in Our Stories and in Our Field

Megan M Chock, MD, MPH

Megan M Chock, MD, MPH

Mariana’s commitment to her community, love of learning, and sincere support inspired me to become a family physician. This blog post is my way of thanking her and showing the influence she’s had on me and my journey and goals in family medicine.

It was an early fall evening in Rochester, Minnesota, and I was trying to put on my newest possession, a big black down-filled coat which made me feel twice as wide and five times as clumsy. I stumbled into the workroom of our free smoking cessation clinic at the local Salvation Army, shrugging the glorified sleeping bag over my shoulders. It was 2010 and I was in my first year of medical school, still trying to figure out how to layer against the cold.

“Hey, are you from Hawaii?”

I turned around, almost knocking over the objects behind me, and saw a smiling, brown-eyed, brown-haired young woman, maybe a few years older than me. “Um–yeah…?”

“Hi, I’m Mariana!”

This was my introduction to Mariana Cook-Huynh, one of the most influential people in my journey to family medicine.

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From Journalism to Medicine: Not Such a Huge Leap After All

Ranit Mishori, MD, MHS

Ranit Mishori, MD, MHS

Now that I have stacked up a good number of years in medical practice, I am one of those doctors who gets asked from time to time to talk about my career with medical students and junior physicians, answering questions about how I chose my specialty, how I like life in academia, and how I balance being a doctor, a spouse, and a mother.

Part of my answer always includes my late start in the field. I was nearly 30 when I decided to give up on a life in journalism and go back to school and become a doctor.  For a decade before that, I was a newswoman, a radio producer, and then a TV producer and editor, and I worked in Jerusalem, New York, and London. I covered wars, natural disasters, politics, terror attacks, international affairs, and some fluff stories as well. Yes, I must confess: skateboarding squirrels, surfing dogs, and high-heel races are some of the memorable news stories I shared with the world.

And when I share this, the most common comment I get is some variation of, “Wow, journalism to medicine sounds like 180 degrees!”

I thought so too at the time I started making the switch. But eventually I found it not to be a radical change at all. To the contrary, my decade in news prepared me well—better than any of the required organic chemistry or physics courses—for a life as a medical doctor.

Here’s why:

It’s all about storytelling.

One of the things that many students feel most nervous (and excited) about in the first 1 to 2 years of medical school is interviewing patients. This is what we call in medicine taking a history: a process that is at least as important as doing a physical examination. Indeed, I would argue that its impact is often greater than diagnostic testing or lab results in reaching a diagnosis and creating management plans.

For me, history taking felt like being back out on a story, behind the camera, getting the facts and making them make sense. Doing this well, in either context, is an art in itself: knowing when to press, when to let go, asking open ended questions, letting silences linger, paying attention to what’s not being said. These are crucial skills that we, as medical educators, try to teach medical students from year one to the end of their training and beyond. And they were skills I acquired in journalism.

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Advice From a Student: How to Recruit Medical Students into Family Medicine During Rotation

Medical students, especially those with little exposure to careers in medicine, have great difficulty imagining a career in medicine other than what they see and experience through their rotations.

AMooreSTFM

Antoinette Moore, 4th-Year Medical Student

And shortly after rotations, they are asked to make choices that place their careers on certain trajectories. And while the scope of someone’s ideal practice will grow and change, the choice of specialty defines us in a way that is undeniably powerful and far reaching into our professional careers.

As I wrap up my third year of medical school, what has become apparent to me is that there are two often unnoticed—and often under-promoted—qualities that influence whether a student chooses one specialty over another.

These two qualities are physical and metaphysical. Physical describes the more brick and mortar/billable procedure/patient population aspects students are exposed to during rotations, such as “Is the preceptorship in a small town or a large urban setting?” and “Does this rotation expose students to a wide variety of patient presentations, procedures, and demographics?” The metaphysical is a bit harder to quantify but importantly demonstrates how happy employees are with their chosen line of work. It speaks to the culture of the rotation environment, which, to the student, serves as a representation of the profession as a whole.

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