Tag Archives: primary care

Med School Gap Year: One Student’s Journey Advocating for Health Care

Stanford Tran

Stanford Tran

While my medical school classmates were deep in their sub-I’s, I took a year off and spent my days being chased off parking lots by grocery store managers. I often wondered what I was doing and how did I manage to drift so far from medicine.

I found myself in this unenviable position by trying to change the health care landscape. Health care in America is fragmented, expensive, and often ineffective. This has been self-evident for 20 years, yet the problem is getting worse. We have a health care system shaped largely by government policies and government dollars, and, conversely, we have a federal budget that is shaped largely by health care spending. Since I wanted to be an agent of health care reform, I thought the obvious way to do that was to run for a seat in the House of Representatives.

Sure, it is unconventional to run for federal office as a first-time candidate, to have no money or donors, and to have lived in the district for less than 3 years, but these are, in medical lingo, soft contraindications. The mechanics of running for public office is pretty much the same no matter which office—you spend your days begging for votes or for money, which in turn helps you beg for votes. You get the distinct feeling of being a panhandler, replete with being chased off from grocery stores. The only difference is that as a candidate, you are better dressed. People innately realize this because while many are politically opinionated, few ever imagine slumping to the level of a political candidate.

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Family Medicine Means We Ask About Our Patient’s Relationships

Therese Zink, MD, MPH

Therese Zink, MD, MPH

Good family medicine includes understanding whether or not our patients have a supportive relationship.

Intimate Partner Violence Happens Regardless of Ethnicity, Sex, or Wealth

Domestic violence, also known as intimate partner violence (IPV), is a reality everywhere—it happens to the rich and poor, men and women, and to all ethnicities. One in three women have some experience with IPV during their lifetime, and one in 10 men experience it. One in four have experienced severe physical violence by an intimate partner.

IPV Screening Is a Must in Prenatal and Perinatal Care

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Just Say No: Saving Your Sanity While Working in Academic Medicine

David Norris, Jr, MD

David Norris, Jr, MD

Congratulations! You’ve received your appointment as a new faculty. Faculty evaluations and promotion and tenure reviews will arrive before you know it.

One way to shine in your first year, and to build your CV, is by serving on committees, engaging in research, publishing journal articles, and directing educational experiences. When you start, administrative time is likely spent completing your charts and twiddling your thumbs. You will want to fill that time and will be tempted to take the dozens of opportunities that comes your way. And why shouldn’t you be involved? You have the time—right?

Be careful about always saying yes. Beyond settling into your role as a faculty member, you have to protect your mental health. Getting involved in too much, too quickly, will emotionally, psychologically, and physically burn you out. Plus, you’ll miss great opportunities later on if you’re too busy with projects early on that are only of modest interest to you.

However, knowing when to say no—and then actually saying it—can be a challenge.

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