Tag Archives: Resident Author

Growing Your Writing Practice

by Sarina Schrager, MD, MS, Family Medicine Editor-in-Chief, and Jose Rodriguez, MD, FAAFP

“It’s none of their business that you have to learn how to write. Let them think you were born that way.”

—Ernest Hemingway

Writing is hard; there are no two ways about it. Starting a paper or narrative can be daunting. How should I start? What if it is not good? Will anyone want to read it? These questions arise even for accomplished writers. The best writers still work very hard at writing. In this blog, I share lessons I have learned during more than 30 years of writing in academic family medicine, along with resources I have found helpful. I encourage you to read these suggestions and share what works for you.

Find Time to Write and Block Your Schedule

It may seem like an oversimplification to say, “Just find the time to write.” We all know it can be difficult to fit writing into busy schedules filled with clinical, teaching, and administrative responsibilities. However, if you do not block time on your calendar to write, writing will continually be pushed to the bottom of your to-do list. You have to make the time to write.

In his 2009 article, “Tuesdays to Write,” Lowenstein describes restructuring his schedule so that his academic work occurred on Tuesdays, allowing him to carve out dedicated writing time each week.1 Some people write best early in the morning, whereas others are most productive late at night. For example, I write best early in the morning, whereas a colleague does their best writing at night. After 4 PM, my writing brain simply does not work.

Similarly, some people can write productively during a spontaneous 30-minute opening in their schedule, whereas others need at least a 2-hour block. Consider scheduling dedicated “writing time” on your calendar so other meetings are less likely to replace it.

Plan to Revise

“Almost all good writing begins with terrible first efforts. You need to start somewhere.”

—Anne Lamott, Bird by Bird

Becoming a good writer—or producing good writing—takes time, effort, and multiple revisions. In Draft No. 4, John McPhee describes routinely writing at least 4 drafts of every manuscript.2 By the fourth draft, the manuscript has usually become coherent enough to share with others. His process can be summarized as follows:

  • Draft 1: Get something on the page.
  • Draft 2: Develop your argument.
  • Draft 3: Refine word choice and improve the flow of your argument.
  • Draft 4: Polish the writing, use a thesaurus if needed, and read the manuscript aloud.

Ask for Feedback

Once you reach Draft 4, you are ready to seek feedback. Many authors submit manuscripts without asking colleagues or friends to review them first. Although the peer-review process provides valuable suggestions, colleagues often identify many of the same opportunities for improvement before submission.

There are several low-stress ways to receive feedback. An accountability partner or writing partner (eg, Prolific Partners) can be helpful. Writing groups are another excellent option because everyone shares their work, reducing the self-consciousness that often accompanies sharing your writing.

Reflect on Your Writing Process

Everyone writes differently, so there is no single perfect list of writing tips. Think about the times when you are most productive. Where were you? What time of day was it? What aspects of the setting contributed to your productivity?

Before I begin writing, I spend time thinking about how I want to structure the piece and how I want to begin. I create an outline, although it often resembles a stream of consciousness. Draft 1 is the hardest part for me because getting started is difficult. Once I have something on the page, revision becomes much easier.

Others find drafting easy but struggle with editing, searching endlessly for the “perfect” word. Still others never reach Draft 4 because they continually discover new ways to improve a sentence. Every writer is different.

Other strategies may also improve writing productivity. Consider working on 2 projects simultaneously. Pairing a small project with a larger one—or a challenging project with one you enjoy—allows you to switch between them and maintain momentum. Joining a writing challenge can also provide encouragement and accountability. Writing challenges vary in length, lasting anywhere from 1 week to 1 month, but they all encourage participants to write consistently each day.

The STFM community is filled with prolific, talented writers. What strategies have helped you develop your writing practice?


References

  1. McPhee J. Draft No. 4. Farrar, Straus and Giroux; 2017.
  2. Lowenstein SR. Tuesdays to Write: A Guide to Time Management in Academic Emergency Medicine. Acad Emerg Med. 2009.

The Joy In Family Medicine

TamAnthony

Anthony Tam, MD
University of Michigan FMR

When I look back and think about who I thought a doctor was when I was a kid, I imagined that person taking care of kids, adults, and even pregnant mothers. I saw them as a primary responder for minor injuries and illnesses or even for acute processes. And I looked up to these role models and hoped that, some day, I could be that doctor and role model for others. It wasn’t until medical school that I figured out the role model I looked up to was a family medicine physician.

After doing my clerkship rotation in family medicine, I knew this was the field I wanted to enter. A specific patient I had talked to at the clinic was “Mary”.  Mary had come in for a follow-up on her thyroid medication. Routinely, I went in before the resident I was working with to talk to “Mary” and discuss any issues she had. She suddenly burst into tears about how she has been feeling sad and giving up on life. However, after a long discussion about how much good she had done for her family, kids, and community, she came to the conclusion that she deserved to be alive and should continue helping others.  When my resident came in to review what we had discussed, the first thing “Mary” said was, “Will this be the doctor that will replace you when you are gone?  I felt so comfortable talking to him about my troubles in life and really hope that I can continue seeing him in the future for my care.”  It was this moment when I knew that family medicine was the career path for me. I wanted to be that doctor that builds trust in relationships and provides the care that any person needs, regardless of their economic or social situation.

Family physicians present themselves with great confidence, leadership, and sincerity.  They exude confidence by helping patients make informed decisions on preventive care.  They show true leadership in working with not only other doctors, but also the staff that helps run the clinic. And most importantly, they show true sincerity in making sure each patient feels as though they are being seen by a doctor that cares about them.

How do I know that I chose the right profession?  Fast forward now to my second year in a family medicine residency where I am looking forward to the days I have clinic so I can see the patients I started seeing as an intern. The staff I work with make me smile every day I’m here and I enjoy the time I spend in clinic.  I exit each room with my patients laughing and catching up with their lives as I walk them out to checkout.

The great, long-lasting relationships and trust developed with a patient and the continuity of care are priceless. I am so happy to have matched into an amazing family medicine residency that helps me become the doctor whose hand patients can hold in a time of sorrow, the one who encourages them to make the right lifestyle choices, or maybe even the one who takes care of an injured athlete on the field. I am more than eager to continue my time here with Michigan Medicine.

Mrs Claus and My Journey to Family Medicine

This blog post is a finalist in the STFM Blog Competition.

Anna Balabanova, MD

Anna Balabanova, MD

How does a little Russian-speaking girl living in a small town south of Moscow come to be a Chief Resident in family medicine at Northwestern in Chicago? Growing up in that small Russian town, I frequently witnessed my grandmother, a pediatrician, step out into late-night blizzards because a patient needed help. Like a year-round Mrs Santa Claus, she would even bundle herself in a sleigh to reach her patients. The entire town spoke highly of how she truly got to know patients and their families. Throughout my journey to and during my medical career, that image of a caring physician remained in my mind: one who believes that a patient is more than his or her illness, and maybe brings a little Mrs Claus-like magic to them, too.

When my parents and I moved to America from Russia, we could only afford to rent one room in a two-bedroom apartment, with a second family living in the other. Even as an enthusiastic little girl getting underfoot in a small space, I noticed my parents immersed themselves in helping others. I watched my mother teach piano ten hours a day and volunteer for every musical event in the community, and witnessed my father walk to graduate school because we couldn’t afford a car but put in extra hours at work when a coworker needed help. Like my grandmother, my parents made me realize that the values of compassion, dedication, and service are what create magical moments.

In high school I spent over 900 hours volunteering at my local hospital, annoying every medical professional who was willing to answer my many questions and discovering my passion for medicine. The summer after my freshman year in the seven-year Honors Program in Medical Education at Northwestern University, I encountered an obstacle I never thought I would face: during a routine appointment, my family medicine physician confirmed some breast masses I had felt. After numerous biopsies, I was diagnosed with a Phyllodes tumor, as well as multiple fibroadenomas. That year, I learned what it is like to experience the medical system from the patient perspective. My encounters with multiple medical professionals taught me about the physician I do and do not want to be. Later that year, after surgery, I finally was given a clean bill of health, and with that came a deep sense of empathy for my future patients and a desire to choose family medicine, a field that focuses on the patient-physician connection and lets me be there for my patients like my family doc was there for me.

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