medical training Archives - Page 2 of 7

Occupational Empathy

Aishwarya Iyer December 21, 2016 No Comments

On my first day shadowing an occupational therapist, I learned much more than I had anticipated.

We saw five patients that morning—with each one, the OT went through a series of exercises to test their strength and mobility. The first four visits were interesting, though uneventful, as the patients completed their exercises with varying degrees of success.

The last patient was a man with a history of alcoholism. He had a tube in his throat, which prevented him from speaking. A resident outside the room informed us that no one had been able to get him to cooperate. Judging by the smirk on his face, he didn’t think we were going to get anywhere, either.

Paging Cardiology

Geoffrey Rubin December 9, 2016 2 Comments

Geoffrey Rubin

At 5:07 pm on July 27 of last year, my pager’s beep pierced the bustle of the hospital hallway: “CARDIAC ARREST, 6GS room 356 bed 2. Need cards STAT.”

It was only seven minutes into my first overnight call as a cardiology (“cards”) fellow, and I felt like I’d received a code-dose shot of epinephrine. In a most un-doctorly manner, I sprinted up the four flights of stairs to the ward.

Panting, I burst into the patient’s room, to be greeted by a cacophony of bells, bleeps and whistles, latex gloves snapping and catheter kits crackling.

A mob of nurses, residents, care coordinators and technicians turned to face me. Twenty pairs of eyes focused on my own.

Seeing Patients for the First Time

Anna Delamerced December 2, 2016 No Comments

I wish I could see his eyes, hidden beneath a pair of shades. A tweed cap, or as I like to think of it, the “grandpa cap,” covers his head. With his hands resting on a cane, he leans his back against the chair.

Deathbed Epiphany

Christina Johnson November 4, 2016 11 Comments

As a family-practice resident, I’ve found that a premium is placed not only on my clinical acumen but also on how well I respond to my patients’ mental and emotional experience of illness.

Yet the work of learning to be a doctor is just that–work. And in overwhelming amounts. Time management becomes ever more vital: As I take the time needed to gently break bad news and to console a patient, I must also stay conscious of the next patient’s appointment, the next phone call to make, the next exam to study for, the next lecture to attend, the next research project to complete and the next practice guideline to learn.

The Secret

Gabriel Foster October 14, 2016 7 Comments

Gabriel Foster

“If my father dies, you’re going down with him.”

The words pierced the air, and suddenly there was silence.

I hadn’t noticed Frank’s son at first. He’d been pacing in the back of the family group gathered in our ICU waiting room. Now, up close, I could appreciate how large and intimidating he was. And I’d just had the thankless job of telling him, along with the rest of his family, a shocking, completely unexpected truth: Frank wasn’t dying, he was already dead.

Presence

Anna Delamerced October 1, 2016 No Comments

I take a deep breath in and let it out. Breathe in, breathe out. Breathe in, breathe out. I wipe the sweat off my palms, adjust the newly-minted stethoscope draped around my neck and knock on the door.

A voice croaks, “Come in,” and I enter the room to find the patient on the chair. His eyes look tired.

Someone Loved Her Too

Sophia Görgens September 30, 2016 8 Comments

Sophia Görgens

The first mistake I made
was leaving my ID card home
in the pocket of my fleece–
the one with a zipper that broke
in Namibia and a hole stabbed
by a pencil during finals, worn
deep with worry and time.
Later, I asked someone else
to let me into the lab.
We made small talk in the hall.

Second, it was drizzling and my umbrella
knew not where it was. How poetic!
I mean to say, I forgot it too.
Morning lecture dried my frizzled hair,
and anyway, maybe cadavers like
the smell of rain.

Overkill

Daniel Lee September 16, 2016 13 Comments

Daniel Lee

Primum non nocere. First, do no harm.

I learned that in the first year of medical school. “Nonmaleficence” is the fancy name given to this sentiment, and it’s one of the four pillars of modern bioethics. In real life, it’s an impossible standard: We harm patients all the time. But the spirit behind the principle is what matters. Do the least possible harm to patients as they go through the medical system. Do only what is necessary. Act only when the benefits clearly outweigh the costs.

As a third-year medical student on rotation in the intensive-care unit (ICU), I admitted David, an elderly man transferred from another hospital because a severe lung infection was making it hard for him to breathe.

Dreamy Poppy Pink

Marilyn Barton September 14, 2016 3 Comments

In nursing school, to learn about human anatomy, we dissected stray cats. The tiny blobs and structures inside them looked more like toys than organs; at times I had difficulty telling one part from another.

When our instructor got us invited to the medical school’s Anatomy Lab that studied real people, I was excited to finally see a complete human body. Maybe there would be straight pins with little flags for each section of the heart and brain. I expected the experience to be like our Cat Lab: clinical and unemotional.

Tales Out of School

David Power September 2, 2016 5 Comments

David Power

I am a professor of family medicine at the University of Minnesota Medical School. During their third and fourth years, students must complete a four-week clerkship in family medicine. The clerkship includes a “significant-event reflection” project, in which students discuss patient encounters that they’ve found especially meaningful.

Over nearly a decade as a facilitator for these groups, I have heard many powerful and emotional stories. I’ve often felt deeply moved–and admiring of the students for their honesty, courage and humanity. Here are three of many whose stories I carry with me.

“Sure, I’ll go first!” said Rob. A fourth-year student, he was about to enter a radiology residency. Rob had a bright, open face and quick smile, and knowing that

“Better to Ask a Question Than to Remain Ignorant”

Sandra Shea August 22, 2016 No Comments

Any class of first-year medical students contains a mix of genders, races, socioeconomic ranges, ages and cultures. We try to convince students their tutor groups are safe places to ask questions and the only bad question is one that isn’t asked. Sometimes that openness leads to challenges.

No Retakes

Loreen Herwaldt July 22, 2016 1 Comment

I was midway through my internal medicine internship when elderly Mrs. Armstrong was transferred to our service for treatment of a pulmonary embolus (aka PE–a blood clot in the lungs) after a knee fracture repair. I remember thinking, disparagingly, “Surgeons should be able to treat a PE!”

The following morning, our team rounded on our patients and hurriedly wrote orders and notes because Susan, my senior resident, and I would be in clinic all afternoon. As we worked, another resident, Greg, stopped by and invited us to a party that evening. “I hope I can come,” I said. “If I finish early enough.”

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