Posts Tagged ‘art of medicine’

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August 20th, 2019

Bias in the Residency Ranking Process

“Can we please try to be objective about this!” I said these words to myself over and over during this year’s interview season as we formulated our residency rank list. At my institution, the residents and faculty have equal sway in forming the rank list. The chief resident facilitates the resident half of the process. […]


February 26th, 2019

My Primary Care Manifesto

“She is meant for more than just primary care,” mused an attending on my internal medicine rotation in medical school. He was referring to a particularly adept resident with whom we were working. This resident was planning on practicing clinic-based general internal medicine. I wasn’t sure why this attending disclosed his thoughts regarding this resident […]


January 30th, 2019

I’m Sad That Interns Don’t Want to Do a Palliative Care Rotation

It’s an exciting time for final-year medical students in Australia. Exams are over. They’re in their last-ever clinical rotations, and they’ve finally found out in which hospital they’ll be starting their careers. Most are happy. Perhaps some aren’t, I dunno. But most are simply excited to finally start their intern year as doctors, having spent 8 or more […]


September 12th, 2018

Good Things Take Time

My Patient The day I met you was early in my second year of Internal Medicine residency. After much of my internship had been spent on arduous inpatient rotations, I was finally ready to lead my own team of young doctors and students on a high-acuity wards service. Yet, in my continuity clinic, I was […]


August 17th, 2018

Things I’ve Learned from My Patients

I recently completed my internal medicine residency training.  Three years, thousands of hours, thousands of patients, thousands of decisions.  I certainly learned a lot from the past 3 years: everything from what “HFrEF” means and how to manage it, to treating recurrent C. difficile colitis, to how to share decision-making with patients about whether or not […]


August 29th, 2017

Procedures in Residency

Hi. My name is Karmen, and I’m a fainter. It’s true. I am one of those people who occasionally falls victim (pun intended) to vasovagal syncope at its finest. It tends to happen at inopportune times and places. For example, the first time I passed out, I landed in a Christmas tree. I was in high […]


August 29th, 2016

Multiple Choice Medicine

You are currently on inpatient wards and notice your chief medical resident has been demonstrating erratic behavior, frequently muttering about MEN syndromes and antibodies associated with rheumatologic diseases and has been reciting gene translocations. What is the most likely cause of her symptoms? A. Hospital-associated delirium B. Conversion disorder. C. Symptoms related to completing an excess number of multiple […]


August 22nd, 2016

First Week On Service

“Medicine Purple is now rounding at Room 202.” The announcement rang throughout the hallways on the lower pavilion. It was an announcement I had heard many times before, but this time it was quite different. As I glanced in the upper right hand corner of the electronic medical record of my first patient, the following glared […]


June 24th, 2016

The Scam of Medicine

“Oh no, she’s calling again.” I look at the caller ID in the Chiefs’ office where I sit with one of my co-Chiefs.  It is the Documentation Lady. Her call is as regular as BMs with C. diff: Profuse, excessive, associated with a lot of hot air and a bunch of crap, but inevitable. We play […]


May 6th, 2016

Declaration of Death

“Is he dead?” I stepped up closer. He was yellow. Bright yellow. Steve had been admitted to the hospital for altered mental status when his last PET Scan revealed that the pancreatic cancer had spread from the tail of his pancreas into his liver where it now blocked the ducts that carried the bile out of […]


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