Posts Tagged ‘reflections’

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September 5th, 2019

Building Your Squad — Residency and Beyond

At nearly every stage in our education and training, we find “our people.”  Maybe it’s your table-mate in kindergarten, or the kid with the really cool light up sneakers in preschool who becomes your best friend.  Maybe it’s your next-door neighbor who you play with after school, or a coworker from your first job in […]


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. […]


March 8th, 2019

The Oncology Service

I won’t forget Mr. H’s face that morning, my very first morning on the medical oncology service. I skirted into his room behind my attending as she was called in to see him on the fly. With a slight smile, he sat quietly in the corner of the exam room, a tall black male of […]


January 5th, 2019

I Call BS on Work–Life Balance

Physician wellbeing, burnout, and “work-life balance” are pretty common topics in training.  We start at intern orientation, discussing how to work 80 hours a week, eat, sleep, exercise, and still have some semblance of a social life.  It’s like we’ve forgotten the origins of our job title: “resident” or “house staff” — implying that, until recently […]


December 20th, 2018

Medicine Robbed Me of My 20s

“Medicine robbed me of my 20s.” I’ve heard the line many times in my medical training. It often comes accompanied by a long sigh, a slow sip of coffee, and a glazed stare off into the distance. “Imagine what could’ve been,” the seasoned physician muses, “if I had my 20s to do over, without medicine.” But now, […]


December 11th, 2018

No, I Am Not Patient Transport

“Oh, you’re here to take me to my test.”  I have heard this too many times to count, and I have come to perfect my response. “No, I am not patient transport, your social worker, or your nurse. I am your doctor.” After a moment of confusion, I usually see a facial expression signaling that the patient […]


October 25th, 2018

Part of the Equation, but Not Equal

Fall is finally here — the weather is changing, good TV shows are back on, and, for residency programs, interview season is fast approaching. That means it is time, once again, to choose the next class of interns to take the formative next step in their careers. In this process of selecting a few from […]


September 19th, 2018

Coffee and the State of the Hospital

I think you can tell a lot about how things are going in a hospital based on the amount of consumption of coffee by its employees. Visit the Starbucks, Au Bon Pain, Roasterie, Einstein Brothers, or whatever coffee shop inhabits square footage in your hospital, and I’d venture to say that you can take the pulse […]


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 28th, 2018

So Let’s Chat About Extracurricular Work Activities

Well, we’re finally here. Somehow, an Aussie has sneaked onto a United States-based Chief Resident blog panel dealing with pertinent issues within medicine, and I actually have to think about what to write. (I’m being slightly facetious here, by the way.) So let’s start, shall we? One of the things that has been on my mind […]


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