Posts Tagged ‘Residency’

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November 26th, 2019

Of Metrics and Medicine

One of the least motivating requests I received routinely as a new intern was something like, “… and can we make sure this is a discharge before noon?” I recall a particularly eager nursing manager surveying the resident teams on her unit to gauge our interest in arriving even earlier each morning (5 AM, perhaps?) […]


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. […]


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, […]


November 6th, 2018

Making the Most of the Holidays as a Resident

It’s that time of the year again — Halloween has passed (and with it, the best excuse for an adult to dress up in costume), and the winter holidays are just around the corner. I was in a store on November 1st, and Christmas decorations were being put up.  Already.  Whether or not you happen […]


May 16th, 2017

Constructive Criticism

Here are some questions that are still on my mind as I approach the tail end of my chief year. I’m thinking about the best ways to offer constructive feedback. What is the best way to approach a struggling learner? What is the best way to give guidance and feedback without being perceived as a tyrant […]


March 20th, 2017

Resident Wellness in Graduate Medical Education

Happy Endings: Living in Orlando, one cannot escape Disney. Disney movies are a delight, because one subconsciously anticipates that the happy ending is going to make up for the rest of the characters’ struggles. It works for me! Be it Simba, Cinderella, Snow White, Belle, or  Elsa, every Disney fairy tale gives us the desired ending of a happy and […]


December 22nd, 2016

“Pimping”: Malignant or Not?

One of the most respected and skilled clinician-educators (and, of course, he is an Infectious Diseases specialist) at our institute came into my office, sat down, and immediately starting eating pretzels. “Let me know what you think about this,” he said between bites. He went on to recapitulate a recent interaction he had with the members […]


September 27th, 2016

Interview Season

It’s that time again — time to dust off your nicest suit and prepare for either residency or fellowship interviews. Being knee-deep in interview season for Infectious Diseases fellowships, my interview days bear some resemblance to my residency interviews, yet also are quite different. I have a unique opportunity this year to be a part of the recruitment and decision […]


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 […]


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