Pre-Health: Recommended Reading; Reading Recommended

If you are wondering what it feels like to train and practice as a physician, Dr. Danielle Ofri‘s What Doctors Feel (2014) offers a welcome study break from premedical work.  Dr. Ofri, who practices at Bellevue Hospital in NYC, is co-founder and editor-in-chief of the Bellevue Literary Revue and hold MD and PhD degrees from NYU.  Her website is full of “medical media” addressing some of the most poignant and important issues in medicine. DO-color-headshot22 Reading is a great way to remain connected with your emotional and reflective side when problem sets and exams are pressing upon you.

A starred review from Booklist: Tucked inside a white lab coat or scrub suit is a welter of human emotions that can play a large role in a doctor’s decision-making process. Ofri, an internist at New York’s Bellevue Hospital, explores the emotional core of doctoring. Suturing together her own experiences, the plights of memorable patients, and interviews with other physicians, sheWhatDoctorsFeel examines the diverse feelings—anger, grief, shame, disillusionment, gratitude, humility, joy—that can fluster or elevate physicians. “Fear is a primal emotion in medicine,” she writes, and doctors worry about making a mistake or even killing a patient. Sadness is an occupational hazard, and “A thread of sorrow weaves through the daily life of medicine.” Then there’s empathy. Is it innate, acquired, or both, and why do third-year medical students lose it? Ofri exposes her emotional side as she recounts the story of a longtime patient, an undocumented immigrant from Guatemala who finally receives a heart transplant but dies shortly after the procedure. Ofri admits, “Doctors who are angry, nervous, jealous, burned out, terrified, or ashamed can usually still treat bronchitis or ankle sprains competently.” Yet her insightful and invigorating book makes the case that it’s better for patients if a physician’s emotional compass-needle points in a positive direction. –Tony Miksanek

MCAT 2015 – Planning Ahead

UnknownYour planning and decisions regarding MCAT2015 are an excellent topic of conversation for a meeting with a pre-health advisor.  People have always made very different decisions about how to prepare for the MCAT and when to take it.  Everyone, though, should be aware of the current resources provided by the AAMC regarding the changing exam, outlined on the AAMC’s Preparing for the MCAT2015 Exam web page.  Here you can find a calendar showing when the new exam will be administered, a link to concepts covered on the exam, information about purchasing the Official Guide to MCAT2015 (available for review in our office), information about purchasing sample questions included in The Official Guide to the MCAT Exam (MCAT2015) ($10 separate from the Guide purchase), links to review materials available through MedEd PORTAL’s iCollaborative and Khan Academy, and information about the forthcoming Official MCAT2015 Practice Test #1 (should be available later this fall) and Official Study Questions (should be available early in 2015).  If you are taking this exam, following this web page.  You can also follow announcements via the AAMC on Facebook and Twitter.

Those of you planning to take the “old” MCAT in January: consider that if you are later in a position of needing to retake the MCAT, you will be studying for a very different exam.  Also, while many medical schools will accept the “old” MCAT for the usual amount of time (which varies by school), some are only accepting MCAT2015 during the next or following cycle.  The current information regarding how long scores from the “old” exam will be accepted, by school, is available here.  The same information for osteopathic medical schools is available via a pre-health advisor.  Note, as always, the small print:  “Policies subject to change. Contact individual medical schools for most current information.”  When in doubt, do not hesitate to contact individual schools with questions.

My Med School Application: How Can I Stand Out?

At a school with so many premedical students, it can seem that everyone is the same — taking the required courses, volunteering, conducting research and planning to move forward into a medical career.  Frequently, future applicants will lament that there is nothing about their application that will “stand out” and grab the attention of admissions staff during the application process.  From the point of view of your pre-health advisors, however, the applications to medical school from Penn students and alumni reflect a great diversity of interests and talents.  Instead of asking, “How can I stand out?” the question might be reconsidered as “How can I stand up?”  Instead of thinking about how you can distinguish yourself amongst peers, consider how you can best spend your time to satisfy your intellectual curiosity, serve others, engage with your community or challenge yourself.  An application that “stands out” frequently is submitted by a person who didn’t spend a great deal of time calculating how to make that happen and stood up for their interests with passion and commitment.  Have faith that if you are a good fit for medicine, have explored the field, and have developed yourself personally and professionally according to your inclinations, you will be noticed.

The Shadow Knows! — A Few Points on Pre-Health Shadowing

People_ShadowYou may have heard that it’s important to shadow a physician or dentist before applying to professional school, but have questions about it:  How important is it for me to shadow?  Is it the same as clinical volunteering?  How many hours should I shadow somebody?  Here are a few points about shadowing to help you plan your time before applying to graduate school:

  • Shadowing and clinical volunteering are different.  Shadowing is an opportunity to observe a health care professional at work.  You are like a shadow — present, but not taking an active role with responsibilities.  Clinical volunteering means that you are giving your time to serve as a volunteer and assuming some responsibility in the clinic.
  • Medical schools do not consider shadowing to be medically related service work, which is very important to them.  You should not shadow and think you have done clinical volunteer service.  As a medical school applicant, you are likely to have spent more hours volunteering than shadowing.  Shadowing tends to be a more significant part of dental school applications as volunteer service opportunities are more limited.
  • Shadowing is an excellent way to confirm your interest in medicine and learn more about doctor-patient relationships.  It is often while observing professionals at work that potential applicants find the “spark” within that motivates them to pursue a health care career.
  • You can shadow a single person or several different people over time.  It isn’t inherently better to stick with one person vs. more than one.  You can gain a great deal of insight from both ways of shadowing.
  • Finding shadowing opportunities can be tricky and may involve some persistence in the face of being turned down.  Understandably, professionals must consider the privacy of their patients and the policies of their clinic.  Student pre-health groups and medical/dental school alumni groups can be excellent contacts with established shadowing programs.  Any personal/family connection you have with a health care professional can be pursued.  Many applicants have shadowed relatives or their personal doctors or dentists.  A faculty member or research colleague you know may be open to having you shadow her or him.  Lastly, try high school and college alumni.
  • Be professional and gracious when requesting a shadowing opportunity.  Express your thanks to anyone who gives you an opportunity and keep them posted on your career developments.  It can also mean a lot to a patient to be thanked, briefly, as well.

The Waiting Room: on PBS tonight, 10 PM EST

Recommended Pre-health viewing!

“The Waiting Room is a character-driven documentary film that uses extraordinary access to go behind the doors of an American public hospital struggling to care for a community of largely uninsured patients. The film – using a blend of cinema verité and characters’ voiceover – offers a raw, intimate, and even uplifting look at how patients, staff and caregivers each cope with disease, bureaucracy and hard choices.”