Posted in PGY-1

Hello again!

Yeah, ok, I’ve been delinquent. Intern year, especially during the dark days of winter, slowly saps your ability to be a Real Person. (Newly minted MDs, are you excited?) It’s odd, because even though there is nothing specifically bad about internship/residency, the constant grind really wears you out. I can’t even imagine how the surgeons manage it.

But now, that summer’s coming, and it’s light out when I go to work and even when I leave, my spirits climb. A long-overdue haircut, a wedding, the summer series of outdoor concerts, and a new pair of hiking boots help. Plus, there was an unexpected success story last week at the hospital — I don’t want to go into details because they are too specific — but it made me think that maybe, just maybe, we can save some of the people, some of the time. Also, that Haldol is a wonder drug.

(On a side note, the history of medical advertising, as a reflection of medical sociology, is pretty wild. Psych stuff, in particular, seems to have undergone a sea change in the 60s and 70s, from the “quiet, docile white woman with schizophrenia” to the “angry black man with schizophrenia.” Jonathan Metzl writes about this, and other things, in Protest Psychosis; here is a pretty good review. Contextualizing illness is key, and I would say this holds for medical illness as well as psychiatric. Just look at the social history of cancer, treated wonderfully in Dr. Mukherjee’s Emperor of All Maladies.)

Alright, friends, time to do some Step 3 questions! (I’m trying not to treat this exam like a joke, if only because how embarrassing would it be do be in the 2% of people who fail?)

3 thoughts on “Hello again!

  1. Hi Off-White Coat!,

    We are students at Temple University and the Johns Hopkins School of Medicine who have a deep interest in medical education, which is what attracted us to your blog. We appreciate your thoughts because there are so many ways med ed can be improved upon. As a former med student and someone studying for Step 3 you probably agree.

    One of the ways we’re working to do so is through a medical education app called Osmosis that close to 5,000 medical students across the nation have signed up for ( Our goal is not only to provide medical students a free or low-cost alternative to the really expensive question banks they currently rely on, but also to deliver these questions via a novel mobile app that pushes out questions for review.

    It would be great to speak with you about this and other areas of medical education. Please let us know if you’re interested in having a brainstorm session. We’d also be happy to give you early access to the app to check it out.

    Brandon Scott
    Temple University

    Shiv Gaglani
    MSII, Johns Hopkins School of Medicine

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