Monthly Archives: October 2018

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Hilary Drake is a medical student in the Class of 2021 at the University of British Columbia

 

On my first day in a new family practice, my preceptor asked me to take a history from a patient who had listed their “reason for visit” as a sore throat. I stood in the hallway and made a mental checklist of questions to ask and observations to make. Have they had any sick contacts? Does their voice sound hoarse?

When I opened the door and asked them if they could tell me what brought them in today, they responded as expected: “My throat is sore.” When I asked what they thought might be causing the pain, they unwrapped a scarf from their neck and stated, “I think it’s because the noose didn’t work.”  At that point they started crying.

They had tried to come in before. They had recognized their pain and wanted to reach out for help, but they were unable to out of fear that their physician would not believe the pain if they could not see it.

That was the day that I learned how stigma can kill someone. ...continue reading

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Mitchell Elliott is a medical student in the Class of 2019 at the University of Toronto

 

Doctors are amongst the intellectual elite of society. In many cases, with decades of training and continuing education in clinical practice, our expertise grants us the opportunity to do things that would be deemed invasive and inhumane if performed outside of the context of medicine. Selectively poisoning people with chemotherapy; carefully dissecting fascial planes and removing organs; asking invasive and personal questions... all in the name of symptom management, remission of disease, and prolonging the inevitable: death. For physicians, these daily rituals become almost routine. In many cases, we have spent the majority of our lives training for the uncertainty of each day, rigorously memorizing each disease presentation and management principle, habituating to these processes and procedures. With the heavy clinical demands on physicians, it may be difficult to fully realize the impact of our actions on each patient. ...continue reading

Alastair McAlpine is a fellow in paediatric infectious diseases at BC Children's Hospital in Vancouver

 

People sometimes ask me, "What’s the difference between medicine in Vancouver and medicine in Cape Town?" The answer is, quite simply, Everything.

But let’s rewind a bit. In July of this year, I flew the 20 or so hours it takes to get from South Africa to Vancouver. I arrived in the city by myself with 2 suitcases, knowing hardly a soul, and feeling completely overwhelmed. A few months earlier, I had been accepted into a 2 year paediatric (even the spelling is different) infectious diseases program at BC Children’s Hospital. Before coming I had filled out endless paperwork, done a million online courses ...continue reading

Yipeng Ge is a medical student in the Class of 2020 at the University of Ottawa

 

Humbled. I am so truly humbled that I get to work with and learn from so many passionate medical students with such strong and refined values, morals, and dedication to their causes.

I am specifically speaking about the shift in the medical learner community to respond more attentively and compassionately; to acknowledge the importance of health and social inequities as they affect and inform our medical education and profession, and — more importantly — how they ultimately affect our current and future patients. Patients do not experience the health system not as an isolated entity (though for many of us in the healthcare field, it can certainly feel as though our assistance is limited to clinic rooms); instead, they are affected by the many determinants of health and wellbeing beyond the direct control and impact of clinicians in the healthcare setting. ...continue reading

Ever wish you could ask a wise, kind, approachable Student Affairs Dean something without having to admit the question was yours? Maybe you think it’s cringe-worthy; maybe you feel like you should know the answer already; maybe you think you will be judged; maybe you’re sure you are the only medical trainee on the planet ever to have felt this way, and you need confirmation now.

Enter Dear Dr. Horton, a new feature on the CMAJ Blog. Send the anonymous questions that keep you up at night to a real former Dean of Medical Student Affairs, Dr. Jillian Horton, and get the perspective you need with no fear of judgment (rest assured, though — Student Affairs Deans in Canada are all really great people, and not only have they heard it all, but they take on these decidedly unglamorous, 24-hour call jobs because they really, really care about learners).

Submit your questions anonymously through this form, and if your question is appropriate for the column, expect an answer within a few weeks! ...continue reading

Noren Khamis is a Family Medicine Resident (R1) at the University of Toronto

 

 

 

Early morning: the student comes by in a daze
Disoriented in the hospital maze
He’s frantic and sweating, the hallways all crossed
But one look at me and he’s no longer lost

The happy father and toddler walk by
One look at me, and yikes, what a cry!
Dad lifts his daughter up from the ground
And smiles in relief when she calms down ...continue reading

Beatrice Preti is an Internal Medicine Resident (R2) at Queen's University

 

 

 

The list is long, but I know your name
Each day before, its spot was the same
Second from the top, the second room on the right
The one with three windows and a broken bathroom light

But today something’s different; the list I have’s bare
I looked for your name, but it wasn’t there
Something has happened, and, in my heart, I know
That though I fought to keep you here, you found a way to go ...continue reading