Tag Archives: medical education

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

Sarina Lalla is a medical student in the Class of 2020 at McMaster University

 

When McMaster medical students learn about medical conditions in a problem-based setting, we frequently use the mnemonic “DEEPICT” (Definition, Epidemiology, Etiology, Prognosis, Investigations, Clinical presentations, Treatment) to approach them. Medical schools focus on teaching students about these important aspects of diseases; with time and practice, this information can be retained and applied by students to make them better clinicians.

However, there is also value in understanding a disease through the eyes of patients. More specifically, it is critical to recognize how facing an illness and navigating the healthcare system impacts their lives. Patients are the experts on their own experiences, and the knowledge they can present in the form of stories can teach us a lot. While we learn how to interpret information in the form of bloodwork and imaging, patients present first and foremost with a story. ...continue reading

4 Comments

Bader Alamri is an Internal Medicine Resident (R3) at Dalhousie University

 

Since 1978, more than 4,500 Saudi physicians and surgeons have been trained and have provided healthcare in Canada. These individuals have trained and practiced at many university hospitals across Canada over the past forty years, working within a very wide range of specialties—from general residency training to subspecialty fellowships, as well as very specific areas of research and clinical interest [1].

The Royal College of Physicians and Surgeons in Canada (RC) recently signed a Master Executive Agreement with the Saudi Commission for Health Specialties (SCFHS) to increase and improve the quality of training in Saudi Arabia, which reflects the long-standing relationship between the two parties [2]. In fact, the current SCFHS CEO is himself a Canadian-trained gastroenterologist at the University of British Columbia, and the current CEO of RC is a hematologist who established the first bone marrow transplant program in the Kingdom of Saudi Arabia. ...continue reading

At its core, humanism is a concept which weaves together the science and the art of medicine. The American Arnold P. Gold Foundation, established by the Gold family in an effort to “nurture and preserve the tradition of the caring physician,” has been striving to accomplish this since its inception through the development of various programs — including the Humanism in Medicine Award at the Association of American Medical Colleges (AAMC) to honour caring and compassionate mentors in medical school education.

Dr. Sarita Verma, Vice President of Education at the Association of Faculties of Medicine of Canada (AFMC), notes that this ideal — providing compassionate care that is sensitive to patients’ values, as well as the integrity and nature of the physician-patient relationship — resonates quite strongly with Canadian medical students as well. ...continue reading

Arnav Agarwal is an Internal Medicine Resident (R1) at the University of Toronto. Check back the last Thursday of each month for a new featured piece as part of his series (Doc Talks: Reflections to Reality)!

 

Arnav Agarwal, CC3. I starkly recall etching those three words as I signed off on my first clinical note on a warm September morning. I wish this could be in pencil, I remember thinking. The idea of permanently associating my identity with a patient’s story and offering a proposed impression and plan felt outlandish — I barely had my own impression and plan figured out. How was I going to help patients and make a difference when I could hardly find my way to the right area of the hospital for my first day? And, a more weighted question: could I really practice medicine?

Indeed, the two years that followed were defined by gruelling academic intensity unparalleled by the prior two years of pre-clerkship. A rigorous clinical schedule was now paired with the expectation to prove theoretical capabilities every six to eight weeks. Uncountable sleepless overnight shifts on-call were matched by long days and weekend shifts. The unwavering anticipation of new learning experiences was paralleled by the uncomfortable sense of needing to constantly impress those around us and hold our own in a seemingly foreign environment. ...continue reading

1 Comment

Mohammad Jay is a medical student in the Class of 2020 at the University of Ottawa

 

Dear Mohammad,

As you open this letter, you will have completed the first day of your orientation week. You’re sunburnt and tired, but beaming with excitement. You have met so many people and revelled in your shared enthusiasm about medical school. Remember to hold on to this excitement — not just today, but for the rest of your medical journey.

Although much of this journey will be rewarding and filled with exhilaration, there are going to be days when you’ll feel inadequate, exhausted, or frustrated. Remember the excitement of the first day of O-week during these difficult times. Open your admission email and replay the screams of excitement and the hugs from your family and friends. Despite the challenges of medical training, you are privileged to be on this journey. Remember that you are training to save lives. What could be a greater honour than this? ...continue reading

Alexia De Simone is a medical student in the Class of 2021 at McGill University

 

In our first year of medicine at McGill University, each student is paired with a member of the community who has had an experience navigating the healthcare system. Upon meeting Mr. H, a 62-year-old man from Montreal, I expected to quickly understand the chronic pathology leading to his kidney transplant while discussing his co-morbidities and medications based on my first-year courses. However, after visiting Mr. H, I learned that medicine goes beyond a patient’s diagnosis, and that illness impacts many people in one’s life — including mine.

As part of our course, we were responsible for meeting our patient four times throughout the year. Initially, it was very challenging to elicit Mr. H’s perspective on how his illness had altered his life. ...continue reading

Dalia Karol is a medical student in the Class of 2020 at the University of Ottawa

 

“Why waste my summer travelling when I should be preparing for clerkship?” I have heard many students say this during medical school. As co-chair of the University of Ottawa Medical School Wellness Committee, I recognize the value of taking time for oneself during medical school — especially since medical students are at high risk of burnout. While I appreciate the value of pursuing clinical and research electives, finding time to travel during our last month-long summer break can also be rewarding. Shared here are some of the lessons I have learned through travelling and how they have allowed me to reflect on my medical school experiences, gain a broader perspective, and make valuable international connections.

After spending time travelling in Europe during the summer after first year — gaining new perspectives while exploring the world outside of medicine — I began my second year energized for my classes, research, and electives. ...continue reading

Corinne Boudreau is a medical student in the Class of 2019 at the University of Toronto

 

In 2015, I moved from the tiny New Brunswick town of Sackville to the sprawling city of Toronto, Ontario.

That was also when I started medical school. Immersed in basements with sallow cadavers and impossibly-long PDFs on physiology, I soon realized I was in for an experience which could not be further removed from my undergraduate years spent in the art studio. So, what does a (former) visual artist do when completely out of her depth? Naturally, she doodles!

What started out as a simple means to keep up my drawing soon turned into quirky recounts of our experiences in first year, and before I knew it, it was born: a comic strip about a girl in medicine and — of course — her best moose friend. ...continue reading

Beatrice Preti is an Internal Medicine Resident (R1) at Queen's University

 

 

 

It was the strangest of days when I met him first
Everything jumping from awful to worse
People were shouting and crying and seizing
Coughing and choking and retching and wheezing
It was nearly twelve hours before I could go home
But the attending doc called direct on my phone
And asked me, please, could I see one patient more?
Well, I couldn’t say no, so I went back to the floor
And met him there, though, then, he was alive,
But looking so dead I knew he hadn’t long to survive
Yet I took the history, and wrote everything thing down
Signed the orders, made the calls, and finished my rounds
Tucked him in for the night, and was just about to leave
When he said to me, “Doc? How much time do I have, please?” ...continue reading