Matthew Lee is a medical student in the Class of 2019 at Dalhousie University
I was totally unsure. Meeting a patient who knows they are going to die... wouldn’t it be intrusive, at the end? A student coming into your life: asking questions, getting signatures, asking you to share your precious time. In the same position, I don’t know if I would say yes. That thought makes me feel a bit uncomfortable. Checking in on the floor, with information hurriedly scribbled into the margins of a notebook. A brief run-in with her mother in the crowded room, then twenty minutes spent in the hallway — trying not to be obtrusive while staff hurry by. There are visitors every day, and I doubt I looked out of place.
In some ways, I chose to take on this project in order to become more comfortable with death. It’s something I have faced before, and it took years to move past my friend dying from lymphoma. He quickly stepped away to take a phone call at our convocation. It was a biopsy result. Nearly six months to the day and it was all over. It took nearly everything I had. ...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
Rebecca Lauwers is a medical student in the Class of 2019 at McMaster University
Empathy as invited, first. Still it knocks. Waits. Empathy sees the fogged glass but drags no fingertip across it. There is a grey field; can you, too, see suffering like a red coat in the distance, walking? Do not go charging. What is imposed is not empathy. Set the kettle on the stove. Stoke the fire.
Empathy as unattached. As tracking a runaway bride, who knows what it’s like to be in one moment Ready and the next hijacked by fear. Empathy as the lover who will follow anywhere... yet as fluid as the crowd that will part to allow for what must happen. Empathy as the veil acknowledging the ground it grazes, feeling out the terrain as it follows.
Empathy as seeing it all, somehow, at once. Guided by someone whose vision will narrow and widen and narrow, and — somehow — letting each momentary glimpse be the only thing it sees while watching still over shoulders, overhead. ...continue reading
Austin Lam is a medical student at the University of Toronto
We often hear and use the term “patient-centred care” without having a precise definition in mind. In order to elucidate the meaning of this term, it is important to analyze the concept lying at its centre: the patient. What does it mean to be a patient? What is the core, essential definition of patient?
Some have argued for patient to be replaced with a different term. As someone who has undergone surgeries myself, I have reflected on the meaning of this word and its associated implications. My hope is that this preliminary analysis can help provide directions for future questions, emphasizing an open exploration rather than closing off areas of discussion. ...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
Sabrina Slade is a medical student in the Class of 2019 at Queen's University
Let me preface this by saying I am the kind of person who uses sarcasm and humour as a form of coping, and these opinions are my own.
You I have cancer.
A phrase I never could have dreamt would come out of my mouth, yet something I see or speak about almost every day in my so far short-lived medical career.
It’s the last week of June; I’ve just started my internal medicine rotation in Toronto and am rushing to get ready as I have slept through all seven of my alarms. I glance at my phone, noticing three missed calls and a voicemail with a little urgent symbol beside it. It’s my family doctor’s office; I listen to the voicemail half-heartedly as I struggle to pull on my nylons. She says something about biopsy results, and the words “neoplasia” and “urgent referral” stop me cold. I shimmy over to my phone, my nylons awkwardly half on, and hit replay. ...continue reading
Mohammad Jay is a medical student in the Class of 2020 at the University of Ottawa
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
Laura Kim is a medical student in the Class of 2019 at the University of British Columbia
I’m a 3rd year medical student.
But I’m not just a medical student. Before August 2015, I had a life that was full and rich and medicine-free. Today, my life is no longer medicine-free — but I refuse to allow it to be any less full or rich.
I’m not just a med student.
I’m a pediatrics gunner, a student politics junkie, and a francophone-wannabe.
I’m a dancer, a baker, and a knitter.
I’m a Harry Potter-fanatic, a Sav Blanc expert, and a nap-connoisseuse.
I’m a loving girlfriend, an overbearing older sister, and a fierce friend.
I’m loyal, compassionate, caring, sarcastic, and (often) a hot mess.
I’m a poor parallel parker, a clumsy clerk, and a top-notch procrastinator. ...continue reading
Hassan Hazari is a medical student in the Class of 2020 at Queen's University
The inclusion of arts and humanities in medical curricula has been a standard part of the student’s learning experience since the 1990s. The arts are credited with nurturing the skills and attitudes necessary for meaningful human interaction and personal development. McMaster University’s “Art of Seeing” program demonstrated that an arts-based curriculum promoted empathic development (Zazulak et al., 2017). The visual arts are a particular area of focus, as studying visual art not only has humanistic value but has also been shown to improve technical skills such as observation. Art-making (distinct from art observation) has been shown to foster humanistic and advocacy-orientated inclinations as well as promote learning in medical students (Cox et al., 2016; Courneya, 2017).
Among the workshops, talks, and meetings at this year’s Canadian Conference on Medical Education (CCME), there was a room that was transformed into an art gallery. ...continue reading
Imaan Javeed is a medical student at the University of Toronto
On Monday, April 23, while driving on Yonge Street near Finch Avenue in Toronto, it's alleged that Alek Minassian whipped the steering wheel of his rented white Ryder van sideways and killed ten innocent, unsuspecting people; physically injured sixteen more; and emotionally scarred hundreds of others. At the time of my writing, a clear motive for these actions has yet to be publicized. Minassian is alive and certainly under investigation, as much as he may have desired otherwise, but there still isn't much we know about the lead-up to the event.
Indeed, much to the dismay of some members of the media, the 'default' assumption quickly turned out to be untrue — there was not a single known link to "jihadist" terrorist groups or foreign radicalization to be found. ...continue reading