The Differential
Blog Address: http://blogs.medscape.com/thedifferential
September 25, 2010

Health Care Reform at Six Months - Feat or Failure?

This week marked the six month anniversary of the Affordable Care Act (ACA). Passed by Congress on March 23, 2010, the ACA was hailed by many as comprehensive health care reform legislation that would expand access, improve quality and maybe even control costs. At more than 1000 pages, the ACA contains an incredible number of changes to our health care system - some big, some not so big -- that will shape the way that we, as medical students, will likely practice medicine. 

While many of these provisions are scheduled for implementation in years to come, the

Posted By: Elizabeth Wiley  

September 25, 2010

The Drug Pushers' Free Lunches

"Big Pharma", as it is affectionately called, has medical providers in the crosshairs. Despite laws prohibiting the extent to which they "promote" their products, they continue to push the latest medications at any cost. As medical students we enjoy the "free" pens, stationary, an...

Posted By: Joshua Batt  

September 25, 2010

Making Time for Relationships


I have to schedule lunch with my husband. - Freshman-year Lab PI


My lab PI explained to me once how she and her husband have such busy lives and varied agendas that they actually have to schedule lunches and dinners. A...

Posted By: Carl Streed Jr  

September 25, 2010

Ambulance Ride-along

I went on an ambulance ride last week as part of my emergency medicine rotation. It was an amazing experience. My ride was with Heather and Terry, who were EMTs for over 10 years. After making our first stop at a 7-11 to replenish our supply of soda and chips, we received our first call...

Posted By: Eric Tam  

September 20, 2010

Talking to patients about death

Have you ever had to talk to someone about the possibility of their own death? I haven't. UVM walks us through the process a number of times in a number of ways during our pre-clerkship classes, but as yet I've been sheltered from the actual task by the same heirarchy that prevent...

Posted By: Alex Folkl  

September 18, 2010

Facing Scrutiny From Patients

After reading and sympathizing with Alex's experiences of getting kicked out, I wondered if there was anything we could do as students to reassure patients of our desire to learn from their experience. Each scenario pans out diff...

Posted By: Joshua Batt  

September 17, 2010

Interview Season

They're coming. All wearing "power suits" and carrying briefcases and black leather bound clip boards. These are the prospective students on interview day. They're clean, they're crisp, and t...

Posted By: Carl Streed Jr  

September 16, 2010

Medical School Rankings: What Really Matters?

In June, Fitzhugh Mullan and colleagues published a paper in the Annals of Internal Medicine ranking medical schools based on their social mission scores. In contrast to

Posted By: Elizabeth Wiley  

September 15, 2010

Where should I do residency?

Lately I've been thinking a lot about residency. Some about what I might want to specialize in, but mostly about where I want to live. I realize I may be jumping the gun because it is so early in my third year and also I may be skewing my priorities, but at the same time I think l...

Posted By: Arti Allam  

September 14, 2010

Always Planning for the Future

Today marks the tenth week of third year. At some point over the past two and a half months, I must have gone through a rite of passage into my clinical years. I am thinking like a third year. Every day a little inner monologue whispers anxiously, "Which specialty should I choose?...

Posted By: Rosalyn Plotzker  

 
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Medical school and residency can be a stressful, demanding time. These medical students share their insights and experiences, good and bad, in order to create a community of support and understanding for medical students everywhere.

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