The Differential
Blog Address: http://blogs.medscape.com/thedifferential
February 12, 2011

An Undocumented Patient

Family medicine might be one of the broadest professions (followed closely by blogger ) due to the variety of patients who show up to the clinic. I've been lucky in my rotation to have at least a little bit of focus. Our clinic, located in Crown Heights, serves a primarily Caribbean population. Over six weeks, my patients taught me about St. Lucia, St. Vincent, St. John, Haiti, Trinidad, and Jamaica. Tropical islands, incidentally, are a perfect discussion topic for two people who have just come from the tundra that is February's Brooklyn. 

On Monday a 58-year-old woman I'll call Shirley from Trinidad arrived as a walk-in patient. The PA handed us a purple ...

Posted By: Rosalyn Plotzker  

February 12, 2011

Making a Better Doctor Through Art

Published studies have shown that guided observation of art can improve medical students' visual observation skills. -- Office of Student Affairs (citation my own)

Approximately two...

Posted By: Carl Streed Jr  

February 9, 2011

Be Nice To Nurses; It Could Save You Money

This is a tale of two conversations I have had with nurses during my 3rd year of medical school. Here is the first one:

“Medical students are so friendly,” the nurse said to me with a smile.

I laughed.

“And then after a while you hate us,&...

Posted By: Jeffrey Wonoprabowo  

February 9, 2011

Do you really want that DNR?

"Do Not Resuscitate." After nearly a year in the hospital, I've seen those words in more charts than I can count. We assume they tell a pretty clear story: The patient, or their proxy, having understood the process and consequences of CPR, has decided that should things take ...

Posted By: Alex Folkl  

February 7, 2011

Don't Discount Sexism in the Physician Gender Pay Gap

The story that made headlines last week was that the pay gap between male and female physicians is widening.  Even when specialty and work hours are accounted for, an unexplained $16,819 gap exists betwe...

Posted By: Shara Yurkiewicz  

February 6, 2011

How do you escape the grind?

Perhaps the information overload of school has caused the fantasy world to play tricks with my mind. I often think, when I have a salary, I am going to do this or go there on vacation. My daydreaming gets the better of me when I should really be focused on the ta...

Posted By: Joshua Batt  

February 5, 2011

Snow day!

Yesterday we had a snow day in San Antonio. A whopping one inch of snow, and all the highways were shut down, schools were closed, offices were closed, even clinics were closed. Unbelievable, right? I waited four years at Northwestern for a snow day, but instead managed to trek th...

Posted By: Arti Allam  

February 5, 2011

There's a World of People Out There....or so I'm told.

Solitude vivifies; isolation kills. -- Joseph Roux

Medical school is a wonderful place to make friends and meet your future colleagues (and perhaps find love). The adversity and joys of the medical curriculum can make a cohesive band out of a rag tag bunch of stud...

Posted By: Carl Streed Jr  

January 30, 2011

Changing the Way I Think

Way back in first year, in a class called "Doctoring Skills," one of our attendings described his method of extracting meaningful information from a patient's story. He'd let that person talk, and while they were talking, his brain would be putting specific bits of information in ...

Posted By: Alex Folkl  

January 30, 2011

Third Year: DIY Medical School

How does a medical student spend two free hours between M&M and grand rounds? 

A few months ago I bit the bullet and paid for a NEJM subscription. The event reminds me of my decision to subscribe to the New Yorker after I graduated college. Without classes, I reas...

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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