The Differential
Blog Address: http://blogs.medscape.com/thedifferential
September 17, 2017

What's Your Unconscious Bias?

I had a 58-year-old African-American male patient with a past history of incarceration who presented with a 3-week history of cough, dyspnea, fever, night sweats, and unintentional weight loss of 30 lbs within the past month. He was found to have a large pleural effusion in his left lung with pneumonialike symptoms. The patient did not have hemoptysis, but due to his history of night sweats, weight loss, and past incarceration, we wanted to rule out tuberculosis. He was relatively skinny, and we also wanted to consider if he had HIV (wondering if he was becoming cachectic) because pneumonia in HIV patients can drastically change the approach to treatment. We not o...

Posted By: Sung Woo Koh  

September 15, 2017

What an International Medical Graduate Should Know About USMLE Step 1

If you are an international medical graduate (IMG) and want to practice medicine in the United States, you need to take the USMLE Step 1. Generally speaking, an IMG takes longer to prepare for the Step 1. There are two main reasons for this: First, oftentimes there are "g...

Posted By: Vincent Migliaccio Michaelson  

August 27, 2017

How Often Do You Wash Your White Coat?

As soon-to-be medical professionals, we wear white coats every day for a minimum of 8 hours per day. I wear an undershirt, a long-sleeve dress shirt buttoned all the way to the top and tucked into my trousers, and a tie around the neck. Then I put on my white coat with wh...

Posted By: Sung Woo Koh  

August 23, 2017

Early Morning Class

Ever had a class at 7 am? Well, I have... Today, in a few minutes, my class should be starting. I am taking this time before the professor gets here to write this post. I have to say: 7 am class is pretty tough!

The first few years of med school, my 7 am classes i...

Posted By: Vincent Migliaccio Michaelson  

August 20, 2017

Approaching Step 1: Week 1

I know that this topic has likely been written about and discussed ad nauseum, but everyone seems to have their own approach to studying for Step 1. There seem to be so many factors, such various resources, and obviously, very different outcomes. Because of the condensed ...

Posted By: Alina Khurgel  

August 20, 2017

The Whirlwind Cases I Saw During My Pathology Rotation

My first week of surgical pathology ended yesterday, and already I've seen some very interesting cases. Over the course of the last few days, my caseload filled up with tissue specimens, including tongue, colon, tonsils, bladder, uterus, and ovaries. Part of the learning ...

Posted By: Kolin Meehan  

August 19, 2017

Balancing Scut With Learning

On a recent rotation, I found that a combination of factors contributed to the medical students doing an inordinate amount of "scut work." There were too many students for the number of cases in the operating room, there was no electronic medical record system, the only t...

Posted By: Stephanie Nguyen  

August 18, 2017

When Medicine Isn't About Medicine

I have a patient on my service who usually isn't on my service. He has chronic renal failure, and he usually gets admitted to the kidney service. But the admitting guidelines at our hospital changed recently. So he was admitted to general medicine for the first time, meet...

Posted By: Heather Kagan  

August 15, 2017

Considering Dialysis

The first time I walked into a dialysis unit was 3 years ago. What I remember most were the colors. The stark white floors. The dark blood going through tubes. The colors explained my thoughts to me when I couldn't process them alone. This was the first time I saw blood t...

Posted By: Heather Kagan  

August 15, 2017

My Organ Transplantation Rotation

I was a bit nervous going into my surgery rotation because it is simply a known fact that surgery tends to be one of the more demanding rotations. I heard about how you must get to the hospital at an absurdly early hour before the sun comes up and leave long after the sun...

Posted By: Stephanie Nguyen  

 
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About This Blog

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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Poll: Are you still in contact with your roommates from 1st year? Yes, they're right next to me.|Yes, but we don't room together anymore|No, we didn't get along|I didn't have a roommate|

  • Alina Khurgel
  • Kolin Meehan
  • Neil C. Bhavsar

    Medical Student 
    New Jersey Medical School

  • Rick Tumminello

    Philadelphia College of Osteopathic Medicine

  • Sung Woo Koh

    Chicago Medical School at Rosalind Franklin University

  • Heather Kagan

    Temple University School of Medicine, Philadelphia, PA

    www.heatherkagan.com

  • Stephanie Nguyen

    Temple University School of Medicine

    Philadelphia, PA

  • Vincent Migliaccio Michaelson

    O&Med School of Medicine|Havard Developed Pilot Program

     

 
 


 
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