Having recently completed my third year of medical school, I have been thinking a bit about my experience and that of my peers. Third year is ripe with unanticipated challenges-the triple burden of managing your academics, patient responsibilities, and also all of the emotions that come along with finally taking care of patients. I have always felt lucky to receive good advice from older students on how to jump through the various hoops that med school puts in front of us. What I am going to tell you about today are the things NOT to do; you would be surprised how many times I saw students do these during third year. A theme that you will see is that third year is a delicate balance-prioritizing patient care while finding time to study, and helping your team while also standing out.
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US medical students take Step 1 at the end of the Basic Sciences portion of the curriculum, usually after the second year of medical school. If the student passes the exam, he or she may not repeat it to achieve a higher score, and any failed attempt is permanently recorded. Mar 03, What a First-Year Medical School Student Can Expect Knowing what a typical day could be like and avoiding seven mistakes can lead to a strong first year. By Renee Marinelli, M.D., .
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Just like there's no point denying the second year of med school is tough, there's no point denying that the USMLE Step 1 is looming ahead and that, eventually, you will have to face it. However, you have time to mentally prepare yourself and organize a plan of action. And we're not going to leave you in the dust. Medical students' disease (also known as second year syndrome or intern's syndrome) is a condition frequently reported in medical students, who perceive themselves to be experiencing the symptoms of a disease that they are studying. The condition is associated with the fear of contracting the disease in question. Some authors suggested that the condition must be referred to as nosophobia. Beyond that, so much of being a third year medical student and ultimately a doctor is about being part of a team, and that is pretty hard to do if you are not around to help out. Do only as you are told. There is an untold rule of third year that you are expected to go above and beyond what is directly asked of you. This can mean a lot of.
College Research. Textbook Help. Homework Help. Professional Licensure. Teacher Certification. Praxis Exams. Some blocks only have an exam and no quizzes, which put much more pressure on us to manage our own study time. This year, I always felt like I had to be much more prepared, pretty much all of the time.
Still, the material was SO much more interesting than during my M1 year. We focused on abnormal systems, learning what happens when things in the body go very wrong instead of how the body works when things are going well.
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The material covered this year felt much more like what I imagined medical school would be like. Learning about tons of diseases with vague symptoms can get to you after a while. More than one of my classmates has admitted to being more of a hypochondriac after starting med school. I may or may not have self-diagnosed myself with a multitude of medical issues.
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I was mostly wrong, except for that one time I was right - that day, I was pretty proud of myself. Instead of self-destructing like I would have the prior year, I changed what I was doing. It seems like a small and relatively obvious step, but if nothing else, medical students are creatures of habit. We study in the same places in the same way day after day. The simple fact that I had learned to adjust at some point over the past two years is an amazing step, and one that will be very helpful on the wards.
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Step 1 is merely the gateway that we must pass through in order to do so. When we forget that everything we do is actually about the patients, trouble arises. Some of my worst days during study period were those in which I forgot that everything I do and all of the sacrifices that I make are for my future patients.
On my absolute worst Step 1 study day, when I was in an awful mood and the absolute worst version of myself, I walked up to school and saw a patient going into the cancer center for chemo.
It hit me hard and fast: There are real people suffering from real diseases out there. That encounter quickly put things into perspective and snapped me out of my awful mood.
Patients are what we are here for and what this whole journey is all about. People that we love pass away, relationships end, friendships hit rocky points, and sicknesses occur. The most important thing was that I was back to functioning and ready to go, even if it meant taking an exam two days late and being behind on the next block. There were many good days this year, but there also were ones that seriously made me reconsider my decision to go into medicine.
For example, in my clinical reasoning elective, I had a really troubling encounter with a patient. The health care system failed this patient in a big way, and I found this incredibly distressing.
However, this was the first time that I truly realized that by entering the health care system, I was now a part of the problem and would be fighting this for the rest of my life. I am now part of a system that tries to do right by patients but can actually hurt them significantly in the process. One of the best parts of being at an amazing academic medical center is that there are role models everywhere. One such physician was my clinical reasoning elective preceptor.
Her actions made it more than obvious that she cared about her patients and went above and beyond expectations for them. I want to be her when I grow up. Disclaimer: I am horrible at this.