23 January 2012

Gosh darnit, they like you!

On Jan 21st I was part of a team of finalists representing Ross
business school in the Kellogg biotech and healthcare case competition. One week prior we had been given a dilemma
surrounding the issue of infant HIV diagnosis in a poor African nation. We had to come up with a pilot program for a new point-of-care testing method and justify our strategy. There were thirty-six entrants, of which 11 finalists were chosen. Each finalist team had 1/2 hour to present their solution.

We won. Felt awesome.

If you can believe it, I did power calculations and threshold sensitivity analysis. I used formulas in excel. I could feel the rust falling off the mental gears I used 10 years ago in my undergrad business degree. It felt really good to be doing something a little different than the past 3.5 years.

It was so much fun, in fact, that I am pursuing the idea of doing a three month project with one of the professors in the Ross business school as an interdisciplinary elective. I'll know more next week on how feasible that is.

15 January 2012

Dr. G has a sense of humor

While studying a module on asthma, the following practice question came up:

Q. Which of the following issues are concerns for the athlete with asthma?

A. Cold air
B. Exercise
C. Restrictions on drug use
D. Brent Musberger

The correct answer, for those non-medigeeks, is all of the above.

For those whose knowledge of athletics is limited (as is mine), Musberger has been quoted stating, " While anabolic steroids have no place in high school athletics, I think under the proper care and doctor's advice, they could be used at the professional level."

12 January 2012

Life after medical school

It occurs to me that most people outside of medicine don't really know how the medical education system works after medical school. So here is a combined primer/update.

Upon completing medical school, you are an MD, however you cannot practice clinical medicine without supervision until you complete a minimum of one post-graduate year. Typically, this is accomplished by entering into a residency program. The vast majority of people complete a full residency, upon completion of which you sit the board exams in a particular specialty (or specialties). If you pass that exam, you are then "board-licensed" in that area of medicine. You can further specialize within that category of medicine by completing a fellowship and sitting sub-specialty boards.

Example: You could complete an internal medicine residency to become a board-licensed internist and subsequently complete an endocrine fellowship to become a licensed endocrinologist.

You cannot complete a fellowship without first completing a residency. Theoretically you can practice medicine without board licensure, however you would never get the malpractice insurance required and no hospital would hire you/give you privileges.

Okay, so how does a medical school graduate get into a residency program? The answer is the national residency match process. In your final year of medical school you apply to residency programs at a variety of hospitals using a central database called the ERAS. You fill the application out once and select the programs at which you would like to be considered (and pay $$). Generally, people apply to only one type of residency (ie anesthesia, pediatrics, ob/gyn), however occasionally people will apply to a less competitive option in case they do not get a spot in something coveted (ie, someone applying for dermatology may also apply to internal medicine).

Programs that found your application compelling will invite you to interview with them. An interview involves flying out to the hospital the day prior, attending a dinner with current residents the evening prior, followed by a full day of interviews/presentations/tours. You pay for this yourself, so you can imagine that a person who interviews with 10-12 programs will burn though a chunk of change accomplishing this. Interview season is November-January.

In February, the applicants submit a ranked list of places they interviewed at. The list does not have to include all the programs, however, not ranking a program means you would refuse to work there even if given an offer. Applicants cannot rank programs at which they did not interview. Simultaneously, each program ranks the applicants they interviewed. Again, they do not have to list all the people they interviewed, but they cannot list someone who did not interview.

In March a computer goes through and attempts to create the optimal pairing of applicants to programs. If multiple programs rank an applicant, the applicant is generally assigned to the program they preferred. If no programs rank an applicant high enough, that applicant will not get a residency placement (ie they will not have a job). On March 16th, 2012, all applicants will get an email telling them where they have been assigned. If an applicant did not match, they are generally notified the Monday prior and they go through something called the scramble.

So, where am I in all of this? Well, I'm applying to a combined residency program, called medicine-pediatrics. It's four years in length. At it's conclusion, I will sit both the internal medicine and pediatrics board examinations (ie I will be double-boarded). I applied to 19 programs and was offered interviews at 14 of them. I completed 11 interviews, but have not yet settled on what order to rank them.

Places I interviewed: UPenn/CHOP, Univ. Minnesota, Univ. Maryland, Univ. Michigan, Georgetown, Brown, Baystate (Tufts), UCLA, USC, UNC, Univ. Rochester

Places I declined to interview: UCSD, Vanderbilt, Univ. Chicago

Places I was rejected: Brigham & Women's, Mass Gen, Yale, Duke

Places I never heard anything from: Univ. Pittsburgh

05 January 2012

Free time

For those of you not in medical school, it's residency interview season. My particular medical school gives me two months off (read: vacation) in order to travel and complete interviews. Two months is more free time than I have head since, well, since I went to Thailand. So what did I do with this precious time? I intended to learn Spanish. That did not happen. Instead, I:

- traveled to 11 interviews (and saw friends!)
- took Step 2 CS
- visited my parents for two weeks
- met my boyfriend's parents (I took them to the anatomy lab)
- did crossword puzzles
- baked (a lot)
- tasted several varieties of gourmet cupcakes
- improved my skills at Burnout 3 on the PS2
- played Betrayal: House on Haunted Hill (board game)
- watched The Lives of Others and Lawrence of Arabia
- trained new SPIs at school
- taught the M2s pulmonary classics
- slept. slept more.

All in all, it was quite nice to live life at a reduced pace, however I don't think it really generated any interesting or funny stories for blogging. Except for that time I found $20.