5 kinds of Doctors you’ll come across in a hospital

So after graduating from the Medical school I realized that it wasn’t so bad. Just kidding. It was bad. But then again I had loads of fun too. Anyways so when I looked back at my five years as a medical student I realized that both the fun part of a rotation and the misery was almost entirely dependent on the doctor I was rotating with. So based on my observation I categorized my mentors into five groups.

1. THE REALLY COOL DOC: “The name’s Bond, James Bond” .. Seriously, did you lose your way to the theater and end up in a hospital? As you watch this spic and span doctor enter with everything in place and a smile to top it all up you realize this is who you want to be. During his rounds he is empathetic and caring and knows his stuff well. Wow. Could it get any better? Best of all he gives you a chance to speak and make your point without passing any unwanted remarks or judgments. So by the end of your rotation you are all confident, you have gained some knowledge about the rotation and you are still yearning to learn more from this guy. Best time ever!

2. DOCTOR FRANKENSTEIN: “You rang?” When you first see this guy all you can think of is Lurch from The Addams family. I mean did you sleep well in the mortuary last night doctor? Or maybe say hello to the cadavers sir. This doctor looks totally shabby and is definitely sleep walking half the time in the hospital hallways. Now there is a 50/50 chance of him teaching you anything during the rotation depending upon his sleep deprivation status. But the best part is that he won’t notice your absence so all the more to be late on a round or take a tour to the cafeteria without getting into trouble. All in all, fun but not exciting.

3. Le MISERABLE DOCTOR: His wife left him, the system doesn’t care for him, the worlds coming to an end and medical students should never have graduated are the lines you keep hearing from this one. He will be least interested in teaching you any constructive stuff. All you’ll hear will be complaints and more complaints until you realize that people like him are the reason for the high suicidal rates among the doctors. This rotation passed slower than the rest and by the end of it you may have probably ordered yourself a .45 pistol on Ebay. Terrible time of the year this one.

4. THE SARCASTIC ONE: This guy will keep you on your toes 24/7. Leaving no opportunity to make you feel like crap and passing snide remarks each time you get something wrong you realize why people hate doctors so much. Now there is an 80% chance that this one will be a surgeon (not that I have anything against the surgeons. Purely my personal experience. No offence) God complex, perfectionism and constant urge to humiliate someone are some of the weapons he’ll carry around. By the end of this rotation you’ll be turning in a Le Miserable Doctor yourself and wondering whether to shoot him or yourself with that gun you purchased from Ebay.

5. THE OPPRESSED ONE: This guy will remind you of your childhood days. When there was this kid who everyone used to bully for no apparent reason. And he wouldn’t stand up for himself rather always act like he had Stockholm Syndrome. So during your rounds you’ll realize that instead of looking up to him as a mentor he is looking up to you. He is just sad. At first you get a thrill at getting the authority (Hmmm.. So this is how you end up becoming “The Sarcastic Doctor”) but then you get a feeling of guilt and try to cheer him up and act helpful during rotations. You should probably carry a pack of tissues just in case an emotional scene erupts between you two. But this rotation will teach you how to use authority and yet remain humble.

Photo credits:Hand image created by Jannoon028 – Freepik.com

23 things NOT to put on your CV – Resume writing for doctors

Is my resume ok? Is it what is expected?
We hear from many doctors who work with us as locums, or those who are wishing to work in the Australian medical system that they are not confident about their CV. They fear it is too long, too short, in the wrong format, the wrong font, doesn’t include the right information, or is not what is expected in Australia.

For the most part, their fear is well founded.
Having recruited to a number of different professions, I can say with absolute confidence that medical CVs are among the very worst I have ever seen. Somehow, amazingly, many doctor’s CVs seem to really hit every mark of ‘what not to do’. Rest assured, though, that it is certainly a problem you can fix.

Why is it so?
The short answer is ‘market forces’. Did you need to supply a CV to get an intern job? No. When you applied for your next job as an RMO/HMO, did it really matter what your CV looked like? Probably not – there were plenty of jobs.

There is a huge surplus of medical jobs in Australia, so by necessity, you haven’t had to learn the skill of writing a CV. Just a few years ago, you could most likely get a locum job with half a CV written on the back of a banana leaf.

What has changed?
Slowly, the medical employment market is becoming more competitive, and regulated. Many colleges are not increasing the amount of training places available and most employers are heavily formalising selection and employment of locums, even for short term jobs. There is now a need to really master the skill of getting your CV right.

What not to do, in a nutshell
First, forget everything you learnt at school about writing CVs. It was a waste of time. Second, never include any of these items in your CV. You may laugh at some of these, but most of them we see every single day on resumes, some are rarer – but are real examples of what I have personally seen.

1. Photograph
2. Marital status
3. Health status
4. Hobbies or interests
5. Details of children
6. Any paragraph longer than 40 words
7. Sporting achievements
8. Anything negative
9. Anything untrue
10. Your race or colour
11. Date of birth
12. Referees names and contact details (Why? Because you want to control access to your referees)
13. Religion
14. Political affiliations
15. Height or weight
16. Weird or offensive email addresses (such as hotpants69@sexylady.com)
17. Irrelevant jobs
18. Irrelevant education
19. Salary/income expectations
20. Anything spelt incorrectly
21. Irrelevant rants about your life, travel, desires, etc
22. Lists of every single procedure you have ever done, or considered doing in your life
23. Detailed background of your Medicare fraud activities

There are some exceptions to these rules – for example, when an employer or college specifically asks for certain information to be included.

Your homework

Open up your CV right now, identify anything that should not be in there, and delete it. For some of you, you may have only a blank page left!  You now have an excellent starting point to a killer CV.

How To Save A Life: 10 Most Disgusting Medical Procedures That Could Be Life-Saving

Medicine has evolved from the development of lab-grown body parts to fecal transplants, shaping the way patients receive care. Despite their growing advancement, some medical procedures are bizarre and have yet to become accepted. Alltime 10s’s video, “10 Disgusting Medical Treatments That Could Save Your Life,” compiles a list of the most disgusting medical procedures ever performed that may make your stomach turn, but can actually save your life.

Nearly seven out of 10 Americans take at least one prescription drug, and half take two or more, with antibiotics being the most commonly prescribed, according to a study in the journal Mayo Clinic Proceedings. These statistics reflect Americans’ great dependency on prescription drugs to treat health ailments. While these medications can help alleviate pains and aches, and combat illnesses, the U.S. and other countries have also resorted to animals and other weird sources to treat a variety of health conditions.

Drinking pulverized frogs blended with herbs for asthma and fertility issues is a common practice in Peru. Many natives also drink frog smoothies as a remedy for a low sex drive, but this has yet to be scientifically proven. Animal ingestion for asthma is also practiced in India, where asthmatics swallow a 5-centimeter fish in herbal paste. Thousands visit the one family who administers and claims the fish clears the throat.

The usage of human body parts also tops the bizarre medical treatments list that can save your life. Doctors have practiced natural orifice surgery by having their patients’ abdominal organs removed through their mouths or vaginas to avoid incisions. The first operation involved a gall bladder extracted through the mouth.

Another unusual yet fascinating medical procedure is a tooth transplant into a patient’s eye. Removing a tooth from a patient and placing it in the eye can restore sight. A hole that is drilled in the tooth holds a prosthetic lens that can correct corneal scats once implanted in the eye.

While some cultures swear by them, and others look away, these bizarre medical treatments have been able to save lives.

Click on Alltime 10s’s video for more disgusting medical cures, and see if you can stomach getting through the complete list.

If you had to choose between becoming an engineer or a doctor, what would you choose?

This question was posted on Quora and was answered by Liang-Hai Sie
Both our daughter and I myself had faced this choice, 10 and 50 years ago.

Becoming a doctor:

  • after high school, it takes between 9 to 13 years before one can practice on his/her own, if you need to take out a student loan, you will spent the first 10 years after finishing residency paying off your debt so you can start living after being 40-45 years old.
  • The working week is long, your profession will impact heavily on your private life, without a supportive partner you couldn’t have a happy family life.
  • in many parts of the world finding a job wouldn’t be a problem (it is now in The Netherlands), and the pay often is quite OK, when compared to engineers, but will vary widely depending of your specialty.

source: Medscape: Medscape Access

Becoming an engineer:

  • It takes “just” 5 years after high school to graduate, after that engineers will go on educating/training themselves on the job, but have a decent paying job, unlike the underpaid resident doctors in training for medical specialist often making ± $ 60,000 a year.
  • In many countries income would be lower than a doctor’s, but social life would be better because of the more civilized working hours.
  • according to Engineering Salaries on the Rise – ASME in the US engineers make an average income of $ 103,400.- including bonuses.
  • people’s skill are also very much needed if one aims for a management position.

When I was at high school, I always thought I would become an engineer, but just before graduation decided that was too hard to do, studying medicine seemed to be better suited to me, my father, my uncle, my older siblings and cousins either were docs or were doing med school, and not complaining, so I decided to become a doctor, and never regretted it.

When 10+ years ago our daughter was to graduate from high school, having chosen a very versatile “study profile” making it possible for her to do both med school and engineering, the thought that it took between 9 up to 13 years after high school before she could practice independently, contrasting with a “mere” 5 years doing engineering, made her chose to do biomedical technology over medicine, what she “always” had wanted to do. No financing problems here since tuition was just around € 1,650 yearly and everybody got a government sponsored scholarship, after a few years a loan with just 2,5% interest if you took >1 year longer to graduate, or transferred to another faculty.
After 1,5 year she became disappointed at not working with people which she felt was so important for her life, just a lot of mathematical formula’s, so she stopped doing engineering, not knowing what next to do with herself, then almost 20 yo. After a lot of doubts her old interest (medicine) surfaced again, this time being a bit older better equipped to see the consequences, she decided it was to be either med school or psychology.
So she interviewed a psychiatrist uncle, his psychologist wife, one of my female partners, married with a child, on how they experienced their private and professional life, and with the last lady doc how she arranged her household and child care with both parents working as medical specialists, also our head of psychology department at that time the Secretary of the Dutch Psychologist’s Union.
At the end she chose med school.
She became a lot happier after being admitted to med school.
Now she’s an MD Ph.D candidate, very happy with her research job, but having great uncertainty what to do next this fall after finishing her Ph.D, since at present it’s very difficult for young medical specialists to find suitable openings, at present around 50 young surgeons have no paid jobs, just working at the hospital where they did their last residency without pay so not to lose their dexterity and certification. Others do locums. In the specialism she wanted to do clinical genetics the University had to let people go due to budget cuts, sometimes after a 10 year tenure… Very unsettling, especially since these highly specialized docs aren’t equipped to do other medical work without first doing retraining. Imagine this happening to you at around 45 yo.
EDIT: we now have 168 young medical specialist on Social Welfare out of a total of 670 jobless medical doctors (spring 2015)

Wishing you all the wisdom in your choice.

EDIT 2016: our daughter who after attaining her Ph.D worked as a post doctoral researcher, at the same time supervising two junior would be Ph.D students, could live with the publication pressure they all had to deal with, so left academis on the brink of a burn out, took 10 months to recover, and now has started a new life as a Information Analyst bridging the divide between clinical docs and ICT. At present she’s very happy at her new job, being able to make enough money while working 4 day weeks, no longer under such pressure as in academia.

How many hours do medical students study daily?

Also, you should be careful with taking advice from people who have always done well. Correlation =/ causation. Take care that some people are simply better at memorizing/learning or using more time than you (including prior knowledge), but using less-than-optimal strategies. You should actively test and track your strategies including their efficiency.

The first thing is you have to invest in the time and know you have been given a great opportunity to do what you love. Don’t squander it with a half-a** effort.

I grossly underestimated the amount of time needed to study on the first exam. I tried studying effectively (meaning no distractions) 3 hours a day for the first exam. Big mistake. I bombed it pretty bad, but not hopeless.

Now I’m studying effectively 8 hours a day (12 hour cramming week before exam) with at least 7 hours of sleep consistently. My scores and retention shot to the moon. Despite what some “bros” who tell me to “f*** sleep”, it will hurt your retention and make your study effort 2x less effective.

Next, you want to study smarter.

Here’s some tips I’ve procured that are from consensus studies or data that are at least suggestively (not necessarily sweepingly conclusive, because these scientific fields can change) good advice:

  1. Minimum information principle. Try to structure your knowledge to the bare minimum needed. Prioritize. Use symbols and abbreviations. Be careful of going less than minimum though. Again, you shouldn’t try to learn more than needed. I know this sounds rather short-sighted, but you are better off in the long-run, simply because you seriously cannot remember everything in medicine, unless you are a savant with photographic memory. A simple way to verify this is to calculate the amount of knowledge, make it into a deck, calculate your personal forgetting curve (with your own factors adjusted for it), and the amount of time you have. The amount needed is generally more than the time given to get close to 100%. You will specialize later anyways and get the sufficient training needed. Then rarely ever use anything else. Consider that you have a time limit and it is good to know your limits. Note that redundancy doesn’t necessary violate this minimum information principle. I know it sounds confusing, but try to summarize/centralize everything in one sheet of paper and memorize. Then try several layers of knowledge (clinical relationships etc) on top of it.
  2. Mnemonics (visual and verbal) and understand what you are learning before memorizing. I’ll let you figure out the best mnemonics strategies since there are too many. There should never be memorization without understanding. You will forget meaningless knowledge quicker. Evoking unique emotional connections, especially the “dirty” ones, generally work better. Also, beware of similarities of materials spilling in and confusing yourself.
  3. Running sleep basically sleep when you feel like it, but wake up (don’t toss and turn or hit snooze) when you’ve had enough – for most that is biphasic: 12am–7am and take a siesta 1–1:25pm. It varies by person.
  4. Be in the right environment. The “prime time” to study is first thing in the morning and after your siesta. That means no distractions. No music with lyrics, no TV, no social media. Pure focus. I complete all my dumb admin work at night. Seek convenience when it makes sense – $20 could run a long way if it saves you 1 “prime” hour.
  5. Spaced repetitions, active Q&A recall, (a TON of) practice problem tracking – don’t let your ego fool you into thinking you remember what you study – track your retention meticulously and isolate “memory blocks” – parts that suck your studying time, with little to no retention. Doesn’t matter what you use Anki, Memorang, Firecracker or simply old school flashcards etc. Basically the same principles. Personally I use Firecracker because it syncs with my individual school’s coursework, then off to never-ending Qbanks.
  6. Be brutal about your weak points. Ego or fear will set you back. Don’t waste time on stuff you’ve mastered or easy questions. Revisit your weak points much more often. It is one of the hardest to admit your own weaknesses and just do it, but once you get past the initial barrier, you will see results. Failure on difficult questions or weak points will make you progress the most. Remember, if you do what is hard, your life will be easy. If you do what is easy, your life will be hard.
  7. Get the right material and (re)sources – despite some recommendations of studying together, IMO I advise against having fellow students teach you – get an upperclassman, TA, tutor, professor. Get it right the first time (especially with their thought process after completing the course), so you NEVER get the wrong information or low priority information (generally unintentional). Unlearning mistakes will suck up double your time. Some prep books are filled with mistakes and will hurt you. First Aid book recommendations are solid. You just have to discriminate the source of knowledge and hierarchy of information.
  8. Eat right, exercise right, sleep right. These will make your circulation and sleep quality better and thus better retention/brain blood flow. Your brain constantly needs the right amount of nutrients on demand – no more no less within a range. Avoid simple carbs and sugar like the plague, and turn off all sources of blue light at least 1–2 hours before bed. Find out your optimal ratio of carbs:fat:protein. Eat a good amount of protein and fiber to avoid hunger pangs. I also recommend buying a tub of high-quality whey protein powder to save money on protein. Also remember that getting really sick or getting injured during exercise will set you back really far on studies, so guard your health!! I could go on about hGH secretion, sleep quality and memory formation but you get the idea.
  9. Supplementation is fine, but don’t go crazy on supplementation, especially herbal extracts can hurt your liver. I just take small amounts of high quality GMP/USP grade caffeine, green tea extract, and fish oil (well, also creatine for workouts) – generally stuff that’s available in food already with strong evidence, but simply time or cost prohibitive to get good amounts. The BEST supplement is water. Be careful of nootropics or study drugs. I tend to avoid them besides caffeine because of lack of research or quality/cost-prohibitive.
  10. Don’t burnout. Get some fresh air and take SHORT breaks from the computer screen. You should take some time to network too, and have a life. At least 10% of your time. Vacations are necessary. Being a top student because of too much studying, and then burning out will not get you anywhere.

I could go on about tiny details about memory, learning, sleep science, supplementation, exercise physiology and nutrition, but I’ll save it for your own research, especially since I’m too lazy to reference a massive amount of articles (probably over 100). I am a certified NASM personal trainer and nutritionist, I’ve doing sleep/learning/biochemical research and meticulous self-experimentation all my life, and managed to get into a good medical school, despite the odds of running 2 businesses at the same time, while in school. I welcome skepticism, especially since I haven’t referenced anything, so please let me know if you find a better strategy than what I’ve already presented.

This question was originally posted on Quora, and we selected the best answer, which was written by:

Which is the best country to work in as a doctor?

This question was posted in Quora by Liang-Hai Sie
These are just a few thought where people say it’s difficult or good to work as a doctor.
The not so good stories are from:
-Eastern Europe: for most the pay is low, so many are unsatisfied
-Italy: most medical specialist aren’t paid so well
-UK: loss of control how to manage one’s practice is said to lead to a lot of burn-out?
-Germany: working hours are long, secondary job benefits are less than e.g. in The Netherlands
-SE Asia: in the more developed countries working hours are long, income is good, social standing good.  I think in the poorer countries all is a lot less.
-China: pay is not good, long working hours.


This is from a survey on burn-out in Chinese vs US physicians:
It is manageable and I’m not making any changes (36% vs 25%)
It is manageable but I need to make some changes in hours/workload/etc. (52.2% vs 62%)
I am thinking of leaving my current position (7.3% vs 7%)
I am thinking of leaving medicine altogether (4.5% vd 5%)

Financial position Chinese vd US physicians:

At present still OK:

-Scandinavian countries: working hours were quite OK, income relatively low, but one could have a good private life.  No problems with people unable to afford their essential medical care.
-The Netherlands: at present income and working conditions are still OK, but docs are losing more and more income and their say about how their practice are organized. Universal health care, people are mandatory insured for essential health care.
-USA??  Income if not a primary care physician is quite alright, high student loans, the threat of being sued, but all in all docs and partners are quite satisfied.

From:  Medscape: Medscape Access
Physician Lifestyles — Linking to Burnout: A Medscape Survey


As for partner satisfaction, as long you have more than two hours of face time a day, is high: 70%  See Elsevier The Medical Marriage: A National Survey of the Spouses/Partners of US Physicians (unfortunately at present only accessible to subscribers or if you pay for access)

Working Hours of Doctors According To Country

Resident duty hours around the globe: where are we now?

        • John Temple

      Background image created by Luis_molinero – Freepik.com

      BMC Medical Education201414(Suppl 1):S8

      DOI: 10.1186/1472-6920-14-S1-S8

      Published: 11 December 2014

      Abstract

      Safe and appropriate health care, especially in urgent or emergency situations, is the expectation of the public throughout the developed world. Achieving this goal requires appropriate levels of medical and other staff, appropriate training, and sensible working hours. Too often the brunt of such care, especially in out-of-hours situations, is borne by medical residents, who – to make matters worse – are frequently poorly supervised by more senior and experienced staff. Many jurisdictions have been alerted to this problem and are striving to correct it. However, the variation in attempts to restrict the actual hours worked by residents to “safe” levels is enormous, and all too often there is no consensus as to what should be put in place to achieve safe patient care. This paper sets out the current position for Europe, North America, and Australia.

      Introduction

      The volume of hours worked by medical residents has been a concern for years. The realization that tired, inexperienced, and poorly supervised doctors make more mistakes than those who are fresh, alert, and closely guided has become apparent everywhere. And yet there remains a huge variation in the implementation of controls over the actual hours worked, the environment available for learning, and the degree of real supervision afforded to these young professionals.

      Variation is seen both between countries with supposedly modern health care delivery systems and within the health systems of those countries themselves. What should be the role of medical residents? Should they be viewed as practitioners primarily, who provide service and attain further learning by clinical exposure (and, some would say, experience), or are they genuinely doctors in training, for whom every clinical event should be an appropriately supervised learning opportunity?

      The former system has resulted in a random, unstructured, arbitrary, and often patron-dependant method of acquiring the necessary skills to be competent for independent clinical practice. The latter process, which has gained more recognition if not actual implementation in recent times, still has a long way to go before it becomes the accepted and quicker route to senior levels of service and care delivery. This paper reports on some of the systems and situations around the globe concerning the statutory regulation—or lack of it—as to what constitutes good practice leading to appropriate training of young doctors and, ultimately, safer patient care.

      The case of Libby Zion, an 18-year-old woman who died while under the care of residents in a hospital emergency department in New York City in 1984, was the original stimulus to resident duty hour reform. The publicity that surrounded this case highlighted and subsequently influenced attempts to regulate the completely unrestricted hours worked by residents in hospital practice throughout the world. Subsequently, the lead in the journey of restricting hours was taken by Europe. The European Working Time Directive (EWTD), issued by the Council of Europe to protect the health and safety of all workers in the European Union, became law in 1998. It empowered a set of minimum requirements, including the following:

    • a maximum work week of 48 hours
    • a minimum rest period of 11 consecutive hours per 24-hour duty
    • a minimum rest period of 24 hours per 7-day duty, or 48 hours of rest per 14-day duty
    • a minimum of 4 weeks of paid annual leave
    • a maximum of 8 hours’ work in any 24 hours for workers in stressful positions
    • a minimum 20-minute rest period per 6 hours worked
    • The following section will review the outcome of the EWTD for medical residents since its implementation.

      Europe

      Official information remains extremely hard to gather or collate. An official European Union document reporting country-by-country compliance with the EWTD was due for publication in 2008 but has still not been released. The current situation of the 48-hour EWTD is as follows. There are beacons of achievement. Denmark has been compliant with the EWTD for many years and has a normal work week of 37 hours. Sweden and Germany indicate good compliance.

      Finland is probably compliant. The Netherlands reached compliance during 2011. Norway, which is affiliated with the European Union but is not a full member, trains young doctors in a weekly average of 45 hours. The United Kingdom reports compliance now, but recent research suggests that up to 25% of junior doctors are still working beyond the 48-hour limit. Compliance figures are not available for 11 countries, namely Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Italy, Luxembourg, Malta, Portugal, Slovakia, and Slovenia. There is anecdotal evidence that many doctors in Spain, Ireland, Greece, and France are working more than the regulation 48-hour week, often without additional pay.

      Poor working conditions and excessive hours, but no hard data, are reported anecdotally in Estonia, Latvia, Lithuania, Poland, and Romania. However, many of this latter group joined the European Union relatively recently and were not previously subject to the EWTD. In the United Kingdom, the full implementation of the 48-hour EWTD in August 2009 led to widespread concern about the ability of the National Health Service (NHS) to continue to deliver both high-quality training for its staff and safe clinical service. In the health care sector, the EWTD was found to affect only doctors and, more specifically, only those in the secondary care sector.

      The 2010 report Time for Training found that although “high quality training can be delivered in 48 hours” in the NHS, “this is precluded when trainees have a major role in out of hours service, are poorly supervised and access to learning is limited.” Thus, only 6 of the 27 European member states meet the prescribed standard, some 14 years after the EWTD became a legal requirement. In view of this lack of success, renegotiation of the 48-hour restriction, along with other factors, has been requested, but it will take a very long time for any revision to be agreed, let alone put into practice.

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Why do I feel sleepy when I start studying? What can I do?

This question was originally posted on Quora. Answer 1 by: Alaka Halder, Princeton University ’15

A2A. Studying for the SAT wasn’t my favourite task in the world either, so I’ll share some of the things I did:

  • Get away from your computer and other distractions. You’ve already pointed out that having all those soft copies of SAT guides is pretty useless if you’re on edX all the time. So print out those soft copies, or better yet, buy some hard copy SAT guides. I think they smell nice 😛
  • I hated reading the SAT guide. You’re being tested on what you learned in high school anyway, and I didn’t feel that I was benefiting from reading/passive reading. So I took a lot of practice tests instead of “studying”, and checked my answers against the answers manual. If I got something wrong, I tried to figure out why. It’s hard to get distracted when you’re actively engaged in something like test taking.
  • A technique that you might find helpful for building your studying stamina is the very simple Pomodoro method (Lifehacker: The Pomodoro Technique Trains Your Brain Away From Distractions):

    Developed in the 1990s, the Pomodoro technique uses a timer and a simple concept: write down a task, work on that task for 25 minutes without interruption, and then take a break for five minutes. It takes the pressure off the task, and discourages multitasking. The goal is to pace yourself through the task, while still maintaining progress. This method enables you to concentrate without distractions, and encourages deep thinking,

    Lifehacker

    Anyone can concentrate for 25 minutes. After you’ve worked for four 25 minute chunks, give yourself a longer break (e.g. 15 minutes). I know people find this helpful if they’re procrastinating a lot, or if they find themselves retaining too little of what they’re studying. The remain answers are here.

150+ Free Pages of Mnemonics in All Medical Branches!

While browsing on the web searching for mnemonics, we found a nice PDF with 100+ pages including mnemonics in “Anatomy – Biochemistry – Cardiology – Dermatology – Embryology – Emergency Medicine – ENT – Epidemiology – GIT – Genetics – Histology – Immunology – Family Medicine – Internal Medicine – Physical Exam – Microbiology – Neurology – Gynecology – Ophthalmology – Orthopedics – Pulmonology – Pediatrics – Pharmacology – Physiology – Podiatry – Psychatry – Radiology – Oncology – Rheumatology – Surgery and Nephrology”

Samples:100 Free Pages of Mnemonics in All Medical Branches! 100 Free Pages of Mnemonics in All Medical Branches! 100 Free Pages of Mnemonics in All Medical Branches! 100 Free Pages of Mnemonics in All Medical Branches!

The other list you can find it herehere and here.

What’s it like to perform surgery for the very first time?

Sure you’ll know what you’re doing and had plenty of practice on things that aren’t people. Sure you’ve watched others doing it. But what’s it like the very first time you cut somebody open to make them healthy? Is there extra fear of messing it up? Were you fairly confident?

(This question was originally posted on Quora, and below is a selection of the best relevant answers.)

Answers:

Robert Gluck

You’re one year old and taking your first steps. Your mom holds your hand as you waddle along with your little padded tush and she let’s go. You’re walking! Yeah! It’s all heavily scripted but what do you know? Mom makes sure that you’re well protected. No stairs. No sharp corners. You fall, you get up.

Training as a surgeon, the first few times you think you’re flying on your own…hopefully you’re not. But, what about that very first time when you’re really flying solo? On the other side of the blade, the scalpel, the lancet, the knife…on the receiving end of your services, is someone you were talking to a bit earlier. Or maybe it was their family. Or maybe not. Maybe it’s an emergency and you’ve never even met! One way or another, on the other side of the knife is someone who feels, who dreams, who lives a life. Someone with a past, a present, and a future that you will help shape…or un-shape. Someone who trusts. You.

They trust you. To get it right. To do your best. And maybe your mom’s not around. Or…you are the mom. And there’s no one else to ask. The buck stops here? So, through your exhilaration, your apprehension, your fear, you need to focus…your life depends on it. Well, as it so happens, not your life. Their life! Their pleasure, their pain, their existence. You deal. You are the house. Focus. Plan. Stay a step or two ahead. Biological systems are complex. Shit happens. Shit like unexpected bleeding. Like weird anatomy. Like infection. And later…Scarring. Recurrence. Metasteses. Wet and dirty bandages. Bandages that fall off. Are too tight. Patients who don’t listen. Patients who are scared and in pain. Your first surgery doesn’t begin and end in the OR. But for now…stay focused…cut sharp and think sharp!

Laszlo B. Tamas, Neurosurgeon with ties to the Bay area and Silicon Valley.

Memory is a filter, and I think mine is more of a filter than most. Frankly, I don’t remember my first surgery as an event. I remember trepidation, clumsiness, slowness, having to think about every step, and sometimes impatience and even hostility from the supervising surgeon.

And since then, a slow, steady growth in ability, understanding, of conscious movement becoming subconscious, of befriending margins without passing them to normal brain, of having an intuitive “feel” for the brain, gray and white matter (subtle), arteries, veins, arterialized veins, and now no longer having any anxiety about cases except for the most unusual and risky. And, looking back at the “surgeon” of 20 years ago, recognizing what a dolt I was! (and maybe not being so hard on the other young dolts I come across). Read all the answers here.

Can a schizophrenic become a doctor?

17 this year, and I have interest in pursuing medicine after I clear my national exams. Say if I can manage my symptoms well with an exception of a few relapses and do well in my national exams in the next three years, would this illness in any way, hinder me from getting into a medical school?

This question was originally posted on Quora, which was answered by Susan Winslow, 25 years Certified Psychiatric Nurse 

Yes, a person with schizophrenia can become a doctor and people have. However it is challenging and I will tell you why. Simply put, inordinate amounts of stress bring on relapses. With each relapse a person with schizophrenia has they increase their liklihood of having another relapse ( it is the same with cancer) . With each relaspse a person suffers the more damage is done to the brain in the areas of higher executive functioning ( in the prefontal cortex). This is the area of the brain required to study, train and actually practice as a doctor.

As a nurse who has spent the majority of my career in a teaching medical center and have worked side be side medical students, residents, and attending physicians this is one of most stressful professions I can think of entering. It is not only stressful on your mind it is also stressful on your body , on your family life and on you emotionally. I could go on and on but since I don’t have the space to do that I would suggest through your school , you ask to shadow a doctor at a local hospital or in your local emergency room, just to see what a “ day in the life “ is like.

That will give you an idea of how busy they can be, how often they need to switch gears, deal with emergencies, give extremely sad news to family members, listen to people who don’t agree with what you have told them, get yelled at, keep up with documentation, put off going to the restroom, are expected to know everything, perform miracles and have all the time in the world for each patient, maybe get 15 minutes for lunch, have memories like steel traps, and treat every one with respect, concern and dignity and chances are you are doing this on very little sleep.

I am not trying to discourage you . This is real life as a doctor. Being a resident is even harder because you are trying to proove yourself in order to become a doctor. With the illness of schizophrenia I would think long and hard and do lots of first hand work to see if you could actually see yourself doing the job and managing the illness. Your illness requires little to no stress, at least 7–8 hrs of sleep per night, three well balanced meals per day, adequate amounts of exercise to move your bigger muscle groups, time spent at rest, a very good support network, and fun activities.

I myself can think of other careers that involve medicine that wouldn’t jeopardize your health for instance nursing, nurse practitioner, many areas of research, medical ethics, medical law, medical IT ( the fatest growing career right now) etc.

Give it some thought, so many careers but your health is your top priority ! My Best.

What do you think? Let us know in the comment bellow.

Average salaries for physicians depending on their specialty

According to the American medical group association “AMGA” report in 2006 this is a list of average salaries for physicians in USA. This list may help you if you are medical student or young doctor so you can choose the most suitable specialty for your capabilities and needs.

Orthopedic Surgery – Spine : $688,503

Orthopedic Surgery – Joint Replacement : $605,953

Neurological Surgery : $592,811

Cardiac & Thoracic Surgery : $533,084

Orthopedic Surgery : $500,672

Diagnostic Radiology – Interventional : $478,000

Orthopedic Surgery – Hand : $476,039

Transplant Surgery – Liver : $454,287

Diagnostic Radiology – Non-Interventional : $454,205

Radiation Therapy (M.D. only) : $447,250

Orthopedic Surgery – Pediatrics : $425,000

Trauma Surgery : $424,555

Pediatric Surgery : $419,783

Urology : $413,941

Vascular Surgery : $413,629

Gynecological Oncology : $413,500

Gastroenterology : $405,000

Cardiology : $402,000

Colon & Rectal Surgery : $394,723

Perinatology : $394,121

Plastic & Reconstructive Surgery : $390,142

Oral Surgery : $380,500

Dermatology : $375,176

Anesthesiology : $370,500

Otolaryngology : $368,777

Transplant Surgery – Kidney : $365,125

General Surgery : $357,091

Pathology (M.D. only) : $354,750

Nuclear Medicine (M.D. only) : $331,000

Hematology & Medical Oncology : $320,907

Reproductive Endocrinology : $317,312

Intensivist : $313,152

Pulmonary Disease : $306,829

Orthopedic-Medical : $297,348

Neonatology : $280,771

Gynecology & Obstetrics : $275,152

Obstetrics : $275,152

Pediatric Intensive Care : $272,000

Emergency Care : $267,293

Critical Care Medicine : $264,750

Hypertension & Nephrology : $259,677

Allergy & Immunology : $249,674

Pediatric Gastroenterology : $240,895

Ophthalmology : $238,200

Physical Medicine & Rehabilitation : $237,628

Neurology : $236,500

Pediatric Cardiology : $233,958

Gynecology : $232,075

Sports Medicine : $231,540

Infectious Disease : $227,750

Rheumatologic Disease : $224,000

Occupational / Environmental Medicine : $223,750

Urgent Care : $222,920

Pediatric Neurology : $219,561

Endocrinology : $218,855

Psychiatry – Child : $216,360

Hospitalist : $215,716

Psychiatry : $214,740

Internal Medicine : $214,307

Pediatric Hematology / Oncology : $212,577

Pediatrics & Adolescent : $209,873

Pediatric Infectious Disease : $209,680

Family Medicine – with Obstetrics : $209,565

Family Medicine : $208,861

Pediatric Pulmonary Disease : $201,841

Pediatric Nephrology : $198,686

Pediatric Allergy : $198,458

Pediatric Endocrinology : $187,957

Geriatrics : $187,602

Photo credit: People image created by Kues1 – Freepik.com

Why are lab coats and physician coats white colored?

The white coat gives a specific emotional response from patients.

Traditionally, they were beige, but white is synonymous with innocence, being trustworthy, cleanliness and life. In the past, doctors wore their street clothes most often or black, reflecting the mortality and frequent deaths seen in their chosen profession.

Today, the coats lend an air of professionalism and evoke feelings of a doctor’s superiority and intelligence in patients.

Recently, my sister received her white coat in a ceremony held at her medical school. Many medical schools do this as a rite of passage, symbolizing beginning a physician’s role. Some hospitals use the white coat to differentiate between nurses and doctors.

The white coat is currently being debated. In 2009, the American Medical Association voted to stop using the white coat Because it can harbor bacteria and germs, being worn from one visit with a patient to the next.

Essentially, today, the white coat evokes a feeling of confidence in patients. It says, “I’m a healer, a scientist, a trustworthy person with lots of school and training.”

Older people especially tend to like the white coat but more doctors are moving to just their everyday clothes or scrubs and a stethoscope draped around their neck.

Posted by Michelle Roses on Quora