Every 4th Medical Student Suffers From Depression: is it the Norm?

medical student depression

It’s terrifying that every 10th medical students reports suicidal thoughts. According to the data, medical students have depressive thoughts five times more likely than the general population, while 300 to 400 doctors commit suicide every year. Female physicians are 2.3 times more likely to commit suicide than the male. The risk of depression also increases by the start of studying, classing and training in medical school.

The medical professions need more scrambling with this appearance, as well as find out a ways to protect physicians from this risk.

The Facts and Statistics

medical student depression

The Journal of the American Medical Association published data from meta-analysis where were researched around 200 studies. There are 129,000 medical students, which participate in the research from 47 countries. They report depression or depressive symptoms in 27%, while 11% of them scramble with suicidal thoughts during medical school.

This has been a worldwide problem.

Similarly, data is founded on the research of Dr. Douglas Mata, the pathology resident at Brigham and Women’s Hospital. He found out that 29% of medical residents practicing in a hospital feel symptoms of depression. In fact, symptoms of depression are present in all the periods of their professional activity, during beginning years in classes, but also through later years, when they practice in the hospital.

It is paradoxical only 16% of them try to find help for their impaired psychical condition.  Why, if they should recognize the symptoms better than the rest of population?

What Is It About the Medical School That Affects the Occurrence of Depression Among the Students?

 

Training in medical school is very competitive, stressful and long time-consuming. Medical school has the label of a “high-pressure environment” because of these traits. It requires a long time of studying and a short time of sleeping.

Besides, the students often refer ruthless from teachers and even colleges which is one of the reasons they are insecure about not being smart enough or prepared for medical science studies. Many of the students lose self-confidence in an environment like this, while it is known that reduced confidence is one of the risk factors for the occurrence of anxiety and depression.

Another risk factor for depression is a lack of sleep. Medical students get the chronical lack of sleep because of the long term studying and working overnight shifts at hospitals.

All this exhaust the body and mind, so some of the students don’t even fall in depression but have suicidal thoughts.

During the study in medical school, as well as training medical residency, students also experience the stigma attached to mental disorders, despite learning contrary. Competition is so strong, that any sign of weakness is the reason for concluding you aren’t good enough.

Another irritating circumstance is a lack of money. Sometimes there is not enough money to do everyday things. In situations like that many of them doubt if their decision to go to medical school is the right decision. At last, medical students graduate with debt of about $180,000, according to the Association of American Medical Colleges. It is huge ballast for valet and it bothers one practitioner beginner, even before graduating.

What Kind of Struggle Use Medical Schools to Protect Their Students and Residents Against Depression?

 

The medical profession is scrambling to find the solution for changing the trend of “suicidal profession”.

Psychiatry departments in some medical school provide programs for students who seek help. It is a good shift in the fight against depression among students, because services like that may offer free professional counseling. But the meta-analysis of Dr. Mata found that only 16% students who screened positive for depression seek professional help.

Residents often work shifts more than 24 hours at a time, while a lot of them move their lives to a new place because of their residency. That requires huge mental, emotional and physical effort. Because of it, Dr. Mata reveals that at the beginning of a residency cycle, if the residents need to go abroad, mental health issues could crop up.

Dr. Slavin, from Office of Curricular Affairs at Saint Louis University School of Medicine, in Missouri, suggested reducing curricular hours for 10%. He mentions that it might “reduce the volume of material and the level of detail, changing to pass/fail grading and encouraging students to become involved in elective and volunteer activities that they cared about.”

Dr. Srijan Sen, another author of the study and a psychiatrist at The University of Michigan, mentioned it could help if medical centers hired more doctors, nurses, and physician assistants to off-load some of the work residents have when they asked for free days. A lot of the extra work isn’t really helping their education.

Dr. John Schumann, who supervised residents for more than a decade at the University of Oklahoma Medical Centre, has noticed that some residents struggle with mental health issues as they learn firsthand how to handle with big professional and at the same time emotional challenges, like pronouncing a patient’s death. He says that “Residents should be able to debrief about some of their experiences as much as they want or need to.”  He stands up for supervising residents in painful professional moments like above mentioned.

Prejudices About Medical Profession

 

Prejudices are a certain aggravating factor for fixing the problem about depression among the students and residents.

One of them is that the students in medical school should be strong enough for extremely rigorous and demanding environments. If they are not, then they should probably seek another profession, as well as not worry about themselves, but only about patients.

On the other hand, related to mental illness, there is an opinion that mental problem has not been taken as seriously as physical problems, while depression is kind of a weakness which is unappetizing as the problem of medical professionals.

The stigma, which follows mental illness in the medical community, becomes arrogance. It is likely a significant cause because of which students give up from seeking help.

However, we all agree on one thing, that medical schools could step up only if they would care the mental health crisis among medical students. Also, the cause of the crisis is deep in medical school administrations, as well as in the culture and conditions in the educational environment.

What is Hemodialysis (Extracorporeal dialysis)?

Hemodialysis (haemodialysis), also called kidney dialysis or just dialysis, is a treatment for acute kidney failure. Patients need dialysis if their kidneys are not working properly, i.e. they are no longer removing enough waste (such as creatinine and urea) and fluid from the blood. This usually happens when around 85-90 percent of kidney function is lost.

In order to perform the hemodialytic treatment, the blood of the patient is put in an artificial kidney which, through the pumping machine, circulates the blood through a filter that cleans it, and returns it back to the patient. Therefore, the blood needs to be extracted from the patient.

In urgent cases this is implemented by putting a catheter inside a big blood vessel (central venous catheter). In case the treatment could be scheduled in advance, the substitutional treatment is performed by arteriovenous fistula, which is a junction created surgically (using local anesthetic) between a vein and an artery, most frequently at the level of the forearm.

At the beginning of the dialytic session, the patient is connected to the hemodialytic machine by central venous catheter or by the insertion of two needles at the level of the fistula.

Every treatment lasts approximately 4 hours, and is done 3 times per week. The duration of every treatment and the weekly frequency could vary, depending on physician’s discretion based on clinical necessity of the patient.

The main point of the treatment is “the dialytic filter”, an element with bio-compatible dual compartment. Blood extracted from the patient flows in the first compartment. In the second compartment flows aqueous solution, enriched with solutions essential for the blood. This solution is also low in (or deprived of) waste that needs to be extracted and it’s called “dialytic solution”. To allow an adequate depuration, the blood flow through the filter is maintained with the help of a pump, with a flow rate of around 250-300 ml/min.

The amount of fluid, that is extracted during a single treatment, depends on the quantity of liquid that the patient takes in the interval between two consecutive sessions. Fluid intake is measured by weighing the patient at the end of the dialytic treatment and at the beginning of the following one. The “ideal weight” of the patient, called “dry weight”, is defined according to the clinical and instrumental data of the nephrologist who practices the dialytic treatment.

5 Ways To Be a Fit Med Student While Still Getting Good Grades

During the study in medical school, it is hard to find time for workout and be a fit med student due to often low energy and low physical fitness among medical students. It is the masterpiece of managing to have time for physical activity breaks if you are a student of medicine since your priorities are your lectures and your clinical duties. That means your schedule can be wildly unpredictable. Unfortunately, most gyms require at least a monthly commitment.

Medical school is no doubt very challenging and time-consuming. But it’s still possible to find a manageable lifestyle while still succeeding to master the lecture needed to become a competent physician. All you have to do is follow these steps in order to be a fit med student.

1. Plan Your Workouts Like A Pro Fit Med Student

fit med student

It requires plenty of discipline to stay fit during years of medical school. Most of the students are completely unprepared for how much extra discipline it would take during the years.  At the beginning, you’re studying a lot, but your time is really your own. It is somewhat easy to schedule a workout in a day. But as the time goes, your schedule varies widely from day to day, not to mention from the rotation to rotation. You go to the hospital earlier and return home so late that you are often too exhausted to go to the gym. Besides, most of the food you are eating during the day is low with nutritive ingredients. You mostly don’t have the time to cook too.

So, you need to be creative to figure out a way to continue the wellness-centered lifestyle if you’ve even had one before going to medical school.

Planning your workouts for the week can be a fun and motivational way to give yourself an extra time of attention.

If you love working out, but you are on a very busy rotation and don’t have time to work out every day, or you have an early morning obligation, then try to do your workout before bedtime. It is helpful to work out when you go home. Then you don’t have any more obligations and you can do your exercise in a relaxed manner. If you prioritize sleep instead of exercise after daily obligations, do your workout early in the morning. Spend about half an hour of your time and you will be fit and vigorous all-day long.

2. Find Ways to Fit Little Bits Of Exercise Into Your Daily Routine

Medical students spend a lot of time indoors, but spending some time outdoors can strengthen your body and relieve your mind. That certainly will boost energy and lift your mood.

If you have a bike, biking cross river path or wood path can be beautiful and exciting experience and a rest for your mind. It can be restful even if you’re going to or from school or hospital, while it can be soon visible under your belt! Also, try to take the stairs rather than the elevator whenever possible, especially in the hospital and school.

If it is not complicated, you can change clothes and run or walk on the way to home. It is a simple way to get out of the classroom and enjoy some fresh air, while it saves your time.

If you have some of the workout equipment that you can use at home –  a barbell with a squat rack, adjustable dumbbells, pull-up bar, etc, you can create your own little gym and organize “home gym hour” in the day, which is least fulfilled with obligations. It is cheaper than a gym membership in the long run and gives flexible organization with your weekly routine. You can find a lot of workout routines online and on YouTube for free and exercise according to their instructions. It also gives you the group exercise feel. Some of the students may manage only about 15 minutes if they wanted to be sustainable.

15-minute high-intensity interval training (HIIT) can be done with minimal equipment and can give you great result if you put it in your daily routine in the start of a day.

Find the partner for together exercise among the students whom you associate with, and all the things will be easier and more fun.

3. Yoga for Fit Med Student

Yoga invigorates the entire body and mind; although not many medical students tend to practice yoga during the years of medical studies. But those who do try yoga, find a lot of benefits to their body and mind.

When you are stressed out (and there is a lot of that in medical school and clinical practice) yoga is an effective way to refocus and clear your mind.

It is well known that after practicing yoga you can focus your mental resources, process information much quicker, more accurate and learning, holding and updating information is better.

If you think that you need extra time for yoga exercise, you are wrong. There are a few positions you can do even while you study (at home of course).

 

 

 

 Sphinx Pose

 It is really easy to stay in this pose all the time while you are reading. Just lie on your belly with your book in front of you, and bring your forearms to the ground so that your elbows are directly under your shoulders. Inhale the shoulders up and down the back, and keep reading! You can stay in this pose as long as you feel comfortable, but it is recommended at least during 3-5 deep breaths.

 Legs Up the Wall

 The name itself tells you what to do to get to this pose. Lie on your back and just inhale your legs up above you and stay resting them on the wall in front of you. The best is you can stay here for hours and read in the pose.

 Lotus Pose

 It is not the pose for everybody because you need to have strong back muscles to stay in this pose. Otherwise, you may feel an uncomfortable tightening in the back. So, if you are used to sitting properly, come to a comfortable seat first. Gently take hold of one foot, and tuck it up into the opposite hip crease. Do the same with the opposite foot. Straighten your back and there you are! If you feel any pain or stress in your knees or back, choose another pose.

 Child’s Pose

 This is a kind of modified Child’s Pose. Gently bring your knees down the ground, and sit your hips back over your ankles. Get a good stretch in your arms, before bending the elbows and bringing your hands under your chin.

 Frog Pose

 Begin with the Tabletop Pose, and slowly walk your legs out from under your hips as far as you can go without straining. Your feet should be flexed with the inside edges of the feet on the floor. Gently come down to your forearms. Stay in the pose 5 breaths, then change the pose.

You can also get a class of yoga for the first time, and after a certain time, you may practice that alone at your room.

4. Take Stretching Breaks

Some students study a few hours at once. They may take 10-minutes workout breaks 3-4 time during a study session. You can find out about this on YouTube searching for “Instant Recess.”

This is an exercise based on stretchings, such as neck rolls and shoulder rolls, leading into movements that involve raising your hands and dancing. It will provoke better blood flowing through your body and brain, while it’s easy to do for everybody. You don’t need any equipment, as well as special clothes.

 

 

5. Eat Healthily to Be Fit Med Student

We all know how much it is important to eat fresh and healthy food to be fit, healthy and ready for daily challenges. But how to achieve all of that obligation at school and hospital while having healthy meals at the same time?

Things are getting simpler if you don’t mind eating the same thing every day. You can make a scrambled egg with veggies almost every day for breakfast, or meat with some salad for dinner. Carbs, like pasta, is recommended for lunch. Make simple quick recipes, which you can make in the morning and bring for later. Don’t forget to drink a lot of water between meals.

Bring extra snacks at times if you feel hungry, but don’t take sweeties. Instead of that, take a fresh or dried fruit or nuts.

If you often buy out your lunch, use free days for cooking at home and you can be done in 2-3 hours if you do meal prep in one day. 2-3 hours of cooking for the whole week? I’m good with that.

Book Pack you’ll need while studying for MBBS

Greetings, med students!

We have been getting a lot of questions on our page, regarding medical literature. Where do I find the books, which ones you recommend, do you have anatomy books are only some of them, to name a few.

So, look no further, as we have something for you ! With help of one of our fans A. Aqeel, we have gathered a list of medical books, which should help you on this quest of becoming a medical professional.

We know this road is very rocky one, with a lot of twist and turns, and we want to help!

Here is the list of the complete package, with all the pdf books you will need (download links included):

Anatomy:
1–> KLM for Gross Anatomy
2–> Snell’s Anatomy
3–> BD Churassia
4–> RJ Last
5–> Grey’s Anatomy
6–> Langman Embryology
7–> KLM for Embryology
8–> BD For General Anatomy
9–> Dissector
10–> Di Fore Histology
11–> Junqueira’s Histology
12–> Netter Atlas of human Aantomy

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYV9KQ3lxY29FY28

Physiology:
1–> Guyton
2–> Ganong
3–> Sheerwood
4–> Sembulingam

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LdXlCSjdZM214dEE

Biochemistry:
1–> Harper
2–> Lippincott
3–> Chatterjea
4–> Satyanarayan
5–> Stryer
6–> MRS Biochemistry

Folder link–> https://drive.google.com/drive/folders/0B3WdpdsqpX0Ld0o3WnhCR2VEczg

Pathology:
1–> Big Robins
2–> Medium Robins
3–> Pathoma
4–> Goljan
5–> Harsh Mohan Pathology
6–> Atlas of Histopathology
7–> Levinson
8–> MRS microbiology
9–> Microbiology by Jacquelyn G. Black
10–> Color Atlas of Microbiology
11–> Kaplan Pathology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LYkRYdjFrTm5MR0U

Pharmacology:
1–> Big Katzung
2–> Mini Katzung
3–> Kaplan Review
4–> Lippincott
5–> Pocket Katzung
6–> Rang and Dale’s Pharmacology
7–> Atlas of Pharmacology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LMkE1UUVRZGwtTlU

Forensic Medicine:
1–> Simpson’s Forensics
2–> Krishan’s Forensics
3–> Atlas of Autopsy
4–> Atlas of Forensic Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LQXVwOGoyWnFSV2s

Ophthalmology:
1–> Jogi
2–> Jatoi
3–> Parson’s Textbook of Eye
4–> Kanski
5–> AK Khurana
6–> Atlas of ophthalmology

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LOHc5WVZMdkJjX2M

Otorhinolaryngology:
1–> Dhingra
2–> Logans Turner
3–> Color Atlas of Otorhinolaryngology
4–> Maqbool’s Text Book of ENT
5–> Clinical Methods in ENT by PT Wakode
6–> ENT at a Glance

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LaDY2a0lFNDlfTGc

Community Medicine:
1–> Monica’s Text Book Community Medicine
2–> Mahajan And Gupta Text Book of Community Medicine
3–> Bancroft’s Text Book of Community Medicine

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0Lc1RCMml2NjhFNjA

Medicine:
1–> Churchill’s Pocketbook of DD
2–> MTB Step 2 Ck
3–> Davidson Essentials
4–> Davidson Principals and practice
5–> Harrison’s Internal Medicine
6–> Internal Medicine USMLE Nuggets
7–> Internal Medicine on call bt LANGE
8–> Oxfords Specialties

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LeEFJNG5TMlc4eWc

Surgery:
1–> Bailey_love short practice of Surgery
2–> Churchill’s pocketbook of Surgery
3–> Deja Review of surgery
4–> Farquharson’s Textbook of Operative General Surgery
5–> Hamilton Bailey’s Physical Signs
6–> Oxford Handbook of Clinical Surgery
7–> Schwartz’s Principles of Surgery
8–> Macleod’s Clinical Examination
9–> Macleod’s Clinical Diagnosis

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LRFpFSG5hZ1pVWkE

Obstetrics & Gynecology:
1–> Case Discussions in Obstetrics and Gynecology
2–> Deja Review of Obstetrics Gynecology
3–> Obstetrics by Ten Teachers
4–> Gynaecology illustrated
5–> Gynaecology by Ten Teachers

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LMU1LRjFDa1FrbjA

Pediatrics:
1–> Nelson Essentials of Pediatrics
2–> Nelson Complete
3–> Pediatrics Review

Folder link–> https://drive.google.com/open?id=0B3WdpdsqpX0LUkdTQkVuNV92Yzg

And some other books you might find useful:

1st Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0Lay1HT1d5Yks5V0U

2nd Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LemtmYXpYMGlydVk

3rd Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LWmlCSHBpUFpPZU0

4th Professional Books–> https://drive.google.com/open?id=0B3WdpdsqpX0LbnJvUzk3NHRhWWc

Photo credits: Designed by Freepik

Sorrow Of The Dentist by Ayam Chhatkuli

And now, something slightly different than what you would expect from Meddy Bear. We are here to prove that doctors also have an artistic side to them.

We present to you a poem written by one of our fans, Ayam Chhatkuli from Nepal.

Enjoy!

 

 

 

 

Sorrow of the dentist

Before I joined the med school

the focus of my sight was different

I used to see a whole human

All I see now is the teeth with calculus and stain.

 

When I see an old man walking

all I remember is a complete denture

I’m fed up with my prostho work

help me God I surrender

 

The man has a class I fracture

46 got a root stump

A life with no joy and rupture

Is equal to a dump

 

I come to encounter mainly 2 sorts of patients

Few are philosophical

And many are hysterical

 

People actually are very unhygienic

They bath with Quatar soap and have a Jean Patou’s spray

But use a single brush for 6 months

and walk with a grossly decayed tooth till the next may

 

Inside the heat of this mask

My beard failed to grow

Nose felt difficult to breath

Salivation decreased its flow

 

These days I dream of teeth

Good dreams angels appear as a canine

Bad dreams impacted lateral at age nine

She insists to describe her beauty

All I can see is her anterior cross-bite

with peg laterals

Falling in love for a dentist

is almost like winning the battles.

Top 15 Medical Specialties with the Highest Salaries

The best-paid professional workers in health care are among doctor’s specialists. While doctors specialists have to go to school for years, they end up earning more money than most professionals after graduation. To become doctor specialist in the USA, you must complete four years of medical school, internship, and residency training as usual requirements. In addition to this, specialist physicians must undergo intensive training in their chosen specialty, and acquire a license in this field. The duration of this training depends on the chosen field and the level of specialty. Orthopedic residency can last up to five years, while in anesthesia it is three years long.

Top 15 Medical Specialties with the Highest Salaries

Many years and financial investment during scholarship, as well as daily high risk and challenges, cause one of the best-paid jobs with a tendency of growing up.

Unfortunately, many primary care givers and general practitioners have seen decreasing of their salaries, as well as some of the specialists, as allergologists and pulmonologists. According to Medscape Physician Compensation Report 2016, the greatest increases noticed among rheumatologists and internists, although they aren’t among the 15 best paid in health care.

It is important to know that salary for female doctors is lower than their male colleagues. But, concerning this, there are 53% women among pediatric specialists, and pediatric specialists take the 25. position on the best-paid doctor’s list, according to Medscape Physician Compensation Report 2016.

Neurosurgeons are at top of the list with an average doctor salary of $625,300.  The 2012 MGMA Physician Compensation Report put this figure even higher, suggesting the average income was $775,968 with the top ten percent earning up to $1,229,881.

Let’s see which 15 medical specialties are the best paid in health care according to The Medscape Physician Compensation Report 2016.

1. Orthopedist

The average salary is about $443,000 annual.

An orthopedist is a doctor who specializes in healing the parts of the body allowing a patient to move. Orthopedists specialize in muscular and skeletal conditions of the entire body but can focus on a particular part, such as the foot or shoulder. They also treat other issues and diseases that may affect a patient’s muscles and bones.

2. Cardiologist

The average salary is about $410,000 annual.

A cardiologist is a physician who specializes in finding, treating, and preventing diseases that affect the heart, arteries, and veins. Cardiology is a sub specialty in the field of internal medicine. Cardiologists research, diagnose and treat conditions such as blockages, heart injuries and diseases, as well as keeping their eyes on other factors such as high cholesterol, diabetes, and high blood pressure. As a cardiologist, you may find employment in private practice or in a hospital, clinic or similar medical setting. According to “Forbes,” cardiologists earn about $380,000 per year, though actual income varies with location and experience.

3. Dermatologist

The average salary is about $310,000 annual.

Dermatologists are medical doctors who diagnose and treat ailments of the largest organ of the human body and advise patients on achieving healthy and attractive skin. Graduation from medical school is followed by a 1-year internship, three years of job training as a medical resident, a state-licensing exam and, for those who qualify, certification.

Salary of dermatologists noticed one of the highest growth. It was 11% in 2016. According to Payscale.com, dermatologists earned a median annual salary of $204,072 as of January 2016.

4. Gastroenterologist

The average salary is about $380,000 annual.

A gastroenterologist is a physician with dedicated training and unique experience in the management of diseases of gastrointestinal tract and liver. It is a sub specialty in the internal medicine.

Digestive disorders include disorders of an esophagus, a stomach, small and large intestines, pancreas, gallbladder, and liver. So, the study of gastroenterology and hepatology are often related to each other. Nevertheless, some doctors opt for hepatology as an even narrower field of work.

5. Radiologist

The average salary is about $375,000 annual.

A radiologist is a medical doctor who is trained in executing and interpreting medical images such as X-rays, CT scans, ultrasounds, and MRIs and using them to treat health problems in patients. They use the tools and the devices to make a diagnosis for a patient, then presents the results to the patient’s physician. Radiologists obtain a Doctor of Medicine degree, complete an internship and residency, and then pass a board review and examination. The job growth outlook for radiologists is much faster than the job market as a whole, according to the U.S. Bureau of Labor Statistics, and median salaries are in the high $200,000s.

6. Urologist

 The average salary is $367.000 annual.

Urologists specialize in diagnosing and treating diseases, disorders, injuries, and deformities of male reproductive organs, as well as both genders’ urinary tracts.

They are surgeons who conduct operations, and performs various other treatments, with the use of medical equipment like lasers, X-rays, fluoroscopes, radium emanation tubes, and catheters. Procedures are performed on the bladder, kidneys, prostate, uterus, urethra, and adrenal glands.

Following medical school, a residency of at least five years is required. This five-year post-graduate surgical training period is comprised of a minimum of 12 months in general surgery, 36 months in clinical urology, and the remaining 12 months in a discipline relevant to urology.

7. Anesthesiologist

 The average salary is $360,000 annual.

Anesthesiologists are the physicians responsible for carrying on general or local anesthesia, which allows surgeons and other physicians to complete invasive procedures. Thanks to that, during the procedure, patients feel minimal or no discomfort. Anesthesiologists also closely monitor a patient’s vital signs and critical life functions before, during and after the surgery – making rapid decisions on limited data when required. So, being an anesthesiologist is very stressful. They work in hospital operating rooms, but also in other places, including invasive radiology, gastrointestinal endoscopy, electrophysiology and more. In fact, the profession is expected to grow by 21 percent through 2024, with 7,100 new jobs.

 8. Plastic Surgeon

 The average salary is about $355,000 annual.

A plastic surgeon operates on a patient’s face or body in order to repair or reconstruct the area. There are two aspects of work: cosmetic surgery to improve appearance, as well as reconstructive surgery to correct appearance after an injury or to improve the function of a human body. According to the U.S. Bureau of Labor Statistics, employment opportunities for surgeons and other physicians were expected to grow by 14% over the 2014-2024 decade.

9. Oncologist

The average salary is $339,000 annual.

Oncologists can either work as radiation, pediatric, gynecological, surgical or medical oncologists. Depending on what a professional decides to focus on, the individual may be in charge of different duties. But, all of them focuses on a care about the patients with cancer.

While oncologists have to learn how to deal with different cancers, they may also specialize in specific types. The specialization may take up to 5 additional years of training. Oncologist professionals have to be certified by The Board Of Radiology and the certification they get remains valid for 10 years after which they have to undergo a retesting process.

Oncology, at present, is a relatively small field of health care practice, but the field will likely grow by more than 20% between 2012 and 2022.

10. General Surgeon

 The average salary is about $322,000 annual.

General surgeons perform operations to treat or prevent diseases, repair damage caused by injuries, correct deformities, and improve the functions of a human body. They will gain experience by assisting with surgical procedures, and helping patients before and after operations. This is an extremely demanding profession that requires long, irregular hours. This is a physically demanding profession since surgeons are required to stand for hours. They have to be mentally focused and fully alert at all times. So, they are among the best-paying positions in health care.

11. Emergency Physicians

The average salary is about $322,000 annual.

An emergency room physician is a high paid job, where women earn the same as men and have many of the same opportunities for advancement. But before that, you have to spend four years as an undergraduate, four years in medical school and anywhere from three to seven years as a resident, while you become board certified in emergency medicine. The emergency room is an environment with a high level of stress because the doctors must treat a range of life-threatening conditions in a very short time, while they often deal with little or no information about the patients or the causes of their conditions since the patients are often unconscious.

12. Ophthalmologist

The average salary is about $309,000 annual.

An ophthalmologist heals illness and disorders of the eyes. He or she may provide routine care such as a vision testing and prescribe and fit eyeglasses or contact lenses. They are also surgeons and can repair traumatic injuries of the eye and perform cataract and corneal surgery.

13. Critical Care Physician

The average salary is about $306,000 annual.

Critical care medicine encompasses the diagnosis and treatment of a wide variety of clinical problems representing the extreme of human disease. The critical care specialists work at the departments of an intensive care and therapy, but may also be the primary providers of care or consultants. They are competent in a broad range of conditions common among critically ill patients but also for using the technical procedures and devices used in intensive care units.

14. Pulmonologist

The average salary is about $281,000 annual.

A pulmonologist is an internal medicine physician that specializes in preventing, diagnosing and treating conditions and diseases that affect the lungs, bronchial tubes and the respiratory system including the nose, pharynx, and throat. These conditions can also affect the chest, so pulmonologists also receive training in diagnosing and treating conditions and diseases of the chest, such as asthma, emphysema, tuberculosis, pneumonia and other complicated chest infections. They have to have completed a 4-year medical school program followed by a 3-year residency in internal medicine and 1 to 3 years of fellowship training in pulmonology. Before being able to practice they have to pass a string of certification and licensing exams.

15. Obstetricians and Gynecologists

 The average salary is about $277,000 annual.

Gynecologist examines a reproductive system of a female. They also monitor a patient during prenatal, natal and postnatal periods and perform tests and prescribe medication and treatment, as necessary, as well as deliver babies. An average annual salary for a gynecologist varies due to several factors such as the place of an employment, geographical location, qualifications in both obstetrics and gynecology, and an experience in the field of gynecology. Although Gynecology is one of the highest paying specialties of all medical fields.

Gynecologists who have also specialized in obstetrics receive much higher salary than those who have specialized only in Gynecology.

Top 10 Hospitals in the World That Any Doctor Would Want to Work in

Massachusetts General Hospital, United States

1. John Hopkins Medical Center, United States

John Hopkins Medical Center

John Hopkins’ Medical School and Hospital is one of the most famous medical institutions in the world. It is the leading medical institution with the best modern medical education on all levels of the health care systems in the United States. During internships and clinical rotation at the John Hopkins Medical Center, practitioners are getting the best knowledge of chosen specialties such as neurosurgery and cardiac surgery. It is an educational center for many students, scientists, health care professionals and the public. It also provides patient-centered medicine to prevent, diagnose and treat human illness.  Because of it, John Hopkins had also been rated as the number one hospital in the world for over 20 years. The mission of the John Hopkins Medical Center is improving the health of the community and the world by setting the standard of excellence in medical education, research and clinical care.

It is the carrier of modern achievements in medical science. This is the place where the enzyme the CRISPR was first time studied, as well as the first male-to-female sex reassignment surgery was done.

Average salaries for The Johns Hopkins Hospital physician is about $139,771 annual.

2. Mayo Clinic, Rochester and Scottsdale Campuses, United States

Mayo Clinic, Rochester and Scottsdale Campuses, United States

This is the medical center unique within the United States to get a 5-star rating from the Centers for Medicare and Medicaid Services. It is also rated No. 1 by such sources as US News and World Report, as well as the best services within such specialties as nephrology, endocrinology, and gynecology. Mayo Clinic in Rochester is also assorted nationally in 15 adults and 9 pediatric specialties.

Mayo employs over 4,000 staff, which performs about 26,416 annual inpatient and 31,929 outpatient surgeries. Its emergency room has about 72,247 visits annually. Physician’s average annual salary is about $252,270.

Researching disease processes and virology, Mayo is looking to the future of public health in terms of handling epidemics in a timely and efficient manner.

3.  St. Jude Children’s Research Hospital, United States

St. Jude Children’s Research Hospital, United States
St. Jude Children’s Research Hospital, United States

St. Jude has treated children from all 50 states and from around the world. Families of ill children never receive a bill from St. Jude for treatment, travel, housing or food. The hospital St. Jude is funded by donations from individuals, organizations, and companies. Despite that, St. Jude has research department where it invests into the future of pediatric sciences, including top tier training of medical students into physicians which is why it is listed as one of the best teaching hospitals in the United States.

Treatments invented at St. Jude have helped push the overall childhood cancer survival rate from 20% to more than 80% since it opened more than 50 years ago.

The average salary of Staff Physician – Hospitalist is about $178,877.

4. Asklepios Klinik Barmbek, Hamburg, Germany

Asklepios Klinik Barmbek, Hamburg, Germany
Asklepios Klinik Barmbek, Hamburg, Germany

The Asklepios Group is the biggest private operator of hospitals in the entire European continent and Asklepios Klinik Barmbek in Hamburg is the leading among Asklepios family hospitals.

The new clinic opened 2005, but it has over 100 facilities. At the clinic, patients have been provided with the right treatment options and excellent service in medicine, nursing, and rehabilitation.

The hospital has 19 departments, around 620 beds and 1600 members of staff involved in the provision of cutting-edge methods of treatment, diagnostic and nursing care. They also use the innovative medical technology of companies that make their products available to Asklepios before it is even released to the rest of the world.

5. Bumrungrad International Hospital, Bangkok, Thailand

Bumrungrad International Hospital, Bangkok, Thailand
Bumrungrad International Hospital, Bangkok, Thailand

Bumrungrad International is an internationally accredited hospital which treats over 1.1 million patients annually using pharmacy, laboratories and other departments with 554 beds, in 30 specialty centers with different specializations, which include cardiology, orthopedics, oncology, endocrinology, nephrology, neurology, and nutrition. It is the biggest private hospital in Southeast Asia. Around 40% of the patients are foreigners. It has an American-style of managing things, and it provides English-speaking representatives to ensure the smooth flow of communication between members of the staff. The hospital is managed like a five-star hotel providing custodian-style services and an electronic medical-records system that reduce paper waste and waiting time. It has 275 examination suites and 19 operating theatres, as well as 2 cardiac catheterization laboratories, bone marrow transplantation unit, hyperbaric oxygen therapy unit and the most current imaging equipment with daily capacity: 5,500 outpatients.

6. Barcelona Centre Medic, Barcelona, Spain

Barcelona Centre Medic, Barcelona, Spain
Barcelona Centre Medic, Barcelona, Spain

Barcelona Medical Center is an association of medical centers, hospitals, and clinics. It integrates 13 total medical facilities, 7 specialized centers, 3 general clinics, 1 diagnostic center and 2 collaborator centers with nearly 3520 accredited physicians employed in close to 40 medical specialties.

It also has four special Units for Applied Regenerative Medicine and Biosurgery, an Endoscopic Unit for Obesity Treatment, as well as Unit for Diagnosis of Attention Deficit Disorder.

Barcelona Centre Medic contains IVI Clinic specializes in fertility treatments, which records an enviable success, one of the best in Europe, indeed.

The first eye bank in the continental Europe is among the Center facilities at the Barraquer Ophthalmology Centre, where the first bionic eye was successfully implanted.

Barcelona Medical Center is also a result of the commitment of the associated center in the project of social corporate responsibility. So, it is one of the best in Europe and also among the finest medical centers in the world. It is redundant to point out that it is located in one of the most beautiful cities in the world.

7. Massachusetts General Hospital, United States

 Massachusetts General Hospital, United States
Massachusetts General Hospital, United States

Massachusetts General Hospital in Boston USA is a pioneer in many fields of health care, such as using computers for better monitoring of patients, as well as modern managing data. They also created and developed MUMPS- its own programming language, which achieved patient file organization, creation, and storage.

Harvard Medical School is a partner of Massachusetts General Hospital for educating and researching. Current researching is mostly within immunology related for preventing AIDS by vaccines and new methods of the therapy.

At the hospital, it has been used and promoted one of the first procedure of anesthetic application during surgical procedures.

This institution is especially proud of the eleven staff members, which are Nobel Prize laureates.

8. Assistance Publique Hôpitaux de Paris, France

Assistance Publique Hôpitaux de Paris, France
Assistance Publique Hôpitaux de Paris, France

The hospital is public medical center located in over 44 facilities and 52 separate medical departments.

It takes care over 5 million patients annually. It is also the place where the students of the seven associated medical colleges educate and take plenty of experience.

The Hôtel-Dieu de Paris, as the oldest operating hospital in the world, is one of the facilities which belong to this huge medical center.

9. Buddhist Tzu Chi General Hospital, Taiwan

Buddhist Tzu Chi General Hospital, Taiwan
Buddhist Tzu Chi General Hospital, Taiwan

Tzu Chi General Hospital is well known to take care of the most complex cases on the continent, especially in the field of neurology. They also notice highly rated results in Stem Cell therapy research, as well as removing pain from illness.

The Tzu Chi Bone Marrow Bank and a bone marrow registry has been created in 1993 in the hospital. Tzu Chi also cooperates with Tzu Chi College Of Medicine and Tzu Chi College Of Nursing. Adhering the principal “Humanistic Medicine with a Reverence for Life” their focus is on serving the poor without the need to pay.

So, there are only some of the reasons due to Tzu Chi General Hospital is the highest rated hospital in all of Asia.

 10. Gleneagles Hospital, Singapore

 Gleneagles Hospital, Singapore
Gleneagles Hospital, Singapore

Gleneagles Hospital is the part of the Parkway Hospital Group. There are 300 employed doctors, which specialize or sub-specialize in 30 different fields. It also has most current facilities where they promote quality care, user-friendly services, and modern technology in multi-disciplinary teams.

They also promote Day Surgery. It is a kind of a surgical procedure which is performed in one day, and where patients obtain excellent medical care and return home the same day they were operated.

Key specialties include cardiology, gastroenterology, liver transplant, obstetrics and gynecology, oncology and orthopedic.

Study Efficient with These 10 Tips: Best Proven Method

We are occupied daily with many devices such as cell phones, tablets, and computers. Because of this global problem, many students felt distracted and unable to properly concentrate on studying. There are effective tips to achieve quick results, read on to learn how.

1. Put All Devices to Off Position

TV and smartphone are devices which may cause a distraction while you study. Calls, text messages or gadgets may significantly decrease your concentration. So, if you want to study for hours, you must turn off all of them. If you need your computer to study, you may put it on, but a window not related with the object of studying must be closed. So, the ability to achieve focus on study mostly depends on your ability to block out distractions, which is produced by this kind of devices.

2. Choose the Place to Study

The choice of the place to study is very important to achieve proper focus on study. Choose the place isolated of possible disturbances. The place needs to properly lighten and organized only for study. Study chair and desk need to be comfortable for long-term sitting. It is advisable to be alone in this room. To enable this, you can indicate at the door that your learning time has begun.

3. Discipline Your Mind

 You need to train your mind to concentrate on only one thing. This is what you need while studying. During long-term studying, you will certainly lose the focus or your thoughts will start drifting away. So, if you catch some of these thoughts, stop them, and find somewhat that could bring you back to your object of study. If you continue to have difficulties make a break, and continue after 5-10 minutes.

 4. Organize Your Study Time

 Making a plan of learning can put you in position following certain steps during the time. You need to determine the part of the day to study and incorporate it into your daily routine. Avoid activities that complicate your daily schedule, suck up your time, and create stress. Your planned study time probably is continuing fewest hours. It is useful having certain tasks limited with a specific time. So you can split out your study time on timeshare of 30 minutes or how much you need to achieve specific tasks. It is recommended the timeshare during 30-40 minutes. Between the timeshares make breaks of 5-10 minutes.

5. Set Reminders

It becomes very easy to forget stuff as you get very busy, as well as if you are intensely involved in a project, or you are so deeply concentrating on a study. So, you may miss an appointment or an important phone call. Schedule important stuff using some of the apps on your cell phone, so you will not miss a thing, and at the same time, you will be able studying without worry.

6. Visualize with Paper

Writing out your notes by hand keeps you more engaged and provides a means for visualizing ideas, and questions.

Index card trick is the effective trick to achieve a proper focus. Everything that you have to do is taking an index card and write with big letters the words “focused and concentrated?” on it. The card is designed as a quick reminder to help you maintain concentration. It helps to keep your mind to constantly answering the question. The following procedure needs to be repeated again and again until a positive mental answer has formed.

It is recommended to put the card close by so that it is within your range of motion. The proper place is opened book while you are reading, as well as somewhere between your papers on the work table. So, while you move the papers the card can appear in front of your eyes every time. Whatever you do, try to stay constantly in contact with the card.

At the same way, you can make a panel with key words from the field you’re learning.

7. Wittingly Schedule Your Worry Time

Everybody is worrying, but don’t let it disturb during your study time. So, schedule worries time into your timetable. Decide when and how long you are going to think about the issues.

There is one more model how to use a piece of paper and a pen to improve your study skills.  Just write down thoughts that are distracting. So, you’ll know you won’t forget about them later.

If the same matter keeps popping up, take the time needed to deal with it.

There is a technique for overcoming the thoughts like that. It is called ABC technique which utilizes your brain’s capability not to treat a distraction. The letters ABC stands for “awareness,” “breathing” and “choosing”. “Awareness” means: become aware of a distraction, recognize and process it. “Breathing” means: take a deep breath to find out the options you have. At last, “choosing” means: choosing either respond to distraction or simply dismiss it. So, practice your mind to recognize what is it important at the moment, and what isn’t, for your workflow.

8. Active Studying

You want to closely monitor yourself on a daily and weekly basis and make adjustments. But you can’t do that if you can’t recognize your progress. So, active studying may achieve you to see your progress, as well as concentrate on studies for long hours.

Simply, it means applying what you have learned, as well as paraphrase by your own. It is useful to imagine if you are a teacher and teaching someone about what you’ve learned. You can do this every time in real life if it is convenient.

9. Studying May Be Fun

Using a music for easier learning is a good way stay entertained at the same time. Also, it is a good way to block out noise or to simply create a comfortable and relaxing environment for studying. But be careful about the choice of music. Certain types of music will improve your study focus, while others decrease your concentration. So, choose the music without vocals, but pay attention that you don’t get sleepy. Binaural sounds may be something you should learn more about.

Drawing may be a fun way to visualize what you’ve learned. So, try to draw something, which isn’t abstract, or write notes with a different color of pencils.

Quizzing is one of the most motivating ways to found out how much you have learned. Find a partner for quizzing and have fun by quizzing after study. Let the winner choose a symbolic prize.

10. Sleep Well and Enough

It is important to sleep enough. Your body needs 7 to 8 hours of sleep each day to recharge, as well as your mind. Quality sleep is a basic to be restful and ready to do daily tasks, as well as for learning with good concentration. You are wasting your time if you try to study while being tired. So, take a rest sleeping properly every night, and you’ll be fresh tomorrow.

We hope these tips will help you to improve your study and work efficiency. If you have any interesting suggestions or questions, let us know in the comments section below!

Dr Ruth Pfau, life of a humble leprosy doctor

 Dr Ruth Katherina Martha Pfau (9 September 1929 – 10 August 2017), German doctor and nun, has passed away during a surgery procedure in Karachi. She was 87 years old. Dr Pfau, also known as Pakistani Mother Teresa, devoted her whole life to treating leprosy patients in Pakistan.

Dr Pfau was born in Leipzig, Germany. After World War II, she escaped to West Germany with her family, and decided to study medicine. In the 1950s she studied medicine at the universities of Mainz and Marburg.

After finishing her studies and joining Catholic order (Daughters of the Heart of Mary), she was on her way to India. But, after facing visa problems, she was redirected to Pakistan.

Dr Pfau witnessed leprosy for the first time in 1960, upon arriving to Pakistan. The illness she never heard of, or knew exsisted. The images of disfigured and socially excluded people she saw upon arrival, motivated her to do all she can to eradicate leprosy.

 

She was the founder of the Pakistan’s National Leprosy Control Programme and the Marie Adelaide Leprosy Centre. She helped numerous people who suffered from the illness, reaching the figure of 50,000 treated patients.

 

Dr Pfau went on and opened branches in all Pakistan provinces. She provided training to Pakistani doctors and volunteers and worked on attracting foreign donations. As a result, in 1988, she was granted Pakistani citizenship.

 

Finally, after 38 years of her efforts, in 1996, Pakistan was one of the first countries in Asia to be declared leprosy free by World Health Organization.

She has also helped in rescuing victims from the 2005 earthquake and floods that caught south western part of Pakistan in 2010.   She received numerous honours for her work, among them the Hilal-e-Imtiaz – Pakistan’s second highest civilian award – in 1979, the Hilal-e-Pakistan in 1989 and the German Staufer Medal in 2015. On 14 August 2010, the President of Pakistan awarded Dr Pfau the Nishan-i-Quaid-i-Azam for public service. Yet, despite all her achievements, she stayed humble and was never indiferent to pain and suffering of others.

She was the author of  four books: The Last Word is Love: Adventure, Medicine, War and God, To Light A Candle. In the books she wrote about her work in Pakistan.

The funeral for the late Dr Ruth Pfau will be held on 19 August at St Patrick’s Cathedral in Karachi.

Why I chose medical career?

Well, I chose Medicine for various reasons.

  • First of all, I love studying our body; it’s wonderful to know how your body really works.

It’s amazing to discover, that there are a lot of cells that we can’t see with our own eyes, which have to work daily to keep us alive (Thanks guys!)

Our heart keeps beating day by day, many organs function without our influenceWhat can you say to that, rather than Wow?

  • A sentiment I didn’t find in any other profession other than medicine, is when you help a patientWhether  you save his/her life or do anything to improve it and the next thing you see is the smile on their face. This sensation is indescribable and it fills your heart with joy and accomplishment. It’s the best feeling in the world! To know you’ve done something to help others and to know they get to continue with their everyday life, all thanks to you.
  • Medicine is international. Being a doctor, you can work in the whole world, you can help anyone, around the globe, even without knowing local language…Medicine is universal, it speaks for itself.  One day, you may be sitting in your private practice in London, and next day someone can call you as an expert to visit Africa, or New Zealand, to help with a certain case. As a result, you may visit places you’ve only dreamed of.  Probably not the worst outcome 🙂

    Background vector created by Photoroyalty – Freepik.com

My big dream is to become a Pediatrician. I love kids so much, I think they are much better than adults (that’s my personal view for sure) as they are honest and straightforward. You cannot trick a kid, they will see right through you.

A kid’s smile is worth more than all the money of the world. When I am sad or not in the best mood, the only thing that can put a smile back on my face is a cute baby, with those chubby cheeks and giggling. After seeing this- everything is right in the world again 🙂

Medicine is not a normal course, it’s very hard and it consumes all your life. But, it also gives you a special view of life and certain path that u have to follow, if you decide to begin this journey.
If you want to be omniscient and study everything, your life will be hard. Our body’s anatomy is too much complicated for any person to memorize to the very detail… it will take you years.

With medicine, studying never really ends and you can count on many sleepless nights with book in your hands.
Ultimately, if this is your passion, I say, go for it! If you want to be the best at your job, first you have to love it. With medicine you can call it tough love 🙂

After finishing medical school, you will have to decide upon certain specialty you want to take. This is a breakthrough moment for many doctors.

Some may decide not to take a specialty at all, becoming general practitioners. Yet, others will become surgeons, gynecologists, oncologists knowing that they enrolled into medical school only to pursue that career.

Certain percent may even take into account the salary given, and as a result choose the specialty according to current market demand.

Therefore, be sure to choose what you love doing. You know the saying: ” Choose a job you love, and you will never have to work a day in your life.”

I believe this is true. And in the medical field, especially… When you love what you do, spending days at the hospital, taking care of patients, comes much easier. No one wants to be treated by a grumpy or unhappy doctor. And as a doctor, the stakes and expectations are high- you must always do your best!  But in the end, it’s also very rewarding.

So word of advice, when it comes to your specialty, choose wisely!

Cover picture by Wavebreakmediayayimages.com

Dr H.Nawatha
Founder at Meddy Bear