Top 10 Holiday Gifts for Physicians and Physicians in Training

The holiday season is rapidly approaching.   Here’s my top ten gifts for medical students, residents and physicians…. or any busy friend!

  1. Mark Bittman’s new book How To Cook Everything Fast.

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This is an amazing cookbook and it is perfect for busy people. The recipes are interesting, delicious and healthy. The instructions are easy for a novice without being simplistic and the layout of the book in innovative and makes it really easy to use.

 

  1. An electric pressure cooker.

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Slow cookers are often suggested for medical students and residents but I don’t think they are as good as a pressure cooker.   You have to be there when slow cookers are (slowly) cooking, which is usually your rare day off. Also, it’s hard to cook vegetables in a slow cooker. Pressure cookers on the other hand cook broccoli in 2 minutes (perfectly!).  I’ve been told that the electric pressure cookers take a little longer to come up to pressure, but it seems a small downside for a device that also lets you slow cook, steam, sauté, and cook rice.

 

  1. Coffee or Tea

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There are several options to consider if they are a serious coffee or tea drinker. A Starbucks or Teavana gift card in a cute “medical” coffee mug? A Starbucks Verismo coffee brewer? Nespresso? Keurig?

 

  1. A FitBit

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Anyone in medicine loves gadgets and loves data. The fitbit has become a socially acceptable piece of “jewelry” in the hospital and it unquestionably changes behavior to increase activity. Having washed three of the “clip on” Fitbits with my scrubs, I would recommend one of the wristband Fitbits!

 

  1. A maid or housecleaning service

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Doing housework has to be on everyone’s lowest list of fun things to do on your day off, but it’s especially true for people who are studying extensively or taking call in the hospital. My parents helped finance someone to come occasionally to help clean my apartment when I was an intern. It was without a doubt the best present I’ve ever received.

 

  1. Anything that helps make it easy to get more exercise

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Another great gift is anything that will promote more exercise… a bicycle to commute to school or work? Yoga classes? Spin classes? A gift certificate for new running shoes? Resistance bands for the call room? A membership to a YMCA or a gym close to where they live? Certificates for post workout massages?

 

  1. “Date night” packages

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Whether they are single or have a significant other, being able to socialize is an important part of stress reduction for busy people.   Create combinations of gift cards to movie theaters and restaurants to support “date nights”. If they love art, music, or sports think of season tickets (or ticket packages) to museums, music venues or professional sport teams.

 

  1. An “over the top” alarm clock

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It’s not easy getting up at “dark thirty” to make it to rounds, but being on time is important.   The snooze button is not a good idea… but it’s so easy to hit. This alarm clock is my personal favorite to make sure you get out of bed. After a few hits of the snooze button, it rolls off the table and around the room until you turn it off!

 

  1. Great books by, for and about doctors.  

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If they are a serious reader, think about a Kindle (or other eReader). The Kindle paperwhite is small, lightweight, back lit and has a great battery life – which makes it great for the occasional times on call that you can find 30 minutes to escape into a good book. You can also read it outside in bright sunlight (unlike tablets like the iPad) On my list of great reads for doctors (in no particular order)…

Cutting for Stone by Abrahan Verghese

How Doctors Think by Jerome Groopman

House of God by Samuel Shem

The Immortal Life of Henrietta Lacks by Rebecca Skloot

The Emperor of All Maladies: A Biography of Cancer by Siddhartha Mukheries

Being Mortal: Medicine and What Matters in the End by Atul Guwande

William Osler: A Life in Medicine by Michael Bliss

The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures by Anne Fadiman

 

  1. The always appropriate gift of money

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If you are going to give gift certificates or money,  “package” it with some humor (in a pill bottle with a “prescription”) or a context (this is to help you buy good food for times you are too busy).

Please let me know (comment or email) anything else to add to this list!  Happy Holidays to all!

 

 

Organizing Notes in Medical School and Residency

Among my other educational roles, I have the real pleasure of teaching embryology for the Baylor College of Medicine MS1 class.  Recently, while visiting with students before a lecture, I happened to see a set of notes on several of the students’ laptops. They had the slides from my lecture with additional notes, all organized to study efficiently.  I asked them if they would mind sending me information so I could post it here since I thought this might be useful to other medical students.

The following is a guest blog from Samuel Buck and Sara Fish, both first year medical students at Baylor College of Medicine with assistance from Sam Rogers, an MS3.

There are several apps that make studying easier in medical school.  In retrospect it would have been great to know about this the first day of class, so I’m happy to share them now.  I use OneNote and EverNote but there are other apps I know other students use like Growly Notes. Here’s the key notetaking apps (and a few others):


OneNote – This is the program that I use for notes during class. Using OneNote, you can import entire power point presentations (even the notes at the bottom of each slide) into a single document and add your own notes and drawings as well. OneNote allows you to organize all the lecture materials and slides in one place.  Word documents, powerpoints, PDFs, images, and Excel sheets can be placed in tabs in your “notebook”.  From here, you can easily navigate, add your own notes and text, highlight, or draw on the slides.  I usually use the draw functions to add arrows to radiographic images or to circle important points on slides.  I usually organize my notes by subject but other students organize by date, with tabs for each block, each week within the block, and day of the week, and individual note pages for each lecture that day. Other students organize notes into separate digital “notebooks” by block or by course (i.e one for embryology, one for anatomy, etc)  The most convenient thing about OneNote is that all of your notes are synced to a Microsoft SkyDrive (their version of the iCloud) so that you can access your notes on the iPad and phone. If I’m studying and ever need to consult my notes from class, I can just take out my iPad or if I’m on the go, my phone and reference the lectures or notes in a really organized fashion.  Having OneNote on my iPad let’s me review notes when I am on the bus or in other situations where it’s hard to get your computer out.  This is one feature that Mac users with Growly Notes (basically the OneNote equivalent) do not have since there is no Growly Notes app for the iPad. One of the most useful tools in OneNote is the find function.  You can type in a keyword and OneNote will search your entire notebook and show you every instance when that word is used.  This is very helpful because a huge number of documents can be scanned at once.  Since many concepts in our classes overlap, it helps to make connections between subjects.  For instance, if something is mentioned in embryology and you feel like you have heard that word before, but you don’t know where, you can search it and find the lectures in which it was previously mentioned.

Here are links to additional “tutorials” on using OneNote in medical school from the University of Kansas and UT Health Science Center in San Antonio that will give you more details on using OneNote to organize your studying in medical school.

som.uthscsa.edu/StudentAffairs/documents/OneNote_Presentation.pdf

www.kumc.edu/Documents/…/kumc-onenote-instructions.pdf

One of the most useful tools in OneNote is the find function.  You can type in a keyword and OneNote will search your entire notebook and show you every instance when that word is used.  This is very helpful because a huge number of documents can be scanned at once.  Since many concepts in our classes overlap, it helps to make connections between subjects.  For instance, if something is mentioned in embryology and you feel like you have heard that word before, but you don’t know where, you can search it and find the lectures in which it was previously mentioned.

 

 

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EverNote – Although there are some students who use Evernote to organize their notes in medical school, I found that format is not really conducive to good organization of notes. I do really like the mobile layout of the app and I use EverNote extensively for “every day” note taking. Grocery lists, work out programs, random ideas, to do lists, jotting down an email or name I want to remember. One thing I really like about EverNote is that when you make a note, it generates a time and location stamp for the notes.

 

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Growly Notes – This is probably the most popular note taking program for our class because it is made for Apple computers. I personally don’t have any experience with it as a PC user, but it has a great organization format as far as I can tell.

DropBox – Online file storage and sharing service that is very useful for sharing study materials between students. Our anatomy buddies group uses this extensively to share quizzes and study guides. It is a really great service, and DropBox will load thing directly to and from your personal DropBox, which is very convenient . One thing to remember is that it’s not HIPPA compliant, so if there is any patient information, it shouldn’t be put in DropBox

Google Drive – Not to be overlooked is the tried and true Google Documents. Whether it be study guides or notes, it’s hard to beat the convenience of Google Drive if your goal is mass editing and sharing. Sharing the link to your document is easy, and it can be set up so that anyone who views the document can also edit it. Just like DropBox, this isn’t HIPPA compliant, so don’t share patient information.

TurboScan – This is an app that takes pictures of documents and turns them into PDF files that you can email to people (or yourself) or upload to DropBox. I do this for all class handouts to have an immediate digital copy of any paper items we get in class or study groups. I can email files to myself and post them into my OneNote documents. I also use this app for personal finances. I take a picture of my receipts from grocery shopping and going out as well as my bills so that I can better budget myself and keep track of purchases.

 

The Secret to Medical School is Practice

The first official event for new students at Baylor College of Medicine is Convocation.  One of the highlights of the ceremony is when a rising fourth year medical student is named as the DeBakey Scholar. The DeBakey Scholar Award was conceived by the Baylor College of Medicine faculty in 1973, as a tribute to Dr. Michael E. DeBakey, one of the founders of the Texas Medical Center and a medical icon, who was revered throughout the world as the most famous surgeon of the 20th century.  It is awarded by a select committee of faculty at the college’s Convocation Ceremony to a currently enrolled medical student, who has completed all but their last year of medical education. The recipient is considered to be “living model of excellence” in residence for the incoming freshman class and the other underclass students and is chosen because of demonstrated excellence in scholarship, integrity, academic leadership and service.

This year’s award winner, Nader Zamani, delivered an inspiring talk to the entering class which he called “ The Secret to Medical School is Practice”. I asked his permission to share the text of his speech with you here.

 

I’ve been asked to speak with you briefly this morning to tell you what I wish I had been told during my own orientation. Though I am hardly in a position to impart any advice, I can definitely tell you about my experiences over the last 3 years and what has been beneficial for me. And let me be among the first to acknowledge that the emotions of excitement, anxiety, intimidation, and even fear that you may be experiencing right now are normal.

They are normal because you know that medical school will not be easy. Yes, you will be pushed. You will experience physical and emotional challenges. And at times, your patience, and even your compassion may be tested.

However, through it all, you will thrive. And when you succeed, not only will you appreciate the journey that much more, but you will also realize how much you have accomplished.

Given the challenges of medical school, you are here because you deserve this opportunity. Though I completely understand that this in itself may be intimidating to know that you are now among a class of incredibly bright and driven students, this is actually one of the best parts of medical school. And to help calm some of your anxiety, please recognize that doing your best does not mean that you have to be the best in any one subject. Doing your best is simply an obligation to yourself to set realistic goals, to ignore the external concept of ranking, and to realize that it is acceptable to say “I don’t know.” In fact, this is only in this way that you will continue to learn and to adapt to the challenges that you may encounter.

Over the next few weeks, you will receive great advice from upperclassman and our wonderful faculty about how to do well. And over the next few months, you will develop study habits that allow you to digest and process the material that you are being taught. You’ll learn how to seek out opportunities that supplement your interests, and to collaborate with faculty mentors to develop a balance in your lives that not only fulfills the demanding aspects of medical school, but also caters to your own health. As I quickly realized, taking care of yourself is one of the most important aspects of medical school, and as you will see, we are lucky to be in an environment that not only realizes that, but makes it a priority.

I have heard many times throughout the course of medical school that to be successful as an academic physician, one needs to devote 1/3 of their day to reading, 1/3 to writing, and 1/3 to thinking. And most recently at the Department of Surgery’s Inaugural Research Day, Dr. Malcolm Brock of Johns Hopkins University told us that it is the thinking part of this formula that ultimately results in the quality research and discovery that has the potential to impact our practice of medicine.

The formula for medical school, however, has to be a little bit different. From my experiences, the 3 factors that would have to be in the formula are:

1) Studying – which includes actively keeping up with the material, asking questions, reviewing, really thinking about what you are learning, and trying to apply these concepts to a clinical setting.

2) Taking care of yourself – which includes eating well, exercising, trying to get enough sleep, and maintaining your social support systems.

3) And one of the most important factors — Service.

Similar to the thinking part of the equation of a physician’s day, the service part of the student’s formula can easily be deferred, especially considering our academic priorities. But I want to use this opportunity to urge you that this is the part of the formula that ultimately makes the difference. Taking time to reach out to others has provided me with the motivation to continue through this journey when it is easy to get bogged down by the stress associated with being in medical school. Whether service to you means working at a clinic, spending time at a shelter, tutoring, or helping your classmates, each one of us can serve our school and community by volunteering our time.

But as with anything else in medical school, you don’t have to do it yourself. By learning to work together with the amazingly talented people around you, you will grow as not only individuals, but also as a class. You will become a community with a sense of obligation toward each other, which is essentially a responsibility to help one another manage the trials that lie ahead. Ultimately, our life experiences may shape our practices, but it is our interaction with others and our service for our community that molds our profession.

I’m lucky to have attended DeBakey High School, because it was while I was there that I first became impressed by Baylor’s community outreach initiatives. Whether Baylor is working to eradicate disease on an international stage, supporting its relationships with undergraduate institutions throughout the state, or enhancing education throughout our local community, it is clear that many of our paths have led us here because of Baylor’s very own outreach programs.

It is in this very sense of community that I urge you to give back as well. You’ll be surprised at not only the inspiration, but also the perspective that you will receive as a result of your efforts. You will realize why you are spending so many hours studying, and you will begin to reevaluate what is truly important to you. In fact, your defining moments in medical school may very well be those in which you actually take a break from studying to reconnect with others.

It’s that very kindness and compassion required in medicine that truly makes our profession an art, one that requires a lifetime of practice. And it is this PRACTICE of medicine that demands so much of us. If there is a secret to doing well in medical school, it is to always keep practicing – practice your studying; practice asking thought-provoking questions; practice your self-care; practice your kindness; practice your service.

The Irish poet John O’Donohue wrote that with inspiration, we are able “To enter each day with a generous heart. To serve the call of courage and love.” We are all truly lucky and fortunate that we are here. We have been given an opportunity to learn not only how to help, but also how to heal. Despite the challenges that lie ahead for all of us, please remember that the road we are on is a privilege…so take advantage of it!

Congratulations, good luck, and we are all excited for you and for what is to come on your journeys here!

Residency Interviews Part 2: The Flights

Unfortunately, the big airlines haven’t caught on to the market of residency applicants, so they don’t issue month passes or an equivalent (any airlines out there paying attention?).

Airline travel is by far the most expensive and most complicated part of arranging your interviews.  As a medical student embarking on the 2-3 month tour of somewhere between 8 and 20 programs, you are probably most concerned about saving money while keeping as much flexibility as possible.  Here’s some strategies and ideas to help:

Strategy 1:  If you live in ahub city, consider whether the long-term payoff for gathering miles on one airline will be worth it.  Right now it might cost more, but if it may make a difference a few years from now. If you get the credit card associated with the airline, there may be other benefits.  But, on the downside – the tickets will usually be more expensive. The other big downside to using most of the “hub” airlines is the relative lack of flexibility.  If you need to change tickets at the last minute, you’ll have a change fee that varies from $75 to $300.

 Strategy 2:  Go with the cheapest possible ticket through one of the third party providers like TravelocityExpediaKayak , or Orbitz.  When you are booking these tickets, remember a lot of big cities have more than one airport.  When you do the math, a much cheaper ticket plus a rental car to drive an hour may put you ahead. Make sure you read the fine print on these “deals”.  This is probably best for the last minute ticket – there isn’t much flexibility if you have to change your flight.

Strategy 3:  Fly Southwest Airlines.

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I try not to endorse specific companies, but it is really clear to me, after talking to a lot of students, that there are some real advantages to flying Southwest Airlines for your residency interviews.  The biggest is that there are no change fees.  This means that you can book SW Airlines, check for dramatically cheaper fares elsewhere and then cancel the flight with no fees.  Since SW Airlines lets you keep a “bank” for these unused tickets, you can just apply it to the next trip (or to the well earned vacation at the end of the interview trail).  Check out their flight routesto see the cities they serve.

Try to organize your interviews geographically

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This isn’t always possible, but when it is, it will really save time and money.   On the East coast,don’t forget that the train is a good optionto get from city to city.  If you have more time and less money (and are interested in a great story you can tell) you might think about taking a bus between cities.

There are a lot of myths about early vs. late interviews.  In my experience, it doesn’t really matter.  Most programs take the time to pick the best candidates for their program, and they know that the last person they interview may be the perfect person for their program.

Despite what you wanted originally, you may find that you have been “forced” to book back to back interviews on opposite sides of the country.  There is nothing wrong with politely calling the program coordinators to explain the situation and ask if there might be any flexibility to move you to another date or put on you a waiting list.   Don’t push – remember, being rude to people who aren’t in charge is considered a huge red flag by most program directors. (Not to mention that it’s just not right.)

Build in flexibility for weather

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Residency interviews happen during the winter months.  If you are flying through or to the northern states, there is a real risk of flights being delayed or cancelled.   Don’t book tight connections and last minute arrivals.   Many programs have a social event the night before the actual interview day.  This is really important to attend (more on that later).  In order to make sure you arrive in time, try to book flights early in the day.  If there are weather delays, you will usually still have some options that let you get there in time.  If you make the early flight and arrive early – enjoy a new city that might be your home for the next 3-7 years!  Find a good museum, have a great lunch, go for a walk in a local park.

Avoid red-eye flights

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Yes, they are cheaper.  But – you will arrive crumpled, tired and not at your best.  This is not the time to cut corners.  Take a flight that gets you there rested, in time and able to be ready.

Other advice (from poormd.com, flyertalk.com, businessinsider.com)

  • Shop Tuesday at 3pm Eastern for the best prices
  • Prices stay low Tuesday, Wednesday and Thursday
  • Sale prices are removed from websites on late Thursday
  • Some flights are discounted at night, so check in the early morning
  • Airlines start discounting tickets 3.5 months before departure
  • Airline ticket prices dramatically increase 14 days before departure
  • Tuesday, Wednesday and Saturday are the cheapest days to travel
  • Monday, Friday and Sunday are the most expensive days to travel
  • Sign up for every frequent flier, frequent driver (rental car) and frequent sleeper program (hotels) you can
  • Follow airline Twitter accounts for last-minute deals
  • The first flight of the day is often the cheapest

Getting Ready to Start Medical School

It’s one of the most common questions asked by soon to be medical students…. “What should I do to get ready to start medical school?

Set up your environment

The amount of material you will be asked to master in your first year of medical school is more than you’ve ever been asked to master before.  You have to approach it with a different strategy than you used in college.  One critical component of this strategy will be to keep up with the material – starting from the first day.

If you try to hook up your cable, organize your electricity and straighten out parking at your apartment during the first week, you will fall behind.  Take the time to come explore your new environment and get settled in at least a week before classes start.  A week doesn’t sound like much to miss, but it’s a significant amount of information in medical school! One of the important tasks to check off the list during the week you are settling in is to set up your study area.  Make sure you have a computer that meets all your needs and an area to study that is pleasant, ergonomic and comfortable.  Most students find a dual screen to be very helpful as you are moving through notes and slides to study.

You’ll be spending 1-2 hours studying (at a minimum) for every hour of class.  Given the number of hours you’ll spend studying, you might want to think about an “active” desk that lets you stand, walk, or pedal as your study.

Develop (or strengthen) an exercise habit

Use this summer to develop a daily exercise routine that you can take into your new (and crazy) schedule.  Your goal for the summer should be to develop a balanced exercise program (cardio, strength training and flexibility) that works for you.  If you’ve never done any strength training, hire a trainer and learn about it. If you develop a balanced exercise routine this summer, it will be much, much easier to continue this once you start medical school or your internship. Commit to doing at least 30 minutes of exercise a day this summer and it will be a lot easier to continue once the pressure of school really kicks in.

Link to a Beginner’s Guide to Running

Running is one of the best (and most convenient) cardio exercises for medical students and residents (because it’s cheap, efficient and effective)  Use this summer to become a runner. If you hate running, find another good cardio exercise habit to develop instead – but pick one!

Link to 9 Ways To Make Bike Commuting Easier

If you don’t own a bicycle, think about getting one.  There will be places to ride for fun when you have time off.  You can also use your bike to commute to school which is a great way to sneak in exercise and save money.

Link to Learn to Love Cooking (and Save!!

If you don’t know how to cook, learn.

Good nutrition is an important part of doing well academically.  It’s hard to concentrate and learn if you are eating junk. There is one simple trick to eat well during medical school: Learn to cook.  This is a skill that will become progressively more important as you enter your clinical work in medical school and then move on to your residency training.

Learn some basic skills to cook simple things.  If you have good cooks in your family, have them teach you.  If you don’t have family members who can teach you, find cooking classes near you and sign up.  Many high end grocery stores and gourmet stores offer classes for beginners – look on line for classes near you.

Why Doing Nothing Is One of the Most Important Things You Can Do

Come to medical school rested.

Do not study. Seriously.  We will give you what you need and nothing you can do this summer will make it any easier.  It’s far more important to arrive rested and ready to go than to try to learn material that may or may not be relevant. Take a real vacation (or two). Visit family and friends – take a road trip and connect with people you haven’t seen in a while  Hang out on a beach, go for some great hikes, read some great novels.  Sleep in late, eat well, and just rest!

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The Best of Wellness Rounds 2011

HAPPY NEW YEAR TO EVERYONE!

Advice for interns

Why I hardly ever drink diet drinks

How to choose your specialty

What to do on your day off

Studying basic sciences – strategies for success

Studying clinical medicine

Getting (and staying) motivated to exercise

How to succeed on clinical rotations

Gifts for medical students and residents

Why I’m spending more time on Twitter

How not to have sore feet after a day in the hospital

This Week’s Highlights from @drmlb

Twitter has become a wonderful way for me to send out a variety of ideas and links that I think are helpful (and/or interesting).  Here are this week’s highlights!  If you are new to Twitter RT means Retweet (just “forwarding” it as is) and MT means Modified Tweet (“forwarding” it with a comment).

  • “This is definitely a 15 minute video every medical student should see.” The art of the physical exam bit.ly/nnmaTN @drmlb
  • Comments one makes to colleagues: as important as the interview. Professionalism = doing the right thing when no one’s watching. RT @MedPedsDoctor
  • Beginner’s mind in medicine. How to keep what we do exciting! MT@KevinMD bit.ly/qle7SJ
  • One flight of stairs = 16 calories burned. One day on call = ?10 flights ?20 ?30)..it adds up! @drmlb
  • Epidemiologist with humor?!? This is a great talk about drug development. bit.ly/ovkPyS @drmlb
  • “…small things often adds up to produce a far greater impact than any of us realize.” Surgery through different eyes bit.ly/q5XUkh  @drmlb
  • “..those of us who spend our emotions at work are not the kind to view our work as “just a job.” MT@Kevin MD bit.ly/pRAbmm  @drmlb

Thoughts From the White Coat Pocket – Part 2

Last week was the White Coat Ceremony at Baylor College of Medicine.  As part of the ceremony, several upper classmen are asked to address the entering class, speeches that we call “Thoughts from the White Coat Pocket”.

Good evening ladies and gentlemen. Dear colleagues, let me introduce to you: your first white coat. Brand new, tailored for your size, just came out the plastic bag – it is a pretty cool object to own.  Let me assure you it is far more than that.  This inanimate, fairly non-complex thing will soon become an integral part of you. It will determine greatly how you see the world and how the world sees you, even when you are not actually wearing the white coat.

First of all it is a symbol. It is a symbol of relying on scientific evidence for patient treatment, symbol of honesty and respect, symbol of healing, of trust, of being non-judgmental and accepting. Whatever specialty you choose, everyday you will be dealing with people. Many of those who will come to seek your help will do it on the worst days of their lives. Yes, they will be angry, upset, confused, tearful and cranky and from this day on, you no longer get to turn and walk away or let them figure it out on their own. They will be there to see you, not you as a person, but as someone who wears the white coat, thus capable of making things better…

Because you white coat is also a shining armor that was strengthened by the reputation and effort of multiple generations. This armor will make you stronger than disease, often, but not always stronger than death.  You can hide your fear behind the white coat, it is ok. You’ll learn how to ask uncomfortable questions and how to deliver terrifying news. And you will have many opportunities to be scared: your first day of rotations, your first delivery, the first: “Doctor, what do you want to do?” from a nurse. And, believe me, you will hear these words much earlier than you expect…

And, of course, the white coat is a magic cape. It makes hearts beat faster, it suddenly makes it ok for people to discuss most personal things with you, they will believe in your superpowers, because I don’t know how otherwise explain the call from my former co-worker with a request to cure his dog’s arthritis.

Some may say that this white coat is short, because our knowledge is not so impressive yet. Perhaps, but I view it as foundation. We have not build a house yet, but the moment this white coat touches your shoulders – you’ve started. And when you see your first patient at your preceptors office, remember that although you don’t have the letters MD after your name yet, you, just like, your preceptor, have an obligation to be respectful, empathic and knowledgeable.

So, do you feel those butterflies in the stomach? It is a great feeling, so hold on to it. It is similar to falling in love. You are starting a relationship that is going to last a life time. It is going to have ups and downs, routine, exasperation    and fatigue, but stay determined and work for it. Stay motivated, true and inspired. You are in one of the most exciting professional fields. And I know you have dreamt about it for a very long time. Today, finally, it is official. Congratulations!

Katya Jordan, MS3

Thoughts From the White Coat Pocket

Last week was the White Coat Ceremony at Baylor College of Medicine.  As part of the ceremony, several upper classmen are asked to address the entering class, speeches that we call “Thoughts from the White Coat Pocket”.

When I think back about my white coat ceremony 4 years ago, I remember being really worried about what outfit I was going to wear that day. I went through every tie and shirt combination at least 10 times. Eventually I just decided this occasion was too big of a deal and went out and bought a brand new outfit…which I never wore again. I must have taken a million pictures in it…I mean I needed just the right lighting, a smile that said “I’m a professional young doctor with a great bedside manner but could also be an extra on a daytime soap opera,” and if I cropped the picture just right you couldn’t even tell it was a short white coat. Admittedly, it was my Facebook picture for almost a year, marking the beginning of a great journey. Little did I know that both the pristine, little white coat and I would never be the same.

See the funny thing about the white coat is that it changes just as much as you do during medical school. I remember the first day of preceptor for PPS1. I was so proud to wear it. To my shock and horror, that same day a 15 year old boy with a bad stomach bug would defile my coat. I scrubbed it, took it to the dry cleaners, and yes even sent it to my mother. The coat was clean, but something felt different about it…the coat had changed…I had changed. It no longer represented the promise of clinics. It had seen it’s first battle with disease and survived, and a part of me was proud of that.

My little white coat would not see battle again until my second year during my first day of clinics. I woke up that morning and had my best friend take once again a million pictures for Facebook. It was that year that the coat and I transformed again. It was no longer a symbol but rather a tool that I could not live without. During my internal medicine rotation, it held my books, my stethoscope, my penlight, and my history and physicals as I anxiously waited to present. During surgery it held my trauma sheers, bandages, and my granola bar to get me through heart transplants. During psych, it distinguished me from the patients so they didn’t put me away! I couldn’t live without it and a part of me didn’t want to think of a world where I didn’t have 4 massive pockets. True story – I once put a Venti iced coffee in the pocket of my white coat and walked from BCM to Ben Taub with no spillage….these coats are indestructible!

Then something happened this year. I started my sub-intern month on the brink of being an MS4 and decided to leave my coat in the team room. These were MY patients, I was the acting intern and I needed to go into battle without my security blanket. The white coat and I grew apart…and I started needing it less and less. This trend continued as I began my fourth year and started taking more responsibility for my patients. Suddenly the coat felt too small, it could hold my stethoscope and my books, but it could not hold all the responsibilities I was going to face next year.

I will always be grateful to my short white coat. This is a very important day for all of you, take care of your coats and remember what they stand for. When you wear them you are representing BCM and all the generations of amazing physicians this school has produced. And when you get to your fourth year and feel those pockets getting heavier, when your coat feels small and you are ready to take on the challenges and joys of being a first year doctor…that’s when you know you are ready for the long coat.

Welcome to the family BCM class of 2015 and Congratulations!

Tony Pastor, MS4

How To Succeed In Medical School

Yesterday was the first day of orientation for the new medical students at Baylor.  One of our traditions is to announce the winner of the DeBakey Scholar Award at the beginning of orientation.  The DeBakey Scholar award is one of the most prestigious awards given at Baylor; it is awarded to the rising senior whose academic success and character best emulates Michael E. DeBakey.  This year’s award winner, J. Mason Depasse, was asked to give some advice to the new class of medical students.  His remarks were so exceptional I asked his permission to post them here.

Welcome and congratulations on your admission to Baylor College of Medicine. My name is Mason, and I spoke to many of you during your interview day and second look weekend, when I told you why I loved Baylor. I hope that, after your retreat, you are already beginning to love it here as well. You made an excellent choice, and you will appreciate that more and more as you progress. I could go on and on about what makes Baylor great, but today I’m not here to talk about that. Today, I’m here to talk to you about how to succeed in medical school.

I remember my first day of orientation, and I know the mix of anxiety and excitement you are all feeling. I’m sure you have been told about the flood of information coming your way, and many of you may already be bracing yourself for the impact, particularly those who have had time away from biology or those who have an eye for a highly competitive specialty. While nervousness is perfectly natural, I want to stress that, when the material starts building up – and if you remember nothing else from this talk, remember this – you should not panic. Don’t freak out. People from all manner of academic backgrounds do it every year, and no matter what you’ve been doing or studying for the past four or ten years, you will get through it. It might take a little elbow grease, but you’ll make it.

To help you get started on the right foot, I’ve compiled a short list of things to keep in mind as you begin the basic science curriculum.

First and foremost, try to keep up. This is far harder to do than it may sound, but try your best not to procrastinate. The easiest and most reliable way to successfully tackle any seemingly overwhelming task is to break it into stages, and absorbing the enormous volume of information in basic science is no exception. In college, most of the testing in the sciences focuses on concepts, particularly for upperclassmen. You studied a set of rules for how to calculate electric fields and… something about nucleophiles, and you demonstrated that you could apply those rules. You all have the aptitude and the study skills to succeed in those courses, or you wouldn’t have gotten into medical school. Unfortunately, these skills will not be as effective here because you can’t outsmart basic science. You can’t do it. It’s a whole world of knowledge, and as our professors told us, you just “gotta know it.” You have to put in the hours, and keeping up with the material by regular studying makes this manageable. Get into a routine, and try to stick to it. And when you get a bit behind, and we all get behind at times, catch up as soon as you can.

Second, find a way to study that works for you. This may sound obvious, but I’ve seen students become concerned that they are not in a study group, or aren’t making flash cards, etc. But study groups and flash cards may not work for everyone. There is no “wrong” way to study; if it works, then you’re doing it right.  Your PRN leaders can give you all manner of suggestions for study tips and tricks, and you should feel free to try them out. You have a practice diagnostic exam before your first set of real exams, and you should use it to determine whether your method is working. But even when you find a strategy you like, your study method may not always work. Medical school is a long haul, and there are a lot of different challenges to face. Keep in mind that succeeding here is about adapting and persevering in the long-term. I wasn’t always happy with my performance, I was frustrated at times, but I found that it’s not worth beating yourself up about it. Adjust and prepare for next time.

Third, use your resources. Your professors will provide you with documents and powerpoints of their lectures, and these will sufficiently cover the material. However, you may find it helpful to supplement your reading with outside sources. Don’t overwhelm yourself, but there are all manner of texts and reviews available. Even looking over a topic in First Aid, the Bible of USMLE Step 1, can be helpful for solidifying your knowledge. Furthermore, don’t be afraid to ask for help. Baylor has a culture of cooperativity. Your classmates, your PRN leaders, upperclassmen, and professors are all here for you and will be happy to provide advice and support.

Fourth, stay balanced. Medical school can be very demanding, and it is easy to burn out if you don’t take care of yourself. Go out with your friends. Join IM sports. Go to the gym. If you’re applying to orthopedics, go to the gym again. Whatever you do, take a break. Two productive hours of studying are far more effective than four hours of staring blankly at the same page. Believe me, I know. There will be weeks along the way during which you will work a ridiculous amount of hours and balance isn’t really feasible, and when those come along I recommend trying to make it up afterwards.

Finally, once you’ve gotten settled into a routine, be aggressive. You’re here because you want to be physicians, and you’re paying through the nose for it – though not quite so much at Baylor. Thankfully, you chose an institution with just about every opportunity for research, service, and clinical experience that you can imagine. Seize them. Join student groups. Email professors you want to shadow or work with in the lab. Go to Ben Taub and learn how to start IVs and suture. When you’re on clinics in what feels like forever from now, I want you to remember that you are the only member of your team who is paying to be there. So get your money’s worth. Know your patients, and I mean really know them, and imagine that you are making all of the decisions. Think of your own treatment plans, and ask questions if yours differs from the final one. Medical school shouldn’t be four years you just have to get through in order to become a physician. Don’t let medical school just happen to you. Medical school is your chance to sample the spectrum of clinical medicine and gain the experiences necessary to begin forming more concrete career goals. So once you’ve got your rhythm going and you’re comfortable with your routine, I strongly encourage you to get out there and explore.

J. Mason Depasse, MS4