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Medical school can be brutal, and it’s making many of us suicidal

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81–90 of 170 posts

Re: Medical school can be brutal, and it’s making many of us suicidal

#81
post #57

I wonder if the high salary is worth the mountain of debt on top of all this. Could part of reason why the education is so expensive due to the monopoly in all the tests med students have to take? http://endstep2cs.com/petition/

Of course it is. The size of medical school debt is about the size of a common mortgage. That's no burden at all for a deep six-figure salary. It's a total non-issue.

Re: Medical school can be brutal, and it’s making many of us suicidal

#82
post #25

Compared to previous generations (and the change is quite steep -- I am talking about students today vs. students 5-10 years ago), a growing proportion of medical students have entitlement issues. Those issues are roughly two-fold : (1) feeling entitled to a "balanced" lifestyle; (2) feeling entitled to help people. The first one is obvious: student want to leave early, they don't understand that patients always come…

>"Mother Teresa Complex" Wouldn't this mean simply telling the patient that their suffering is "God's plan" and refusing to treat them, nor give them any pain medication?

Thus is hyperbole, of course -- hyperbole which serves to highlight that refusing to allow the patient to decide for himself, trying to force your own outlook "for his own good", is exactly the same as not giving pain medication because it's against some religious ethical code.

Re: Medical school can be brutal, and it’s making many of us suicidal

#83
post #37

Earlier quoted context omitted.

Do you really work 90 hours? That's 13 hours a day 7 days a week. How does that even work logistically when you need to eat, sleep, commute, do laundry, shop for food, and hopefully also see family or friends on occasion.

I still remember the first day of my surgery rotation, when the head surgeon came in to give us a lecture: "Sorry if I'm a bit off, I just finished a 30 hour shift and haven't slept yet." lol. It varies greatly by specialty and program but I can assure there are physicians who literally test the limits of how much you can work in a week.

That sounds incredibly dangerous. I don't doubt that it happens, but I'd much prefer the person cutting me open to not be fatigued and exhausted.

Re: Medical school can be brutal, and it’s making many of us suicidal

#84

My wife finished medical school a bit over 4 years ago. While she thought medical school was brutal, it was comparatively easy compared to the challenges she faced in residency (she did her prelim at UCLA-Harbor and is now at Boston Children's hospital doing pediatric neurology). 80+ hour work weeks are the norm, and sometimes she works 14 days straight and has a pager that beeps throughout the night that she must re…

As a father whose young son had a compound fracture recently and had to wait in the ER for 3 hours to get it patched up by a grumpy, rushed, and tired ortho, this is horrifying.

Something really needs to be done about current crony capitalistic US medical industry.

Re: Medical school can be brutal, and it’s making many of us suicidal

#85
My partner studies how and why mainstream hospitals are turning increasingly to complementary and alternative medicine (CAM). Interestingly, one reason is that many current doctors burnt out (because of the conditions described in the article and developed chronic and/or psychological conditions either in med school or practicing. These doctors (or soon-to-be-doctors) find that CAM offers better remedies for many chronic conditions, which the current biomedical stack really isn't optimized to handle. Then when they finish med school, they're in a privileged position to confer institutional legitimacy on CAM treatments. So in some sense, this brutality is changing medicine more generally.

Re: Medical school can be brutal, and it’s making many of us suicidal

#86

Earlier quoted context omitted.

I still remember the first day of my surgery rotation, when the head surgeon came in to give us a lecture: "Sorry if I'm a bit off, I just finished a 30 hour shift and haven't slept yet." lol. It varies greatly by specialty and program but I can assure there are physicians who literally test the limits of how much you can work in a week.

That sounds incredibly dangerous. I don't doubt that it happens, but I'd much prefer the person cutting me open to not be fatigued and exhausted.

It is. In surgical specialties, until very recently it not only happened but was absolutely normal and expected. I had one attending outright tell us that we (students) were not allowed to sleep on our 30 hour on-call shifts. To give some context, it is only recently that rules were passed to limit those hours -- to 80 (!!!) per week.

However, this is a vestige of the old culture and is slowly but surely being replaced both by new rules and, generally speaking, a better culture.

http://www.acgme.org/What-We-Do/Accreditation/Duty-Hours

Re: Medical school can be brutal, and it’s making many of us suicidal

#87

Earlier quoted context omitted.

> When has that happened to you, or anybody you've known? Are you kidding me? I practiced medicine until 8 months ago when I burned out and had to take a break. One of the cases I recall having on an offshore medical center, involved 4 victims who had suffered burns(in one case over 80% of his body surface area), on a night when I had 2 other patients on admission. It easily took my team of four 5 hours to stabilize…

In these incidents, how many times did you have to reach on your advanced medical training instead of the basic ones to treat burn wounds and fix food poisoning? How was any aspect of your job improved by your years of medical school, your years of residency? Would you rather have more less trained doctors, or fewer elite doctors in those circumstances?

Its difficult to explain to lay people (and I in all honesty do not mean to be condescending) but even in the "simplest" of cases a doctor is called upon to draw on advanced skills and concepts he may not even remember he has.

People fail out of the profession at various levels. A classmate of mine fled in the second year during her first dissection of a cadavar, never to return, some make it to residncy then quit. Certainly we should be vigilant and catch students before they become suicidal. But really, the practice of medicine requires a certain temperament. Some people are built for it and others are not.

> Would you rather have more less trained doctors, or fewer elite doctors in those circumstances?*

Unfortunately there is no middle ground. A doctor is either capable or he/she is not. We simply cant train them halfway. There are countries that have carried out the experiment you propose and attempt to train doctors to 'adequate' levels. The results are not good.

Re: Medical school can be brutal, and it’s making many of us suicidal

#89

My wife finished medical school a bit over 4 years ago. While she thought medical school was brutal, it was comparatively easy compared to the challenges she faced in residency (she did her prelim at UCLA-Harbor and is now at Boston Children's hospital doing pediatric neurology). 80+ hour work weeks are the norm, and sometimes she works 14 days straight and has a pager that beeps throughout the night that she must re…

The real problem is many residents make real decisions, and their judgement is often impaired by fatigue.

Re: Medical school can be brutal, and it’s making many of us suicidal

#90

My wife finished medical school a bit over 4 years ago. While she thought medical school was brutal, it was comparatively easy compared to the challenges she faced in residency (she did her prelim at UCLA-Harbor and is now at Boston Children's hospital doing pediatric neurology). 80+ hour work weeks are the norm, and sometimes she works 14 days straight and has a pager that beeps throughout the night that she must re…

The majority of today's US med school students admitted in 2016 were born in 1992. They grew up watching the silly kids and stupid parents sit-com world of Disney Channel and Nickelodeon while getting soccer trophies for showing up. They wasted a lot of time playing non-educational games rather than reading or working hard to accomplish real things. While they had to work incredibly hard to get into medical school, a…

I can't tell if this sarcastic, but I think its important to point out that much of the challenge and stress of US medical school is self inflicted by the current culture - and leads to bad health outcomes for patients.
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