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the online peer-reviewed publication for medical students

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  • 01/10/17--21:00: Crow’s Feet
  • Joshua Stein

    There was an elderly man suffering from late-stage Parkinson’s dementia. There was a patient with schizophrenia experiencing a COPD exacerbation. Then, there was Mrs. G, who was admitted for immune thrombocytopenia. She was a retired teacher who spent her time volunteering at her church and caring for family members.

    in-Training
    in-Training - the online magazine for medical students


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  • 01/16/17--20:45: Dotting I’s
  • Kate Bock

    For the smaller challenges of medicine, like fitting an entire person's pertinent medical status in the half-inch gap between names on the patient list.

    in-Training
    in-Training - the online magazine for medical students


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    Ajay Koti

    Delirium is a bread-and-butter presentation. The differential writes itself -- stroke, infection, intoxication, electrolyte imbalances, shock, organ failure. The intellectual exercise this invites was practically invented for medical students, even if the final diagnosis (dehydration secondary to gastroenteritis) and its treatment (fluids) were relatively mundane.

    in-Training
    in-Training - the online magazine for medical students


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    “Be a duck,” became my mantra throughout medical school, so much so that my mother had it printed onto a canvas and has it hanging on a wall at home in my honor. As a medical student you might think I would be more interested in having the prowess of a lioness, the elegance of an eagle, the speed of a cheetah or the energy of a dolphin. A duck, as most envision it, does not have much appeal; except, however, when swimming. The quote that led me to emulate the duck is Michael Caine’s, “Be a duck, remain calm on the surface and paddle like the dickens underneath.”

    The post Transitioning to the Clinical Years: Be A Duck appeared first on in-Training.


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  • 03/28/17--21:00: A Lesson in Hope
  • I spent the first week of my outpatient experience in Internal Medicine working with the nurses at Hospice of the Red River Valley in Fargo, ND. Besides being incredibly nervous to begin my third year of medical school, I was anxious about what I might encounter on my week at Hospice. I was naive to end-of-life care; I was under the impression that Hospice was emotionally distressing, that all patients were dying from cancer, and that there was little that providers could offer patients besides Ativan and morphine. My week with Hospice fortunately rid me of those misconceptions. These brief stories emphasize the small details that ended up having a profound impact on me.

    The post A Lesson in Hope appeared first on in-Training.


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    Sunrise on the psych unit. A tentative, yawning flicker, a wash of tired fluorescence, and the hallway shudders to life—or something approximating life anyway.

    The post A Third Year Opus — Chapter Four: A Walk on the Ward appeared first on in-Training.


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    “There must be a better way to make a living than this!” / Slam. / Silence, except for the persistent heartbeat. / The beat of the ticking time bomb, the dying heart.

    The post Second Day as a Surgery Student appeared first on in-Training.


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  • 06/15/17--21:00: Where Are You From?
  • "Where are you from?" A question that I am asked many times during the course of my day. But the answer has never been clear nor concise.

    The post Where Are You From? appeared first on in-Training.


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  • 06/07/17--21:00: Transformation from md to MD
  • First year of medical school: / Don’t remember much. / MD/PhD students, you know what I mean. / Learned how to use a stethoscope.

    The post Transformation from md to MD appeared first on in-Training.


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  • 08/18/17--21:00: Differentials
  • “From now on,” our deans told us at orientation, “society will see you as a doctor. Sometimes you may not feel like one, but that is what you are becoming. This week marks the beginning of that transition, which will continue in the months and years to come."

    The post Differentials appeared first on in-Training.


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  • 08/10/17--21:00: 403
  • During the team huddle I was assigned to Room 403, Bed 1. “There is a lot you can learn from this patient. You should see him.” I got the one liner and was off.

    The post 403 appeared first on in-Training.


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    Dear medical students, I’m sorry. You had just finished two years of didactic learning and couldn’t wait to feel like a “real” doctor. You were finally starting your clerkships, that is, finally working with patients and getting deep in the trenches.

    The post An Apology to Medical Students appeared first on in-Training.


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  • 11/06/17--21:00: Smile
  • The entirety of the third year of medical school is an act. If you want to be a good medical student, you are what your team wants you to be. Amenable, pliant, easygoing -- even when inside you are a bitter angry little thing who’s tired of being pushed around.

    The post Smile appeared first on in-Training.


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  • 11/28/17--21:00: Stairwells and Stethoscopes
  • “No, no, no,” I repeated, first silently and then as a whisper, as I frantically pushed the elevator button. The reliable elevator chime did not ring, and the button light would not stay on. "Great. Fantastic," I sarcastically muttered.

    The post Stairwells and Stethoscopes appeared first on in-Training.


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    The point of my story is to outline a scenario that many of us as students have probably experienced: being the target of a superior’s anger. This isn’t the first time that an attending or senior has treated me poorly and unfortunately, it won’t be the last.

    The post The Victim of an Angry Attending: Five Ways to Deal with Criticism appeared first on in-Training.


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  • 01/28/18--21:00: Her Wardrobe
  • In high school, I was obsessed with wearing only vintage clothing. After hours of painstakingly searching every clothing rack at Goodwill, I would find a well-worn baseball jersey or an elaborately bejeweled Christmas sweater. I felt a sense of immense pride in reclaiming someone else's memories -- their winning games, their holiday parties - in an attempt to express my “uniqueness”.

    The post Her Wardrobe appeared first on in-Training.


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  • 02/22/18--21:00: Ready to Go
  • The very first patient I ever met on my internal medicine rotation was someone who hated being in the hospital. He took every opportunity in the following ten days to remind us that he was waiting to be discharged.

    The post Ready to Go appeared first on in-Training.


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  • 03/04/18--21:00: Outside the Room
  • I was called to a code the other day. Now I should probably clarify: as a medical student, I don’t actually do anything (unless they really need people for compressions). In fact, I wasn’t even in the room.

    The post Outside the Room appeared first on in-Training.


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  • 03/06/18--21:00: The Testing Epidemic
  • Daily labs are commonly ordered on hospitalized patients. While such tests may be indicated when patients are acutely ill and the clinical picture is unclear, there are many times when this is not the case.

    The post The Testing Epidemic appeared first on in-Training.


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    Some of my friends and family are really fascinated when I tell them I'm on my third-year surgery rotation. It is hard to convey how glamorous and inspiring it is, so I've written a short summary of a morning in the operating room.

    The post The Glamorous Life of a Medical Student in the Operating Room appeared first on in-Training.


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