Making of the Ideal Physician

Rosenow, E. C., III; Wilson, W. R.; Mansel, J. K.

ISBN 10: 1490783709 / ISBN 13: 9781490783703

Verlag: Trafford, 2017

Beschreibung

Bestandsnummer des Verkäufers 30600101-n

Bibliografische Details

• Titel: Making of the Ideal Physician
• Verlag: Trafford
• Erscheinungsjahr: 2017
• Sprache: Englisch
• ISBN-10: 1490783709
• ISBN-13: 9781490783703
• Einband: Softcover
• Zustand: New

Über diesen Titel

Inhaltsangabe

If you haven't already needed medical care, the time will come. What are your expectations for your physician and/or your health-care provider? What do you want your doctors to know to help them help you?
Edward C. Rosenow III, MD, J. Keith Mansel, MD, and Walter R. Wilson, MD, have a combined 100-plus years of experience in medicine and medical education. They are sharing that expertise with members of the medical community to help them better navigate the patient interaction and also offer them practical guidance as they move through their careers.
The authors begin with advice about medical education for students who are planning a career in the health-care field. Readers will learn about the career process from residencies to fellowships to private practice or academic medicine. From the beginning of the book to the end, the focus always is on patients and remembering that every doctor should help their patients in the most professional manner possible--and always with empathy.
In addition, the book includes a bonus chapter for patients, who will learn how to make the most of their time when they are with their health-care providers.

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The Making of the Ideal Physician

By Edward C. Rosenow III, J. Keith Mansel, Walter R. Wilson

Trafford Publishing

Copyright © 2017 Edward C. Rosenow III, MD, J. Keith Mansel, MD, and Walter R. Wilson, MD
All rights reserved.

ISBN: 978-1-4907-8370-3

Contents

Foreword By Robert R.Waller, MD, ix, 
Preface and Acknowledgments, xi, 
1 So You Want to Be a Physician, 1, 
2 Tips on Being Interviewed for Medical or Osteopathic School, 9, 
3 So Now You Are Learning to Be a Doctor or The Making of the Ideal Physician, 17, 
4 Mentoring and Role Models, 43, 
5 The Making of the Ideal Resident, 51, 
6 The Art of Educating, 61, 
7 Preparing and Giving a Medical Talk, 67, 
8 Entertaining Visiting Faculty, 73, 
9 The Ideal Academic Medical Center and Private Practice Medical Center Professional, 77, 
10 Qualities of a Chairperson in an Academic Medical Center or Private Practice Medical Center, 89, 
11 Wisdom and Maturity, 109, 
12 Apathy, Mediocrity, Burnout, and the Consequences of Stress and Depression on Health-Care Professionals, 115, 
13 The Art of Medicine, 145, 
14 Palliative Care, End-of-Life Issues, and Medical Ethics, 159, 
15 Life After Medicine, 177, 
16 Women in Medicine By Adamarie Multari, MD, 181, 
17 The Patient-Physician Relationship — Bonus Chapter on "How to Be a Patient", 185, 

CHAPTER 1

So You Want to Be a Physician

Many of you decided you wanted to be a physician or nurse when you were younger than five years old. This came about after witnessing a physician give comfort care to a family member, and you remembered how much he or she appreciated it and the family's frequent conversations about it. Over the years, you found that you had no one to talk to about what it takes to be a member of the medical profession. You haven't needed anything but routine care from your family physician(s) and never really got to talk to them. You formed some impressions from what you saw on TV or in the movies! Or you have talked to counselors in high school and college. We have found that many college counselors don't have very good insight or knowledge about medical and osteopathic schools and what it takes to get into them — let alone what being a physician entails. It is always helpful to talk to a physician who might agree to be your mentor.

Applicants to medical schools are finding that even if they have outstanding grades, they may not be accepted into some programs because they've done little or no volunteer work aiding the underserved. Volunteering is very important to many admissions committees. Have a separate résumé for your volunteer work going back to grade school. Describe and document what you have done with a short paragraph for each project — go by the motto: If it isn't documented, it didn't happen! This résumé is more for your records than for submission, but you may want letters from some of your volunteer-work supervisors. It also can be a good source of material for your Personal Statement, which is mostly about "Why I want to be a doctor." Mention your number of blood donations. Have you signed up to be an organ donor? Your interviewer may be a transplant physician. It is better to volunteer for a few organizations over a long period rather than for multiple ones for a few weeks at a time. This amounts to a "continuity of caring."

You don't need to go out of the country to volunteer — although a number of medical schools emphasize global medicine to their students — but it is a maturing experience. Admissions committee members don't view building hospitals or schools outside the country as rewarding as volunteering by directly helping people, e.g., visiting the homebound elderly, working in a hospice or homeless shelter, and on and on. There is no limit to the opportunities.

Process

I (author ECR) have been on the Mayo Medical School (MMS) admissions committee, and I can say that comparing our authors' admissions experiences of three to five or more decades ago to today's process is like comparing night and day. I'm sure I filled out a short application, but I don't remember being interviewed. I didn't take an MCAT. I don't recall an orientation of any kind, and there were no mentors before we started or once we were in medical school. The biggest difference is that any applicant will need to do at least some — how much likely depends on the medical school — volunteer work, even if he/she has a GPA of 4.0 and a high MCAT score. When I was on the admissions committee, the group interviewed several pre-med students who worked nearly full time to put themselves through college and minimize student loans and so didn't have time to do much volunteer work. We didn't penalize any of them for this. If this is your situation, a letter from your employer would be beneficial.

While I served on the admissions committee, we had about 4,500 applications for 50 positions in the freshman class!We could first reject about 1,000 applicants because of very low MCAT scores, incomplete applications, GPAs below our minimum expectation, visa problems, and so on. That left around 3,500 applications for review. Various members of the admissions executive committee screened these applicants to choose 300 to invite for an interview. The approximate twenty-twomember admissions committee included staff, emeriti, several medical students, and residents. Some schools accept up to 250 applicants for a position and have different admission criteria.

Every week for about four to five months, each one of our seven executive-committee members reviewed twenty-five applications (given to us at random). It would take about fifteen to twenty minutes to review a few pages of background material, four to six letters of recommendation (two to five pages each), and the applicant's Personal Statement. Then I would vote to "invite" or "reject." We were all urged to have no more than three or so "invites" out of our twenty-five because the total of 300 invitees added up quickly. Yet there were times I wanted to invite twenty of the twenty-five. These "kids," who were not much older than my grandkids, had worked so hard and exuded a passion for people, and I thought their enthusiasm was very genuine.

The whole committee met weekly to go over the "invites" and vote anonymously. The grading scale was "5" as the highest, and we could go down to "1" or "2," but almost never did. We had a lot of 3.5s to 4.9s. There could be several who had institutional actions, and a few would have misdemeanors. The applicants always had good explanations, knew they did wrong, and were very apologetic; ultimately, we didn't downgrade them for this. Applicants explained these infractions in a special area on the application. They may have gained maturity as a result of their wrongdoings or misdemeanors. It would be much more of a problem if an applicant did not list a misdemeanor and we found out — he/she would be dropped. Fortunately, this didn't happen.

We have drawn upon our experiences as past admissions committee members to create the following list of things to keep in mind when applying to medical school:

• Being a son or daughter of a physician didn't count, nor did being a legacy. We know of situations where wealthy potential donors offered to "donate" large amounts of money to the medical school — but this didn't help get their children accepted.

• Significant athletic or music skills didn't help (we had a number who were concert virtuosos). (This has...