Blog Archives

How to Be Happy in Residency

I’m sending a big congratulations to all of those residency candidates who successfully matched last week! Next year will be the start of something wonderful and challenging. Here are my tips for being happy (or at least as happy as possible) during residency:

1. Physician heal thyself. You will be working a ton, but eating healthfully and getting exercise will make everything a little better.

2. You’ve got a friend. You may be working 80-hour weeks, but plan to spend at least half an hour every week catching up with someone who makes you laugh.

3. Vacation – all I ever wanted. Figure out somewhere fun you want to travel when you are not working, and then happily anticipate the trip.

4. Date night. Take time out for your spouse or partner. Although I was not yet married when I trained, I remember being upset by seeing several marriages and relationships split up. You can never get that back. (This advice goes for children too, if you have them. You have an even greater challenge ahead of you than most if you are a parent in residency.)

5. Dance dance party party. Knitting, hiking, dancing, watching movies, kayaking, reading – whatever it is , do not let yourself become unidimensional.

6. Realize that the honking drivers have simply had a bad day. When I was in medical school, a brilliant upper classman came to speak to us about being on the wards. He told us that when someone aggressively honks at you on the road, it’s often because s/he in a bad mood – not because you are about to cause an accident. The same is true in the hospital. Tired, burned out professionals can make you feel bad. Don’t let them.

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Won’t Hire a Chef Who Hasn’t Been in the Kitchen

Pre-meds, as you prepare your candidacy – either for this year’s application cycle or one in the future – please recall that it is absolutely critical that you have clinical experience to be a competitive applicant. Even excellent grades and MCAT scores rarely overcome the limitations of a lack of patient contact. See my less-than-one-minute Guru on the Go® video below “Med Schools, No Patience for No Patients” for a quick review of this topic.

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The Fresh-Faced Physician’s Fade

Here’s a piece that is not for the faint of heart: Dr. Sandra Scott Simons is a nocturnist emergency physician who describes how disappointed her earlier-self would have been in what medical care giving has become.

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Medicine’s Diversity Problem

Here’s a recent article from Emergency Medicine News about Dr. Alden Landry who started the Tour for Diversity in Medicine, a project to encourage minority students to become health care providers.

It’s worth exploring the AAMC’s Practice Specialty by Race and Ethnicity table to better understand the lack of diversity in each and all medical fields.

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Yes, Doctors in Training Should Work Fewer Hours

Here’s a NYT piece by Dr. Dhruv Khullar, a current resident in training, regarding duty hours. His points in the last few paragraphs are his best. I remember doing – and I am not exaggerating – a 138-hour work week once during residency. I can assure you that I was not the best doctor I could be.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital. She was appointed to the Assistant Residency Director position for the Harvard Affiliated Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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Listen to Dr. Finkel’s interview on The Visible Voices podcast: 

 

Listen to Dr. Finkel’s interview on the White Coat Investor podcast:

Listen to Dr. Finkel’s interview on the FeminEm podcast: