Blog Archives

Administering COVID Vaccines is the Closest Thing I’ve Come to Attending a Party in a Year

As of this writing, I’ve administered 214 COVID vaccines. I’ve had the opportunity to vaccinate through a hospital in my area where health care workers and volunteers are eligible. The latter group includes some senior citizens who have been volunteering for decades at the hospital. 

I’ve vaccinated several people over 90; two people on supplemental oxygen – one who had just come from chemotherapy; one person who shared my birthday; multiple who are immigrants from Vietnam, Iran, and Mexico; one who had recently lost both her mother-in-law and mother to COVID; and someone who told me her only past allergic response had been to her husband.

If you have the opportunity and skill set, I highly recommend vaccinating. It is the most satisfying volunteer experience I’ve had. People are so grateful, and the mood is so celebratory. I’ve had my photo taken several times, and the hospital has music playing in the background. It feels like I’m at a bar mitzvah (without the food). 

Here’s a piece on medical students who have joined the vaccination effort.

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It’s Not Personal

When I was in my second year of medical school, a third-year student came to speak to our class about being on the wards. (The student is now a vice chair in emergency medicine here in California.) He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn’t personal; they were just experiencing stress associated with patient care. He likened the situation to Boston traffic – how drivers lean on their horns for little cause because they are simply frustrated about their days.

It’s not personal, he said. What great advice.

I say the same to my clients. I’ve had applicants complain that faculty were wholly unprepared – reading their applications for the first time during the interview itself. Remember: It’s not personal. This process is arduous, and most candidates, faculty, deans, and program coordinators are tired and doing their best, especially in a pandemic. When things are rough, give others the benefit of the doubt. It will help you get through this anxiety-producing process with your sanity intact.

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Is Step 1 Still on Track to Go Pass/Fail?

Earlier this year, United States Medical Licensing Exam (USMLE) administrators announced that, after a long process of consideration, Step 1 would be scored as pass/fail going forward. With the global pandemic and many systems in disarray, some students had been concerned that the plans might be delayed, but according to the USMLE, the transition to Step 1 pass/fail score reporting is on track to be implemented in January 2022. The USMLE is also considering some changes to Step 2CS, although the details of those modifications are not yet available to the general public. 

Check out this piece about the details of the Step 1 scoring change.

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USMLE® Step 1 Scoring Will Change to Pass/Fail

Some students were pleasantly surprised this February to find out that the USMLE will be making a major change to Step 1: The test will be scored as pass/fail starting in 2022. Despite what seemed like a bombshell announcement to some, the USMLE had been working on the transition for over a year. Check out this piece, “Step 1 Score Change: One Small Step for USMLE, One Giant Leap for Medical Student Well-Being” on why the USMLE implemented the new scoring system, what opponents had to say, and the timeline for implementation.

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Guidance for Medical School and Residency: A New Publication

There’s a new publication out from the medical publishing company Wolter Kluwer called After Rounds that has some good information and guidance for medical school and residency. (Full disclosure: I am an invited writer for the site.). There is a breadth of topics from Coping with Homesickness to How to Get Published in a Medical Journal to a Day in the Life of a Resident. The articles are short, streamlined pieces. Browse the newsletter and check out my February piece on Setting the Right Goals for Medical School

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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 White Coat Investor podcast:

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