Blog Archives

“…We’ll Build Our Own Damn Medical School”

A California Assemblywoman, who is also a physician, recently introduced a bill to force the hand of the University of California in hopes of opening a medical school by next year in an underserved area of California. 

Since 1960, the University of California has been the only public education system authorized to confer medical degrees in the state. However, a new bill, introduced by Jasmeet Baines, a family physician and Democrat representing Kern County’s city of Delano, allows California State University, Bakersfield, and the Kern Community College District authority to establish a medical school if the University of California doesn’t do so within a year. 

In 1978, the Fed formally designated Kern County an area with a physician shortage. The County is located in the California Valley, which has fewer than 45 primary care physicians per 100,000 people compared to 156 per 100,000 across California.

Dr. Bains was quoted as saying, “If the UC won’t build it, we’ll build our own damn medical school.”

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Is There a Doctor on Board?

Those are words no physician wants to hear. Even as an emergency physician, I hated the few times I heard that phrase. Fortunately, the passengers I tended to were not terribly ill, but this story, written by a medical student who cared for a critically ill passenger, is well told and worth the read.

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Studies Show that Physicians are More Likely to Use Negative Terms in Black Patients’ Medical Charts

Here’s a disturbing and important New York Times article detailing two studies showing that physicians were more likely to use negative language in the medical record about Black patients than about those of other races. 

Medical notes from emergency departments and inpatient settings were more likely to use this pejorative language, possibly because of a lack of long-standing relationships with patients.

Along these lines, a term like “refused” should not be used in the medical record. If we, as medical professionals, believe the patient is truly in charge of his/her body, “declined” is an appropriate replacement. 

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Burnout and Does the Patient Always Come First?

Although written somewhat tongue-in cheek, “A Totally Novel Concept: The Patient Comes Second” – sent to me by an emergency medicine colleague – is worth a quick read. Considering the huge problem with physician burnout, putting the patient second sometimes is an interesting intellectual exercise.

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Think Before You Post

Before you tweet that racy comment or post a picture of yourself partying on Facebook, I recommend you pause. A recent study “Social Network Activity May Affect Medical School Acceptance” from the  Postgraduate Medical Journal indicates that social networking is affecting medical school and residency admissions. Nine percent of the medical school and residency program survey participants acknowledged routine use of social networking sites as part of the selection process.

The American Medical Association has advised doctors that social network content can adversely affect physicians’ reputations. That advice seems straightforward. However, what troubles me is that admissions officers can intentionally or subconsciously form negatively judgments about applicants based on the candidates’ family situations (e.g. a woman applicant with a new baby), political leanings, or romantic relationships.

Contact me for help with your residency application and medical school candidacy.

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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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