Blog Archives

Four Thousand Weeks

I’m currently reading a fantastic nonfiction book called Four Thousand Weeks: Time Management for Mortals by Oliver Burkeman. Four thousand weeks is how much time the average human has on this earth. That doesn’t sound like a lot.

I’d highly recommend the book to those of you who are productivity geeks, folks who are trying to be as efficient as possible with their time – all the time. I’m certainly one of those people.

Unlike other authors, Burkeman recommends that you surrender to the fact that you cannot get everything done and that traditional time management strategies, which are supposed to help you multitask, will fail and cause anxiety. He recommends recognizing that our lives are finite and that we should be in the moment. The author does a fantastic job of persuading even someone like me how important it is to recognize that even if you get your list done, there will always be more items on your next list. 

I’m not much into self-help, but I do recommend this intelligent book.

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A Novel Approach: Reading throughout your Rotations

I had a thoughtful advisee years back who told me about an interesting plan she had made for herself: As she rotated through different specialties during medical school, she read a book appropriate to each field. For internal medicine, she read “Being Mortal,” by Atul Gawande. For neurology, she read the classic “The Man who Mistook his Wife for a Hat,” by Oliver Sacks. For surgery, she read “When Breath Becomes Air,” a beautiful book by Paul Kalanithi. The list goes on.

I was impressed by this contemplative approach to third and fourth year. So many of us are understandably focused on Shelf Exams and letters of recommendation that we don’t give ourselves a chance to comprehensively reflect on our subject matter and patients’ experiences.

If you have a moment, please check out a few book recommendations I have for those in the medical field. Perhaps my advisee’s stellar plan can be one that other medical students adopt. (You’ll see that I strongly recommend Cutting for Stone. Dr. Abraham Verghese has a new book out that I’m reading right now called The Covenant of Water.)

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Holding up and Holing Up

Greetings from California where we are sheltering in place. Newsom did the right thing to save lives, but this will not be easy here in the Golden State. I worked in the emergency department last week, but I was in the less acute side – not managing high risk, respiratory patients. From what I have seen, hospital systems in the area have tremendously organized plans in place. My concern is that they will get overwhelmed soon.

Like most of you, I’ve been reading a lot on COVID-19, both in the lay and medical press. I’ve compiled some of my favorites as of this writing:

A must-listen-to interview from the New York Times’ Daily Podcast of an Italian ICU doctor managing the crisis in his country. Forward this one to your family and friends. 

An Annals of Internal Medicinpiece on incubation period of COVID-19 with a visual abstract.

visual representation and accompanying article on hospital bed capacity exhaustion from the Harvard Global Health Institute published by the New York Times

A widely circulated “ICU one pager” for clinicians on COVID-19.

I’m also now subscribed to a daily update on COVID-19 from the Johns Hopkins Center for Health Security.

The St. Louis versus Philadelphia 1918 flu mortality graph with accompanying article. Send this to anyone who doesn’t understand why social distancing is important. 

Please stay home as much as possible, and encourage your family and friends to do the same. 

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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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