Yes, I did this for money, but it wasn't just to have disposable income -- I come from a low-income background and at the time I didn't have many other choices, it was literally either this or not having money to eat. I don't regret doing it. I know people who have done much worse for money, I count myself lucky in that regard that I did not have to compromise myself.
I think you make good points and I appreciate your honest and respectful response, unlike some others. My original thought was to not mention it by default and maybe mention it as part of a broader narrative about why I'm interested in sexual health at schools I know are receptive, but it sounds like it would be better to leave it off altogether
I mentioned having a colorful past. I can appreciate that you're saying you did this out of necessity and not for disposable income. It won't matter to most in medicine. And the counterpoint is that there is always someone applying "better than you." Someone who survived a genocide in Africa and then came here and was homeless and then grew most of their own food out of empty milk jugs and made money collecting soda cans, all while volunteering at the soup kitchen they ate at and getting a 4.0 at Harvard in theoretical physics. And by all reports never had to do anything similar to survive. The person judging you harshly will hold that example against you to justify dunking on your app.
I often come off as the biggest most conservative jerk about how physicians think when I advise students, because I can see the gulf that exists between the average physician and the healthcare industry and "mere mortals." I don't fall for some of the PC or woke BS they espouse but don't really believe in. I've seen the discrimination against healthcare professionals trying to get medical accommodations, like for their depression or their CHEMO. The profession doesn't really give a hot damn about you.
I want the culture to change in some ways, but it is what it is. Gotta play the game and get in the people that used to be auto-reject to see that change.
Also, no matter your personal views, you have to be able to project a professional facade that could make the most conservative person on the planet feel comfortable around you. Physicians have to be able to come off milquetoast and vanilla enough for all.
In some ways the profession has to maintain itself as conservative appearing as the oldest most conservative most religious element in this country. That can hold some of the progress back.
Remember how Clinton didn't inhale? It's like that. There's a whole generation of voters he needed to represent that were scandalized enough to even hear that he was at a party where he could smell weed and didn't call the cops on everyone.
Once you really understand it's not about any single one of us and who we actually are, but it's about having an acceptable front for say an Amish mother of 8 who has never seen a naked man, then it might make a little more sense.
It's not a social justice warrior movement where we should expect patients to have to tolerate us and our diversity, because our mission isn't to try to change any prejudice they have. Our mission is to *adjust ourselves* to overcome barriers to creating a therapeutic alliance and getting them treated.
In a way, patients need to be able to project what they find comforting as far as the image of an upstanding trustworthy physician onto us. This gets into not having them call us by our first names, wearing professional dress, even avoiding cursing. I don't discuss my personal politics or what I think about cannabis or sex work or any number of things with them.
I have some personal story somewhere where I talk about checking my mailbox outside my house in my regular bra. Totally legal to do, but something I completely quit doing in med school, especially living near the school where lots of people I might see later, might see me.
Becoming a physician has a lot more in common with joining the priesthood than it does becoming an activist (not that it doesn't have those elements too).