I know someone who did poorly, dropped off the map, and were pretty upset that they then became like the new med school pariah.... I pointed out that people likely didn't know what to say or how to approach them (like after a tragedy of death) and that they could reach out to those people to let them know it was OK to talk.
Then again, when a loved one died during med school and I came back a few days later (everyone knew why I was gone) I actually appreciated that while everyone knew, no one tried to talk to me about it. Maybe someone said "good to see you."
Is failing Step 1 and not starting 3rd yr on time and people noticing as bad as if someone died? Not what I'm saying don't want to debate that one.
If this is someone you genuinely have concern for, as in, you actually email or have each other's phone numbers, have had some personal chats at some point, like you have a relationship where it wouldn't be weird or random tp them for you to pipe in with "how have you been?" (Safest bet) or even "haven't seen you around lately, I was thinking of you".
Usually people like the idea that their presence or absence is of some genuine personal consequence to another human being, especially someone they may care for in turn.
What people don't like usually is to have someone make it about scores or grades or things seen as measures of personal worth (not that they are, but ya know).
So that, my friends, is how to show care and concern without putting people on the spot.
Same thing when questioning patients. Is this about satisfying your own curiosity while putting someone on the spot about something irrelevant?
You wanting to know their score or why they are not there is irrelevant to inquiring about their well being.
What is, is expressing that another human being noticed their absence and cares. You don't have to bring up grades idiots unless that's really what you care about.
What I said above will allow the person to acknowledge this however they see fit. They can flub something about needing to change their schedule for personal reasons, emergency, administrative reasons, any of that hore**** is probably truthfully compatible with failing step 1.
Or they are dying to tell someone they failed but didn't want to seem like they were calling anyone to their personal pity party.
I vehemently feel this way. Asking about scores and grades? No no. Saying nothing when someone drops off the planet? Like my friend above, sounds bad form and hate to see it happen to someone if it hurts them. So all I can figure is this is the best way to navigate this.
So why the **** are you focussing on whether it's due to Step 1 pass or fail? If you really care about this person and respect personal boundaries, way the **** would it be about a score? Leave them alone if you're not capable of showing genuine and general concern.
If you're worried how it will seem to talk about Step 1 scores, why don't you just let people that want to tell you theirs just bring it up? Why even agonize over this?
This is about curiosity, not how to approach someone who's missing with concern, because I think we just covered that you can do that independent of scores.
Agreed. I've had some colleagues struggle with medical school, so it was easier to admit to my shortcomings because they knew how I felt or where I was. As in I didn't want to be here, am trying to move past it but hate being bothered by it. They knew it sucked and that no one else really understood. Especially faculty or counselors (seriously the worst giver of advice: study harder. Like thanks for the insult saying I'm not studying hard enough).
I'm of the opinion that you can apologize for being in that position, but tread further unless you know what it's like.
Like step grades: don't ask unless you really feel it appropriate. Or let them tell you. If you feel insulted or believe you should ask them: then you really need to evaluate proper communication.
Example: say a colleague had a personal matter to deal with and left for a week. Came back but didn't tell anyone. Would you really try to pry and ask what happened?
Unless their job performance started to tank, I'd refrain from asking. Actually, I'd move past it and try to at least give positive feedback about their performance.
People that have failed (for whatever reason) don't like to talk about it. They want to focus on getting over that obstacle without bringing attention to themselves. Because, though some people may not realize it, their questions or interactions about what's up can bring them right back to where they didn't want to be.
Look, I'm not trying to condescend. I'm trying to give you an understanding of why it's a bad idea to ask people how they did on things. If someone got a score they're happy with, they'll tell you. But don't push them for answers when they don't.
Also, final point I really am jealous of your predicament. What I mean is how you came back and no one asked or tried to bring out the truth. Given what happened to me during the summer between first and second year, I am jealous. I had classmates, faculty and even the Dean ask what happened. I didn't want to talk about it. I deliberately deflected with sarcastic remarks and no one got the hint. I had to demand the HR person email everyone to stop asking me because it was literally a workplace violation and, to myself, harassment.
But the Dean decided to give a lecture in which he "incidentally" explained what happened with another patient example.
So, given what happened to me, I may be biased to some people. But it's not bias. It's an empathy for those people dealing with situations they don't want to talk about and feeling harassed when people ask about it. And then the fear about telling them truth with the idea of being judged or looked down upon.
Which as much as I hate to say it: med students are guilty of. Even residents. Only because they haven't been in those circumstances. When you experience failure, setbacks or even some sort of experience that is detrimental to your performance or progression as a medical professional, then you can give input or advice. Otherwise, keep your mouth shut unless they approach you. Or you see that they're potentially on a downward spiral. Which case, I definitely advocate approaching them and at least telling them that though you don't know why they're doing this, it is definitely influencing not just their evaluations but the possibility of being a physician. Also saying that they should at least try to talk to someone.
I mean, our class had to deal with a classmate who failed two courses first semester and was forced to remediate the year. They acted like it was okay, but when the semester ended and they came to our party... They broke down. They felt like a complete failure. They wanted to quit because they didn't feel like they were good enough to be a doctor. My only advice (which did help a little) was that I can't imagine their predicament. But based on my interactions, I knew that they definitely weren't unable to be a physician. They had a setback. But the important thing now is to not give up. To take a moment to look back and see where they went wrong and to improve on it. Never give up. Unless you literally don't care about being a doctor (which they definitely did and why I tried to help), then don't let this setback make you decide to quit. Told them they weren't incapable of being a doctor, but that they were honestly being challenged. They were being challenged with a circumstance, which if they overcame, would help them. They'd see that whatever challenge or bumps in the road they encountered, they had that one experience where they didn't give up and succeeded... which goes a long way.
So, don't feel like you need to pressure or ask a person what their score is. Regardless if they failed or weren't happy with their grade. Because being helpful in that regard involves being helpful in overcoming that obstacle. Even if you don't know their score, telling them they're smart, or knowledgeable, or capable of being a great doctor lends way better credence than asking about their score.
I hate knowing about a person's academic performance. I personally prefer seeing how they do in clinic. If I see someone do amazing in clinic with their assessment/plan, then it makes it useless to know their step scores. Like, I know they're great/knowleable about medicine. So, do bring their scores, I'd just chalk it up to a person with great clinical prowess but bad luck on exam.