medical leave of absence from first year

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smal123

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Hello Everyone,

I was wondering if you could answer some questions for me.

I started my first year in med school last september 2012. I was diagnosed with generalized anxiety disorder the year prior to that and put on temporary medication but did not continue it.(very dumb but it was an ego thing) I am pretty sure if I had gone to the psychiatrist even as early as freshman year of college, I would have the same diagnoses. This has been a problem for me since high school. I was hoping that this issue would just "resolve" on its own and I began medical school with no medication or therapeutic support. It quickly escalated beyond what I could control and though I tried getting extensions to exams, I was still missing class for doctor's appointments for this GAD and the depression that went along with it. this runs in my family so its pretty serious for me and my relatives. My father has it as well as my sisters. It is hard to explain to epople and I feel the stigma of it being seen as a weakness. however it is very real to me and has never felt like a weakness. It honestly feels like a disorder and an imbalance in my system that is genetic.

However, I took a medical leave of absence as advised by my deans. Though they know what condition I had, I did not really tell anyone else beyond two or three friends, most of them not in the medical field.

I was wondeirng how this medical leave would effect my 1) residency application 2) my board certification. What would you suggest in terms of keeping a good rapport with my deans fmoving forward? I was concerned the behavior I exuded with them during my most severe moments of panic attacks would reflect in the letter of recommendation. I sent one of my professors a long email about how much I was struggling with class and I hope that was not taken as "she is going crazy". All of my deans were super supportive and my professors were as well. They were happy i took the time off but again i guesss I am somehwat paranoid at the negative impressions I may have left on the deans and faculty

During my time off, I completely changed. I honestly look back and cant even put myself in those shoes again. The intense feeligs of anxiety, shame and depression are so unfamiliar with me. I know treatment has put me on another level of confidence and I am extremely happy with life. In this time I also completed a required research prokect for my medical school so I saved some time I would had to spent doing that during summers. y dean is estactic I was able to complete the research project. I am restarting my first year again soon and was wondering how I can make sure to not let this affect me as I apply to residencies, get certified and get my dean's letter.

Any advice from those having taken a leave or know of students that did would be awesome. I dont anticipate going into it in itnerviews beyond a generic "for health reasons".

Will this haunt me forever moving forward?
 
Hello Everyone,

I was wondering if you could answer some questions for me.

I started my first year in med school last september 2012. I was diagnosed with generalized anxiety disorder the year prior to that and put on temporary medication but did not continue it.(very dumb but it was an ego thing) I am pretty sure if I had gone to the psychiatrist even as early as freshman year of college, I would have the same diagnoses. This has been a problem for me since high school. I was hoping that this issue would just "resolve" on its own and I began medical school with no medication or therapeutic support. It quickly escalated beyond what I could control and though I tried getting extensions to exams, I was still missing class for doctor's appointments for this GAD and the depression that went along with it. this runs in my family so its pretty serious for me and my relatives. My father has it as well as my sisters. It is hard to explain to epople and I feel the stigma of it being seen as a weakness. however it is very real to me and has never felt like a weakness. It honestly feels like a disorder and an imbalance in my system that is genetic.

However, I took a medical leave of absence as advised by my deans. Though they know what condition I had, I did not really tell anyone else beyond two or three friends, most of them not in the medical field.

I was wondeirng how this medical leave would effect my 1) residency application 2) my board certification. What would you suggest in terms of keeping a good rapport with my deans fmoving forward? I was concerned the behavior I exuded with them during my most severe moments of panic attacks would reflect in the letter of recommendation. I sent one of my professors a long email about how much I was struggling with class and I hope that was not taken as "she is going crazy". All of my deans were super supportive and my professors were as well. They were happy i took the time off but again i guesss I am somehwat paranoid at the negative impressions I may have left on the deans and faculty

During my time off, I completely changed. I honestly look back and cant even put myself in those shoes again. The intense feeligs of anxiety, shame and depression are so unfamiliar with me. I know treatment has put me on another level of confidence and I am extremely happy with life. In this time I also completed a required research prokect for my medical school so I saved some time I would had to spent doing that during summers. y dean is estactic I was able to complete the research project. I am restarting my first year again soon and was wondering how I can make sure to not let this affect me as I apply to residencies, get certified and get my dean's letter.

Any advice from those having taken a leave or know of students that did would be awesome. I dont anticipate going into it in itnerviews beyond a generic "for health reasons".

Will this haunt me forever moving forward?

Your personal psychiatric history is protected health information under HIPAA. You and your school have no obligation to bring it up during residency interviews and applications.

Best of luck with your treatment and hope things stay well!
 
As jerseytrash said, it shouldn't be any problem for applying to residency, but when you apply for your license you will more than likely have to disclose either your illness, the treatment, or both.

In the state I will be applying for a medical license, there is a question that states:

Do you currently use chemical substances?
If yes, list:
If yes, do they in any way impair or limit your ability to practice medicine with reasonable skill and safety?

"Chemical substances" is to be construed to include alcohol, drugs, or medications, including those taken pursuant to a valid prescription for legitimate medical purposes and in accordance with the prescriber's direction, as well as those used illegally.

Best of luck--I hope things continue to go well for you
 
Hi Steller cloud, Does having the medical board know about this specific thing make it less likely I will get certified espeically if it is well within control?

I actually am not sure how that process works.
 
I don't know the answer to that, but I would think that it would not make you less likely to get licensed; however, I bet you will have to submit a letter from your doctor stating that your condition is well controlled with treatment.
 
A diagnosis of gad will not hinder your license! I'd be more worried about a felony or something like that but as long as you are open about a medical condition I don't see any problems.
 
However, I took a medical leave of absence as advised by my deans. Though they know what condition I had, I did not really tell anyone else beyond two or three friends, most of them not in the medical field.
Will this haunt me forever moving forward?[/U]

It didn't impact your Deans, your Professors, your Residents, Attendings and the Administrators. Please do not think you are the only one on these types of meds. Of the top 10 Rxs in the USA, psych meds make up a good chunk of them - sleep agents, anti-depressants, and anti-anxiety agents. Heck, some of those meds are household names: "Prozac Nation" didn't become a sensational hit because a few bumpkins living in the Styx use them. People bring up Xanax just in passing every day conversations. How about "you need some Ambien?" I have heard that one at more cocktail parties....attended by professionals. I know a few professors who should be medicated! OMG! And quite a physicians have told me over their careers that they couldn't get by in life without their X, Y or / and Z Rx pills.

I was recently told by a Pharmacist friend that she dispenses more Adderall to Physicians and Strattera to attorneys.

These meds do not discriminate against education/socio-economic lines. And please ignore all of the hateful, judgmental, vicious ignorant comments made my MD students on this topic.

Take your meds as Rx by your physicians. You mentioned they were temporary. You will be fine.

Tell us what kind of doctor you want to be, that's a more important question!

pax
 
It didn't impact your Deans, your Professors, your Residents, Attendings and the Administrators. Please do not think you are the only one on these types of meds. Of the top 10 Rxs in the USA, psych meds make up a good chunk of them - sleep agents, anti-depressants, and anti-anxiety agents. Heck, some of those meds are household names: "Prozac Nation" didn't become a sensational hit because a few bumpkins living in the Styx use them. People bring up Xanax just in passing every day conversations. How about "you need some Ambien?" I have heard that one at more cocktail parties....attended by professionals. I know a few professors who should be medicated! OMG! And quite a physicians have told me over their careers that they couldn't get by in life without their X, Y or / and Z Rx pills.

I was recently told by a Pharmacist friend that she dispenses more Adderall to Physicians and Strattera to attorneys.

These meds do not discriminate against education/socio-economic lines. And please ignore all of the hateful, judgmental, vicious ignorant comments made my MD students on this topic.

Take your meds as Rx by your physicians. You mentioned they were temporary. You will be fine.

Tell us what kind of doctor you want to be, that's a more important question!

pax

future psychiatrist. bless you. I couldn't do it.
 
future psychiatrist. bless you. I couldn't do it.

Me a future psychiatrist? No, that is not my calling. I do enjoy the counseling part though of our jobs. For clinic visits, I always make it a point to counsel patients as to their lifestyle choices and how it impacts their health: nutrition, smoking, unsafe sex, getting professional marital counseling, etc. Patients come to us with problems. We should listen, engage them, and be present for them 100% even if it's only for 15 minutes.

A frequent complaint by physicians is that they can not bill for education.
Physicians need to do more educating, even if it means they do not get reimbursed for it.
 
Me a future psychiatrist? No, that is not my calling. I do enjoy the counseling part though of our jobs. For clinic visits, I always make it a point to counsel patients as to their lifestyle choices and how it impacts their health: nutrition, smoking, unsafe sex, getting professional marital counseling, etc. Patients come to us with problems. We should listen, engage them, and be present for them 100% even if it's only for 15 minutes.

A frequent complaint by physicians is that they can not bill for education.
Physicians need to do more educating, even if it means they do not get reimbursed for it.

LOL. Your opinion will be altered at least slightly when you are a resident. If not then, then when you graduate to an attending. Some patients have no interest in listening to your lifestyle modifications and are there only for their scripts. The ones that DO have an interest in changing their lifestyle are the ones who deserve more time.
 
Some patients have no interest in listening to your lifestyle modifications and are there only for their scripts.

That is absolutely true. Some patients. Some people who attend church are pew warmers. Ok, ALOT of them are. But the preacher still preaches and the pew warmers keep returning. Like the preacher, physicians need to use their bully pulpit. Some seed will bear fruit. Some will wither. Plant anyways.
 
That is absolutely true. Some patients. Some people who attend church are pew warmers. Ok, ALOT of them are. But the preacher still preaches and the pew warmers keep returning. Like the preacher, physicians need to use their bully pulpit. Some seed will bear fruit. Some will wither. Plant anyways.

As long as you understand that, then by all means, shoot for the stars.
 
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