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- Feb 26, 2003
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I hate how someone referred to it as "taking advantage of a poor population." There is nothing that we do "hands on" here that we would only do because of the nature of the population that we see: that is completely absurd, unfounded and horrible. What we do get is a variety of people (a lot of immigrants from different places) and a variety of diseases that you wouldn't see in a smaller hospital or one that had a predominantly white upper class population.... You have to establish rapport with patients who often speak a language that you don't, who come from a completely different background, who often think that the cure for their disease lives within special herbal concoctions bought at a nearby Botanica. It is cultural competence at its best....
I should clarify my prior statement a little bit. Columbia medical school and the hospital are two distinct entities and the reality is that there is a certain level of exploitation of this population -- it has decreased slightly over the years, but I saw it every single day as a resident, and I still see it here daily as an attending. There is a long history of mistrust between the community and the medical center which a lot of people are working to make better, and based on my interactions here, the med students are generally shielded from that.
anywho in terms of other things to be on the lookout for while you guys interview:
i will agree, PBL is not for everyone, but it is an adult learning style....it's how doctors learn, i.e. residency is peer education at it's best. active learning, i.e. "always being on" is much more important than passive learning and information is more likely to be retained. Lecture is not for everyone, but hey if you are uncomfortable with the uncertainty in a pbl curriculum, that's okay.... The intangibles are also very important...however, it's important to be careful and let one lunch time tour taint your decision about any school. If you can do a second look weekend, i encourage that....and sometimes you can even come in on a "regular day" and second look on a day that's not prepared to be a second look - then you can get the real flavor for something.
Don't neglect the importance of location and support network -- med school can be a rough time for some folks....and you want to know -- are there good support services at school, especially if you are far away from family....or is it better to stay local and lean on family and friends.
one matchlist by itself is pretty useless -- it only tells you what fields one class has opted to go into. it's probably better to view several match lists to get a sense of where people go and what people do. also remember that it's usually not the medical school that determines what people ultimately do (though sure, name may help get an interview) it's how well you perform.
ultimately, a school is a school is a school...they all have to teach you the same thing (though the methods may be different) and the real clinical training comes in residency, so if you don't get enough "hands on" in med school...that's okay too.
man....i can never write a short post.....