Pre-Meds should read this.

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Dagrimsta1

Current Representation of PGY-4
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Sup Pre-Meds,

So you've decided to become a doctor and go to medical school. Good for you!

Now let's get real. As oblivious pre-meds you may not know these key facts that you probably should before dedicating all those years, monies, hairs, and stress to this profession.

Before going further, just know that I'm a medical student in the midst of second year, so forgive me if I'm extra blunt/apathetic towards life (Life ain't that great during 2nd year). These are the things I've learned so far...

1) Medical school is a business, regardless of school. They follow a program (curriculum) and produce untrained physicians. (Residency is the real training from what I hear) This is a major fact that pre-meds ignore or forget and end up making terrible decisions with school choice, e.g. caribbean medical school. Yeah it's competitive, but never forget your self-worth when choosing schools people! I've learned this fact myself when my school sent us an email saying "We are proud to announce an increase in tuition by 4% which is better than the usual 5%." Are you kidding me? Medical school is legal robbery of helpless students but that is the price to pay if you want to play.

2) You will need thick skin! Holy crap this is important. I've been personally been called out by classmates, professors, and even the dean on one occasion and I'm only in second year! People will talk ****, snitch, degrade you, and **** you over given the chance. Take it like a champ, understand why they say/do it, drop em from your head and move on. The medical profession doesn't take kindly to snowflakes!

3) If you are a privileged student, keep it to yourself! This means, coming from money, excell through school, full scholarship, eidetic memory, or anything that puts you above your classmates. You'd be surprised how many of your classmates and even "friends" dislike seeing you succeed. "Real G's move in silence like lasagna".

4) If you have never worked a day in your life, you're going to have a bad time. Med school is hard work sure, but didatics (usually) ends with second year. What lies beyond is basically a job and not an easy one at that. There is a reason ADCOMs like seeing real work experience along with volunteering. It teaches discipline, time management, teamwork, punctuality, and respect that books will never be able to teach.

5) Med school will push you to your limits, be prepared to push through them. I'll give a personal example; I've never really been smart, I've managed to work hard and get by with good, not great grades. These didactic years have been chipping away at my resolve, confidence, and well being but, I'm pushing through as will some of you. If it's not during didatics, it will be rotations and/or residency when your attendings will lay it on you HARD.

6) If you have doubts, think hard before committing to medical school. I can't even count the number of times that I've considered dropping out, pursuing something different, or something of that nature. I've even found things that I'm better at than medicine in medical school! It's critical in times like these to go back to your "true and innocent" selves and remember why you began this **** in the first place. This is a 6+ year long path AFTER COLLEGE that will cost 250k at the very least. Damn it make sure this is for you!

7) Have good reasons for pursuing medicine. The state of healthcare in the US is extremely precarious and no one really knows where it'll be in 10-20 years. If you're going in because of money, don't do it. There are easier and faster ways of making money. Job security is an OK reason, but with NP's on the rise who knows. Parental expectations is not a good reason. Your parents just want to see you succeed in life. Some of best reasons are usually deeply personal and it's what gives us our uniqueness and flaws.

8) Google the sunk cost fallacy and learn it. If you're not in medical school, it's not too late to switch career ideas if you want to. I know it might be hard to wrap your head around but it's better doing it in undergrad that during medical school after you've already sunk time and money in.

9) FOCUS ON YOURSELF > EVERYONE ELSE. No one will understand what you are personally going through, not your family, not your friends, not even your classmates. This means you need to learn to deal with your problems. Get help from faculty, meditation, or whatever helps you. I have a buddy who outlets through sex. Personally I workout when I can and/or bitch to my girlfriend. Find your outlet, you'll need it. There will be times when you need to zone out from the world to focus on your studies and it won't be easy because the world is typically pretty loud.

10) Be real with yourself, your expectations, and reality. This means choosing the right people you associate yourself with, learning your strengths and weaknesses, and being pragmatic with your choices. Your friends in and out medical school will get you through the dark and tough times, make sure they're real (easier said than done). You will fail exams, you will score poorly, you will struggle. These are eventualities and how you deal with them is more important than anything else. That being said, be rational with study habits and career choices. If you don't have the scores to do derm, maybe it's time for Plan B.

I can go on but I need to study. Feel free to shoot questions, comment, or criticize.
 
Ha the first one. Kind of ironic how schools want altruistic people and want them to do a bunch of unpaid labor and then just milk the **** out of their own students.
 
9) FOCUS ON YOURSELF > EVERYONE ELSE. No one will understand what you are personally going through, not your family, not your friends, not even your classmates. This means you need to learn to deal with your problems. Get help from faculty, meditation, or whatever helps you. I have a buddy who outlets through sex. Personally I workout when I can and/or bitch to my girlfriend. Find your outlet, you'll need it. There will be times when you need to zone out from the world to focus on your studies and it won't be easy because the world is typically pretty loud.

Some of your advice might reflect what your experience was, but isn't universal. Classmates can be extremely supportive, and sticking together and helping each other leads to everyone getting through it. It sounds like you had some experiences with classmates trying to "**** you over given the chance" but it's definitely pessimistic to tell pre-meds to expect that throughout med school. I do not agree with the attitude of looking out for yourself and only yourself. My friends in the class have helped me through a lot of tough times, and I have helped them as well.

Also you won't necessarily fail exams 🙂
 
Some of your advice might reflect what your experience was, but isn't universal. Classmates can be extremely supportive, and sticking together and helping each other leads to everyone getting through it. It sounds like you had some experiences with classmates trying to "**** you over given the chance" but it's definitely pessimistic to tell pre-meds to expect that throughout med school. I do not agree with the attitude of looking out for yourself and only yourself. My friends in the class have helped me through a lot of tough times, and I have helped them as well.

Also you won't necessarily fail exams 🙂

As always YMMV, N=1, w/e. Point is you would rather be prepared for the worst and hope for the best. Not vise versa.

Luckily I've never been ****ed over because I don't associate with people that I think might take that chance, but I have seen it with other classmates. It's important to be able to differentiate the fake from the real and stick by the right people. True colors come out when stress is peaking.
 
Damn bro why your classmates getting tight at you. Tell them to stick a pipe in it.

But yea man I hear ya. My high school and college were like this. You just gotta find a small circle of ride or die friends and you all can just fight through
 
I feel like your post highlights all the bad/hard parts of medical school. Some of them probably exist for everyone at some point in our medical career, but there are also really amazing things that makes all that worth it. First 2 years of med school was definitely harder than 3rd and 4th year, at least for me personally. It was hard to find meaning in going to class everyday, taking exams, studying for boards. However, in clinical years, you have the opportunity to find those moments with patients that makes you feel like what you suffered through was well worth it. The connections you make with the people in clinical years, not just patients, but also clinicians that become your mentors, have the potential to make it al worthwhile for you if you choose to pursue them. There will always be negatives to medicine, but to me they are well worth it.

Highlighting all the negatives without showing pre-meds the good stuff doesn't do them justice.
 
I feel like your post highlights all the bad/hard parts of medical school. Some of them probably exist for everyone at some point in our medical career, but there are also really amazing things that makes all that worth it. First 2 years of med school was definitely harder than 3rd and 4th year, at least for me personally. It was hard to find meaning in going to class everyday, taking exams, studying for boards. However, in clinical years, you have the opportunity to find those moments with patients that makes you feel like what you suffered through was well worth it. The connections you make with the people in clinical years, not just patients, but also clinicians that become your mentors, have the potential to make it al worthwhile for you if you choose to pursue them. There will always be negatives to medicine, but to me they are well worth it.

Highlighting all the negatives without showing pre-meds the good stuff doesn't do them justice

Nobody prepares for good weather but when a snowstorm is coming, everyone is buying shovels and salt. Think on it.
 
I feel like your post highlights all the bad/hard parts of medical school. Some of them probably exist for everyone at some point in our medical career, but there are also really amazing things that makes all that worth it. First 2 years of med school was definitely harder than 3rd and 4th year, at least for me personally. It was hard to find meaning in going to class everyday, taking exams, studying for boards. However, in clinical years, you have the opportunity to find those moments with patients that makes you feel like what you suffered through was well worth it. The connections you make with the people in clinical years, not just patients, but also clinicians that become your mentors, have the potential to make it al worthwhile for you if you choose to pursue them. There will always be negatives to medicine, but to me they are well worth it.

Highlighting all the negatives without showing pre-meds the good stuff doesn't do them justice.

The reason people quit and become disillusioned with medicine isn't all the wonderful stuff associated with it but all the bull**** you have to deal with. Anyone walking down the street cane just about tell you how potentially rewarding medicine is when you save someone's life but it takes someone actually in medicine to know all the rot that's inside. Wide eyed premeds thinking only of "helping people" should know this ahead of time before they become bitter old docs.
 
Ha the first one. Kind of ironic how schools want altruistic people and want them to do a bunch of unpaid labor and then just milk the **** out of their own students.
Can you show us the gun that is pressed to your temple to force you to go to med school?

What are you going to say when asked how you know you are suited for a life of caring for the sick and suffering? “That you just know”? Imagine how that will go over!

From the wise LizzyM: I am always reminded of a certain frequent poster of a few years ago. He was adamant about not volunteering as he did not want to give his services for free and he was busy and helping others was inconvenient. He matriculated to a medical school and lasted less than one year. He's now in school to become an accountant.
 
Can you show us the gun that is pressed to your temple to force you to go to med school?

What are you going to say when asked how you know you are suited for a life of caring for the sick and suffering? “That you just know”? Imagine how that will go over!

From the wise LizzyM: I am always reminded of a certain frequent poster of a few years ago. He was adamant about not volunteering as he did not want to give his services for free and he was busy and helping others was inconvenient. He matriculated to a medical school and lasted less than one year. He's now in school to become an accountant.

I’m fairly certain volunteering is a newer requirement to weed out more premeds as there are already a lot more qualified applicants than they know what to do with. In Britain they don’t even have a “premed” system and just go to medical straight after high school and they seem to be doing just fine.

Applying to med school is my own choice but helping people isn’t the reason I’m doing it. And from the “why did you go into medicine” thread going on it’s no one else’s reason either.
 
I’m fairly certain volunteering is a newer requirement to weed out more premeds as there are already a lot more qualified applicants than they know what to do with. In Britain they don’t even have a “premed” system and just go to medical straight after high school and they seem to be doing just fine.

Applying to med school is my own choice but helping people isn’t the reason I’m doing it. And from the “why did you go into medicine” thread going on it’s no one else’s reason either.
40 years ago, when I was a pre med for 10 minutes, I remember my peers volunteering.

Just remember medicine is a service profession. If making bank is only reason you're doing this, burnout is going to be your best friend.
 
Can you show us the gun that is pressed to your temple to force you to go to med school?

What are you going to say when asked how you know you are suited for a life of caring for the sick and suffering? “That you just know”? Imagine how that will go over!

From the wise LizzyM: I am always reminded of a certain frequent poster of a few years ago. He was adamant about not volunteering as he did not want to give his services for free and he was busy and helping others was inconvenient. He matriculated to a medical school and lasted less than one year. He's now in school to become an accountant.

@Goro Do you feel that the current cost of attendance is reasonable for the average medical school?
 
@Goro Do you feel that the current cost of attendance is reasonable for the average medical school?
I believe that it's obscene for AZCOM and others to charge > $60K/year.

Believe it or not, MD schools lose money on tuition. Preceptors and attending costa LOT of money. A single decent academic dep't can pull in more money in indirects from extramural grants than canan tire class of medical students.

There are consequences to the high cost of medical education; it drives the rat race for the specialties, especially the uber-ones. people have been discussing this in the medical literature as long as I have been teaching (some 25 years!)

So yeah, med schools, especially DO schools, which are cash cows, do charge too much for tuition. Hell, ALL US colleges charge way too much in tuition. In the 1970s, my entire BA degree cost my mom some $11K. That's about $56K in 2019 bucks...the cost of an entire year of schooling at a lot of schools!
 
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