This post is raw and holds nothing back. If you’re uncomfortable with vulgar language, please turn back.
April 13, 2008
My previous post on needle sticks and exposures was awarded a shiny new post over at SDN. Some questions for me were posed in the discussion, and I wanted to expand on the topic a bit more than simply posting a reply to the thread. Before I go much further, I wanna give bronx43 props for watching my back.
I’m curious how much clinical exposure the guy who runs MedSchoolHell had before he applied to medical school. I’m guessing not nearly enough. Do any of his regular readers know, or is he willing to share that with us here? It doesn’t take long to realize that you’ll be dealing with people who aren’t willing to put in the time for a little common sense preventative care for themselves, who will simultaneously hate you for doing your job and yet demand that you give them the care they need, and that you’re going to have to put yourself at some risk from time to time.
It’s a bit off topic, but looking over that website and some of the posts here, I really wish that medical schools posted some sort of requirements as far as real clinical exposure to avoid the 4.0, 40 MCAT applicant who very quickly realizes he’s made a mistake but is too far in debt and has committed too much time to turn around now.
I had roughly 8 months of volunteer experience, ranging from shadowing in the ER during college to volunteering in private pediatric and family medicine practices in my hometown. This was across three years of college, so roughly 2.5 months out of those college years I was volunteering somewhere. I loaded my volunteer experiences during the last three years of college, and didn’t do much of anything other than school-related stuff during my freshman year. These gigs were the typical “volunteer” positions, so they were probably 1-2 days per week at 3-4 hours each day. Nothing excessive, by a long shot.
I never fully enjoyed any of my volunteer positions. I saw them as a necessary evil in order to boost my chances of getting into medical school. Everybody else was doing it, so I should too. I should have listened to my heart way back then, but I brushed it off as “not liking specialty X.” I thought I’d surely like something in medicine, just not whatever I was volunteering in at the time. Since I didn’t volunteer in every conceivable medical specialty, I rationalized that I would find something that would fit my personality.
The Volunteering Conundrum
The problem with volunteering is that you’re not really going to see what it’s all about short of becoming a full-fledged employee where you actually get to do stuff. You follow some doc around for a few hours and then go home — rinse and repeat while your pre-med mind thinks it’s going to be cool to be like that doc one day. Most volunteer gigs won’t let you do anything remotely close to what you’re going to be doing as a medical student on the wards due to insurance and litigation issues.
What volunteering won’t show you are the long hours, after-hours calls, sleeping in some crappy call room overnight, unruly patients, staying after “office hours” to complete paperwork, aggravated family members, social work involved with “patient care”, and the terrible insurance crisis and low reimbursement to physicians. The only way you’re going to learn about this stuff is to pull a regular job in a clinical setting, and even then experiencing some of these things might be iffy at best. Some of my pre-med buddies were doing stuff like phlebotomy, full-time ER nursing, or even full-time EMTs. Were these people more prepared going into medical school as far as knowing more about what they were getting themselves into? I think that without a doubt they were.
That being said, most students (myself included) have no idea what the practice of medicine is really going to be like prior to medical school matriculation. That’s the nature of the beast, especially when you do the standard volunteer gigs. By the time you get on the wards and decide that it really sucks, you’ve already thrown away two years so you might as well finish it.
That’s what I did, anyway. By the time I decided I really hated medicine, I had already taken and passed Step 1 and thrown away two years worth of tuition and time studying. I still believe this was the best decision for me, as talked about in my post about when to get out of medicine if you’re unhappy. Your mileage will vary, but had I not had student-loan debt incurred during the first two years of medical school, I would’ve probably cut my losses a lot earlier.
UberVolunteer (or Work) More
If I had one piece of advice to give, it would be that you need to really dig down and come as close as possible to finding out what medicine is really going to be like before you waste your energy applying. If this means getting a full-time job working 12-hour shifts doing blood draws, you need to do it. If you can shadow a 1st or 2nd year OB/GYN resident and work every hour that they are at the hospital including calls, that experience will give you a much better idea of what this whole medicine thing is going to be like than pushing patients to their car or bringing down food trays to the emergency room. This isn’t volunteering, this is being an UberVolunteer. I’ll be the first to admit that I didn’t really know what I was getting myself into, but I at least partly chalk that up to the fucked up volunteering system in place. If I had to work 12 hour shifts doing blood draws or follow some poor OB/GYN resident around the hospital while he or she got their asses burned, I would’ve given medicine the finger long before I even matriculated.
Paramediclizard states that I should “learn something from a real physician and student of life.”
Being compassionate, being concerned for your fellow man, doing everything you can to help people—that’s the kind of religion I have, and it’s a comforting religion.
Sorry DeBakey, that stuff just doesn’t float my boat. For me, medicine was just a job prospect. For you, it was a lifestyle and religion. I’m really not that concerned for the welfare of sick people I don’t know. Sorry.
Plus, I like more than 4-5 hours of sleep every night and retirement before my 90th birthday. Hey, that counts for something, right?
Are you convinced to leave medicine? If so, you may feel like you are alone. You may feel clueless about what to do next. However, quitting medicine could turn out better than you have ever thought possible. And here is why you should get out …
This article is part of Hoover’s Med School Hell series. Med School Hell reveals the crazy truth about the crappiness of the US medical education and healthcare system … while making you laugh so hard, you’ll crap in your pants.