Not giving up VS Knowing when to leave

“Many of life’s failures are people who did not realize how close they were to success when they gave up.”
Thomas A. Edison


Insanity: doing the same thing over and over again and expecting different results.
– Albert Einstein
                         Society sends mixed messages. Is it a virtue to stick it out? Or is it better to know when your efforts are better used elsewhere? I don’t know the answer to this question. Maybe no one knows. Perhaps there is no right answer. We must trust our gut instinct as to which one is correct at any given point in time.


Overlap between Nurse Practitioners and Physician Assistants

                           I respect both Physician assistants and Nurse practitioners. They are all amazing to me. They taught me a lot. I stand in awe of any medical professional that has a wealth of experience. I did notice something though. I noticed that in the ER the roles of the NP and PA seem to overlap. They all saw patients under the umbrella of the ER doctor. As a medical student it seemed arbitrary as to which bed was assigned to whom. If there is that much overlap between the ER duties of an NP vs a PA why is there an distinction? Is medicine becoming too bureaucratic for lack of a better word. Or maybe titles dont matter too much anymore. Maybe its the experience that counts.

Intensity vs Consistency

One can intensely work towards a goal over a moderate span of time. One can mildly work towards a goal over a long amount of time. I am part of the latter group. I prefer to consistently do a small amount of work over a long period of time. I like the baby steps approach. It fits my personality. I have an easier time being consistent than being intense. Some people would rather go hardcore at something for a couple weeks rather than drag it out. I have found that modern schooling is more suited for the person that can intensely learn something over a short period of time.


Which one are you? Do you achieve goals step by step over an extended period of time? Or do you go cold turkey/ hardcore over a short period of time?  Does it depend on the goal (fitness vs academic vs emotional)?

If you pursue your talent the market will find you

What should you do for a career????????

Do what you are great at. Everyone was born with a talent. This is what you should pursue with all of your energy. Do not worry about whether you will make money from it. You will make money from a talent if you are very good at it. The people who suffer are the people that are mediocre. You will make money if you are truly one of the best at what you do. This holds true even if what you do is not particularly marketable. Be great at something and the market will open for you.

Check out the following link. Notice what he says about ones natural abilities and how you should pursue that thing that comes most natural to you. Pursue Your Talent


Wearing your white coat – and perhaps your ego and patient’s bacteria – in public


White coat in public place

People can wear what they want in America. Whether you want to debut the latest vogue or your midriff rife with adiposity, you are free to do so. But just because you can, doesn’t mean you should. In the span of one week, I found two people – on two separate occasions – wearing white coats, each eliciting a different reaction from me.

In the past few months, I have made a conscientious choice to buy more of my groceries in the form of fruits and vegetables – and less in the form of boxes, cans, containers, and cartons, and I recommend you to do the same (the subject of a future post???). Although Winn-Dixie does not sit at the pinnacle of grocer quality – like perhaps Whole Foods or Milams, it does offer a reasonable produce selection at a reasonable price. As I happened to be picking out…

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Allopathic medical students don’t want Family Medicine

                                   Allopathic medical students don’t like to match in family medicine. The match data for the last 10 years has shown this conclusively. The average Step 1 and 2 scores for students matching into family medicine are significantly lower than the more lucrative specialties. The reasons for this aversion to family medicine are interesting. The 2 main reasons for this trend are a lack of money and a lack of “sexiness”. Family medicine is seen as boring and relatively low paying. Osteopathic and Foreign medical students gladly fill in the family medicine vacuum left by Allopathic students.

                                   I can’t blame Allopathic medical students for not embracing family medicine.  When you have your pick of specialties, family medicine seems very dull. Family medicine is vitally important but most of it is routine check ups. In the future family medicine physicians will have to compete with mid-level providers like Physician Assistants and Nurse Practitioners. Both can provide similar services ( with less expertise) at a cheaper cost. Salary is also a huge factor. Most people get into medicine for the money. Family medicine physicians make a lot less than other specialties. Why be a family practice doctor making $180,000 a year when you can be an Orthopedic surgeon making $500,000 a year?

                                   This trend is beneficial to Osteopathic graduates and FMG’s. Osteopathic students embrace Primary Care/ Family Practice because it is a cornerstone of their training. FMG’s embrace Family medicine because they really cant be too picky. I predict that in the future Family Medicine will be a field dominated by DO and FMG’s while the other specialties experience a glut of Allopaths.

Check out these 2 links:

The 2 most important skills needed to do well in medical school

Many pre-med’s ask me if they will be able to academically prosper in medical school. I have identified two skills that one must posses in order to do well. Those that have been through the process of medical school should feel free to add more. This list is no way comprehensive. It represents my humble opinion.

1.)         The ability to memorize vast amounts of material is crucial. Medical school is the memorization Olympics. Memorizing minutiae will be your life. Mnemonics will be your best friend. Learn to love mnemonics! Much of the minutiae is about molecular biology. The memorized information may or may not be clinically relevant but it will show up on exams. Memorization was so important that i knew students that would play online memorization games in order to get a better memory. These students often scored the highest on exams.

2.)           The ability to associate symptoms presented with a memorized disease is the 2nd most important skill to have. What you memorized is like a pond with fish. The more information you memorize, the more fish will be in your pond. Your ability to associate clues in a question to a pathology is your fishing rod. This is a horrible analogy but i hope you get the picture. You need a good pond and a good fishing rod in order to catch the most fish. A medical student has to be able to make split second associations based on context clues. Many times a buzzword will trigger an association. The hardest questions have no buzzwords. Those type of questions are what separate the great students from the average students.

Insecurity is the cause of most socially harmful behavior

We secretly believe that if only we achieve some elusive goal – fitting into a pair of skinny jeans, or redoing our kitchen or getting that promotion – that it will make us happy. But the pain of our insecurity is hidden in all that racing around.Dani Shapiro

                                Being insecure is at the root of most of my self destructive behavior. I have learned that this is true for most people. I spent a third of my life studying in order to enter a high paying profession because of an insecurity called status anxiety ( my parents status anxiety really). I would feel depressed when a person i liked romantically did not show an equal amount of interest. This was due to insecurity (if i was secure with myself rejection would not phase me). I would try hard to be accepted by the “cool kids”. This was due to insecurity. I would also have to get into debates in order to prove how smart i was. This was because of insecurity. I spent months trying to get as many sexual conquests as possible. That was definitely due to insecurity.

                                Most odd  social behavior exhibited by humans is due to insecurity. Insecurity may manifest itself as envy. It may also manifest itself as excessive gossiping. A common manifestation is an obsession with ones muscle mass. There are so many ways that it can present. Insecurity is that devil on everyone’s shoulder. Being human is to struggle with this demon even if you don’t realize that you are struggling with it.

                               Over the last couple of years i have become much more comfortable with myself. This has allowed me to quell most of my insecurities. I have become more self aware. I have learned to be proud of my strengths and accept my shortcomings. I would like to challenge everyone reading this blog to think about their insecurities. I would also challenge you to attempt to defeat your insecurities. I promise that your life will be much more fulfilling once you claim victory over your insecurities.

Things i have learned about money because of medical school

money stack

1.)         Asking your parents for money really sucks. Borrowing money from the government sucks even more. Medical school in the USA is synonymous with massive debt. Not being able to work and make money has a way of making an adult feel like a child. Think long and hard about entering this journey.

2.)      The main reason parents want their children to go into medicine is because of the “large” salaries they will be making in their 30’s. I have realized that this is misguided. They would be much better off teaching their children how to manage money. Learning how to manage money is a wonderful thing. Learning not to blow ones money on status symbols is another wonderful thing. Once you don’t need expensive status symbols in your life, the need to make a lot of money disappears.

3.)       Money only really matters when you have a family to feed. It is shocking how little a person can live on when they are single.

4.)       Medical students hardly ever bring up the issue of money but it is always on their mind.  They are constantly ruminating about what specialty will pay them the most. Most medical students are in this profession primarily for the money and prestige. If they say otherwise they are probably lying. I can’t fault them for this type of thinking. I partially agree with it.

5.)        It is better to be making a small amount of money early in life than to make a large amount of money later in life. I would much rather be making 40 grand a year at 22 years old versus making 150 grand at the age of 33. The average age of a medical student is 25 yrs old. That 25 yr old will not be getting a substantial income until they are at least 32 years old (  medical school is 4  years and residency is at least 3 yrs). You are a decade behind your peers. It’s no feeling better than to be financially independent in your youthful 20’s.

6.)      People judge a person more on their image than on their bank account statement. The public can not see what is in your checking account. What the public can see is how your present yourself. Image is everything (almost). One has to be careful not to fall into the trap of status symbols though.

7.)      You don’t want to be around people who like you for your earning potential

8.)       Retirement is a scary thing. This is especially true when you didn’t start earning money until your mid thirties.

9.)      Medical school is only a cash cow if you get in early and get out early. Don’t do it solely for the money.

10.)     When you have no money, hospital food tastes great…………….because its free.

11.)    Many doctors make a lot of money but have to work a lot of hours because they spend so much money in their personal lives. They have over extended their income on fancy houses and fancy cars. Many don’t even enjoy their money because they are working just to keep up with the proverbial Jone’s.  It’s not how much you make that matters. Its how much you keep that matters.

“Arguing Is Pointless”

Life's Best Advice

From Peter Bregman of the Havard Business Review Blog Network titled Arguing Is Pointless …

“Think about it. You and someone have an opposing view and you argue. You pretend to listen to what she’s saying but what you’re really doing is thinking about the weakness in her argument so you can disprove it. Or perhaps, if she’s debunked a previous point, you’re thinking of new counter-arguments. Or, maybe, you’ve made it personal: it’s not just her argument that’s the problem. It’s her. And everyone who agrees with her.

In some rare cases, you might think the argument has merit. What then? Do you change your mind? Probably not. Instead, you make a mental note that you need to investigate the issue more to uncover the right argument to prove the person wrong.”

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