The artist formerly known as medzealot

Dear followers,

I have changed my blog’s title and url, and have given up a layer of anonymity. It appears your subscription has followed me through the process; you should receive and email when I publish this post.

I was not able to customize my blog and partition my content exactly the way I wanted using the WordPress.com platform, so I bought a domain and began building a more customized site, [after a while I decided to abandon this site and stick to wordpress.com]. The new site contains this entire blog and more. The content for premeds is excluded from the main page, which I can’t do as cleanly on this platform. On the other site I’m also able to use a variety of themes that aren’t available on WordPress.com, and have the option to manually edit the site’s code.

I will continue to post on this blog. As I mentioned in my post Updates and Changes, this blog will serve as a space to tell stories, brain dump, and make a comment or two about things that capture my attention in the day-to-day. Blogging will be just one portion of the new site. Because the new site is built using WordPress.org (as opposed to .com), I don’t believe you will be able to subscribe the same way you did to this blog, following through your WordPress.com account. However, I have placed a widget just to the right of the first post where you can subscribe to the new site by entering your email address, should you be interested in the extra content.

As always, thanks for reading, and thanks for riding out the bumpy patches with me. You all are awesome traveling companions.

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A great post by Shannon Hadley, reflecting on the young impulse to be successful, and it’s ongoing battle with the malaise that creeps into our lives through our 20’s. I feel like I could have written it myself, except for the Katie Couric part. Man, does the bit about parenthood hit close to home.


Need a laugh?

I don’t know why, but this. is. hilarious.

 


The artist formerly known as medzealot

Dear followers,

I have changed my blog’s title and url, and have given up a layer of anonymity. It appears your subscription has followed me through the process; you should receive an email when I publish this and future posts; if you don’t just go ahead and follow this blog.

I was not able to customize my blog and partition my content exactly the way I wanted using the WordPress.com platform, so I bought a domain and began building a site that is laid out more the way I want it to be: metamedication.com. The new site contains this entire blog and more. The content for premeds is excluded from the main page, which I can’t do as cleanly on this (worpress.com) platform. On the other site I’m also able to use a variety of themes that aren’t available on WordPress.com, and have the option to manually edit the site’s code.

I will continue to post on this blog. As I mentioned in my post Updates and Changes, this blog will serve as a space to tell stories, brain dump, and make a comment or two about things that capture my attention in the day-to-day. Blogging will be just one portion of the new site. Because the new site is built using WordPress.org (as opposed to .com), I don’t believe you will be able to subscribe the same way you did to this blog, following through your WordPress.com account. However, I have placed a widget just to the right of the first post where you can subscribe to the new site by entering your email address, should you be interested in the extra content.

As always, thanks for reading, and thanks for riding out the bumpy patches with me. You all are awesome traveling companions.


Mostly written by my brother

Everybody’s got their excuses
for why and when.
“Learn to fly and then we can talk, boy.”
Before flight comes advice,
“Move slow, take time.”
All your hang-ups, not mine

are holding me back.

If I were a smart man
I might move slow.
First you see, then you know where to be.
I’m supposed to know,

but not really to live.
Not to play, just to give
to the world.

The world hasn’t shown me shit
but my eyes were covered.
I accepted it all and never wondered
why you’d hide my eyes,
like it’s all so bad.
I was too young to see, too young to even be
alarmed by it all.

Maybe you should’ve let me look,
so I could stand tall now
and realize how I’m to make my mark.

“Advice, like youth,
probably wasted on the young…”
You forget what you’ve done
and demand me a man.
Without warning I’ll come to it
in bloodshot highway fashion
I digress in my passion. I feign maturity.

How am I to be of use
when I don’t know my heart,
can’t see the part I’m supposed to play?
This screw-all game of luck and trust,
to live you must be free of it all.
To be free you must say “no”
to what you know, else you’ll crack.
I’ll leave you and then come back
to you, a man.

How am I to be of use
to your ideals that are dying,
when my heart is screaming, crying
for the trails I have not run?
I’m as deaf to your ideals
as I am to your advice.
I’m uncertain as dice
rolls, my life.

My life to date is blank.
A space to write and fill.
A place for heart and will
to be a man?

I could just move on and pretend
and be as useless now as then,
asking “Just when will I be a man?”
A matter of hours has broken
years of thought and practice,
of life and trying to act as if
I cared about any of it.

I need to run into the night,
to practice love and sin,
fuck it up and try again
to be a man.

I can’t take your path.
When I try, you stop me.
I’m just supposed to find the spirit of a man.

The man I haven’t learned to be
mocks me, laughs and gestures,
a smile but no answer to my questions
and points at my trail.

Step aside and I’ll walk.
I’ll come back and we’ll talk
together as men.

To be a man takes practice.
You can’t smile and teach.

Your goal I can’t reach

without time and pain.

The man I haven’t learned to be
is patient, and waits for me
to do whatever it takes to come back
to you, a man.

Tentatively titled “To you, a man”


How to get accepted to medical school

As I mentioned in a previous post about post baccalaureate premedical programs, I had a chance to meet with a dean of admissions for a medical school in Chicago. He gave me some invaluable advice regarding what makes for a competitive med school applicant.

There are 5 things to which medical school admissions committees pay very close attention.

1. Academics:

What is your GPA, and what are your MCAT scores? If you don’t meet their minimum, they won’t give you a look. Most schools don’t advertise or divulge what their minimum GPA/MCAT requirements are, and some don’t have formal minimums (but have informal minimums that are established when they don’t strongly consider applicants below a certain threshold). If you meet or exceed their minimum scores, they will look at the rest of the factors.

2. Demographics:

Where are you from, and where did you go to school? What is unique about you? What can you contribute to the student body that others could not contribute? Non traditional students have the built-in diversity of “life experience” that sets them apart from the majority of applicants.

3. Service activities:

This is not service just for the sake of having it on your resume. This is service that reveals one of your passions. If you say that you are passionate about autism, do you have service that backs that claim? If you are passionate about helping the poor, what actions have you taken that demonstrate this? This is the “actions speak louder than words” part of your application. You can say that you care about people, but what have you done to prove it?

4. Exposure to medicine:

Have you shadowed a doctor? Have you shadowed multiple doctors? Have you spent time in the hospital as a patient? Have you spoken with doctors about the sacrifices involved in medicine (long hours, sleep deprivation during residency, compromise on your family life)? Have you educated yourself about different specialties? You need to be able to answer “yes” to most of these questions and still know that you want to be a doctor. In other words, prove that you know what you are getting yourself into, and prove that you are still passionate about doing it in light of the sacrifices required.

5. Research experience:

Again, this is not a box to check off on your resume. You want to do research in a field that evokes one of your passions. Research is about the process of learning, and medicine is a career of life-long learning. Things are constantly changing and you need to be committed to keeping up. Doing academic research is one way to demonstrate your love of learning. You can get research experience as an undergraduate by asking one of your professors if you can serve as a research assistant, or by finding the closest research company or laboratory and asking to volunteer or observe. If you’ve done research, that is best but at a minimum you need to have exposure to it and understand the process.

Beyond these 5 things, you have your application with all of your essays, letters of recommendation, and if you’re lucky a few interviews. Essays and letters will not get you accepted if you don’t have the 5 things above. They are important because if you do have the 5 things above, bad essays and letters of rec. can still sink you. They need to be well written, and they should in no way contradict the statement you are making that you want to go to medical school, you are qualified to go to medical school, and they should accept you. You must be authentic while making this statement, and you must have a track record of action that backs it up.


Post baccalaureate premedical programs

I recently met with a dean of admissions for a medical school in Chicago. We approached questions like, “is a traditional post bacc program better than the do-it-yourself approach?” and the generalities of what makes med school applicant stand out. A second post will be dedicated to the second topic, how to get accepted to medical school.

Whether or not a post bacc program is “better” than a “do it yourself” approach depends on the circumstances of the student (whether or not he or she has already taken college-level science courses, time since graduation, aversion to extra debt vs. need for structure) and on the program itself (what is the reputation of the school in general, as well as the post bacc program? Does it have any affiliations with specific medical schools? Does the program also have relationships with PA and advanced nursing programs? The best ones do). In short, if you are debating between a post baccalaureate premedical program or taking the classes a la carte at a state school or community college, only you can answer that question. In general, I’ve never heard anyone recommend community colleges for med school prerequisites. People I have heard of taking this route ended up in medical school in the carribbean. And I’ve read that many people who go to medical school in the carribean have a harder time matching for residencies back in the U.S. It may be easier to start down the community college path, but it is harder to finish. There are much better, less frustrating options with better career outlook anyway.

My advice is do not cut corners and do not go low-budget. If the sticker price of medical school scares you that much, then you need to consider a master’s level program like generalist nursing, nurse practitioner, or physician’s assistant. NP’s and PA’s can earn around $100,000 a year (as opposed to family docs, pediatricians, or general practioners who average around $150K), with a debt that is usually half what doctors acrue (roughly $100K for nurses as compared with $200K or more for docs).

For nursing programs, community college is an acceptable way to get your prerequisites taken care of. In fact, my wife took biochemistry at a community college prior to starting a master of nursing program, while at the same time I was shelling out $30,000 per year for a post baccalaureate premed program.

Here is something to consider. At the medical school in Chicago where I met with the dean of admissions, they receive about 10,000 applications each year to fill 150 spots. This is a good medical school, but it is not top-ranked, and does not have the notoriety of medical schools like Harvard or Johns Hopkins. To get into the best schools, you have to be the most exceptional applicant. To get into a decent school, you still have to be in the top 1.5% of their applicant pool! And you do this not only by having the best grades and the highest MCAT score (see also: how to get into medical school). If you want to go to medical school, the question is far larger than “how/where do I take my prereqs?”

If you are not asking yourself (and others), “how do I make myself a stellar applicant?” then you are starting off on the wrong foot. You need to stand out in a good way, not in a cheap route/lowest common denominator way. You need to plan for your student loan debt, but not be paralyzed by it.

In summary, if you have a great state school/four year college nearby, and you are sure that you will be able to get enrolled in the classes you need, then I would consider that as an option for premed courses as it could save you some money. You will be on your own still when it comes to forging relationships with professors (which are needed for decent letters of recommendation), getting an internship, shadowing experiences, procuring study materials for the MCAT, and a few other odds and ends.

A distinct advantage of a post bacc premed program is the availability of internships, shadowing opportunities, MCAT prep, and letters of recommendation. If you get into the program, you are guaranteed to be able to take the courses that you need in the proper sequence. The structure will help almost any non-traditional student who has been out of college for over a year. All of this comes at a cost, as these programs typically run about $10K more per year compared with state schools.