Iyer/Noguchi on med school admissions: Imaginary Coffee Date pt 2

Amulya and Ken

Amulya Iyer is currently applying to medical schools.  Ken and Amulya have a virtual coffee date about the admissions process. 

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Ken: How did you like your undergrad premed education?

Amulya: I loved my pre-med education at Williams. Apart from a small percentage of science geniuses, most of us will have a similar understanding of science regardless of how much we memorize for the MCAT. We don’t need expert scientists to be good physicians (excluding MD-researchers) we need expert human beings.

What I think will set me apart from other doctors isn’t my science ability, but my people skills. These were developed through English classes, small discussions, and broadening my cultural understanding with classes in Art History and Religion. (half-baked idea: Can we require American pre-meds to go to a third-world country and live there for a month??)

Ken: Totally legit half-baked idea, it gets to the core - pre-med students are living an unreal college life, so that makes us largely unreal humans.  The last med student I want to meet is a 21 year old whose life summary consists of college: classes, token volunteering in a clinic, and partying.

It seems realistic to give students extra points for studying abroad.  Other ideas?
What do these molecules have to do with doctoring?

Amulya: I would get rid of the physics requirement, and instead have all students perform two semesters of original research. Completing an undergrad thesis, and working in a research lab now, helped my understanding of biology and my critical-thinking skills more than any class.

Here’s the question we need to address:

Pre-med students need to feel the freedom to experience college and grow into caring/thoughtful humans and excellent physicians. Med schools need to objectively compare students so they can determine who to accept. How can these seemingly conflicting ideas coexist??

Ken: The pressure HAS to be on med schools to develop creative ways to assess students.  We need some half-baked ideas on creative med school admissions. 

Amulya: OK, right now med schools screen on GPA+MCAT and then go further into essays and letters of rec after they’ve eliminated students with low GPA+MCAT. This is probably done because it’s easier to screen on objective numbers and reject or ‘hold’ students that don’t meet a certain stats cut-off.

My half-baked idea is to turn this paradigm around – what if admissions committees initially were blind to GPA and MCAT and only screened based on essays and letters of recommendation. Then, after the initial screen they could see GPA + MCAT and interview performance to make the final decisions.

Ken: Genius, I love adcoms seeing essays/letters of rec first - it puts everyone's personal side up front.  I feel like some schools are thinking about this, but we need creative ways to get at the heart of each applicant.
don't you want a real human being taking care of this girl?

Amulya: The model for this is University of Southern California. Here are some questions they asked on their secondary application:

1. What are three words that your friend would use to describe you?
2. What is the most fun you’ve had in the last year?
3. Imagine your obligations were cancelled for the afternoon and you had three hours of free time. What would you do?

Skeptics will say these questions have nothing to do with medicine and are inappropriate for a medical school application, but that’s exactly why they are appropriate. These questions get at the humanness of an applicant, which is arguably the most important requirement for being a doctor.

As an admissions committee I don’t care about an applicant’s handling of a moral dilemma or past medical experiences – they’re going to med school to learn that. Instead, I care that my school is full of thoughtful, caring, real individuals.

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Ok this is getting long, so let’s take it to a part 2. Please share your thoughts on fixing med school admissions.

See you on the other side,

from amulya and ken

MUSC Orientation Running Diary

Ever wondered what med school orientation is like?  Here's your chance to find out.  

Enter Bill Simmons style med school orientation running diary.  This is the second installation of sidenote running diaries. 


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Aug 15th WED

dr dre uses these actual headphones,
immediately the coolest thing I own
7:30 AM -  Brand new headphones, pens, and notebooks in hand.  Ready.  The upside - orientation starts with a free breakfast, the downside - it's crappy coffee and stale bagels.  

7:35 AM - Walking through a hallway crammed with med students. Everyone brought their friend cliques from Clemson or token local Charleston high school.  I wish Keyser and Jon Weil were here.  

9:00 AM - Orientation starts with an inspirational video about MUSC.  Over/under on number of inspired students: 1.   

10:30 AM - The boss, Dean of Medicine Dr. Etta Pisano gives a speech.

10:38 AM - Dr. Pisano throws in a clip from Scrubs. This is great.  Scrubs is the #1 influence in my life guiding me to medicine.  

10:44 AM - Scrubs clip #2.  I was born to be a doctor.  

11:05 AM - Scrubs clip #3.  Second guessing my decision not to write my personal statement about Scrubs.  

like a duck
2:15 PM - Waiting in line to get fitted for some sort of mask...  I think it's to pretend to be a duck so we can entertain sick kids. Patch Adams?  

3:00 PM - Considering going back to the lab.

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Aug 16th THU

8:00 AM - Scheduled departure for MUSC.

8:01 AM - Wait, why aren't we leaving?  We have a flat tire?  Oh, great...

8:40 AM - Sitting on bus.

9:30 AM - Sneak into giant lecture hall to listen to more bureaucracy.  Something about student affairs.  Maybe that flat wasn't that bad.

3:25 PM - Ken and Katie arrive at airport after Katie spends 6 hours sitting and waiting for car tires to be repaired.  Maybe the flat was that bad.  

3:30 PM - Mom arrival for vacation/white coat ceremony.

6:00 PM - Crappy orientation meals end, expensive dinners start. 

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Aug 17th FRI

pretty sure this place isn't on groupon
9:50 AM - Pick up syllabus.  500 pgs of power point slides.  Test in 4 weeks.  Over/under on score a current doctor would get on this first exam: 50%.  

12:00 PM - Picnic lunch in gymnasium.  Walking around making awkward side glances at all the tables.  

Should I sit there?  

Are they too cool for me to sit with?  

Oh hey!  

Someone I know!  

Saved!

1:15 PM: Strongly considering going back to the lab.

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Aug 19th SUN

12:00 PM - White coat ceremony

3 out of 4 of the 2012 MD/PhD family
Sidenote - Debated wearing the smily face tie, ultimately opted for my grandfather's tie.  It's funnier if people think I'm serious first, then learn my weird sense of humor.  

Anyways, I'm officially a doctor.  No, wait.. in 6 to 10 years, I will officially be a doctor.  Then I'll be a resident for 3 years.  And then I'll be a fellow for 2 to 5 years.

THEN I'll officially be a doctor.  So that's...  adding in head... 11 to 18 years...  

Glad we did this whole white coat thing.  

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Aug 20th MON

8:00 AM -  Orientation finally ends.  Classes start.  Wake me in 11 to 18 years. 

See you on the other side,

from ken

Metzger/Keyserling wedding highlights

the happy couple

My friends Lauren Metzger and Kaleb Keyserling got married last Saturday! 


the wedding site
They met at Kenyon, and were both excellent runners there, so they decided to have the wedding at the Kenyon College Indoor Track. The track is one of the most beautiful buildings on campus, which says a lot – Kenyon is consistently ranked one of the most beautiful campuses in the country. Lauren and Kaleb are both amazing. 

Here’s a collection of people’s favorite moments from the Metzger/Keyserling wedding. 

Naomi Blaushild - My favorite moment was the entire weekend of reclaiming Caples for KXC. #4AMpartypatrolwakeupcall 

Rob Carpenter -laurens smile when she was standing next to kaleb in front of everyone 

Steven Couper - The seamless integration of all people young and old from all parts of kalebs and laurens life. Also the general air of happiness, love and generosity esposed by all involved with the wedding, particularly from kaleb, lauren and their families. 

Tom Geiger - Lots of good memories, many of which should not be documented. I think my favorite moment may have been watching a train unfold during a 50 cent song. 


Chris Houser - I guess my favorite part, in typical Houser fashion, was the dinner at the reception. The food was very good and the entire setup was beautiful. However, I really did enjoy every aspect of the wedding, and I thought the ceremony itself had a kind of simple beauty that was very touching. 

Jonah Keyserling – Steven’s toast. 

Chris Maccoll - Showing up at the cove on Friday. It was pure joy to see that Kaleb and everyone; a great reminder of what we all shared, the good and the crazy. 

Pat Meyers – (a haiku) Modest kind and fun they reminded us we're friends tomasauras rex. But seriously, in my eyes the wedding felt as much like a long awaited arrival as a celebration...but that didn't trivialize anything; it made the whole wedding better. I think that's pretty cool. Plus it was nice to see people...and stuff. 

Katie Noguchi – pre-wedding party, I actually got to know Ken’s friends 

Ken Noguchi – Kaleb and Lauren’s first dance to Soulja Boy’s Crank Dat Soulja Boy. Love it. 

Kara Pellegrino - allusion to the first night they became romantically involved and Kaleb was dressed as Soulja Boy 


kaleb, doing his doctor thinking pose
Garrett Thompson - I enjoyed getting to see the much heralded Kenyon campus for the first time. I found the traditional ceremony on the indoor track particularly unique and memorable. I also enjoyed testing out my Carolina Korgis singlet during my winning performance in a 3/4 beer mile with my fellow groomsmen and the groom. And of course, my most memorable moment was watching Lauren and Kaleb walk down the aisle and make a lifelong commitment to one another. 

Jon Weil - the slide show was appropriately corny, and also very funny and endearing. 

Happy wedding! 


everyone
from ken

family blend


figure 1
Just left Japan, I'm about 6 miles above the Pacific Ocean right now. 

The last time I was in Japan, it was the summer before college.  This time, the summer before med school.  So the next time.. vacation before residency?

A lot has changed since that last time I was in Japan - I survived college and turned into a passable adult.  Some combination of running, making friends, and studying did the trick.  Sidenote - I think endlessly repeating this three step cycle is what turned me into a passable adult (figure 1).

Anyways, being in Japan for the first time as an adult, it's made me realize how much I'm like my family.

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The most obvious place to start.

My dad, who hasn't been a huge part of my life since my parents got divorced about fifteen years ago, is an MD/PhD that loves science.  He's a physician that studies and teaches Molecular Biology (my major at Kenyon), and he loves thinking about how to do good science.

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Jobs of family on my dad's side:

doctor, nurse, nurse, nurse, doctor, vet, vet, vet

Medicine is in my blood.

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I read a little bit of my (mom's side) grandfather's memoir, which he wrote partly because he was bored in retirement, and partly to leave advice to his children and grandchildren.

My Japanese is degrading every day.. but his memoir reminded me of sidenote. He thought incredibly seriously about life, and believed it was about people and relationships. 

He loved the poem "youth" by Samuel Ullman

Tokyo, in the midst of the busiest intersection in the world
"youth is not a time of life
it is a state of mind
..
it is a matter of the will
a quality of the imagination
..
youth means adventure over ease
..
years may wrinkle the skin
but to give up enthusiasm wrinkles the soul.."

I would have loved to have been friends with my grandfather, had beers, and talked life with him.

speaking of which..

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My cousin Satoshi and I were born six days apart.  Since we're so close in age, we were paired up whenever I came to Japan.  I hadn't seen him in about six years, but after sitting down for coffee..  I saw a the influence of grandfather Mouri in both of us. 

satoshi and ken
He's shy, but he thinks relationships are the most important thing in the world.  At the same time, he doesn't have Facebook because being so connected to the world is too exhausting.   

He majored in philosophy because he wanted to be friends with the kind of people who stroke their chin hairs and ask, "Why?"

He wants to have a 9 to 5 job so he can spend the rest of his time reading, thinking, and writing his memoir.

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The moral.. you can't escape your family, even if you jump continents and go to Ohio/Portland/Charleston.

From my dad's side - medicine.  And my mom's side - philosophizing. 

I was born to be a physician-writer.

See you on the other side,

from ken