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.

--

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.

--

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

Relationships in med school pt 2: Monday Nights

After a long day, Katie deals with her problems by talking through her day.

After a long day, I need to shower and get away from the world.

smile
One of the top 3 interesting things about marriage is that you learn an incredible amount about what makes a person tick, which is sometimes.. challenging.  It’s been an ongoing learning process for Katie and I to work with each other’s extroverted/ introvertedness.  One thing that’s really helped me is my Monday nights.  

Back in Portland, Monday night was my Sabbath.  I wouldn’t plan any social occasions, I’d come home early from work, and even Katie wasn’t allowed to talk to me.  I’d get completely absorbed in myself.

During my Monday nights these are the top 4 things that produce a holy feel:

4) Drink beer – A beer definitely takes the edge off, and leaves me just uninhibited enough to write something interesting.

3) Shower – There’s something holy about showering.  It probably has something to do with feeling clean, especially in humid Charleston where I always feel sticky. I prefer to shower at least twice a day, up to six per day. 

i need running buddies
2) Working out – After a long day it's a relief to blow off some steam.  I've been trying to analyze the benefits of cardiovascular vs strength training on stress.  I generally side with cardio for stress relief, but within cardio - should I go hard?  How hard?  Elliptical?  Run?  


Sidenote - I’d love to get back into running.  I should make it one of my goals in med school to pick up a running buddy.

1) Writing - Writing ranges from a self-absorbed waste of time - to a a cheap form of stress-relief/therapy - up to a surreal experience. It's like going to a place in another dimension, shaking hands with God, then coming back to communicate it to the world.  Most of the time I'd say it's a waste of time.

--

I imagine getting back on the learning curve of school will drain on all the multiple facets of my life, so I’m trying to accumulate as many sanity-maintaining habits as possible.  I consider it one of the top responsibilities in marriage to take care of myself and stay sane.  These Monday nights are a prime example.


See you on the other side,

from ken

Onward and Upward


 I’m sitting on a plane to Japan, officially done with my first lab rotation.  That’s 11 weeks down, 389 weeks to go.  To celebrate being 2.75 % done, I’m vacationing with Katie in Japan. 

Sidenote - this raises the question, how much bigger do we get with the celebrations?  After finishing year one, dog?  After finishing year two, kid?  After finishing the program, house party headlined by Walk the Moon, K’naan, or Danna Nieto’s future band? 

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Anyways, here are two quick things I learned in the pre-M1 summer lab rotation:

1) I love science. 

I sometimes forget that.

For my first lab rotation I worked with Phil Howe.  His lab studies how cancer spreads all over your body. 

yeah, I'm about 30% from the line
The upside - Phil lets his students roam free, which is daunting, but I wanted that freedom more than anything. 

I wanted to find a lab where I could put myself to the test and see if I was more Kobe Bryant or Paul Pierce.  Sidenote - The breakdown: both guys think they’re the best player on the court.  Kobe has five rings and is a top ten player all-time.  Pierce has a couple rings but isn’t quite a historic player.  There’s also the possibility that I’m Jamal Crawford –same confidence level as Kobe/Pierce but 2.75% as good. 

I love comparing myself to basketball players.

The downside – it’s a huge pain to pick an interesting scientific question, there is SO MUCH BS out there. 


I spent the summer scouring the cancer literature, following big-time researchers on twitter, and talking bullshit with scientists to figure out which scientific questions are actually interesting. 

So far.. I have no idea.  Good thing I have 389 weeks until I can get a real job. 

2) Taking time off between undergrad and med school is CLUTCH. 

I’ve always been young for my grade.  I couldn’t drive until my senior year in high school, and I didn’t turn 21 until my senior year of college!  But I met my three MD/PhD classmates, and they’re all straight out of college.  A part of me is jealous that they get to start two years before me. 

At the same time, here’s what I did between graduating Kenyon (June 2010) and starting at MUSC (May 2012). 

good times
Moved to a city, Portland, OR, where I didn’t know anybody
Learned to ride a bike
Leased my first grown up apartment
Got married to the most beautiful woman in the world
Started writing/launched sidenote
Ran two marathons – Portland by myself, and Eugene with my friend Amulya
Lead two bible studies
Visited (on leisure) DC, NYC, Philly, Denver, San Francisco, and Worland, Wyoming

Those two years were crucial for my long-term survival.  I was lucky in Portland to pick up hobbies like writing, and to start a family with Katie.  Hopefully that’ll keep me from my biggest fear – being a boring student whose entire life is med school. 

See you on the other side,

from ken

Imaginary Coffee Date pt 1: Metzger/Noguchi


I wanted to start a series of posts where I exchanged emails with a friend on a topic we would usually bullshit about over coffee or beers.


Hope you like the first one.  And let me know if you want to have an imaginary coffee date posted on sidenote!

lauren and I, repping UNC blue
Lauren Metzger and I met at Kenyon College five years ago, we were breakfast buddies.  Lauren is currently an MSW student at UNC-Chapel Hill, and is a top notch triathlete.  In about a month, Lauren and one of my best friend’s Kaleb Keyserling are getting married!  She made time in her busy wedding planning schedule to have this email chain with me:
The topic: what we miss about Kenyon. 
Ken: There's a lot I miss about Kenyon - the convenience of living in Hanna and walking one minute to class, healthy all-you-can-eat meals at Pierce, but #1 is a sense of purpose.
I woke up every morning knowing I had to get up for 8:10 AM class, so I got out of bed and got to work.  Post-college it’s real vague.  I could be in lab at 7 AM.  I could also go in at 10 AM.  Odds are my boss won’t care, and I definitely won’t be seeing any report cards.

Lauren: Two things stood out to me - the first, food!  I miss walking into the dining hall and having so many options at my finger tips.  Not having to grocery shop and having local food was great- loved the turkey burgers! (I think those were local)

The second thing I miss are the people and structure. The xc team was such a source of stability, something I could always count on. I miss having teammates to run with. I could have enjoyed the people more if I had let myself. I was so worried about doing well academically and I think I was also a little socially anxious - worried about rejection.  
xc teams are apparently models of structure
Ken: I totally agree - there's so much pressure to do more and more.  I know I sacrificed several relationship for grades or to pile on more extracurriculars.  That said.. I don’t regret it.  As much as I love relationships - if I hadn't made those sacrifices I wouldn’t be in med school, and I can't imagine not being a doctor.  

Thoughts on work/play balance, post-Kenyon?

Lauren: Interesting - I was reading an article about women sacrificing top careers for family (which is a huge complex relationship).  The balance is very tricky. 

Post-Kenyon, the distance between friends only grows! You can't just text them and say "hey middle ground coffee?"  It becomes "hey can you buy a plane ticket to come see me for a weekend that may already be really busy and sorry I forgot you can't afford that plane ticket...."

lauren and kaleb
It was nice to have friends so close, but now everyone’s all over the country. It’s so much effort to keep in touch, and let’s face it - I like to be lazy and think my life is way busier than it actually is. 

Hmmm, career success....it depends on the field.  Medicine is hard, I was talking to kaleb about how he’s going to balance spending time with his family (a.k.a. me) while being a doctor. Don't think we’ve figured it out yet.

I know my balance will come with a flexible job, like academia, being a student all over again.  I HATE unpredictability. I felt like everything was so predictable at Kenyon. So structured in a way that I miss. 

Ken: Yeah, and we’re back to the structure.  It’s weird that our favorite thing about Kenyon was structure.. sometimes it felt like there was no structure and everything was a blur.  Or maybe that was just us going at blur speed within our structured schedules.  Either way, good times at Kenyon.

See you on the other side,

from ken

Top 5 Medical Memoirs

I love all kinds of books, but I devour medical memoir.  It feels like talking life with my future peers, friends, and self.  So, I thought I’d compile a list of my top 5 medical memoirs :
Where I read in Wyoming

5) Better: A Surgeon’s Notes on Performance by Atul Gawande, 288 pg

“People underestimate the importance of diligence as a virtue.  No doubt this has something to do with how supremely mundane it seems.”

One Sentence Summary – Intangibles that are important in medicine. 

Gawande is a believer in intangibles, and Better is about the intangibles crucial for medicine – including diligence, personableness, and honesty.  He tells anecdotes of historical medical accomplishments like the polio vaccine, and of current medical struggles like getting doctors to wash their hands.


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4) Intern: A Doctor’s Initiation by Sandeep Jauhar, 320 pg

“That guy on the boat, looking up at the hospital.  Do you know what that guy is thinking?  I should have been a doctor.”

One Sentence Summary – Sometimes hilarious/always honest account of internship.
"I should have been a doctor."

Jauhar, a former physics PhD student that changed paths to medicine, chronicles his internship year at a NYC hospital.  Rather than describing all his great doctoring moments, he takes an introspective look at his struggles with medicine.  It was refreshing to see that a real life doctor still has doubts.


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3) The Tennis Partner by Abraham Verghese, 368 pg

“Within your secrets lies your sickness.”

One Sentence Summary – A ode to a friendship between two struggling men. 

Verghese also wrote an NYT bestselling novel, Cutting for Stone,  and works at Stanford Med as an advocate of the doctor-patient relationship.  Previously, he worked in El Paso, where he bonded with his co-worker, David, over a shared love of tennis.  Verghese was going through a divorce and David was recovering from a drug addiction, so they both relied on their relationship to anchor their unstable lives.  Verghese’s sharp understanding of human emotions is impressive. 


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2) Walk on Water: Inside an Elite Pediatric Surgical Unit by Michael Ruhlman, 340 pg

“You cannot lie in this work.  There are so many people in this world who have no idea who the fuck they are.”

One Sentence Summary – Psychoanalysis of peds cardiac surgeons in the pursuit of greatness. 

Road to greatness?
Ruhlman, a journalist, spends a hectic year following a pediatric cardiac surgery team.  Peds cardiac surgeons fit the surgery stereotype to a T - they know nobody else can do what they do, and that lives depend on their hands.  He really studies the personalities that make up the team, and figures out what makes them tick.


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1) Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, a Man Who Would Cure the World by Paul Farmer/Tracy Kidder, 352 pg

“I’m going to build my own fucking hospital.  And there’ll be none of that there, thank you.”

One Sentence Summary – inspirational read of doctor in Haiti.

Farmer is a doctor bringing healthcare to rural Haiti.  I am forever indebted to Mountains, a book that gave me an idol. 


I struggle with the tensions of a Kobe-like competitive edge with my desire to help people, and in Farmer I saw an idol that balanced those tensions.  He’s painted as a selfless demigod, but I saw a cocky young doctor that fed off the rest of the world doubting him.  He believes it is his individual responsibility to save Haiti.  

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So anyways, that’s my top 5.  Let me know if you’ve read any good ones.  I’m currently reading Samuel Shem’s House of God. 

See you on the other side,

from ken

Top 3 Med School Goals

I came across an old Google Doc, “Year Goals 2010.” I set three goals to accomplish during my Portland life: 


beers
1) Have good friends in Portland – check 


2) Get in med school – check 


3) Fall in love again - check 


PDX goals - dominated 


After this good omen I put my top 3 Charleston goals on paper: 


#3) Make good friends in Charleston, then drink beers and talk shit about life. 


Token goal for my life. I have a theory that my wheelhouse of relationship-building is “camaraderie through suffering.” This describes med school/residency to a T. I’m still planning on being super intentional, just in case. Plus, I need to make Sidenote famous. 


#2) Move on to a big pond/match at Boston Children’s Hospital. 


At the end of med school there’s a process called The Match where each med school graduate gets matched with a hospital to undergo clinical training. The brief explanation: each graduate ranks their favorite hospitals, each hospital ranks their favorite graduates, and a complex computer program matches everyone up. It’s kind of like the NBA draft, needlessly complicated and surely fixed. 


Sidenote – If cancer is cured in my lifetime, I desperately want to be there. I’m convinced it will happen where brilliance and passion are fused, but I’m not sure where that is.. I assume it’s a big pond. All I know is I haven’t seen it. So I’m hoping to catapult myself from Charleston to a top pediatric hospital. 


Four years ago, I spent spring break shadowing an intensive care specialist at a pantheon pediatric hospital, Boston Children’s Hospital. I rounded with the smartest residents in the country, we reviewed mysterious cases nobody else could solve, I watched a peds cardiac surgeon nonchalantly cut open a four day old infant’s chest. It was awesome. 


a hot pond
The best part? 


The attending was a Kenyon alum. It’s a sign, I swear. 


I want it. 


#1) Be a good husband. 


I know the gunner side of me will come out in med school. A part of me really wants to crush med school. I want to violently shove it down the throats of all those top ten schools that rejected me. 


At the same time, I’ve watched enough Scrubs (every episode at least three times) and read enough meaning-of-life books to know happiness does not come from matching at a top hospital. Sidenote – my top 3 meaning-of-life books + conclusions: 
some great meaning-of-life reads


3) Walk on Water by Michael Ruhlman – Life is about pushing yourself for other people 


2) Home Game by Michael Lewis – Life doesn’t make sense and you just have to accept that you can’t win 


1) The Book of Basketball by Bill Simmons – the secret of basketball, is that it’s not about basketball. It’s about avoiding the temptation to believe it’s all about your own stats. Sidenote – I really need to write another post about this book. 


Anyways, I do better in life with a goal-oriented outlook, so I hope the prospect of The Match will keep me entertained during med school. At the same time, I hope to remember that life isn’t about matching at hospitals, it’s about investing in relationships, especially with Katie - since she just drove across the country to hang out with me while I write blog posts. 


See you on the other side, 


from ken

Relationships During Med School pt 1: An Intro

katie
A little over a year ago, I was considering getting engaged to Katie. I asked one of my similarly pre-med friends what he thought, and he told me: 

"No way! Med school is too big of a strain on a relationship. I’ve heard of so many couples breaking up during med school, it seems like too much of a risk to go through a divorce, or have a marriage really suffer. I’d only do it if I had a super solid stable relationship going into it." 


top 5 moment from the wedding
It’s an interesting point, and one well taken. Except for the part where I still got married. Documented here in my #1 most popular post: Pre-wedding running diary.
Anyways, the point remains that relationships are stressful during med school. Sidenote - if you believe what med students tell you about med school, it’s the equivalent of Vietnam crossed with giving birth, except more intense. Realistically, it’s probably like an overconsuming full-time job. Work 50 – 60 hours a week and struggle not to think about it at home, but it’s not quite running through jungles and getting shot at, and it’s probably manageable if you think about it. 


If I want to keep going down this track of hypercompetitive academia, it only gets harder. A few years ago, I worked in a lab at Harvard, where I mostly worked with one of the junior faculty, Dr. Liang. He was a fairly recent MD/PhD graduate that was trying to start up his own lab, and he told me about the interview process he went through at Harvard. Dr. Liang had concerns about the stress that a competitive environment might place on his family. The department chair gave him this advice: 


“The second wife is always happy.” 


The whole medical/research career track isn’t exactly family friendly. 
science in action


But like any difficult task, it can be done. There are neurosurgeons with healthy family lives and HHMI lab scientists known for prioritizing their kids' soccer games. I want to know how they did it, so I’m going to write a series of posts throughout my time at MUSC analyzing relationships during med school – primarily Katie and mine. Hopefully this will become my third book. 


Sidenote - the first two: 


1- token memoir of internship, aka rip-off of Sandeep Jahuar’s Intern


2- running interview with me on my cross-country road trip publicizing my first book, aka rip-off of David Foster Wallace’s Although Of Course You End Up Becoming Yourself


This is already getting long, so I’ll leave you with a question I’ve been wondering about. 


Is it easier for a power couple – both med students – or a couple where only one is a med student? 


My answer: it depends on the stage of life. During med school, it’s easier for a power couple since they experience all the same things, study together, suffer together, etc, but after med school, ESPECIALLY after residency when people start to transition from a “school” to a “real life” stage of life, it progressively gets easier for non power couples. 


Anyways, I welcome your opinion on this. 


See you on the other side, 


from ken 


Tell your friends about me.