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Published in the United States by Ten Speed Press, an imprint of the Crown Publishing Group, a division of Penguin Random House LLC, New York.
Ten Speed Press and the Ten Speed Press colophon are registered trademarks of Penguin Random House LLC.
Names: Beddingfield, Richard, author.
Title: Med school uncensored : the insiders guide to surviving admissions, exams, residency, and sleepless nights in the call room / Richard Beddingfield, M.D.
Description: First edition. | New York : Ten Speed Press, [2017] | Includes bibliographical references.
Identifiers: LCCN 2017009792 (print) | LCCN 2017014382 (ebook) | ISBN 9780399579714 (E-book) | ISBN 9780399579707 (paperback)
Subjects: LCSH: Medical studentsVocational guidance. | Medical studentsPsychology. | Residents (Medicine)Life skills guides. | Medical educationMiscellanea. | BISAC: EDUCATION / Higher. | MEDICAL / Education & Training. | MEDICAL / Test Preparation & Review.
Classification: LCC R737 (ebook) | LCC R737 .B43 2017 (print) | DDC 610.71/55dc23
To Laura, my lovely wife and devoted mother of Lydia and Audrey. After enduring my nine years of medical training, she was gracious enough to support my dream of writing and publishing this book.
ACKNOWLEDGMENTS
I am thankful beyond words to the many people who encouraged, inspired, and educated me throughout my journey of becoming a physician, anesthesiologist, and author:
My parents, Harris and Peggy, worked tirelessly to prepare me for professional and personal success. Full recognition of their sacrifices emerged only in recent years, as I am now the proud and exhausted father of two wonderful children.
Dr. Gerald Abrams ignited within me one of the earliest flickers of interest in becoming a physician. The passion exhibited during his lectures at the University of Michigan Mini-Med School was contagious. Later, he affirmed my decision to become a physicianand encouraged me to always continue writing.
My uncle, Dr. George Beddingfield, retired thoracic surgeon and author of several novels, was immensely helpful during my initial inquiries about becoming a physician. He also never wavered in his encouragement and assistance of my literary career.
My editor, Lisa Westmoreland, designer Lizzie Allen, copyeditor Kristi Hein, and everyone else at Ten Speed Press who helped make this book a realityand even better than I first imagined.
I cannot forget the many attending physicians, fellows, residents, and senior students who taught me the science and art of medicine. Also, the nurses, technicians, and other health care providers who taught me how to get things done.
Most of all, I am grateful to the countless patients I have encountered throughout my education and career. Each day, I continue to learn from the most rebellious ones who forgot to read the textbooks.
INTRODUCTION
Interview with a Pre-Med
It was a typical January evening in Minnesota. The air was biting cold, with temperatures well below freezing. The sun had set hours before I was done with work on my ICU rotation. I left the warmth of the hospital to meet a pre-med student at a nearby coffee shop to talk about my experiences in medical school. Ive long since forgotten his name, but I remember he was a young undergrad at the University of Minnesota, studying biology. He was bright-eyed and a bit nervous about meeting a real live medical student, that being me.
On a whim, I had responded a few weeks prior to an email from a pre-med interest group asking for senior medical students to meet with randomly assigned undergrads to impart to them our vast array of experiences and wisdom gained in the four torturous years of becoming a doctor. As I knocked the snow off my boots, I thought Id rather be home cracking open a beer than bracing myself for an hour of questions from an overly eager pre-med.
He immediately recognized me by the Minnesota sweatshirt Id told him I would be wearing. It felt a bit like a blind date, though not one I would have been excited about. He was armed with a small notepad and pen. I paid for his coffee, but in retrospect Im not sure why. Being a senior medical student, I had by that time accumulated massive amounts of student debt, so Im sure he was better off financially than I was.
We picked a table in the corner, and he immediately recited a well-rehearsed introduction. He asked how far along I was in my studies, whether I had chosen my specialty, and if I knew yet where I would be going for residency.
I answered his questions and kind of got into the whole thing. I felt like a B-list celebrity, interviewed by this eager young student listening intently to my every word, recording it in his black notepad. I hammed it up a bit, waxing poetic about my circuitous decision to become a doctor, how Id selected my medical school, what led me to my chosen specialty.
After a glowing self-introduction, I opened the floor to my interviewer. So, what do you want to know about medical school? Im just a few months from graduation, so I can tell you all about it, from the first week of gross anatomy to the final rotations and residency match.
I was ready to share my treasure trove of knowledge and experience. I tried to imagine his most pressing questions. He might ask about the workload in medical school, the material covered in our preclinical years, the diverse and eye-opening experiences of rotating as a student in the wards or operating rooms.
He began: So heres what I really want to know about medical school: What MCAT score guarantees that Ill get in?
Are you freakin kidding me? I couldnt believe it. I was in my final year of med school, just months from graduation. I had been through it all! I had dissected a full cadaver, taken countless exams on everything from pathology to physiology, memorized every muscle and bone in the body, admitted homicidal patients in the county psychiatric ward, scrubbed in for twelve-hour heart surgeries. I had countless interesting experiences and myriad advice to impart, and this was his question?
I gave him some BS answer, and he continued: What topic did you choose for your admissions essay? Are there any topics that will help someone get in?
And the next question: Right now Im volunteering at a hospital. Do you think helping at a research lab will help my chances of getting in, or do you think volunteering is enough?
On and on he went. Every question was some variation of how do I get into medical school?
Finally, I interrupted the young student: Look, I get it. Youre focused on getting into medical school right now. But dont you have any questions about what med school is actually like? Arent you curious about what awaits you once you start medical school, choose your specialty, apply to residency, and become a real, practicing physician? How do you know being a doctor is actually a good fit for you? What other career options have you considered?
He paused and looked at me like a deer in headlights. Finally, he responded: Yeah, I do wonder about those things. But to be honestI dont even know where to begin. Getting into medical school is such a tall hurdle that its tough to see past that sometimes. Its hard enough to figure out what I need to do to get inmuch less what happens after that. I dont know any doctors personally, and real information about what its