Placeholder Image

字幕表 動画を再生する

  • (tinkling music)

  • - Hi, my name is Bliss Chang.

  • I'm a third year medical student at Harvard.

  • I just finished my core clinical rotations

  • through the integrated clerkship program here

  • at Cambridge Health Alliance,

  • which means that instead of doing block cell rotations

  • and doing three months of medicine,

  • three months of surgery, et cetera,

  • I do all the specialties at the same time

  • for the entire duration of the year.

  • I've currently narrowed down my specialty interests

  • to either neurology or orthopedics.

  • (peppy music)

  • So during the clinical year,

  • my days typically consist of waking up,

  • taking a shower, getting my breakfast,

  • and then heading over to the hospital,

  • getting there anywhere from six to eight a.m.

  • Since I am in the longitudinal program,

  • the one difference is that the clinics that I go to

  • vary from day to day.

  • Monday I might go to neurology,

  • Tuesday I might go to pediatrics,

  • Tuesday afternoon I might go to medicine.

  • So it really varies in that aspects,

  • and I'll head over to the gym usually

  • just to get a quick pump in

  • and then go study for a few hours,

  • and then if anybody wants to hang out or anything,

  • I'm pretty flexible with that regards.

  • - So tell me a little bit about your specific program

  • at Harvard Medical School.

  • - Okay, so there's two programs,

  • one is Health and Science Technologies

  • and the other one is Pathways.

  • I'm in the Pathways program which is the larger program

  • and we recently converted to having one year

  • of pre-clinical studies in the classroom

  • while also following some patients every week,

  • and then transitioning fully

  • into the core clerkship rotations our second year.

  • And then third year onwards, we do a combination of research

  • as well as doing some advanced rotations

  • in whatever field that we would like to pursue.

  • - So break that down for me a little bit more.

  • What does rotations mean?

  • - So rotations are really the essence

  • of how you develop your clinical skills.

  • In the first year you're really accumulating

  • the basic knowledge that you have to have

  • in order to take care of all the patients,

  • and then the second year is where you continue to build

  • on that knowledge but really putting all these principles

  • that you've learned about into action,

  • checking reflexes on patients,

  • you've learned about all the physiology first year,

  • second year you get to actually do it,

  • see what that actually means for patient care.

  • - Right, so it's not just in a classroom anymore,

  • now you're actually kind of becoming a doctor.

  • - Exactly.

  • - So how is your program different

  • from how it used to be done?

  • - So traditionally a lot of schools

  • as well Harvard Medical School

  • had a classic two years in the classroom

  • and then two years in the hospitals,

  • as well as more of a lecture-based format.

  • So now they've completely overhauled that

  • and in the pre-clinical years

  • we have what's called problem-based learning

  • where you get into small groups

  • and really work on applying your knowledge in the class

  • as opposed to learning the knowledge in class

  • because we like to spend valuable time in the classroom

  • really doing things that we couldn't do just alone

  • during independent study.

  • And then the clerkships come much earlier,

  • about a year earlier and I think that's excellent

  • for many reasons, the most prominent of which

  • is that you get clinical exposure earlier

  • and that to me is really the essence of what you're doing

  • as a doctor and then it also gives you

  • a lot more opportunity to explore different specialties

  • because if you're in a two plus two curriculum

  • that means that you finish all your core rotations

  • at the end of third year

  • and then you're applying straight into residency.

  • So the decision on what specialty to pursue

  • is a little bit rushed.

  • - I see, so right now you're kind of having

  • a longer period of time to experience

  • every different specialty

  • and decide which one you want to pursue.

  • - [Bliss] Yes.

  • (peppy music)

  • - [Interviewer] So, what is the academic culture like

  • at Harvard Medical School?

  • - Yeah, so it's very collaborative,

  • especially given that we have a true pass/fail curriculum,

  • both in the pre-clinical years

  • as well as during our core clinical rotations.

  • We do have some grading afterwards

  • during the advance rotations but prior to that,

  • it's completely pass/fail.

  • But on the whole, it's a very collaborative atmosphere.

  • - Very cool.

  • How would you describe the workload,

  • especially compared to undergrad?

  • - So first year when we're in the classroom

  • learning the basic sciences,

  • I'd say that the workload is a lot more

  • than what we have in college.

  • For example, one semester of biochem

  • usually takes us about three or four weeks to go through,

  • so the pace is definitely a lot more accelerated.

  • On the clinical side of things,

  • it's really hard to quantify

  • because the learning is so different.

  • A lot of the learning can be things

  • that are not necessarily knowledge based.

  • It's a lot of social interaction skills,

  • how to deal with certain situations while on the floor.

  • Somebody goes into cardiac arrest,

  • how to use CPR to save somebody's life.

  • So it's a good mixture of practical

  • as well as more foundational knowledge for yourself.

  • - Was there anything that you did before HMS

  • that you think really kinda prepped you for this

  • or gave you the skills that you need to succeed here?

  • - Really it's the whole experience that I went through

  • that really prepared me well.

  • I think academically I was a biochem major in undergrad

  • and I think that really helped me first year

  • to transition in as opposed to some people

  • who hadn't had any biochem at all.

  • - I can imagine that'd be a rough transition.

  • - I think for clinical rotations,

  • it's really something

  • that nobody can really prepare you for.

  • There's nothing you can really do.

  • The one thing that HMS does very well

  • to help us prepare for the wards

  • is having us in what's called Practicing Medicine,

  • which is a once a week course during the first year

  • where we get exposure to patients

  • and standardized patient actors

  • so that we feel more comfortable

  • before delving into the actual clinical scene.

  • - [Interviewer] Right, sort of training you

  • for those interpersonal parts of it.

  • (peppy music)

  • So tell me a little bit more about

  • the longitudinal style clerkship program.

  • - Yeah, so traditionally for tons of years,

  • we've had the block cell rotations

  • which means that we do a specialty

  • for a fixed period of time.

  • For example, three months of medicine,

  • one month of neurology, et cetera.

  • - Okay.

  • - And then when you're done with that block,

  • you're totally done with it,

  • you move on to the next specialty.

  • In the longitudinal style,

  • what we do is we do all the specialties,

  • so neurology, pediatrics, psychiatry, medicine,

  • surgery, radiology, we do all of these specialties

  • at the same time.

  • So most of the students end up doing the block cell rotation

  • because there's only 12 spots

  • for the longitudinal program here.

  • For me, I got lucky obviously to be selected

  • and the reason why I opted into the lottery

  • were mainly twofold.

  • One is about the longitudinal aspect

  • and two is about the types of patients that you meet.

  • This longitudinal program takes place

  • at Cambridge Health Alliance

  • and so the patients that come to Cambridge Health Alliance

  • are of a lower socio-economic class,

  • of different racial ethnicities, et cetera,

  • and so I really wanted to challenge myself

  • to make sure that by the time I graduated medical school,

  • I had a very good comfort working with this type of patient.

  • So that was one, and then two is the longitudinal aspect

  • which means that you're really able to not only keep fresh

  • on all the different specialties throughout the entire year,

  • but also really see the interconnections

  • and how they fit together amongst each other.

  • Probably my favorite part

  • as well as the favorite part of everybody

  • in this longitudinal program

  • is the ability to follow our patients for such a long time.

  • It really develops this strong relationship

  • between the med student and the patient.

  • - That sounds really unique

  • compared to every other program I've heard of.

  • - So the patients really open up to you

  • and start telling you things

  • that you may not otherwise elicit,

  • and that's both helpful from a person-to-person connection

  • but also from a medical standpoint.

  • - [Interviewer] Of course, yeah.

  • (peppy music)

  • So what would you say is the most unexpected part

  • of medical school?

  • - So I'd always heard that medicine is something

  • where you sell your soul to,

  • where you really have nothing but the books

  • to be your friends.

  • I think I found that completely not the case.

  • - [Interviewer] Oh good. - There's so many

  • wonderful people and medicine is,

  • if not more about the social interactions

  • that you have with your peers or colleagues, the patients,

  • as it is about the book knowledge,

  • and so that's been a very pleasant surprise.

  • I was supposed to do a PhD actually,

  • and I actually dropped that after my clinical year,

  • and that's just a testimony to how much I enjoyed

  • my interactions with patients in medical school.

  • - What advice would you give

  • to either a younger version of yourself

  • or anyone else who is considering

  • going into the medical field?

  • - Yeah, I think really just try to figure out

  • what your passions are.

  • If it's not medicine, then that's great.

  • Find something else that you're really passionate about.

  • I think whatever you do,

  • you have to have that burning fire within you

  • or you're just gonna burn out later, at some point.

  • I think if you're considering applying to the top colleges,

  • it's really nice if you're very passionate and dedicated

  • to something that's non-academic.

  • Kind of think about it as proud parents

  • trying to choose who they want their future kids to be.

  • They're always gonna choose the person

  • who has the academics and something really nice

  • that's non-academic as opposed to the super-genius

  • who got a perfect MKAT.

  • So really try to focus on something that distinguishes you,

  • something that you're passionate about.

  • It could be underwater basket-weaving,

  • it could be basketball, playing the flute.

  • Whatever it is, just make sure that it's one or two things

  • you're really passionate about and take that a long way,

  • as opposed to doing