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  • Medical school primarily teaches you about, well, medicine. Big surprise, I knowthe

  • science of the human body, anatomy, physiology, patient care, and the other factors related

  • to that. But becoming a happy and thriving medical professional requires much more than

  • just a base of medical knowledge. Here's what they don't teach you in medical school.

  • Dr. Jubbal, MedSchoolInsiders.com.

  • Financial literacy is vastly under-appreciated amongst medical students, residents, and even

  • attending physicians. The belief is that since they'll be making great money when they're

  • fully trained with their big boy and big girl doctor jobs, everything will work out. It's

  • this mindset that results in a shocking number of high-income earning physicians living paycheck

  • to paycheck. They can never free up their time and they're forever a slave to their

  • job, ignorant of the basics of personal finance and investing.

  • Part of the hesitancy is due to the intimidating amounts of debt that the majority of medical

  • students take on. It's scary, and you're already busy with so many other things, can't you

  • just worry about that later? Look, if you were able to learn how to manage ventilator

  • settings in a critically ill patient or the nuances of ion transporters in the renal tubules,

  • you sure as hell can learn some basic financial literacy. And you'll probably be surprised

  • how shockingly straightforward and easy it is once you get the basics down.

  • The reason it's important to get started on this sooner than later is because of the **compounding

  • effect**. As Albert Einstein once said, “Compound interest is the eighth wonder of the world.

  • He who understands it, earns it. He who doesn't, pays it." The longer you are able to get the

  • compounding effect to work for you, the greater its seemingly magical effect.

  • I recommend starting with the [White Coat Investor book](https://geni.us/liMjA) for

  • a quick yet mostly comprehensive breakdown of finances as it relates to future physicians.

  • If you'd like to go a little deeper, you can find some of my favorite financing and investing

  • books in the video description or on the [essential books list on the Med School Insiders website](https://medschoolinsiders.com/tools/essential-books-for-students/).

  • The flip side of financial literacy is to **understand the value of your time**. Some

  • get too obsessed with saving every single penny they can, so much so that they sacrifice

  • the quality of their life in substantial ways.

  • Remember that as a medical student and residency physician, you'll be much busier than the

  • average person. It may make sense to skip upgrading your iPhone or splurging on fancy

  • new shoes and instead use those funds to buy your time back through forms of convenience.

  • For example, when I was in residency, I paid a premium to live in a townhome near my hospital.

  • Even though I was paying a couple hundred extra dollars per month, this was a worthwhile

  • expense for me, as I was able to cycle to and from the hospital, which not only saved

  • time commuting but also helped me be regular about my cardio. There were other smaller

  • perks too – I had a washer and dryer in unit, a garage to keep my car cleaner longer,

  • and even had one room as an office and another room as my bedroom which improved my sleep

  • quality. You may also find it worthwhile to spend the extra money to get your groceries

  • delivered or even pay for meal prep services.

  • The next point is what I call focusing on a bottom-up rather than a top-down approach

  • to your life. Given the pressure of medical school and residency, it's natural for us

  • to focus on the top level items, such as performance on your upcoming exams and boards, or impressing

  • your preceptors in rotations, or grinding on the next research project to improve your

  • application.

  • The field of medicine, despite its focus on health, does a terrible job in allowing medical

  • students and residents actually focus on bottom level foundational factors, most importantly

  • one's own health. We know that to be at your own peak performance, your health is the most

  • important foundational factor. Yet instead of actually instilling meaningful changes

  • systemically to promote this, we get useless lip service and mandatory wellness sessions

  • that just waste time and tell us how important it is to sleep. No ****, Sherlock, and this

  • 1 hour mandatory session is eating into that precious time.

  • Since the system is broken, you must take matters into your own hands. No matter how

  • busy you get, remember that your health is the most important thing, and should not be

  • compromised.

  • There are 3 ways that medical students and residents commonly cut corners on their health

  • that result in significant long term detrimental effects. You may not notice the effects today

  • or next week, but after a few weeks, months, and even years, these harmful effects will

  • compound with time. That's not a good thing. Sleep and exercise are the two most obvious

  • ones, and you don't need me to repeat those, but these 3 are also commonly overlooked:

  • First, relationships! When crunched for time, relationships are commonly one of the first

  • things to go. That's normal, and definitely something I did as well. But remember that

  • we need our social support systems. We need robust relationships with our family and friends

  • to feel happy and content. We need to be connected with people we enjoy to avoid being sucked

  • into a downward negative spiral from isolation and working ourselves to the limit.

  • There are many ways to make this work with your busy schedule. Have phone calls while

  • you're driving to and from the hospital. FaceTime a friend who lives in a different city while

  • you're eating dinner. Get social with your exercise and invite a friend to cycle, hike,

  • or climb with you.

  • The second commonly overlooked category is mental health. It's ironic how much we emphasize

  • the importance of mental health for our patients, yet stigmatize it amongst our own.

  • Medical school and residency are not easy, and it's not only ok, but the right thing

  • to do to seek out therapy when you need it. It's okay not to be okay. By getting your

  • mental health sorted, you'll not only be happier, but much more effective in coping with the

  • massive workload and stressors of the hospital and patient care.

  • The third and final one is diet. I get it - you're busy and don't have time to cook.

  • There are still ways to eat healthy. If you eat crap, it's natural to feel like crap.

  • Burgers and deep fried chicken aren't your only options when you eat out or grab fast

  • food. I'm always surprised how people write off a certain restaurant as healthy or unhealthy

  • without acknowledging that there is a wide range of options. I can eat relatively healthy

  • or unhealthy at Chipotle, based on what I order. Some of you will squirm at the idea

  • of this, but by simply creating rules for myself, such as "I don't eat cheese" or "I

  • don't eat deep fried foods", I was able to eat quite clean for years without temptation.

  • It's actually much harder to weigh the options and decide each time whether or not you'll

  • allow yourself to indulge. Ultimately, you end up indulging and feeling guilty more often

  • than anticipated.

  • There's a wide gap between the reality and society's expectation of what it means to

  • be a doctor. Many will think your life is easy or that you make lots of money. Very

  • few will appreciate the fact that while most people began working and saving at 22, you'll

  • be graduating with additional debt and only enjoy your high earning potential in your

  • late 20's to mid 30's, depending on your specialty. Not only that, but you're grinding in the

  • truest sense of the word for years, and that takes a toll on you.

  • Because of the societal mismatch, you'll be on the receiving end of a great deal of nonsense.

  • In recent years, that nonsense has been most prominent in the form of creeping scope of

  • practice. You'll face others who want to belittle and downplay your level of training, only

  • to elevate their own qualifications, despite them spending a small fraction of the hours

  • you spent in learning patient care. It's on us collectively, as medical students, residents,

  • and physicians to advocate for our patients and their safety. I recommend the Physicians

  • for Patient Protection, or PPP, to learn more about these issues and get involved. The direction

  • things have been heading is insanely dangerous for patients and bad for physicians, and unfortunately

  • it isn't something discussed enough in medical school.

  • Don't worry, you'll receive nonsense in many other forms too. Many female medical students

  • and physicians are still called nurse by their patients because of antiquated societal narratives.

  • You'll hear more than one healthcare co-worker lament to you about their 12 hour shift, which

  • they have 3 of each week, while you question your decision to become a doctor, realizing

  • you average five 15-hour shifts every week on several rotations.

  • Despite the noise, remind yourself why you became a physician. Remember the passion that

  • brought you into the field, the joy and connection you feel in providing care to your patients,

  • and the vision of what your life will look like when you're an attending physician. You

  • have two optionsbecome the jaded attending that regrets their decision to enter medicine,

  • or become the attending that is realistic in understanding no field is perfect, and

  • that medicine has lots to love.

  • Amidst the madness, don't lose your sense of self. As you progress in training, you'll

  • notice a greater and greater proportion of your colleagues growing cynical. As a wide-eyed

  • premed, you're surrounded by other hopeful premeds looking forward to what lays ahead.

  • Over the four years of medical school, you'll notice a larger and larger proportion of your

  • classmates growing tired or resentful. And by residency, you'll be the odd one out, as

  • the majority are cynical, particularly those in their final years of training.

  • It's natural for your identity to focus more and more on your role as a doctor. After all,

  • the overwhelming majority of your waking hours are spent in the classroom, clinic, hospital,

  • operating room, or studying. Don't fall for this trap.

  • Remember you are much more than a medical student or a physician. Don't lose touch with

  • those elements in your life that make you feel alive and joyful. For me it's racing

  • my car, cycling, and my newest obsession of tea, which you can learn all about on my Instagram

  • and TikTok. For others it's travel, cooking, rock climbing, comedy, or playing an instrument.

  • You don't find time to do these things. You have to make time. Without doing so, you'll

  • find your identity sucked into the abyss, only to be spat out the other end as a shell

  • of who you once were.

  • If you enjoyed the content here, you'll love my weekly newsletter. In it, I share my insights,

  • tips, and strategies that will make the process of becoming a doctor that much more manageable.

  • You can sign up at medschoolinsiders.com/newsletter.

  • Be sure to check out my video on how to enjoy medical school, or the anatomy of a perfect

  • daily schedule. Much love, and I'll see you guys there.

Medical school primarily teaches you about, well, medicine. Big surprise, I knowthe

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B1 medical medical school residency health attending physician

What Medical School DOESN'T Teach You

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    Summer posted on 2021/05/15
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