Placeholder Image

Subtitles section Play video

  • Becoming a doctor isn't as straightforward as deciding to attend medical school. As a

  • future physician, there are 5 important decisions you'll need to make that will shape your experience,

  • future options, and even your happiness. Here's how to navigate them.

  • Dr. Jubbal, MedSchoolInsiders.com. If you search how to decide which medical

  • school to attend, most blogs and forums like Reddit or SDN will tell you to just go to

  • the cheapest medical school. They argue that any increased cost of attending a more expensive

  • school will surely not be worth the added loan burden, as the quality of education across

  • medical schools, at least in the United States, is more or less the same.

  • The issue with this oversimplification is that it completely removes important and valid

  • nuance from the discussion. On average, higher ranked and larger institutions

  • will open up more doors to you professionally than lower ranked and smaller institutions.

  • For example, say you want to pursue neurosurgery for residency. Unfortunately for you, neurosurgery

  • is one of the top 5 most competitive specialties, and if your school doesn't have a neurosurgery

  • residency program, then you'll be at a substantial disadvantage for multiple reasons.

  • Without a neurosurgery program, your exposure to the field will be limited, as will your

  • ability to secure letters of recommendation and neurosurgeon mentors who can bat for you

  • when it's residency application time. For smaller specialties like neurosurgery, ENT,

  • plastic surgery, cardiothoracic surgery, and many others, who you know and who is willing

  • to vouch for you is massively important in your residency match outcome. Additionally,

  • these smaller specialties have fewer residency programs across the nation, primarily academic

  • in nature rather than community. And some academic institutions, particularly old school

  • elite programs, tend to care more about your "pedigree", which is a silly way of saying

  • they care about how elite and impressive your medical school is. After all, they want to

  • maintain their elite and superior aura, which is silly, but is a reality of the situation.

  • The other important consideration in choosing a medical school to attend is the location.

  • Where you attend medical school is often in the same region in which you'll attend residency,

  • which is often in the same location you'll practice as an attending physician. This is

  • of course not a hard and fast rule, as there are many exceptions, but it is a strong trend.

  • For this reason, I urge students to choose a school in a location where they will be

  • happy. I prioritized UC San Diego over some other top 5 medical school acceptances because

  • I love San Diego and it is a phenomenal program. Even after doing my medical training there

  • and having associated stressful memories or challenging times, it's still a magical place

  • I love to visit. If you'd like to be a physician in the US,

  • it's much easier to do so if you attend medical school in the US. While Caribbean and other

  • international options are much much much easier to gain admission into, they also make it

  • far more difficult to match successfully into a desirable residency program. You can find

  • all my thoughts on Caribbean medical schools on my Caribbean medical school playlist.

  • The next decision relates to who you associate with most. Just ask around or even view the

  • comments to my videos, and you'll see that the medical school experience can vary greatly

  • for different people. From my perspective, medical school is a grind,

  • requiring immense dedication. Someone else may have a very valid opinion on the other

  • end of the spectrum, stating their medical school experience was more relaxed than college,

  • and they had plenty of time for relaxing, working out, and spending time with friends.

  • If both could be true, why is there such a discrepancy?

  • It comes down to your medical school and residency goals, which shapes how you need to allocate

  • your time and energy. If you want to either attend a top tier institution

  • for residency or hopefully match into one of the hypercompetitive fields of dermatology

  • or plastic surgery, then you'll have to work much harder than if you are happy matching

  • to a community program in family medicine. One isn't better than the other, but one will

  • require far more dedication and work ethic. By aiming to score at the top of your class

  • or hit the 260's for USMLE, your approach and experience of medical school will be in

  • stark contrast to your classmate who is content simply passing class exams while scoring 220

  • on USMLE. While your goals should ultimately be set

  • by you, it's shocking how much our behaviors and routines are influenced by others. If

  • your friends say you study too much and should relax more, you'll probably find yourself

  • studying less than if you were surrounded by friends with similar goals.

  • Relationships are a mixed bag, and I'm not for or against them during medical school.

  • I was in a relationship and it was a good experience and I grew a lot from it, but keep

  • in mind relationships can be a distraction and add complication to your life if they're

  • unhealthy. If you're dating another medical student,

  • you'll both understand each other's professional demands, but if your partner isn't in healthcare,

  • it's highly likely there will be some tension over your lack of time. There are many other

  • considerations to dating in medical school that I cover on my dating playlist.

  • Your specialty choice is arguably the most important decision you'll make in your medical

  • training. After all, this single decision will dictate your future career as a physician,

  • including your work-life balance, compensation, risk of burnout, and day to day reality as

  • a medical professional. If you're not sure where to start, the easiest

  • place is to first decide whether you want to be surgical or non-surgical, since the

  • two are so different. If you're stuck between one surgical and one non-surgical field, it's

  • likely because you haven't gotten enough exposure to each. And as many surgeons will tell you,

  • only do surgery if you can't imagine yourself doing anything elsereason being it's

  • extremely demanding. After that, it's common to focus on things

  • like work-life balance, bread and butter, and the patient population. But don't forget

  • often overlooked considerations, such as the long term viability of the specialty. After

  • all, you'll likely be practicing for at least a few decades. Some questions to ponder include

  • whether or not there is a high likelihood that the demand for that type of specialist

  • will decrease in the future based on new technologies. Are dynamics changing due to midlevel scope

  • creep, thus reducing the need for physicians in that specialty? Is it already saturated

  • and is the job market highly competitive? These are concerns very much impacting several

  • specialties today. Your specialty decision will also determine

  • how hardcore you need to be in medical school, which ties in with the previous point. If

  • you want to become a plastic surgeon or orthopedic surgeon, your experience of medical school

  • will be completely different than if you were trying to match into anesthesiology or family

  • medicine or emergency medicine. Everyone needs a mentor to most effectively

  • navigate through the gauntlet that is medical school. Mentors will shape your approach to

  • medical school and your future career as a physician. They'll tell you what to prioritize,

  • and what not to waste time on. They'll offer useful guidance, and if you have a few different

  • mentors, great, as they can provide various perspectives, allowing you to make well informed

  • decisions. Ideally, you want that mentor to be in your

  • intended specialty, but it doesn't always have to be the case. One of my mentors was

  • in internal medicine and I found tremendous value in that relationship, even though I

  • went into plastic surgery. I simply had additional mentors within plastic surgery who could speak

  • to the specifics of the field. There's no single way to find a mentor, but

  • it generally requires a bit of work and a bit of luck. For many, their research principal

  • investigators become mentors. Or perhaps it's the clinical preceptor that you rotate with.

  • Maybe you've befriended some upperclassmen who can offer guidance in navigating your

  • specific medical school, rotations, and hospitals. In extracurriculars, like Free Clinic, you

  • may take a particular liking to one of the doctors there and begin a mentor-mentee relationship.

  • There's no right or wrong, but always respect your mentor's time, maintain integrity, and

  • keep your word. Finally, be careful with regards to the inputs

  • and resources you choose in medical school. If you're constantly reading SDN, a place

  • riddled with neuroses and anxieties, then don't be surprised if you find neurotic and

  • anxious tendencies in yourself. If you frequent political news sources, which tend to be biased

  • one way or the other, you'll likely find yourself more angry, self-righteous, and intolerant

  • of opposing viewpoints. Based on where you are in life, there are

  • certain resources and inputs you want to prioritize and invest in. Back in residency, I remember

  • deciding between buying the new iPhone to replace my aging one, or enrolling in a similarly

  • priced course. I ultimately chose the course, and I'm glad I did, as it taught me many important

  • life lessons and introduced me to life long friends. Even as a premed and medical student,

  • I was much more willing to pinch pennies in most domains of my life, such as tech, going

  • out, traveling, and even food, as long as it wasn't junk food. But I always prioritized

  • my professional life and academic success, and that paid off in big ways.

  • When someone tells you they don't have time to exercise, it's actually that they don't

  • prioritize it over other activities in their life. Oftentimes when someone says they cannot

  • afford to eat healthy or buy a study tool, it's again simply a matter of prioritization.

  • As a premed, you shouldn't take your MCAT prep lightly, and you should invest your time,

  • energy, and money in the resources that have the greatest odds of helping you achieve your

  • MCAT score goals. In July of 2021 as I record this video, I would point you to these three

  • resources: AAMC official practice materials, UWorld for practice questions, and Memm for

  • content review and memorization. When applying to medical school, you similarly

  • want help from trusted experts who can elevate your application, help you get into your dream

  • school, and even make it possible to earn merit based scholarships to reduce your loan

  • burden. That alone saved me six figures in student loans. As you look at resources and

  • companies to work with, seek out those who are actual MD physicians, not PhD or other

  • types of doctors that didn't go to medical school. Look for those who have achieved stellar

  • results themselves, a track record of success with positive ratings from customers, and

  • a systematic approach so you know you'll always receive high quality service. If you decide

  • on Med School Insiders, we'd love to be a part of your journey in becoming a future

  • physician. Visit us on MedSchoolInsiders.com. If you haven't already, check out our blog

  • on MedSchoolInsiders.com that covers medical school application and study strategies in

  • greater depth. Or learn more with one of these two videos. Much love, and I'll see you guys

  • there.

Becoming a doctor isn't as straightforward as deciding to attend medical school. As a

Subtitles and vocabulary

Operation of videos Adjust the video here to display the subtitles

B1 medical school medical residency attend physician surgery

5 Most Important Decisions for Future Doctors

  • 4 1
    Summer posted on 2021/07/24
Video vocabulary