It is that time of year again: 4th year scheduling season is here for our MS3s. Dr. Beth Lamos clarifies, demystifies, and reassures us about Advance Phase Scheduling - essentially everything that comes after Step 1, with a focus on the individual experiences that come after clerkships. She shares clear, practical information and concrete strategies to make the best of 4th year. 

Resources:

• Advanced Clinical Phase Scheduling Process. UMSOM OSA Academic Handbook. Link. 

• Clinical Scheduling and Sites. UMSOM OSA Handbook. Link. 

During the course of our medical careers, we see a lot of hard things. We're in the room when patients die. We see the effects of enormous physical, emotional, and psychological trauma. We watch our peers and colleagues go through really hard times. We often compartmentalize this pain in the moment because we have to move forward and see the next patient. But we don't always make an effort to DE-compartmentalize afterward. What is decompartmentalization, and how can we practice it effectively to keep ourselves healthy? Dr. Marissa Flaherty from the OSA and the Department of Psychiatry is back to walk us through grief, debriefing, and decompartmentalization. 

Resource:

https://students-residents.aamc.org/medical-student-well-being/learning-decompartmentalize-self-care

Situational awareness and judgment are two of the most important ingredients to success in life and definitely medical school, especially the clinical years. Even if you don't know what you're doing on day 1 of a new rotation, or even where the bathrooms are, situational awareness will allow you to clue in to the dynamics around you, avoid mistakes and gaffes, and help you shine through fluid, seamless interactions with others. Dr. John Allen from the OSA sits down with Dr. Frayha to explore situational awareness in med school: what it means and how to cultivate it, along with specific scripting and strategies for different situations.

Resources:

• AMA resource on how clinical clerkship students can hone situational awareness 

• What is situational awareness in healthcare?

• Feller S, et al. Situational Awareness in the Context of Clinical Practice. Healthcare (Basel). 2023 Dec 4;11(23):3098. PMID: 38063666.

• Weller JM, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J Anaesth. 2024 Apr;132(4):771-778. Epub 2024 Feb 2. PMID: 38310070.

Sometimes, patients may exhibit agitated or even violent behavior in the clinical setting. It is so important to understand background and context, try to preserve the therapeutic relationship, and also ensure our and our patient's physical safety in these challenging circumstances. Dr. Marissa Flaherty from the OSA and the Department of Psychiatry is a wealth of information on this topic. In this episode, she offers tons of practical tips, scripting, and solutions for staying safe, de-escalating potential conflict, and remaining an advocate for your patient's needs while protecting yourself.

Does your brain ever jump to worst-case scenarios, no matter the situation? Many of us in medicine can relate to this phenomenon. It’s called catastrophic thinking, and in this episode, Dr. Beth Lamos helps us understand what it is, why we do it, why it may be adaptive, all the ways it can be harmful, and concrete tools and strategies to de-catastrophize our way of thinking. 

Resources:

• What to Do When Your Mind Always Dwells on the Worst Case Scenario. Harvard Business Review. Published September 15, 2020. Accessed July 20, 2024. Link. 

• 16 Decatastrophizing Tools, Worksheets, and Role-Plays. Positive Psychology. Published September 24, 2020. Accessed July 20, 2024. Link.

The UMSLE Step 1 exam going pass/fail in 2022 has been a huge change in medical education. In this episode, the OSA's Dr. John Allen talks through how the change has impacted our students at the UMSOM, the OSA's approach to residency and career advising, Step 2 CK prep, and the residency application process in general. This conversation is filled with wisdom to help students survive and thrive throughout med school and the transition to residency. 

For more information on Step 1 P/F, check out episodes 54 and 108 of The OSA Insider. 

Nearly ten million Americans are currently incarcerated, on parole or probation. This population has specific health care needs, especially those who were formerly incarcerated. Today, we bring you a very special conversation featuring two UMSOM alums, Dr. Michael Baca-Atlas and Dr. Matt Zeitler, as they interview their UNC Family Medicine mentor, Dr. Evan Ashkin, about how we can best care for our formerly incarcerated patients. 

This conversation originally aired on Hippo Education's Primary Care Reviews and Perspectives podcast. 

Graduating Pediatrics resident Dr. Caroline Knoop had an innovative idea for her scholarly project in residency: create a podcast about social justice issues in Baltimore for Pediatrics residents, by a Pediatrics resident. And so, Charm City Checkup was born. Listen in as Dr. Knoop shares how she got the brand new podcast off the ground, the lessons she's learned along the way, and how she studied the impact of her podcast for her residency's research symposium. 

There are a lot of myths floating around when it comes to the Office of Medical Education (OME) and the Office of Student Affairs (OSA). Myths like, if a student visits these offices, it will show up in their residency application, or visiting the student counseling center will make its way back to the med school deans. False and false! In this episode, Dr. Joe Martinez, Associate Dean for Medical Education and Student Experience, sits down with Dr. Frayha to debunk the top 10 myths about how the OME and OSA work with our students. 

What do you do if you need help with something in medical school, or you have a question about life in Baltimore, and you don't quite feel like asking a faculty member? That's what the Peer Support Network is for. Two almost-fourth-year students, Alanna Stefano and Nicol Tugarinov, share everything you need to know about the Peer Support Network - what it is, how to become involved, how peer support leaders are trained, the kinds of questions they're happy to help with, and so much more. 

Resource:

The Peer Support Network from the OSA Academic Handbook