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Medicine as a Calling

About a month ago, I attended a lunchtime lecture in which the speaker mentioned that a study found the majority of physicians believe their profession is a “calling.” While this figure didn’t entirely surprise me, it was strange that such a significant number of physicians would attach themselves to as loaded a word as calling. What exactly does a calling look like in the 21st century? It certainly retains a sense of the sacred or extraordinary. TV shows, both fictional and real, have explored or leaned heavily upon medicine as something called to. William Osler, the seminal guy doctors quote to other doctors, refers to medicine as a calling. So does Paul Kalanithi, a neurosurgeon who was diagnosed with terminal cancer before even finishing his training.

As a future doctor, I wonder what exactly the substance of my own calling is. For many, perhaps, the personal statement is a good place to start. In fewer than 5,300 characters, we were asked to summarize and produce our own journey to medicine. The admissions process is rigorous and the application extensive. Many callings must be, in so many characters, recorded there. Unfortunately, my personal statement reads more like a disguised tribute to JD and Turk, two lovable TV characters that probably have more to do with this whole thing than I’d like to admit.

Medical school certainly feels like a place to mature into a calling. It begins with the ritualized putting-on of the white coat and ends with a 2,500-year-old Greek oath. And the education of a medical student is extraordinary in the literal sense of the word. One day of our Doctoring Course is devoted to breaking bad news. We spend hours in the Anatomy lab with men and women who have passed away and yet are teaching us. We learn how to use touch as a tool — for example, an afternoon class devoted to inspection, palpation and auscultation.

During a post-summer storm run on the west side of Ann Arbor

A calling seems to entail a lifestyle. Medicine certainly seems to. Long hours, scrubs or a white coat, and nights on-call all make a doctor. Are the sacrifices that medicine asks – of your time, attention, and years of training – the substance of a calling? Is a calling a justification for nights spent working and events missed? I think Osler would disagree. In regards to a calling, he says that the heart is exercised as much as the head. A profession that asks so much of us – whether weekend call or your heart – may not be something simply put aside each day after work.

I’m two months into medical school and really don’t know anything about a calling. We’ve begun studying the cardiovascular system and I really enjoy it – I finally see how the things I learn could be used as a doc. I look forward to volunteering at the Student-Run Free Clinic because I want to listen to a heart or take a blood pressure that’s not my classmate’s. I am excited for clinical rotations next year because I can finally apply some of the knowledge I’ve learned to people outside of myself. There’s nothing mystical in these things.

However, I have so much to experience in medical school, residency and beyond. I haven’t yet delivered a baby or placed a central line. I haven’t yet broken bad news to a family or prescribed medication. I haven’t yet made a mistake that could affect someone’s well-being. Maybe a physician’s calling isn’t some artifact of the admissions process or a quote by Osler, but rather a dynamic, uncomplicated thing – work that is challenging and rewarding. This is not unique to medicine at all, but something I’m looking forward to finding.

Christopher is a first-year student at the University of Michigan Medical Student. He recently completed a post-bac at Scripps College and is interested in Ob/Gyn and palliative care. He enjoys exploring Ann Arbor and eating ice cream.

New Friends

This summer I began medical school and started, once again, a search for friends and a community. I’ve moved three times in the last three years – from college in Rhode Island to an exploratory year in Chicago to a post-bac in Southern California. Each move has included an awkward dance of getting to know strangers and making friends. I do have good friends scattered across the country, however each year has meant starting from scratch in someplace new.

Like the many times before, this was the case when I first arrived at Michigan. UMMS has emphasized its commitment to community all the way back to interview day. Our orientation is called “Launch”: an homage to the enthusiastic community-building that occurs during that first week on the medical campus. While a community is built, the process still resembled something of an awkward dance. Hours might be spent repeating our respective undergrad universities, whether or not we came “straight through,” and fun facts sprinkled in here and there. I’m not sure if it was my excitement at being in med school or my fear of making no friends that propelled me forward.

Launch week was as fun as it was exhausting. Free food was plentiful. We had several opportunities to wear our white coats, which feels simultaneously cool and very much like dress-up. (I quickly got peanut butter all over one of the sleeves, making me feel decidedly the latter and not the former).

Our responsibilities were few: One afternoon I spent four hours floating down the Huron River with about fifty of my new classmates. People drank beer, ate fresh Michigan cherries, and snoozed (it’s a very slow river).

School has started in full force and friendships have accelerated, have been pushed forward by the “we’re all in this together” attitude that pervades the library after a certain hour. We share our experiences in the hospital, the VA, or other clinics we shadow in.

True to Dean Gay’s promise, the Michigan community is strong and inclusive. This Saturday is Michigan’s first home game and friends are scrambling to quiz by Friday to enjoy the game. I’ll often visit the slounge (the student lounge) to interrupt other students camped out in order to socialize.

This latest move has offered me another opportunity to not only make new friends, but also continue to ask myself where I find meaning in life. Community is certainly one answer, and I am thrilled to have found such a vital one here in such a short amount of time.

Christopher is a first-year student at the University of Michigan Medical Student. He recently completed a post-bac at Scripps College and is interested in Ob/Gyn and palliative care. He enjoys exploring Ann Arbor and eating ice cream.