Internal Medicine

Melanie Watt, MD Melanie Watt, MD (2 Posts)

Resident Editor

University of Tennessee Health Science Center


Melanie is a PGY-1 resident in internal medicine-pediatrics at the University of Tennessee in Memphis. She is a proud alumnus of Louisiana State University and LSU Health Shreveport School of Medicine, and yes, she does bleed purple and gold.




Battling Burnout and Our Quest for Perfection

Two months ago, I woke up one morning at 5:30 a.m., as usual. I played my gym motivation playlist in the shower, ate oatmeal for breakfast, and headed out the door, as usual. I swore at the car that swerved into the lane in front of me without signaling, as usual. An hour later, I pre-rounded on one of my favorite patients, a man with wide, childlike eyes who had a great deal of difficulty expressing his feelings.

A Call to My Fellow Residents in the Era of the Opioid Epidemic

I met Julian six months ago. He was the first patient I watched go through a buprenorphine/naloxone induction. My preceptor carefully guided him through a series of deeply personal questions: How old were you when you first started using? What is your drug of choice? Have you ever injected? How much? Have you ever traded sex for drugs? When did you last use?

Figure 1. “Relationship between System 1 and System 2 thinking.” Daily encounters lead to the activation of System 1 or System 2 thinking. Problems demanding higher levels of thought either directly or indirectly activate System 2. Repetitive exposure decreases the demand for System 2 thinking and increases both productivity and the risk for error.

Systems-Based Thinking: How Subconscious Thought Affects Medical Decision Making

System-based thinking describes a set of subconscious thought processes aptly named System 1 and System 2. The profession of medicine relies heavily on SBT — the ability to rapidly diagnose, treat, and improvise during stressful situations is dependent on these systems, which develop and mature throughout one’s training.

Gabrielle Navon, MD Gabrielle Navon, MD (1 Posts)

Resident Physician Contributing Writer

Saint Louis University School of Medicine


Gabby is an internal medicine resident at Saint Louis University Hospital.