Opinions

Alec Kherlopian, MD, MPH Alec Kherlopian, MD, MPH (1 Posts)

Resident Physician Contributing Writer

Lahey Hospital and Medical Center


Alec Kherlopian graduated from Boston University's Sargent College in 2011 with a concentration in Health Science. He then graduated with an MD/MPH from Boston University School of Medicine and School of Public Health in 2015, concentrating in Health Policy and Management. He is currently a PGY-1 in the Department of Internal Medicine at Lahey Hospital and Medical Center of Burlington, MA.




Pursuing “Right Care”: A Lown Experience

In April, I had the pleasure of attending the 4th Annual Lown Institute Conference in Chicago. The Lown Institute was named after and inspired by Dr. Bernard Lown, a renowned cardiologist who also championed social change by co-founding the International Physicians for the Prevention of Nuclear War, an organization to prevent nuclear war during the Cold War. The theme of the conference was promoting “right care” by addressing overuse, underuse and misuse of medical services through a coalition of patient advocates, community organizers and medical professionals.

In Defense of Step 2 Clinical Skills

In the past two months, a group of Harvard medical students have launched the “End Step 2 CS” campaign, an effort to do away with the portion of the U.S. Medical Licensing Exam that tests clinical and communications skills in a hands-on, day-long clinic simulation using standardized patients. Not only is the Step 2 CS exam a necessary public safeguard, it has greatly strengthened the curriculum of medical schools nationwide.

Is Graduate Medical Training Making Doctors Afraid of Procedures?

It’s 2 a.m., and the patient’s blood pressure is beginning to rapidly decrease. Every IV line is occupied by an antibiotic or IV fluids, and we are in need of a vasoactive medication. The nurse comes to my computer and sternly states, “We can no longer avoid it. I think the patient needs a central line.” I quickly say “okay,” but I don’t move. I am momentarily frozen by my unease with the bedside procedure ahead.

Female Leaders in Medicine: It’s Lonely at the Top

I recently recreated a now-famous business school study on a subset of residents in my internal medicine residency program. In the original study, researchers asked students to read a case of the real-life venture capitalist Heidi Roizen, who expertly leveraged an extensive professional network to forward her career. Half of the students read the original case; half were given a case in which Heidi’s name was switched to Howard — a fictional male persona.

The Importance of Palliative Care in Surgery

In an ideal world we would all die at home with our loved ones caring for us, slowly slipping away in our sleep into the placid beyond. But why doesn’t it happen this way? There’s a dignity to that way because of its organic simplicity. It’s how people used to die prior to modern medicine and before we started needing to always “fix the problem.”

The Match Sets Medical Students in Search of Themselves

Medical students quickly become familiar with residency match (“the Match”). Almost every attending and resident physician has interesting stories about his or her experience. These factors have helped tether the Match in student consciousness. But behind the massive collection of coverage, opinion, anecdotal stories (and lore), we students sometimes miss what a unique way it is to find our first jobs as physicians.

Brian Secemsky, MD Brian Secemsky, MD (2 Posts)

Resident Editor Emeritus (2015-2016)

UCSF One Medical Group


Brian Secemsky, MD is an internal medicine physician currently practicing and teaching outpatient medicine in San Francisco, CA. His interests include preventive health, patient education and medical journalism. The goal of his writing is to expose those who are interested in medicine to various health care topics and to break down the jargon of medical literature into something that everyone can understand and learn from. You can find him on Twitter @BrianSecemskyMD or the website http://www.briansecemskymd.com