Attending Physician Guest Writer
Boston Children’s Hospital
Shalini Shah is a pediatric hospitalist at Boston Children’s Hospital in Boston, MA with special interests in environmental health and health equity. She completed her medical training at the University of New England College of Osteopathic Medicine and her residency in pediatrics at the University of Massachusetts.
The Climate Lens: Physician Perspectives of the Climate Crisis
The Climate Lens aims to share narratives that illustrate the health impacts of climate change in a relatable way.
Softly and subtly, the rustling of the leaves quickens and a cool breeze sweeps across the town. A child rocks gently on a swing and a father stands in the bazaar bartering for the best value for vegetables for dinner. His wife is hospitalized with hemorrhagic dengue; shivering with fevers that rise and fall as do her blood counts.
When I am asked about my future plans, my response is rightfully met with confusion. I am entering the workforce as an academic internal medicine physician devoting my practice entirely to the outpatient setting. Yet, two-thirds of my residency training has been managing patients within the walls of a hospital. That disconnect raises interesting questions about my career choice, and, naturally, makes me an anomaly among my peers.
They said to stop compressions. We all agreed. This baby had no life when she was born, and we had fought for twenty whole minutes with our arsenal of medicine to give her life.
Happy New Year from all of us at in-House! We are proud to announce the in-House Top 12 of 2019, our 12 most-read articles of 2019. Thank you for your readership over the past year and for your ongoing support of our publication, the premier online peer-reviewed publication for residents and fellows.
Residency is a challenging time plagued by long hours, overwhelming clinical service loads, escalating documentation requirements, and inadequate resources for support. A recently published study in the New England Journal of Medicine illustrates how mistreatment in the training environment takes an additional toll on medical trainees.
I had just started my first clerkship of third year at a nearby hospital when the news broke. Hahnemann Hospital, the main teaching hospital of my medical school, was closing. More accurately, the hedge fund manager who purchased the hospital a year earlier was filing for bankruptcy. He separated the valuable Center City real estate from the hospital itself to ensure a tidy profit for investors at the expense of patients and staff.
On October 16, 2019, our collective of health care workers at Yale University disrupted the meeting of the Graduate Medical Education Committee. Heads turned and followed us to the front of the lecture hall, where we unfurled our banner declaring “Doctors are Humans Too.”
I elected to pause my training after completion of a transitional year internship to enter active duty service as a United States Air Force flight surgeon. While it is a less-than-traditional pathway, it allowed me to serve a greater mission.
It wasn’t caterpillars turning into beautiful butterflies, that’s for sure. “The Change” was when a bright-eyed, optimistic female junior resident turned into an angry, and sometimes mean, senior resident with very little patience for anyone.
We are fighting for UW to come up to the national standard in their treatment of residents; we’re not asking for the impossible. Residents deserve to work in humane and livable conditions.
On September 25, we participated in a 15-minute unity break (effectively a walk-out) with over 450 residents and fellows at the University of Washington in protest of UW’s dismal contract proposals during our negotiations. It was led by the University of Washington Housestaff Association (UWHA), one of the few unions of resident doctors in the United States.
It was 2 a.m. and I was downward-dog in the call room. Earlier during this maternal/child health rotation night shift, I had labored with three other moms in so many different positions that my back felt like it might actually break.
Resident Physician Contributing Writer
McGaw Medical Center of Northwestern University
Ari Pence is a second year Family Medicine resident at McGaw Medical Center of Northwestern University. She earned her MD from the University of Illinois at Urbana-Champaign. Prior to medical school she worked at the University of Illinois as an instructor in the Department of Interdisciplinary Health Sciences teaching courses on the socioeconomic determinants of healthcare, as well as a lab coordinator in the Department of Psychology and Neuroscience with a focus on the effects of exercise, nutrition and injury on memory and cognition across the human lifespan. She is passionate about the intersections of women's health, mental illness and integrative medicine in the primary care setting, and providing holistic, person-focused care to the most vulnerable and underserved patients.
