Health Policy

Aishwarya Rajagopalan, DO, MHS Aishwarya Rajagopalan, DO, MHS (2 Posts)

Resident Physician Contributing Writer

Harvard Medical School


Aishwarya Rajagopalan is a PGY-1 psychiatry resident with the Harvard South Shore Psychiatry Residency Program. Her interests include the intersection of psychiatry and social justice, especially among women and transition age youth, public mental health and policy. In her free time, she loves partaking in spirited policy debates with friends and family, spinning, yoga, dark chocolate, bad reality TV, and green tea with lemon. She is an in-Training alumna and is excited to continue on in this space.

Policy Prescriptions

Policy Prescriptions is dedicated to exploring and challenging contemporary health policy issues, especially in the fields of behavioral health, health care access, and inclusion.




Solitary Confinement and Health: Why It Matters in 2019

Over the last year, our collective minds have been captivated by stories about child and family separation, detainment of citizens and immigrants, and the quality of the health care within detention facilities. These stories have been jarring and traumatic, and have also awoken an important level of national consciousness about the nature of detention. What has not received as much coverage in recent discourse is the ongoing nature of solitary confinement in our justice system.

A Primer on Loan Repayment and Finance Options for Residents & Fellows

Career and specialty choice aside, the debt accrued for physicians is very real. Obtaining accessible and accurate advice on what to do with that debt is, at best, disappointing. My goal for this article is to educate, provide adequate resources that can help alleviate stress, set you — the reader and colleague — up to be financially successful, and hopefully make you “money wise” when it comes to your early career.

Resident Wellness is a Lie (Part 2 of 3)

My partner Evan’s third year of residency completed his trajectory toward what is commonly called “burnout.” Two out of the 10 residents in his class left the program. In an already understaffed department, the remaining residents picked up the slack, taking extra call and working longer days. The general misery index among his cohort skyrocketed.

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?

Reproductive Rights of Incarcerated Women

The recent confirmation of Brett Kavanaugh to the United States Supreme Court raises concern about the future of reproductive health, particularly access to abortion and affordable contraception. Although his impact on reproductive rights is to be determined, those who will be disproportionately impacted by further compromise of reproductive rights will always be the most vulnerable women among us. This includes the uninsured, poor, and incarcerated.

Ugly

The baby’s hat is bright orange, knit with vertical ribbing to mimic a pumpkin’s ridges, and topped with a tiny green stem. The cheeks below it bulge in perfect crescents. I turn to the mother to ask if she made the hat herself. Her eyes don’t leave the muted cartoons bouncing across the television screen as she mumbles, “The nurse or someone gave it to her.”

Dear NBME and FSMB, I watch HGTV more than Netflix: A Response to the Invited Commentary on USMLE Step 1

The recent ruminations of Drs. Katsufrakis and Chaudhry in the form of an invited commentary in Academic Medicine, entitled “Improving Residency Selection Requires Close Study and Better Understanding of Stakeholder Needs,” has garnered a significant amount of attention on Twitter. Drs. Katsufrakis and Chaudhry’s commentary was in response to a well-written and well-reasoned article by a group of medical students published in the same journal recommending the USMLE Step 1 transition from a numeric score to pass/fail.

Joshua D. Niforatos, MTS Joshua D. Niforatos, MTS (1 Posts)

Medical Student Guest Writer

Cleveland Clinic Lerner College of Medicine


Joshua D. Niforatos, MTS is in his last year of medical school in Cleveland, Ohio. He aspires to be an emergency medicine physician actively involved in clinical research and all things social emergency medicine and advocacy. Joshua also watches a lot of HGTV.