Opinions

Morgan Shier, MD Morgan Shier, MD (3 Posts)

Resident Physician Contributing Writer

Providence Hood River Memorial Hospital


Morgan is a family medicine resident at Providence Hood River Memorial Hospital in Hood River, OR. Her interests include the social determinants of health, rural medicine, and women's health. Outside of medicine, she enjoys writing, traveling, and nature.




Two Oceans: Rape Culture in Medicine

The sky angry. The waters murky. The fear that at any moment a sudden undertow may drag you deeper into violent waters. A creature brushes your leg, friend or foe unknown. You become paralyzed by fear, anxiety and hypervigilance. You hear someone shouting to you from somewhere far into the distance, “Get out of the water!” But you cannot see the shore. Women live in a world of fear.

Mismatch Repair: My Journey from Pediatrics to Pathology

On St. Patrick’s Day 2014, New York’s coldest in a decade, I was a grass snake banished from the fair isle of pediatrics. In the National Residency Matching Program, just half of one percent of approximately 2,500 pediatrics slots across 194 programs remained unmatched, something like four total positions nationwide.

Handshakes and Shaking Doubt: Reflecting on Being a Woman in Medicine

In the 1950s, my grandmother wanted to be a doctor. She asked her father for her dowry money, wanting to use it instead to get her medical degree to become the first female doctor in her hometown. She married another doctor and practiced from an office below her home, accepting vegetables and dry-cleaning services as pay.

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.

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.