Being Valued is Undervalued

Back in 2022, an interesting JAMA study called "Trends in Clinician Burnout With Associated Mitigating and Aggravating Factors During the COVID-19 Pandemic" came out. The survey reflected responses from over 20,000 US clinicians and demonstrated that chaotic workplaces and lack of control of workload were associated with higher burnout (think emergency departments or a poorly run, overscheduled clinic), while efficient teamwork and feeling valued were associated with lower burnout. 

People sometimes pay lip service to the importance of being appreciated, but this study supports its significance.

Consider this study's results when making decisions about what field to choose, where to train, and what position to take after residency. Here's the article.

AAMC Report on Residents 2025

Yearly, the Association of American Medical Colleges publishes a report with residency statistics. The 2025 edition has some interesting data:

1. In 2024, women accounted for 50.2% of residents and fellows, representing a persistent increase that has been noted over the past years.
2. Only approximately 29.4% of medical students list the same specialty preference on their graduation questionnaire as they did on their matriculating student questionnaire.
3. US osteopathic (DO) seniors saw a 92.6% PGY-1 Match rate, the highest ever.

You can find more information here.

Two of my Very Talented Friends - Together

I want to recommend a great podcast episode: On her Visible Voices Podcast, my pal and former resident Dr. Resa Lewiss recently conducted a fantastic interview with another friend and former resident Dr. Shan Liu.  

Resa co-authored the book "MicroSkills: Small Actions, Big Impact" and launched Visible Voices in 2020. Shan, who is on faculty at Harvard, wrote the children's book Masked Hero about her great-grandfather Wu Lien-teh who designed a facemask that helped successfully contain the 1910 Manchurian plague and who was the first Chinese person ever nominated for a Nobel Prize in Medicine. It's a fascinating story about public health, systemic racism, legacy, and important passion projects.

Medical School and Residency Admissions: It's Not Personal

When I was in my second year of medical school, a third-year student (who later also went into emergency medicine, as I did) came to speak to our class about being on the wards. He gave an animated talk about how important it was to recognize that when residents, attendings, or nurses hollered at us on our clinical rotations, 99% of the time, it wasn't personal. He likened the situation to Boston traffic - how drivers lean on their horns simply because they are frustrated about their days.

It's not personal, he said.

I say the same to those I mentor. Applicants get an interview at one highly ranked institution but rejected at what is considered a lesser one with no clear cause. Faculty interviewers mix candidates up with one another; some turn up wholly unprepared - reading applicants' AMCASes or ERASes for the first time during the interview itself. 

Remember: It's not personal. This process is arduous and cruel, and most candidates, faculty, and program coordinators are tired and doing their best in a dysfunctional system.