This is by far the best medical channel out there. No bullshit, no virtue signaling, just good advice. Major props for shouting out PPP. I hope my generation of incoming medical students does the right thing for our profession.
The last segment of this video is so important for pre-meds to see. In the words of a really good friend/mentor regarding scope creep, "Everyone wants to be a doctor, but no one wants to do the work."
If y’all only can only watch for a few minutes, start at 7:16 . This point is the most important, especially for the younger population who will have to fight this.
I wish med schools treat their students not as med school students but as future physicians that need realistic advice on the hardships (mental, physical, financial, social, etc) with medicine.
"Despite having fewer than 10% of the clinical hours of a physician, I am equally qualified!" Thank you, Dr. Jubbal, for speaking on and restoring some of the most basic logic and reasoning there is. It has been so concerning to see how much medical decision-making and clinical leadership have been sapped from physicians over recent years. My colleagues in the medical training pathway and I pursue the utmost training in order to be best prepared to truly lead a team in taking care of patients. This is an incredibly complex and systemic issue, so communicating to a large audience such as yours is greatly appreciated in the name of giving physician-led care arguments a bit more ethos.
yes, always treat yourself, your health is the most important. im a medical studying dying in med school and i would get soo annoyed and irritated when the med school people say, " you need good sleep and long sleep" while they give us a shit ton of assignments due for the next day...
Thank you so much for including information about the PPP and scope of practice creep. This is such a huge issue that many medical schools refuse to address. We need more people talking about this!
Great video man. I finished my first week of family medicine. I can see how doctors can get burned out or jaded. It was definitely a learning curve but most people genuinely want you to succeed. And that includes your patients. If I've learned anything from my patients, it's the importance of living life now and enjoying small reasons to celebrate. Whether it's going to my PhD graduation or spending time with other colleagues, patients do care about your mental health and taking time to live life. Because anyone can get sick. The most valuable commodity is time not money. For me, my patients have taught me this and made me much more open to trying new things and remembering to focus on the essentials rather than the stuff people bitch or complain about.
What med school didn't teach me either was how to deal withe family around sick patient (especially when it's a long-term condition). Including children, spouses, parents and friends is a real challenge and u just have to go w the flow which is often a true walk on eggshells
Wow thank you for actually advocating for patient safety and physicians/medical students. I really appreciate it and hopefully more people will be vocal about this.
I'm in my first year of my clinical rotations, and I already met 2 doctors who said they regretted choosing a specialty without taking money into consideration
The diet one is a big one. A lot of people warned me I’d gain weight from the stress of med school, so I entered first year with a few ground rules: no soda, one carb a day, maximum once a week take out. Just following these, I actually ended up losing weight compared to undergrad!
I agree financial literacy is lacking in our healthcare professionals and student loan debt is weighing us down. We paid off $300,000+ of student loan debt from medical & pharmacy school during residency/fellowships over 74 months. Looking back, we wish we were better educated on the burden of this debt BEFORE taking it out. To pay it off, we realized the power of decreasing expenses and increasing income through moonlighting, entrepreneurship and passive income.
Kudos for the shout out to Physicians for Patient Protection and your support for physician-led care. Together we are making a real difference - current and future physicians are answering the call to protect patients!
One of the best video in this channel that already has a lot of good content. But this one, I don't know, it is very complete, realistic and rich in constructive tips. Thanks. A pathology resident and researcher from Italy.
Well said! Only feedback I have is that making ‘rules’ around eating (eg. no deep-fried food) can be detrimental in the long run to our relationship with food and our mental health. Intuitive eating (check out the articles/ books on it) can be a much healthier approach long term.
As a former RN and a current MS2 (almost MS3), the issue of scope creep hits close to home for me. I consciously made the decision to leave the nursing profession and pursue medicine, so the idea that someone with only midlevel training claiming to be competent enough to practice autonomously is quite disturbing. Having been on both ends, I can honestly say that while nursing school is challenging in its own way, medical school is 10x, if not 100x worse. So no, midlevel providers cannot even compare.
very valuable video!! but for some reason, I'm dreading the fact that I will have to face imposter syndrome at some point in my med school years. sixth-form (a-levels) graduate. looking forward to med school years.. currently reading many books can you recommend some: they can be medical related but don't have to be. good luck to all of the doctors.. what propels me is the vision that I have that a career for passion in medicine can help me to change even a slice of the world. xx
I recently read a bunch of medically related books recently right before i start med school! I recommend “when breath becomes air” by Paul Kalanithi (made me cry, memoir written by a neurosurgeon resident), “being mortal: medicine and what matters in the end” by Atul Gawande (one of the classic books that is often mentioned in med school related classes), and Emperor of All Maladies (this is a huge book detailing the history of cancer treatment. Incredibly interesting to see how far we have come for treating cancer. The book also won a pulitzer prize)
PA's understand their role in healthcare and don't believe they should be practicing autonomously. The profession was developed to supplement patient care, not replace physicians. The amount of autonomy a PA is granted should be dictated by the experience level, but there is a reason why PA's must be in a collaborative contract with physicians and supervised in some capacity to be able to practice. The depth of knowledge that physicians have is precisely why they are considered the specialist. As a PA student, I have the utmost respect for physicians and the rigor of training they must endure to achieve their status. No one is taking that away from them. I would never downplay the level of their education. Physicians have their role cemented in healthcare and will always be the commander of the ship. I think each profession has their own unique roles that is of benefit to the patients'... which is the the reason why we chose to work in healthcare, right? However, I do disagree with NP's pushing for complete autonomy (Although they have already been granted autonomy in several states --- the nursing lobby is quite strong). I think this can be a slippery slope.
@@a.d.w8385 Well that is unfortunate. So did the children die because the family thought they were being treated by a physician...so if they would've known it was an NP, they wouldn't have died? Unfortunately, a lot of patients die from medical errors every year - and those medical errors are committed from every type of healthcare professional whether it's an MD, DO, PA, NP, RN, etc. There is no research to support that death rates differ between providers (granted, physicians do tend to handle the more complicated cases... which is great because they are the specialists and we need them to!) NP's should not call themselves doctors in a medical setting in my opinion, unless they specify that they are a NP.
As a current physician assistant student, I completely agree with the mission of the Physicians for Patient Protection. Patients do deserve physician-led care and team-based collaboration. The PA profession was created to work with a physician and is not meant to replace a physician. However, the fact that PAs "do not go to rural areas in any greater numbers than physicians do" is false... 11% of physicians go rural as compared to 16% of PAs who go rural (still very low percentages both ways, but PA% is much higher considering 19% of the US is considered rural. The percentages should be more equal). The problem is in the fact that there are not enough physicians in rural areas.
I start school in august and I’m already trying to figure out my workout schedule and meal preps. Taking time to focus on those little things and my personal health while creating my schedule really helped me feel in control of my life before the pandemic started 😭
@@melissaherrera940 omg I'm the same! I already have my morning routine/workout and study schedule figured out :D it makes me feel a lot better and gives me more time to think about socializing and having fun once im there!
samee😭 and that's why I'm going for neuropsychology instead of my "lifelong" dream of neurosurgery. 14 year old me definitely did NOT know what it would take to be a neurosurgeon😅. Not like neuropsychology isn't very hard either (I mean, you have to get a PhD), but I think that overall, it's more suited to my ambitions, personality type, and where I see myself in 10 years than neurosurgery.🙃
@@nusaibaroza6548 I'm 18 now and about to enter college and my biggest piece of advice would be don't force it. There is more than one profession that you can succeed at. You can work towards being a neurosurgeon by taking premed classes and all, but if along the way, you realize that it's not for you, it's totally fine to switch it up and do something else. On the other hand, you might shadow a couple of doctors and realize that you truly want to do this for the rest of your life. My point is: don't stress, you'll figure it out and it'll all work out in the end.
Hey Dr. Jubaal, I wanna ask you a question: "How did you manage your time so effectively, like you're active on all fields from being in a med school to having a vacation tour to gym and many more? Please make a separate video on it. It's gonna be really helpful for all of us🤗 -Love from Nepal🇳🇵
Absolutely amazing video, I have never ever seen this good youtube channel, kuddos to you Dr Jubbal, I wish I could meet you one day when I become a doctor, thankyou sir.
Oh my gosh, I didn't know how much I needed this vid. So much of this applies to nursing students just as much as med students. (Now don't worry, I'm not saying that nurses go through just as much intense pain and hard work as doctors do and thus are just as qualified/should be put up on the exact same pedestal), but it's still a very tough study and field nonetheless where many of these same aspects discussed here also apply very strongly. I've seen all too many nurses grow disillusioned with their career choice eventually and seemingly even become desensitized to patient suffering as a result. I also see many completely give up all efforts towards their health, mental health, and social/family life as a result when they really don't have to, and shouldn't. I'm still struggling with some of the latter problems myself, having received my first taste of the rigors of what nursing school will be like this past semester with taking A&P I, Microbio, and Nutrition all at the same time, which was tough for someone just getting back into school period and also having never taken online classes before. (But despite that I still made all A's thanks to your study methods!) With every semester, I also know I'll get better and better at it.
I'm a RN and I'd love for you to post a video on scope of practice creep! I'm a strong advocate for primary care NPs but I greatly prefer a PA or physician for acute care due to NP education being far less regulated and/or vigorous on the subject.
Primary care should not be excluded from physician lead medicine. The perpetuation of the lie that family med is easy is a detriment to patients and an insult to the physicians whom chose family med. It is one of the most difficult specialities.
@@whitefro024 I agree with you. Family medicine takes a vast amount of knowledge due to the fact you're treating such a wide spectrum of patients and I do not advocate for primary care NPs because it's "easy". I advocate for primary care NPs because of 2 reasons. 1st of all the literal reason NPs were created was because of the shortage of family medicine physicians and because more and more future doctors choose more lucrative specialities that will never change. 2nd is that the data shows that patient outcomes are the same or better under NP primary care. The only con is that NPs tend to order more diagnostic tests and referrals (more cost for patients?) but that could very well be the reason why their outcomes can sometimes improve under NP care. Primary care NPs is not really scope of practice creep imo. They were created to address a genuine need and they've done a good job for decades
@@mrs.wolfengrave8786 So you’re telling me that someone with potentially a 2 year online degree (many NP programs can be done online) can provide as you stated “the same or better care” compared with someone who went through 4 years of Medical School, and at minimum 3 years of family medicine residency?
That is exactly what the data states. You can look it up i swear I'm not making this up! NPs use this data to creep further into practices that were usually reserved for physicians but my worry is that it'll take more data to state otherwise to finally find the line in the sand that cannot be crossed. Acquiring data like that takes years and patients will be hurt in those years of data collection. Also your statement about NPs isn't quite accurate. Most NPs (not all unfortunately and I greatly disagree with this!!) Have years of nursing experience and most NP schools require a certain amount of experience to be accepted. I'm not trying to say that a NP is as knowledgeable as a family medicine doctor. In a perfect world everyone would see a physician for medical care but there aren't enough physicians who want to go into 200k -500k debt to be a primary care clinic doctor. NPs fill that void well. That's not creep that's necessity.
So you want to be an immunologist? Also, in this video you mention a lot of very important things not only about medical school, but life in general, great job!
I don't get this idea that the additional debt and the late start for higher earning potential are somehow an issue. Where I live, most specialist physicians make at least half a million dollars per year. That's more than ten times the average worker. So what if they have more debt? So what if they start making that kind of money at, say, age 35? They will catch up to all those nurses, architects, engineers, middle managers, and other professionals who allegedly started saving at 22 in two years at most! Imagine making 500 000$ a year! Let's say you pay 200 000$ in taxes and you live on 100 000$. You still have 200 000$ left! You can pay all of your student loans with that money and still have some left over, and that's just after the first year! In all honesty, if you are a specialist physician and you still haven't retired at age 50, you're doing something wrong.
@med school insiders: to be a pediatric surgeon would that just be a different residency than regular surgery? do you have to have 3 years of pediatric residency and then go for surgery?
I dont think that's what's happening. Physicians and Surgeons are still 8n the room guiding those machines. We don't have the technology to have robots doing that without human guidance yet.
I'd ask the question "Why so much contempt for doctors?" instead. Doctors are commonly referred to as heartless robots with brains and nothing else. Their education is belittled by people who think their bachelor's degree is equivalent to an MD/DO and a residency. Their pay is excellent, however it came with the opportunity cost of their entire 20s and an unbelievably stressful time during med school and residency. In return for their hard work, they are called that they are penny pinching and greedy. Simultaneously doctors are held to a higher degree of professionalism than the majority of society, and yet demonized as unfeeling opportunists. Doctors are not their caricature. Meanwhile, "heart of a nurse" and the million stories we've all heard of residents being bullied by nurses, attendings called repeatedly to purposefully interrupt their sleep as a form of revenge, and etc.. Everyone needs to think the best of nurses, or they're insulting. Everyone needs to think the worst of doctors, otherwise they're minimizing the work of everyone else on the team. The dynamic places doctors in a strange and difficult position where outburst is unacceptable and they must allow themselves to be walked on. So, "why the contempt for doctors?" may be a better question. Everyone likes nurses, they're invaluable. I've got no beef with nurses. It'd be nice if doctor day didn't just come with a high-five though.
So right! Let's be honest, our society doesn't value excellence. People like to hate on high achievers because they themselves don't want to perform as highly.
I think he's fed up with the fact that there is a movement of Nurses who are undermining the role of Physicians because they, too, want the title of Doctor, without the liability Physicians have. This movement has already cost patients lives, including children. So he has contempt for those nurses because they're ego can be dangerous. I don't think he dislikes Nurses in general.
