{"id":43723,"date":"2018-12-14T16:05:03","date_gmt":"2018-12-14T15:05:03","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=43723"},"modified":"2019-02-23T19:16:48","modified_gmt":"2019-02-23T18:16:48","slug":"matt-morgan-and-peter-brindley-some-christmas-words-of-wisdom-for-todays-medical-students","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2018\/12\/14\/matt-morgan-and-peter-brindley-some-christmas-words-of-wisdom-for-todays-medical-students\/","title":{"rendered":"Matt Morgan and Peter Brindley: Some Christmas words of cheer for today’s trainees"},"content":{"rendered":"

In the seasonal spirit of giving, Matt Morgan and Peter Brindley share what they’ve learnt from their time in medicine<\/p>\n

When these authors were medical students\u2014several millennia ago\u2014we faced the difficult challenge of finding a quote to accompany our graduation photos. On the one hand, we had received a marvellous state subsidised education. We had learnt from the best informed teachers and we were truly thankful and humbled and excited for more. But medical school had also been a multi-year arse kicking that included some moody supervisors, persnickety colleagues, and patients who didn\u2019t make it. Accordingly, we were exhausted and bruised and scared. <\/span><\/p>\n

One of these authors eventually landed on the first line of a <\/span>Tale of Two Cities<\/span><\/i> as his quote: \u201cIt was the best of times, it was the worst of times.\u201d Given that he didn\u2019t have a \u201cDickens\u201d what to write, it seemed as good\u2014or as bad\u2014as any one liner. Twenty years on, that quote still causes a wince. It was trite, self-congratulatory, and pretentious. Fortunately, that same doctor had no \u201cgreat expectations\u201d of being anything else. <\/span><\/p>\n

As these aging medics move from Christmas past to Christmas present, we still struggle to dispense wisdom to the latest recruits. This is a problem as our trainees are just as bewildered as us. Likely it is selective memory, but, as junior doctors, we recall being given a hard time left and right. The instructors are gentler now but the students are no less hard on themselves. Their hours are less sadistic but the world sure is not. We were unsure what kind of \u00a0doctors we wanted to be but this rarely found purchase in our sleep deprived brains. We simply assumed that \u201cwhen we grew up\u201d people would tire of reprimanding us, and we would emerge somewhat clinically competent and moderately valued. Contrast this with today\u2019s medical student: up to their necks in worry. <\/span><\/p>\n

Instead of focusing on teaching young doctors life saving clinical pearls of wisdom, academic instruction seems to veer more and more into \u201chow you can maximise your future.\u201d Students feel pressured to regard university as little more than time to buff the CV and outflank the competition. In this solipsistic pursuit they are robbed of the opportunity to expand horizons, nourish neurons, meet soulmates, quaff pints, and cut parental cords. Both because it\u2019s the holiday season, and because it truly sucks, we want to say \u201csorry.\u201d We still have time, and so do you.<\/span><\/p>\n

The talk that welcomed our classes to medical school focused less on \u201cyou are the chosen ones,\u201d and more on \u201cI hope you weren\u2019t a mistake.\u201d Just in case we weren\u2019t \u201cmotivated\u201d enough, we were introduced to classmates who had won Olympic medals, sung in major choirs, and run successful companies. However, as a coda, we later learnt that if we hadn\u2019t been singled out that they still saw something in us: our job was to discover it and nourish it. We graduated bruised but ready to go. <\/span><\/p>\n

We fell into intensive care\u2014or maybe it chose us instead\u2014because we wanted to think and to do. More latterly, we understand that above all we wanted to communicate. We felt confident that regardless of our hours or the cash, we would never work more than our parents or earn less. We didn\u2019t know that workaholism <\/span>would likely increase our risk of premature death, and that our dark humour could reach a point of no return. Hopefully, today\u2019s graduates<\/span> will navigate this better.<\/span><\/p>\n

We now know that we want our days to include not only \u201chead and hands\u201d but also \u201chearts.\u201d For these two doctors, true happiness has become about \u201cmaking connections\u201d whether with patients, colleagues, or even academic ideas. It means that we stop to talk and listen far more than we used to. We just wish we had known and believed this years ago. <\/span><\/p>\n

Back to Charlie Dickens for a sec. He also wrote that we should maintain \u201ca heart that never hardens, a temper that never tires, and a touch that never hurts.\u201d A much more useful quote for doctors, but equally likely to make eyes roll in this best and worst of times. Fortunately, it\u2019s Christmas so we don\u2019t have to worry how corny it sounds: \u201cGod bless us all, everyone.\u201d<\/span><\/p>\n

Matt Morgan<\/strong>, honorary senior research fellow at Cardiff University, consultant in intensive care medicine and head of research and development at University Hospital of Wales, and an editor of BMJ OnExamination<\/a>. He is on Twitter: @dr_mattmorgan<\/a><\/em><\/p>\n

Peter Brindley<\/strong>, professor in the department of critical care medicine, Department of Anesthesiology and Pain Medicine, and the Dosseter Ethics Centre, University of Alberta, Edmonton, Canada. He is on Twitter\u00a0@docpgb<\/a><\/em><\/p>\n

<\/i>Competing interests:<\/strong> None declared.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

In the seasonal spirit of giving, Matt Morgan and Peter Brindley share what they’ve learnt from their time in medicine […]<\/p>\n

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