Medical Student Well-Being An Essential Guide

[Pages:198]Dana Zappetti Jonathan D. Avery Editors

Medical Student Well-Being An Essential Guide

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Medical Student Well-Being

Dana Zappetti ? Jonathan D. Avery

Editors

Medical Student Well-Being

An Essential Guide

Editors Dana Zappetti Weill Cornell Medical College New York, NY USA

Jonathan D. Avery Cornell University Weill Cornell Medical College New York, NY USA

ISBN 978-3-030-16557-4ISBN 978-3-030-16558-1(eBook)

? Springer Nature Switzerland AG 2019 This work is subject to copyright.All rights are reserved by the Publisher,whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

To current and future students ? may you find your way to a wonderful life in medicine

Preface

Medicine finds itself at crossroads. Technology and advances in biomedical science allow us to practice sophisticated medicine using precision techniques and ever-evolving pharmaceuticals to fight disease more successfully than our predecessors. We can cure more, comfort more, and offer more hope to those facing illness. In many ways, it is more satisfying to practice medicine now than ever before. Yet the physician workforce is increasingly burned out and frustrated. Attrition, depression, and suicide are frequent topics of discussion at national meetings, in all specialties of medicine. Why now?

As our profession focuses on the systems issues of medical practice in 2019 ? the pros and cons of the electronic medical record, the debate over fee-for-service insurance plans, and how to accomplish the ever-increasing need and interest in access to timely care ? our students need to learn skills that will allow them to work within this complicated system and still love the practice of medicine.

It is a privilege to watch students grow from wide-eyed first-year students to seasoned house staff. It is clear that the energy, enthusiasm, and altruism common among our students are the bases for their strength as physicians. We hope that the suggestions and discussions within this book help students to build skills for a successful and happy life in medicine.

New York, NY, USA New York, NY, USA

Dana Zappetti Jonathan D. Avery

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Contents

1 The Physiology of Stress 1 Jos?phine Cool and Dana Zappetti

2 Mental Health and Medical Education 17 Lisa M. Meeks and Joseph F. Murray

3 Medical Students and Substance Use Disorders 59 Kristopher A. Kast and Jonathan D. Avery

4 Mindfulness 73 Chiti Parikh

5 Incorporating Exercise into a Busy Life in Medical School 97 Kerri I. Aronson and Dana Zappetti

6 Religion and Spirituality Among Medical Students 109 Paulette Posner, Muhammad Ali, and Stephen Douglas

7 Wellness for All: Diversity, Challenges, and Opportunities to Improve Wellness for Medical Students 125 Elizabeth Wilson-Anstey, W. Marcus Lambert, and Heather Krog ix

x Contents

8 Financial Wellness for Medical Students 155 James M. Dahle

9 Beyond Graduation: Next Steps in Wellness 171 Janna S. Gordon-Elliott

Index 189

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