Continued from Part 1.

Hannah Takahashi Oakland, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.

On my third visit, the most extraordinary thing happened–Ms. F said hello back to me when I entered the room! And over time, although I never exchanged more than that word with her, I felt as though I truly got to know her. Those pictures that I questioned at first became part of my understanding of her. As I got to know her facial expressions, a grimace on one day, an increase in eye contact another day, these became in some way our dialogue, although I never had a conversation with her. And in knowing her, I began to sense that she was deeply saddened by her situation. I spent an hour with her one morning doing as much of a depression screening as I could with her. There are only yes or no questions, but she could only answer the simplest ones. She said yes when I asked if she was sad. She answered no when I asked if she loved her life. We framed it as a palliative measure to her son, and were able to begin her on an anti-depressant.

This home aide and I had a conversation about the Miralax at least 5 times, and yet I don’t think a single thing changed over the year. What surprised me, though, was that I began to look forward to seeing her and got the sense that she began to be happy to see me. When I would call on the phone, we would have more and more to talk about, and she would volunteer more information, saying “I have been waiting to tell you this!”

InterACT sometimes made me uncomfortable. The first few times, I was nervous to go to Ms. F’s house, although I could not have been less physically intimidated by her, her aide, and her beautiful Upper West Side neighborhood. I was nervous about the interpersonal interaction because it was so unlike any other I had ever had. The three of us could not have been more different from one and other, but that meant we had so much to teach each other. The funny thing is, in retrospect, I pretty much failed in my Miralax and urination lessons for the home aide, but she and Ms. F managed to teach me volumes. I learned so much from Dr. Ripp about wound care, pressure ulcers, and constipation. I would show up to the visit with prepared questions about each of these problems: how are her bowel movements? any fevers? how often is she being turned? And then there were the lessons I learned that completely surprised me, that I learned when I was quiet and just listened: what is it like to be you?

oaklah01.111310 resizeHannah Takahashi Oakland is an MD Student, Class of 2015.

During its first 4 years (2010-2014) InterACT was fully funded with a grant from the Josiah Macy Jr. Foundation titled: Educating Future leaders in the Primary Care of Persons with Chronic Illnesses and the Medically Disenfranchised through Longitudinal Clinical Experiences.

Day in the Life: Alexandra on InterACT

Alexandra Bachorik, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

Day in the Life: Chris on InterACT

Christopher Su, MD/MPH Student, Class of 2015, reflects on his participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

Day in the Life: Hannah on InterACT – Part 2

Continued from Part 1. Hannah Takahashi Oakland, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

Day in the Life: Hannah on InterACT – Part 1

Hannah Takahashi Oakland, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

Day in the Life: Ariana on InterACT

Ariana Witkin, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

Day in the Life: Lauren on InterACT

Lauren Feld, MD Student, Class of 2015, reflects on her participation in the Interclerkship Ambulatory Care Track (InterACT). InterACT is a 13-week integrated clerkship which provides select third-year medical students with a longitudinal clinical experience grounded in the foundations of ambulatory medicine, chronic illness care and care for vulnerable persons.
read more

It Takes a Village to Raise a Drag Queen

Earlier this year, oSTEM at Mount Sinai and the Stonewall Alliance hosted the first Mount Sinai Charity Drag Race. As one of the organizers, I can honestly say that the inception of this event started as a joke. Hosting a drag competition at a Hospital/Graduate School/Medical School was a nice thought, but it would be an over the top event that we definitely didn’t have the means to bring it into fruition. Thinking of planning such an enormous event was a little intimidating, but we figured that we could gauge interest from the Mount Sinai Community. We were shocked by the enthusiasm we received, so we kept on rolling with the punches. 
read more

Shape the Times

On Thursday, September 13, the Icahn School of Medicine at Mount Sinai celebrated its twenty-first annual White Coat Ceremony welcoming the Class of 2022. 
read more

Queer and Here: Leading Urban Youth with Pride

I was five years old when I knew for the first time that I was slightly... different. I had gotten into my mom’s closet, tried on her black strappy high heels, and found a beautiful dark red lipstick in her makeup bag. At the time, I thought that it was perfectly normally for any five year-old boy to strut up and down their parent’s bedroom in high heels, rocking the imaginary runway but alas— years later I discovered it wasn’t a shared experienced amongst my peers. 
read more

Fukushima

Over this past summer, after my first year of medical school, I decided to live in Fukushima for two months in order to understand how mental health is affected by large-scale disasters. My first days, and subsequent impressions, in Fukushima left me quite confused about its spirit and reputation.
read more

How to Save a Life: Confessions from the Front Line

As is the case with most medical schools, the institution at which I receive my medical education is home to a myriad of student interest groups for nearly every clinical specialty.There’s your standard fare of IMIG, PIG, and SIG (for internal medicine, pediatrics, and surgery respectively), but then there are a few that are a bit more esoteric, such as the Transplant Surgery Interest Group (TSIG).
read more

Race and Racism in Medicine: An Evening with Dr. Mary T. Bassett

When we invited Dr. Mary T. Bassett, commissioner of the New York City Department of Health and Mental Hygiene, to speak about racism in the health care system at the Icahn School of Medicine at Mount Sinai (ISMMS), we knew that it would be a powerful conversation.
read more