I was struck after my 2-week geriatrics rotation ended last week, because I found myself thinking that it was a specialty that most aligned with my core values of practicing medicine, and its approach to patient care was very unique compared to other clerkships I rotated in. This was realized after one specific clinical experience on my last day of the clerkship, in the Cognitive Care clinic. It was made apparent to me that patient preferences trump everything else especially in this field, where the quality of life is so important. As medical professionals, we are taught to prioritize patient autonomy over everything, but I have not seen that as respected anywhere else as geriatrics. The fellow I worked with made sure to ask permission before delivering any news to the patient and his family, which was unlike the usual immediate offloading of information to patients that I normally witnessed, and did myself. He would ask, “Is it okay if I interpret your test results?” and “Is it okay if I talk more about your diagnosis?” In the end, the family wished not to honor the diagnosis of Alzheimer’s or take advantage of the resources associated with the diagnosis, because of their perceived stigma related to having the label. The attending discussed with me at length that often times, patients and their families will deny the diagnosis initially, but eventually come around when they become more accepting and seek resources and help. I was intrigued by how much we integrated patients’ opinions during these visits, and how we let patients drive the course of the visit.
Vacation in Residency: Making the Best of one Week
Alex is in her first year of residency in Internal Medicine at University of Michigan. While she is unsure what she would like to subspecialize in yet, Alex is considering allergy, rheumatology, and primary care. Her interest in medicine largely stems from her volunteer work in free clinics in underserved communities and experiences growing up with a brother with autism.
Before attending medical school, Alex completed her undergraduate degree at Northwestern University in 2014 and her Master of Public Health (concentration in Chronic Disease Epidemiology) at Yale University in 2016.
When she is not working in the hospital or studying, you can find Alex running by the lake, doing circuit workouts outdoors in the fields, drawing and/or writing, or at home spending time with her family in the suburbs of Chicago.