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GUEST POST: Me and My White Coat
Lyndsey Runaas received her Bachelor's degree in Journalism from Ithaca College and is currently a third year medical student at the University of Wisconsin School of Medicine and Public Health. She has not yet decided on her future field but has interests in both women's health and oncology.
Let's welcome Lyndsey to Health Nuts! She's got the med-school dirt for you. Dying to get your hands on the coveted white coat? Think again.
At my medical school, like many schools, we have a ceremony at the beginning of our first year where we are presented with our first white coat. It is a time to officially recognize that we are on the path to becoming physicians – and all of the privileges and responsibilities that goes along with this profession. It is a special moment for medical students and their families. However, after the ceremony’s over, you go back to textbooks, lectures and exams and your white coat is largely forgotten for the rest of your first two years of school. Sure, it is dusted off for the occasional day in clinic or clinical skills exams, but for the most part our wardrobe in the first two years was not any different from the typical undergraduate garb.
Once third year began, however, I quickly developed a true love-hate relationship with my white coat. First, I learned not all white coats are created equal. There is an unwritten but widely acknowledged caste system among white coats. It is pretty simple actually – the shorter the coat the lower your ranking. Needless to say, medical students white coats are the shortest in the hospital. Suddenly, my coat I had so proudly donned two years ago now marked me as the least informed, least experienced member of my team. My short white coat marked me as a medical student to hospital personnel as clearly as a scarlet M on my chest might.
On the other hand, my white coat became a bit of a security blanket. It has five big pockets with a total of seven different compartments. This was key as I started out on the wards attempting to carry two years worth of medical education as well as numerous tools and reference guides with me at all time. At any given moment I was carrying my stethoscope, reflex hammer, tuning fork, penlight, several pens, my PDA, my pager, my cell phone, a small notebook, Maxwell Quick Medical Reference, The Massachusetts General Hospital Handbook of Internal Medicine and my patient list. Plus, I’ve been known to shove anything from my coffee cup, a sandwich or a small textbook in there as well. Since my coat is so short, my bulging pockets are really just like larger than life saddle bags – obviously a very flattering look. But there is something really reassuring about having all of this information with me at any given moment – in my unpredictable first few weeks on the ward, I never knew exactly what I would need or who would be asking me what so I just tried to “Be Prepared.”
Additionally, the attendings and residents expect us to be prepared. Not only do the coats seem to get longer as your rise up the ladder – but they seem to be less filled with stuff. Now, there does come the rare occasion when attendings might actually need a tuning fork, but they don’t carry these tools themselves, this is our job. This should be, one would think, my chance to shine. I mean, I’m prepared – I can now squat 15 more pounds from all of this baggage I’ve been carrying around! Surely I can produce a tuning fork from my white coat when it is requested. But alas, time and again my white coat lets me down. Because with all of these pockets and all of their compartments, I can never seem to pull out my tuning fork, when asked for, in anything less than a good solid minute. It is so embarrassing, digging through sandwiches and electronic devices, while my resident calmly and easily hands my attending the requested instrument.
In the meantime, I’m already daydreaming about my perfect, long white coat that is waiting for me at the end of this road. I’ve decided I like the type with toggle buttons and cinching at the waist. And I’ll try to be understanding when my medical students have a hard time pulling a tuning fork out of their saddle bags – who knows, maybe I’ll even have a special pocket for my own tuning fork.
My Life...is totally embarrassing
Because I care about my Health Nuts readers, I'm going to set my total humiliation aside and show you something that might (make me look like a huge dork and) be useful...and, yes, probably amusing.
Q & A installment 2: Doc alternatives, psych careers & adjusting to the real world
Have a school-, career- or life-related question for Health Nuts? Leave it in the comments or email healthnutsblog@gmail.com.
- Make a point of keeping in touch with college friends -- but don't rely on them. A phone catch-up one or twice a week is great, but don't spend so much time clinging to the good ol' days that you forget to enjoy your new life.
- Remember reading for pleasure? The last thing a lot of people want to do is pick up a novel at night after reading for three classes in college, but when you don't have to read, choosing to read can be fun.
- Join a group, team, club, anything. By volunteering or signing up for a soccer league or joining a book club, you'll have an automatic pool of new acquaintances.
- Get into a routine. Getting up/going to bed at the same time each day, setting up a workout schedule and having a Tuesday evening grocery store ritual make things feel normal, settled and real.
- Have fun! You'll feel cool doing classy grown-up things like joining coworkers for a drink after work and decorating a new apartment. It's a change for sure, but it can be a good one.




