Floating Doctors... Life After Medical School

The Floating Doctors Mission is to reduce the present and future burden of disease in the developing world, and to promote improvements in health care delivery worldwide.

• Providing free acute and preventative health care services and delivering donated medical supplies to isolated areas.
• Reducing child and maternal mortality through food safety/prenatal education, nutritional counseling and clean water solutions.
• Studying and documenting local systems of health care delivery and identifying what progress have been made, what challenges remain, and what solutions exist to improve health care delivery worldwide.
• Using the latest communications technologies to bring specialist medical knowledge to the developing world, and to share our experiences with the global community and promote cooperation in resolving world health care issues.

Sound like something that you might be intrested in helping out? You can help Floating Doctors with a donation of any size.

Volunteer medical providers?

Doctors, nurses, PAs, NPs, dentists, optometrists, physiotherapists, occupational therapists, medical students, public health researchers, educators, engineers, and anyone with a pair of willing hands and the desire to help out in this world are welcome to participate in our project.

Everyone has some special talent or characteristic that can be used in the service of others. We pride ourselves on maximizing the experience of our volunteers to express their particular talent in a way that brings the most help to our patients.

We have no minimum or maximum length of stay and a reputation for working hard and being easy to work with. It is impossible to know exactly what kinds of cases we will see, or what situations we will encounter. All we know is that it will be an adventure of the heart—at some point, there will be a moment where your presence can mean a tremendous change in a person’s life.

Here is a typical experience for a volunteer…a surgeon from Austria vacationing in Panama decides to joining Floating Doctors for a one-day mobile clinic to a remote island indigenous village.

“Life is not about seeing what you want and how to get it but rather is about seeing what you have and how to give it.” Frank Baxter

The Passion Manifesto: Why Every Medical Student Should Rethink "Traditional" Medicine. (Part 1)

A personal yet rational case for the pursuit of the moon, and stars... and throw the asteroids in while we're at it. Heck, wrap it all up for a "to go" order. 

I can’t push these questions out of my mind.

They seem to invade my skull with a fervor that can only be explained by the fact that the answers will determine what my future life will hold.

Will it be a life defined by passionless work, constantly feeling out of kilter in an environment that just wasn’t quite made for me? Will it be the romantic visions I indulge in of a man on a mission in the heart of a wild land, with an invaluable skill and zeal to match, righting the wrongs in a forgotten corner of the world? Will it be relegation to a large grey building filled with sick and dying people who in many cases won’t lift a finger to help themselves, but frustratingly expect to be cured by modern wizardry and a pill? Will it be the life of a nomad, drifting from here to there; in and out of towns and countless lives, cursed with an incurable nomadic soul? Perhaps the life of a key-clicking storyteller will be mine. Writing the stories that deserve to be told of the unsung hero, the underground hero that deserves recognition and a face.

These are the questions that have been floating through my cerebral cortex of late. They will not go away, they will not improve, I cannot banish them from my thoughts.

Some people seem at ease living a life unexamined. I cannot indulge thusly. I need my existence to mean something. I need my action to be meaningful and deliberate. I need the possibilities to be endless. I need to believe that I can be passionate about how I am living NOW and not just scraping for a grade, which will POSSIBLY eventually lead to a small measure of meaning. I need to be on top of my game and in the moment and full of the rapturous joy of living. Pain? I can handle it if an end is in sight. Disappointment, I can weather it if I am convicted of my cause. Grief, I can bear it if I see the purpose in it. What I cannot abide is an endless number of days filled with a transient existence… mere platitudes in exchange for a real life of weight and substance.

Money is fun, yes, but past what is needed to maintain some semblance of comfort it matters little me. I hold this view principally because I have little of it, if I possessed a fortune my tune would doubtless change. That very fact is a good reason to steer clear of fortunes. Money. That pitiless taskmaster under whose whip so many voluntarily bows their heads. That alter upon which so many sacrifice their souls and lives.

Embrace the gambler?

Some would call me a gambler. Willing to risk the safety and certainty of a “stable” and “responsible” choice in lieu of the moon. “The paradigm you seek is unattainable,” they say. “The reality you pursue is not measurable or concrete in a way that we agree with, and it makes us uncomfortable,” more accurately reflects the sentiment.

I am not lauding the senseless disposal of resources into that most heinous of bandits in need of a prosthesis, but at the gamblers heart is not evil. That misguided soul has hope, albeit of a gnarled and mangled fashion. They would turn nothing into something, if they had their wishes. All the gambler’s underpinnings are not sordid and ominous. They possess the ability to lay things of importance down, to detach themselves from the sure thing in pursuit of the dangling possibility. A gambler is really an entrepreneur, gone wrong.

To harness that talent means to be a successful investor, to over-indulge and misalign that same gift means to fall into that certain and stealthy abyss. Addiction or passion? The wafer thin wall that separates the two is often nearly translucent. That may be why so many won’t allow themselves near it, for fear of breaking through.

Passion is a strangely amorphous, yet universally desired, commodity. It as been directed at nearly every conceivable endeavor from the seemingly mundane act of button collecting to such adrenaline-drenched pursuits as hurling one’s body from a ledge wearing naught but a glorified sheet stuffed haphazardly into a backpack. The domicile of this enigmatic feeling is often hard to predict. It can spring up and take root in nearly any soil; no matter how seemingly desolate or blank the slate appears. Passion is also desired by nearly all humans, but in spite of all these favorable characteristics, this most sacred of grails is a painfully scarce commodity.

I am going to hazard a wager. My wager is this: that nearly every singular activity at which a passion has been directed throughout the whole of history could/ has/ or will be molded into a monetarily feasible proposition. Creativity and ingenuity will be required, more in some cases than others, but the POSSIBILITY is there to turn nearly every activity or passion into a business model.

Now I will take that last paragraph, blind fold it, and turn it loose in a different direction. Can a person find something they are passionate about doing, an activity that drives them to pursue perfection unharried, in virtually any existent professional circle? It is an interesting question to be sure.

Is passion even possible in medicine?

Sadly, medicine has one of the greatest potentials of any professional to be a soul sucking passion-sink. I have been a first hand observer of this throughout my life. My family is somewhat of a medical mafia family. The strange customs and rituals, the secretive and enigmatic lingo, the bleeding together of home and work, the all consuming nature of the "family business," and even the fact that a lot of blood flows in the course of doing business... all similarities between my medical family and the mob. 

I HAVE seen many family members use the profession as a means to do great good, while preserving and USING their external passions to do so and I laud them for this ability. I have also seen people in my family loose themselves, their spark, their drive and passion, because they pursued medicine instead rolling the dice on a dream. 

If one is going to "do medicine," without losing their soul... it is going to be a no-holds-barred royal rumble. It is not a profession that generally rewards the balanced individual. The individual that seeks a medical career, but also desires a sane lifestyle. People that work a normal amount of hours or try to work more efficiently are often viewed as being a slacker (I am experiencing this first hand as I try to keep balanced during first year).

In the established medical system, the gambler is wholly vilinized. Keep your head down and follow the protocal. Don't make waves. Don't suggest a good idea to an attending or you'll be singled out for a good old fashioned pimping. Work harder. Whether you are working smarter or not is of lesser importance. Give up your hobbies. Be consumed by the profession. Cover your ass in lieu of making the objectively correct decision.

These are generalizations sure, but too often accurate ones. The really sad thing is that many times the aforementioned traits are touted as preferable or morally superior in some skewed sense.  It isn't explicilty verbalized this way, but the predominent currents flow from these icy tenents. Going down this rabbit hole is supposed to somehow makes you a better doctor. 

This is NOT the case.

The new generation of doctors are beginning to realize this. As compensation decreases and information load increases, young would-be doctors are forced to take a hard look at medicine for it's face value. The days when benjamins could universally override doubt are slowly coming to a close. This article has some salient points and perspective on why this is the case. Suffice it to say that the ROI is often not good enough anymore to make people part with their less secure dreams and a "balanced life."

The status quo is being challenged. The "medical establishment" is realizing that it is having a harder time recruiting the top tier of innovators and free thinkers that will push medicine forward. 

Passion and innovation must be rewarded or this will continue to happen. The gambler must be embraced and utilized. Balance must be encouraged. A more human person will also be a more humane person.

Can a medical student (as I find myself) find passion in medical school by starting a medical school blog, even if they currently find their situation passionless? Can a previously stolid accountant breathe passion into his professional world by changing a venue, entering a niche, or altering a mental paradigm? Can a barista gain a passion for their work by starting their own mobile coffee cart instead of working at a major coffee chain that shall remain nameless (it rhymes with car-ducks). I posit that in many or most cases this is possible.

Not ALWAYS possible though... If medicine is not your passion GET OUT MAN! Make a responsible exit strategy and EXIT. If you can be passionate in a different part of medicine, CHANGE your course. Get into something that you think is FULLY great.

The tortuous road to the moon.

When a person sees that it is not a feasible proposition to turn their current pursuit into a passion... why then do they persist? There is no excuse for this! There are more niche market opportunities now than there has ever been in the history of the earth! That statement should be self evident in describing the possibilities. Allow me to provide examples.

There is a guy who’s living, his calling, his passion is to read the mail of complete strangers and expose their secrets to the world… His name is Frank Warren and he is the founder of Postsecret.com

There is a man named Jerry Greenfield who thought he wanted to be a doctor. He, in fact, applied on three separate occasions to medical school and was denied each time. He thought he wanted to be a doctor, but it didn’t seem to be working for him. He decided to take stock of his passions. He loved ice cream. He wanted to start a small business. He took a $5 correspondence course on ice cream making and promptly opened a small ice cream shop in Burlington Vermont with his long time friend Ben Cohen. You may have heard of his shop. It’s grown a little since then. It’s called Ben and Jerry’s.

There is an individual who was in medical school at Harvard University. During his time there, he found that he was spending much of his time writing instead of studying as religiously as many of his classmates. Realizing that art of the pen was his passion, he decided not to discard it and continued writing feverishly throughout his four years of medical school. When he graduated, instead of stuffing his aspirations on the back shelf and entering a full time clinical career, he began the risky proposition of writing full time. It turned out to be a good move for him, because in 1994 he became the only creative artist ever to have works charting at #1 in film, TV, and book sales simultaneously. If you have ever seen the film Jurassic Park, watched the television series ER, or read one of his numerous best-selling books, you have appreciated Michael Crichton’s decision to follow his passion.

Engaging in passionless work is one of the greatest crimes that can be committed against oneself and society as a collective entity. Creating a passionate place where one can use their natural gifts for betterment of humanity and fulfillment of self, conversely, is one of the greatest goods.

These thoughts continue to consume my mind. They will leave me no peace until I have donned the unitard of action and wrestled with my doubts. Will it require a roll of the dice or a calculated reshuffling of the cards I have been dealt? Likely Both. The platitudes must stop. My life can have passionate direction. It will. It must. This is my manifesto.

Through the slightly course language, this guy makes a great point. 

Physicians & Lifestyle Design

By Greg Bledsoe MD MPH

Over on Freelance MD, I've posted a couple of articles about taking responsibility for yourself and "building your own ship" , and we've also gone through a few common reasons why physicians aren't the best at career modification.

In this post, I'd like to spend a little time introducing you to the idea of "lifestyle design," something that has become a bit of a buzz-phrase in the business world but as far as I can tell hasn't penetrated the world of medicine just yet (for a lot of reasons).

I'll begin with a personal story...

When I jumped off the academic track in 2006, I wasn't exactly sure what I wanted to do as a career but I knew I wanted something unique.  My idea was to design a career that was flexible, fun, adventurous, and meaningful, all the while paying my bills and being a responsible spouse and parent.  Simple, huh?

I spent months thinking about how to do this as a physician.  I searched websites and blogs.  I spoke with mentors and colleagues.  I read the literature, all to no avail.  There seemed to be no conversation about a career like this in medicine.  I mean, there were a few articles about volunteer opportunities or non-traditional careers, but nothing really like what I was trying to create.  

What I found, though, was that while the medical community was silent about how to develop a very non-traditional and interesting career, the business world had already awakened to the idea.  Within the world of business, the idea of becoming a "free agent" and overhauling your career through "lifestyle design" was beginning to pick up steam. 

Around this time I picked up a copy of the book Free Agent Nation by Daniel Pink.  I'm not sure how I found this book, but it became a sort of manifesto for me.  In this book, Dan explains how more and more individuals were escaping their cubicles to become independent free-lancers and living their lives with increasing flexibility and empowerment.  It was a great read and it hit me at a very important time.  Through this book I realized that I was not alone in my desire for more autonomy, and that a lot of workers who had already yanked themselves off the grid were thriving.  I was hooked.

The second book I read was a book that has become a bit of a cult classic already, Timothy Ferriss' text, The 4-Hour Workweek .  This book is a basic introduction to how Tim built a stream of residual income and then used his extra time and money to explore his interests and live a more interesting life.  It was Tim's book that introduced me to the term "lifestyle design," and while the phrase might seem a bit hokey, it's a very powerful concept.  Basically, what Tim discusses in his book is the idea that it is possible to live an incredible life if you prioritize correctly, live frugally, and develop your entrepreneurial side.  Some have criticized the book recently, explaining that no productive person-- not even Tim Ferriss himself-- really only works four hours a week-- but I would argue that that's not really the point.  The catchy title sells books, but it's the mindset Tim describes that is the reason why the book is an important introduction for individuals who feel helplessly caught in a hamster wheel at work.  Tim's point is that you can-- through ingenuity and hard work-- leap off the hamster wheel and into something much better.

So how does all this apply to physicians?

Well, when you have a career discussion with most physicians, it often boils down to whether or not that individual wants to continue practicing clinical medicine or go into a nonclinical job.  There's nothing wrong with either, mind you, and I have friends who have great careers in each; however, for me and for many other physicians, I suspect, this approach is just too simplistic.

The fact is, I like clinical medicine.  I've spent a of of time getting good at what I do and I'd like to continue to be able to help people by providing good clinical care to patients who need it.  I also like many aspects of the nonclinical opportunities available to physicians-- things like consulting, writing, medical device development, and many other niches really appeal to me.

My main question is not whether I want to practice clinical medicine or jump into a nonclinical career, it's how do I design my life to be able to practice medicine, participate in the nonclinical activities I enjoy, and still have the flexibility to pursue life outside of medicine?  Discussions about clinical versus nonclinical are at their core too reductionistic for most modern physicians.  What most modern physicians really need to be having are overarching discussions about how to design a lifestyle that incorporates the multiple facets of their career interests and also does not overlook the ultimate (and most likely unspoken) goals they have for their lives. This is a much deeper conversation, but one that is desperately needed today in this time of significant upheaval in our healthcare system.

So where do you begin if you're a physician and you are interested in exploring this idea of "lifestyle design?"

Well, don't go to the career advice section of your specialty journal and certainly don't go to the HR person at your hospital or academic institution.  

In my opinion, you should begin by checking out the conversations going on in other fields.  There are some incredible websites built around some really creative and interesting people who are living fascinating lives and teaching others how to do the same.  Check out the following as a starting point:

• The Blog of Tim Ferriss: Experiments in Lifestyle Design
• The Art of Non-Conformity Blog
• Thrilling Heroics with Cody McKibben
• The Blog of Corbett Barr

Once you immerse yourself in this culture you begin to see possibilities that you never would have realized before.  What's more, as a physician there are even more possibilities available to you than for the typical person, if only you'll step out and take a little risk.

Over the last few years this idea of lifestyle design has been a focal point of my thinking when it comes to career moves and ultimate goals.  I've invested a lot of time, cash, and sweat into learning how to build a unique career, and my hope with ExpedMed is that we can use this website as a vehicle to help other physicians, just like you, succeed in designing a lifestyle and career they truly enjoy. 

As a medical school student, you can begin by using Uncommon Student MD to become familiar with all of the ways that you can leverage your medical degree and choose a lifestyle as a physician that you find most rewarding.

About: Dr. Greg Bledsoe is has founded a number of startups including ExpedMed, the Medical Fusion Conference and Freelance MD.

Stop Asking For Permission

Here's to the crazy ones.

By Franz Wiesbauer MD MPH

When we talk to our physician readers at conferences or during coaching sessions, several themes keep coming up again and again: Doctors think they don’t have enough time, enough money or both.

When we coach them, we usually ask them “What could be a way out?”. Very often the response is – silence. Physicians are very often unispired when it comes to creative solutions to their own job frustrations.

Why is this so? We think that it’s the physician-mindset which is the problem. We, as physicians, have a permission-based approach to work. All our lives, we had to get permission for doing stuff: we had to get permission to attend a good high-school, a good college, a good medical school etc. After graduating from medical school, we had the permission to practice medicine as a resident, after the board exam we got another permission, then we go into a sub-specialty and we get yet another……you probably guess it: permission.

So whenever we ask our readers, friends and clients: “…you have passion xyz, why don’t you just try to make it a side-busienss?”, we usually hear: “because I was not trained to do that.” Which basically means: “nobody gave me permission.” Do you think Steve Jobs would have come up with the Apple empire if he had a physician-mindset? Do you think that Mahatma Gandhi was trained to be the leader of a peaceful revolution? Do you think that Richard Branson got permission from anyone to start his multimillion empire? The answer is of course – “No”. And why “No”? Because most of them were the first ones to do the shitake they were doing. There just was no one around to teach that stuff.

So what do these successful people have in common?

1. They had an idea
2. The courage to start
3. The self-discipline to follow-through
4. The abilities of an autodidact

You passed all those difficult hurdles, you went through medical school and you probably are used to busy and exhausting work of a healthcare setting. So it is very likely that you have the stamina to follow through. We also assume, you are a quick and autonomous learner. Moreover, as we know from our talks with many of you, you might even have an idea. It is cristal clear, what’s holding most of you back from just f*n doing it is: FEAR. You don’t yet have the courage to start. And we will change that.

About: Franz Wiesbauer MD MPH is associate professor and clinical specialist for internal medicine at the Universiy of Vienna. His passion for healthcare and technology led him to found a physician e-learning company (123sonography.com) and to co-found MedCrunch.net together with Lukas Zinnagl MD. He is an author at Freelance MD.

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There Must Be A Better Way

10 Steps To Avoid Becoming "That Doctor"

“What man actually needs is not a tensionless state but rather the striving and struggling for some goal worthy of him. What he needs is not the discharge of tension at any cost, but the call of a potential meaning waiting to be fulfilled by him.” - Dr. Viktor Frankl

Recently, I was examining a 4 year old boy who came to the clinic with a cough. As I bent my six foot five inch frame down to his level and pressed my stethoscope to his small chest, he watched me intensely. I flashed him a quick smile; he returned the favor and continue to observe every move I made. When I finished listening to his lungs, his curiosity could no longer be contained. He looked at me and said, “Can I listen to your heart now?” So for a moment we traded places; he became the doctor and me the patient. He was actually quite good at imitating me by quietly tuning in to hear my heart beat and prompting me for a deep breath by inhaling and nodding for me to follow suit. As he was finishing with my exam, his mother, beaming with pride, said, “He wants to be a doctor, and that’s what I want him to do too.” I chuckled thinking at once of my many sleepless nights, stress over exams, and the events with family and friends I had already missed in pursuit of this noble goal, and I’m just getting started.

As the little boy and his mom left the clinic, I began to think about the many overworked physicians I see or speak to, who started out like my young patient then slowly had the wonder and excitement sucked out of their physician experience. Some doctors have even responded to my questions for advice with, “I have no idea why anyone would want to go into medicine any more!” If I’m honest, sometimes I feel they may have a point. Then again, I have met physicians who still love the work they do. Over the weekend, I spent some time with a family friend who is an ER doctor. I asked if he got frustrated by all the “waste of time” consults he sees in the emergency department. Looking at me genuinely he said, “Every patient visit is an honor for me, I see them as a life I can touch.” I guess I shouldn’t have been taken back, but I didn’t expect that response from an ER doc with 30 years under his belt.

The question that begs to be asked is simple, "What’s the difference?" We have all met different versions of both doctors and one has to wonder what makes a doctor bitter, miserable, and look 10 years older than they should and the other still happy to examine or even reexamine a child with a cold because his pushy paranoid mom insists her son needs a prescription right now! Does it all come down to specialty, work hours, who gets paid more, or just personality?

This question is one that I am not qualified to answer, and is one that I will likely continue to answer throughout my career. However, I did find a great start in a comment Dr. Arlen Meyers posted in response to my post on Practicing Medicine In The Year 2050. You can read it there, but it’s worth a reprint.

For those who don’t know, Dr. Meyers is and ENT Surgeon, entrepreneur, author, educator, and CEO and President of the Society of Physician Entrepreneurs.

Here's what I would say to students interested in medicine:

1. Like anything else, follow your heart, not your parents.
2. There are lots of ways to make a difference with an MD degree other than seeing patients.
3. You will need to get your ticket punched (MD degree, residency) to do most of them.
4. Don't tell the admissions officer at the medical school that you have no interest in practicing medicine.
5. Hear all the people who are bitching. Just don't listen to them.
6. Don't be a slave to debt if possible. Sacrifice and pay it off as soon as possible.
7. Taking care of business is a part of taking care of patients. Start learning it as soon as possible on your own because you won't learn it in medical school.
8. Innovate
9. Innovate
10. Innovate

These ten steps are not a prescription for an easy, turn-key career, but they will allow you to have a career on your own terms. I believe that these 10 things will make the difference between physicians who continue to stay engaged and passionate and those who become jaded and defeated.

I'm Traveling During My Med School Breaks... What About You?

Doing what you love during a Medical School break can be a lot more productive than you realize. 

So if your medical school is anything like mine, there will be a constant buzz in the air about what to do during the summers and breaks. Who's researching what? and when? and where?! What paper have you gotten published?!!! HAVE YOU SHADOWED DR. AWESOME?! LETTERS OF RECOMMENDATION! AHHH! It's like the big, hairy, scary behemoth in the room. Everyone is trying to figure out what everyone else is doing so they can properly gauge just how much overacheivment is necessary during their time off. Well, I've got an idea that I probably shouldn't share because then my secret will be out. DO SOMETHING DIFFERENT.

The concept is pretty straightforward. If everyone in the room is wearing a red sweater because they think that's what you have to do to get into the party, how much do you think you will stand out if you don the red sweater as well? Now let's say that your favorite color is blue and you decide that you don't care that everyone says you're supposed to wear the red sweater, you're jolly well gonna wear the blue one and show up to the party anyway. Do you think you'll stand out?

Sometimes it seems like medical students want so badly to stand out, but at the same time they have this crazy (and somewhat legitimate) fear they won't check all the right boxes.

Cut to my life. Travel is my passion. I never feel more focused, fulfilled, or alive than when I am boarding a train or listening to the pilot welcome me aboard. Travel feels like home to me. Because of this passion I have, I travel every chance I get.

When it came to the end of college I had received my acceptance to medical school, but I was planning on deferring for a year. All the options for deferment I had considered weren't quite what I was looking for, and then a friend casually mentioned a trip he was planning... and what a trip it was. Take a world map and make the center of it the pacific ocean. Then draw a point at the southernmost tip of South America and another at the southwesternmost point in Africa. Then connect them using the longest overland route possible. This gives you some idea of the scope of this trip.

This idea lit me on fire and I could think of little else. I finally knew what it was like to be passionate about what I was doing and it was glorious. I was researching, building a website, looking at the possible routes and where the difficulties would lie. Hours would fly by researching this or that detail of travel and I would barely notice. This was far from my mindset throughout most of my college experience. I was fully engaged in what I was doing and loving every minute of it.

Then came the day to shove off into the grey mist of the unknown and board that plane bound for Patagonia. My friend and I had a rudimentary route worked out and enough money saved to last for a year of ultra-bootstrapped travel (we hoped). Then we started traveling and I realized that I wish I was doing research... just kidding. The year was, I can say without hesitation or reservation, the most interesting and mind expanding year of my life.

I visited 42 countries on 5 continents. I had the opportunity to meet some of the most intensly interesting people on this planet and make friendships with people the world over. I was honored to be able to take in the sites, sounds, smells, and cultures of a great many places, if even for only a few fleeting days. I rode on trains, buses, cars, motorcycles, planes, goat trucks, subways, scooters, bicycles, and just about every other mode of transportation you could envision, in pretty much every condition imaginable. I even had the good fortune to volunteer my time and work with some amazing Doctors at some amazing mission hospitals. It was not always easy or comfortable, but it was an education like no classroom, laboratory, or online course could have given me. And we made it. We traveled from Cape Horn to the Cape of Good hope the long way around. If you care to read about the trip our blog is www.thewholeworldround.com.

I say all that not to brag or gloat, but mearly to point out that you CAN leverage your passion to your benefit and to the amazement of others... DURING MED SCHOOL. I'm trying to be real here. How many conversations do you think I've had about my trip since I got back? Do you think many medical students did a trip like that last year? Do you think this sets me apart and allows me to have conversations with people I would not normally be able to engage? Innovative people, passionate people and leaders are drawn to other people who have those same qualities.

Okay that's great, so what's the point?

When you are thinking about what to do with your upcoming break, don't just think about which box you can check off on the list of things to do in medical school. Draw your own box, man! Find a way to leverage your passion into a life experience that you can grow from. If that's travel, GO TRAVEL. If you're a passionate knitter of hats, DO THAT (then give them away to kids who are bald from chemo). If it's research, by all means research till your blue in the face! Volunteer in a hospital or research WHILE you travel (abroad programs). Be innovative with it, be creative, but most importantly... do it. If you are in love with what you are doing, it will show through to the people that matter. Cliche yes, but no less true. Remember... the blue sweater. Wear it! Love it! Stand out.