Medicine From The Trenches

Experiences from undergradute, graduate school, medical school, residency and beyond.

Why Don’t We Feel Safe?

Today, March 24, 2018, many high school students and teachers are marching/assembling in major cities to bring attention to their increased feelings of not being safe in their educational settings. I would add my support to them as everyone should feel safe in their homes, schools, places of employment and places of recreation. Safety is a right of every individual in any environment. When individuals don’t feel safe, they experience increased stress far above what is expected in their day-to-day lives.

Even in hospitals, safety has always been of importance both in how we treat patients and the patient environment. We always pay very close attention to situations that potentially put individuals at risk but of recent, safety issues for those of us who are just going about our jobs in emergency departments, hallways and classrooms have come under scrutiny. In short, physicians, professors, students, and patients have been harm’s way because of disgruntled employees and colleagues who seek revenge for perceived wrongs.

It’s persons who feel the need to inflict harm on those who have no role in their perceived situation that is most troubling for the public at large. When guns are fired, even with intended targets, others get hurt and killed. When mentally ill individuals have access to weapons (guns, cars, knives, explosives), individuals without warning, are subjected to random violence. When the electronic and television news media spends hours and hours attempting to find motives and uncover a “story” in these random acts of violence; creating stress in individuals.

Perhaps this 24-hour scrutiny is a product of the electronic information age but there is nothing that prohibits us from turning off the news and disconnecting from social and other media. From the time I first acquired a pager as a medical student, I became acutely aware of the need to just “turn the thing off” in order to reconnect with a world that doesn’t need access to my attention at all times. I never want to be the person walking along staring at my smartphone and ignoring the world around me. Yes, I look at it when I must but certainly, I strive to look around; be aware of those around me.

As those who march in the streets today want to emphasize,  all individuals have a fundamental right to pursue their lives not only in freedom but in safety. As a physician, I don’t want to take care of even one more innocent individual who has become a victim of random violence. My stress is worrying about those I love and whether or not they will come home. The stress is palpable across many in my environment which include where I work and study. There is simply no reason in a civilized society for this to happen.

My answer is to be vigilant and to be aware of those around me at all times. My answer is not to lock-down hospitals and campuses but to pay attention to people around me who may be suffering. My answer is to not look to electronic and television media to examine what I as a physician, must examine for myself. My answer is to treat all people, even those who are struggling academically and personally, with dignity and compassion.

Just recently, more than a few of the medical students that I have taught, found out that they didn’t match into a residency position. The stress of finding employment for next year is gut-wrenching for them and for me as well. The lack of post-graduate positions coupled with a system that is in dire need of an overhaul is necessary. The feelings of despair were very deep for those who didn’t find a match when those around one are celebrating. I found more than one person who is derailed by the process.

Disappointment, anger, and despair when one does not obtain the end result of work and study or any other desired outcome is often a trigger for actions that are uncharacteristic. Even more disturbing is that those who are successful may be perceived as “bragging” on social media when they are just celebrating the next step in their training. My answer to those who didn’t match is that it’s not a personal failing and my answer to those who did is well-done but have compassion for those who are struggling.  My answer is to do everything within my power to allow my students to feel safe as they study and work. As a human being, I can do no less but I can do more.


24 March, 2018 - Posted by | academics, medical school

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