Abstract
In this chapter, Dr. Raymond seeks to assist administrators, faculty, and student support services colleagues in identifying and understanding many of the academic and personal challenges faced by medical students during their training by sharing her experiences and observations from 14 years as director of the Office of Advising Resources (OAR) at Harvard Medical School (HMS). She describes the staffing, function, and experience of the OAR; the importance of early screening and intervention; the special developmental challenges of medical students (e.g., reshaping the role in the family, dealing with major medical, mental health issues for the first time, managing the emotional impact of care, forming a professional identity); their most common presenting problems (e.g., attention, sleep, self-sabotage) and the differential diagnosis (e.g., attention deficit disorder, verbal and nonverbal learning disorders, depression); and some common issues that arise with medication management. Dr. Raymond shares a number of interesting observations which should influence remediation in medical education practice, including that anxiety, depression, and perfectionism may be secondary to treatable attention deficit or learning disorders. She also describes the characteristics of “successful compensators”—resilient students who struggle, seek help, and ultimately, by all accounts, do well.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
The New Pathway (NP) and the HST Program (HST) are names for the curricula at HMS. NP is for the majority of students (about 135–140), and HST is for a small subgroup of students (about 30).
- 2.
Numbers and statistics in this chapter refer to those representing consistent trends over the last 6–7 years at OAR, unless otherwise specified.
- 3.
The preclinical and clinical OAR surveys were designed by my colleagues and me in 2002 and 2010 respectively.
References
Kafka JS. Time: the uncertainty of frame or content. In: Harris PA, Crawford M, editors. Time and uncertainty. Leiden: Brill; 2004. p. 80–1.
American Psychiatric Association. Diagnostic and statistic manual of mental disorders: DSM–IV. Washington, DC: American Psychiatric Association; 1994. p. 886.
American Psychiatric Association. Diagnostic and statistic manual of mental disorders: DSM–IV-TR. Washington, DC: American Psychiatric Association; 2000. p. 943.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Raymond, L. (2014). Perspectives from a Psychiatrist in an Office of Advising Resources. In: Kalet, A., Chou, C. (eds) Remediation in Medical Education. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9025-8_12
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9025-8_12
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9024-1
Online ISBN: 978-1-4614-9025-8
eBook Packages: MedicineMedicine (R0)