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Doctor-Speak 101
Anna Burkhead -- The field of medicine pretty much has its own language, and as a medical student, you have to learn it fast! However, doctors, nurses, and other healthcare workers are not the only ones who have to learn this doctor-speak. There are regular non-medical Joes and Josephines out there, who, by virtue of birthing, marrying, befriending, or just having a conversation with a person in the medical field, have to understand some of this language.
Additionally, writing for and reading comments on this blog has shown me that medical systems in different parts of the world use different terms for what appears to be the same position.
Medical dictionaries are available to look up the meanings of words such as "cryoglobulinemia" and conditions such as "Osgood-Schlatter Disease". But other basic everyday medical words cannot be found in these dictionaries. For the benefit of any non-medical readers of this blog, as well as non-US medical students, here is a short list of terms (and their meanings) that we throw around on a daily basis.
-Pre-Med: A college (undergraduate) student taking classes with the anticipation of applying to medical school. This student has completed high school, and is usually working towards a BS or BA degree.
-Medical Student: A college graduate in a training program to become a doctor. These programs are almost always four years, and degrees earned are MD or DO (aka osteopathic student).
-Residency: a medical school graduate training program for a particular specialty. Examples: Pediatrics residency, Urology residency, etc. Related words: Resident – a medical school graduate in one of these training programs.
-Internship: The first year of residency, or the first year of post-graduate training. Related words: Intern – a medical school graduate in his first year of post-graduate training.
-Fellow: A doctor who has completed residency training, and is enrolled in a subspecialty training program.
-Attending / Attending Physician: A doctor who has completed residency training, and can supervise/train fellows, residents, and medical students.
-Rotation: Most often a term used by medical students to describe 4-8 week periods spent on specialty services. Example: Surgery rotation, Anesthesiology rotation.
-Boards: Also known as USMLE Step 1, 2, 3. These are tests that assess medical knowledge and ability to apply concepts and demonstrate skills in the medical field.
-Shelf: A standardized test at the end of a rotation (see above).
Just call me Merriam-Webster :)
May 9, 2008 in Anna Burkhead | Permalink
Comments
Thanks a lot!
Posted by: | May 13, 2008 6:57:23 PM
Very very nice , thanks.
Posted by: Noura | May 15, 2008 12:34:13 AM
I had been wondering about some terminology...thanks. Next question: what does the four years of medical school in the US consist of? Is it four years of clinical work, or do you still do some of the basic medical sciences? And how is it ensured that all people starting med school have an adequate academic background, seeing that everyone is coming from a different background? (Last question: once you have finished med school, do you necessarily do a residency?)
Posted by: Elsje | May 15, 2008 4:29:06 AM
First, students (usually) complete 4 years of undergraduate education (in any subject, as long as the premedical basic science prerequisites are completed - ie biology, chemistry, physics, math, english). If students do not complete the premedical prerequisites in their undergraduate institution, they may matriculate to any number of post-bacc graduate programs to do so (graduating with or without a Masters degree). Then, in a traditional medical school curriculum, the first 2 years are spent concentrating on the preclinical sciences (anatomy, physiology, biochemistry, nutrition, genetics, neuroscience, immunology, pathology, pharmacology, microbiology, etc etc). The following 2 years are spent in clinical rotations (family medicine, internal medicine, surgery, pediatrics, ob/gyn, and electives).
Posted by: | May 15, 2008 8:56:11 AM
Elsje, great questions! The above anonymous poster answered your questions about pre-med training and medical school curriculum.
When a person graduates from medical school, usually the next step is a residency. I would say 99% of people do this, as it is a necessary step to becoming "board-certified" in your specialty. However, some people do not obtain a residency match, some choose not to practice medicine (why...after all that training...I don't know), and some people choose to go into fields such as consulting, which do not require residency training. These people are a small minority.
Hope that answers your questions! Post more if you have them!
Anna Burkhead
Posted by: Anna | May 15, 2008 9:09:09 AM
Thank you for the answers! If I understand the process correctly it means that, in the States, you necessarily end up as a "specialist" (should you complete a residency: you are a surgeon/ radiologist/ cardiologist etc.) as opposed to a being a what we/I call a "general practitioner" (someone who completed a medical degree who treats the common, more minor illnesses and refers the rest) - or am I wrong? Generally speaking: how long is a residency?
Sorry for the persistent questions, but I've been trying to figure out the US system for a while now. I always try and figure out at what stage of training I am compared to whoever's blog I'm reading!
Maybe a subject for a future post could be a comparison of the different ways we train in different parts of the world (as well as comparing duration...) :-P
Posted by: Elsje | May 16, 2008 11:10:55 AM
Elsje,
You are mostly correct in your understanding. However, we have "general practitioners" here in the US too, and they complete residency training after medical school as well. We usually call them "Family Practitioners" or Family Doctors. They have completed a Family Practice residency, which is three years after medical school.
In general, residencies range anywhere from three to six years, depending on the field.
Overall, in the US, for any doctor (general or sub-sub-specialized) to be board-certified in whatever field they choose, a residency is required.
Glad you're reading the blog. Thanks for your questions!
Anna Burkhead
Posted by: Anna | May 16, 2008 12:52:24 PM
"101" Is that supposed to mean something medical ..?
Posted by: | May 16, 2008 2:05:42 PM
"101" isn't necessarily medical, it's just sort of the prototype course number that people use to denote entry-level courses :)
Anna Burkhead
Posted by: Anna | May 19, 2008 10:17:45 AM
How does a medical school graduate from a foreign medical school such as Trinity in Dublin get on the road to residency? Do the USMLE's need to be passed first? If so, when passed, how does someone proceed? --Mary
Posted by: Mary | May 19, 2008 1:32:35 PM
Mary,
I'm assuming you're referring to US residency programs. As an IMG (international medical graduate), I *think* the process is similar to US medical graduates. So, yes, the USMLE Step 1 and 2 would need to be taken and passed. The application process for the residency match is through ERAS, found on the AAMC website. If you go to the website I bet you can find information for IMGs. It's www.aamc.org. Your medical school will have info as well, I'm sure. I would start there!
Good luck!
Anna Burkhead
Posted by: Anna | May 20, 2008 6:51:09 AM
How long is residency in the field of Medicine, Surgery and Pediatrics?
Posted by: Atif | May 20, 2008 6:52:21 AM
Internal Medicine - 3 years
General Surgery - 5 years
Pediatrics - 3 years
Here is a good website from aamc.org to compare different specialties:
http://www.ama-assn.org/vapp/freida/spcindx/0,,TR,00.html
Anna Burkhead
Posted by: Anna | May 20, 2008 6:58:51 AM