The polio vaccine. ECMO. The Bovie. These revolutionary medical innovations have not only improved countless lives but also share a common starting point: the University of Michigan Medical School (UMMS)!
Rising M4 students celebrate the completion of their I&E Capstone projects
As UMMS students, we are fortunate to walk the same halls where brilliant minds have dedicated their efforts. Now, it is our turn to contribute to the strong tradition of innovation and entrepreneurship (I&E) at Michigan.
A recent symposium united medical students who are dedicated to advancing healthcare through innovation, whether it’s leveraging technology, conducting research, or reimagining healthcare systems.
The day began with design thinking presentations by three teams of M1 students. These teams had collaborated on projects for months, utilizing the five phases of design thinking to tackle patient challenges. By empathizing, defining, ideating, prototyping, and testing, they devised innovative solutions aimed to improve the patient experience and health outcomes.
One standout project by “Team Zopf” addressed the concerns of a parent caring for a young patient with amyoplasia. The parent frequently monitored their child’s O2 saturations and performed jaw thrust maneuvers to relieve airway obstruction. Their solution? A low-cost, adjustable device that mechanically maintained the jaw in an elevated position while employing continuous O2 monitoring to alert the parent of prolonged desaturation events.
This solution not only showcased Team Zopf’s empathy towards the parent’s desire to avoid additional surgeries but also demonstrated their creativity – utilizing household objects to craft a functional prototype – and their scientific expertise – explaining an impressive torque diagram and 3D CAD model. They discussed next steps for their design, including prototyping and testing, navigating the regulatory pathway, large scale manufacturing, and determining the market value and impact.
Team Zopf’s Design Thinking presentation (Members: Mike Allevato, Dhanya Asokumar, Mikoto Kobayashi, Anna Riegger, James Schlabach, Jasnoor Singh, Sunny Singh, Daniel Wieczorek, Hannah Xu, and Jess Yen)
The symposium also provided the opportunity to learn from influential voices within our University of Michigan innovation community. We heard from our I&E Path Co-Directors, Dr. David Zopf (Pediatric Otolaryngology-Head & Neck Surgery) and Dr. Sonal Owens (Pediatric Cardiology), and Michigan Medicine surgical residents Dr. Jaes Jones (Neurosurgery PGY-4) and Dr. Taylor Kantor (Integrated Cardiothoracic Surgery PGY-5). The panel explored applications of 3D printing in surgery, virtual reality (VR) in medical education and patient care, and the relationship between industry and academia.
A highlight of the panel was Dr. Owens sharing her experience collaborating with the Stanford Virtual Heart experience, which has now evolved into the Michigan Anatomic Congenital Heart in 3D (MACH3). As M2 students on the Pediatrics rotation, my classmates and I had the opportunity to immerse ourselves in a virtual heart, exploring chambers, vessels, and learning cardiac anatomy. The integration of VR into our curriculum added a whole new dimension to our learning, and I eagerly await its further incorporation. Dr. Owens’ announcement that the new MACH3 program will lead the development of a hypoplastic left heart syndrome (HLHS) module filled the room with excitement. It’s incredible to witness the advancements happening at UMMS in real-time!
Medical students were all ears for Drs. Jones, Kantor, Owens, and Zopf
Next, we moved into M4 presentations. Demetri Monovoukas and Nick Zugris shared their journey launching Scalpel – a free online platform that offers foundational surgical training (think Khan Academy for the Surgery rotation), while also providing 3D printed hardware for suturing practice. Kian Pourak unveiled a 3D-printed surgical knot tying device designed to help trainees master the art of tying knots at the optimal tension, and Michelle Benedict shared a video documenting her experiences working at Apple before entering medical school, adding another unique perspective to the mix.
The symposium’s grand finale was a poster session in Taubman Health Sciences Library, inviting students from all classes to explore the capstone projects of rising M4 students. These capstone projects, a requirement for graduation from the I&E Path of Excellence, showcased students’ innovative laboratory endeavors, collaborations with startups, quality improvement projects, and more. The poster session fostered connections between M1s and rising M4s, who were on the lookout for successors to carry forward their projects once they graduate.
Jeremy Shapiro (rising M4) presents his research using AI to predict blepharoplasty outcomes
As UMMS students, we have the incredible challenge, privilege, and responsibility to carry forward the legacy of medical innovation. We invite incoming students to join us on this mission through the I&E Path of Excellence. Mark your calendars for the 2nd Annual I&E Symposium in June 2024 – all students welcome!
Lisa Chionis is a rising MS-4 applying into Otolaryngology-Head & Neck Surgery. She is from Chicago, IL, and attended Washington University in St. Louis, where she was captain of the Women’s Varsity Tennis Team. Lisa is interested in applications of AI in Otolaryngology. Twitter and LinkedIn @lisachionis.
Michael was an eclectic 13-year-old boy that I met during my time as an undergraduate in Biomedical Engineering at Michigan. He was often the loudest, proudest voice in the room and always primed with sporadic conversation topics. As a below-elbow amputee, he had just three design requirements for the 3D-printed prosthetic arm that a team of students and I spent a year creating for him. “Make sure I can tie my shoes with it, make it look like the Terminator’s bionic arm, and make sure I can do multiple pull-ups.” Could a plastic, multicolored, actuated arm design by engineering students accomplish this? To Michael, his disability was really an opportunity to create an assistive medical device that others would marvel at.
An example of a low-cost 3D-printed prosthetic hand made by students at the University of Michigan.
This was my first-ever customer discovery interview. It launched me into a focus on 3D-design, additive manufacturing, and biomechanics during my education. With abundant open-ended design problems in healthcare and engineering, my experience at Michigan taught me to meticulously explore design features, learn to develop the skills needed for a project, and leverage the bright minds and endless resources around me to avoid settling on the answer, “it can’t be done.” I related to Michael in that, when I was a young boy, I never wanted to hear no as an answer. Today, I try to approach innovation, frustrations, and even daily life setbacks with a “challenge accepted” mindset. I hope to serve my patients and colleagues to my full potential with this in the future.
After I started my first year of medical school at the University of Michigan, my first thought was, “well, there goes my engineering degree!” We don’t always cover complex fluid models of the body’s vasculature or learn about in-depth mechanics of interactions between bones/joints (I’m sure my classmates are grateful). We learn practical ways to diagnose, treat, and understand why diseases behave the way they do. But beyond coursework, I have found many ways to keep my spirit of innovation fueled at Michigan. The first was Sling Health, where we formed a project team led by my fellow M1, Danika.
Danika shares my spontaneity in thought, my level of detail in drafting emails, and my desire to painstakingly and completely explore ideas. She brought us together around the goal of addressing a pressing need in healthcare: development of a non-invasive anticoagulant solution that improves extracorporeal membrane oxygenation outcomes and lower costs. ECMO is a technology that acts as an artificial heart or lung for critical care patients who cannot provide enough blood flow or oxygenation on their own. Preventing blood clotting complications within ECMO circuits has great potential to prevent strokes, pulmonary emboli, and numerous other costs and downstream effects.
Our team members also include engineering and business students: Liam, Nundini, Carol, and Noor, who all have experiences ranging from venture capital, research in coagulation and thrombosis, robotics, and even ECMO itself. I absolutely admire Danika’s dedication to involve all members of our team and regularly find resources to support members who are new to ECMO and engineering design. As future physicians, the need to explain complex topics in streamlined ways is so important, and being part of a multidisciplinary team necessitates this. Soon enough, we branded ourselves “EmboFlux.”
Almost immediately, we ran into limitations. It would be much easier to create a device that detects clots rather than dissipates them. Biocompatible device regulatory cycles are also incredibly lengthy and costly if our device was required to interface with blood in any way. Numerous customer discovery interviews pointed this out to us. Time and resources are a major barrier for startups or device design groups. But by exploring prior patent art and recent developments in anticoagulation therapies, our team found a novel way for reducing anticoagulation without directly contacting blood, which allows us to shorten the regulatory timeline and save costs. This was an idea that many clinicians and ECMO researchers were supportive of.
Our team initially competed in the campus-wide Michigan Business Challenge. We’ve received great support and mentorship from Anne Perigo at the Zell Lurie Institute, who worked with us to refine and pitch the importance of our design problem to judges and investors. Anne never hesitated to meet with our team weekly or recommend further individuals to contact for support. What I admire about Emboflux is that our members leveraged almost every resource available to conduct research before launching into device design. We thoroughly defined our problem, referenced existing literature, devised market estimates, and explored competitive solutions. EmboFlux was fortunate to make it to the semi-finals of the Michigan Business Challenge, and we look forward to competing again in future years!
I remember a conversation I had with Danika within our first few months. We marveled at how open and supportive the Michigan Medicine community was to us when we were seeking advice on device design, clinical adaptation, and even devising our first few research studies for the EmboFlux prototype. With a mix of initial intimidation but also intrigue, I truly believe medical school is a great time for innovation. In our flexible M1 curriculum, Danika and I can schedule device tests or attend pitch competitions during the week and complete our curricular requirements and assessments around our schedule, even into the weekend. This has made it easier for us to balance the many duties of a design team with the responsibilities of medical students. The Extracorporeal Life Support Lab at the University of Michigan has also been incredibly supportive in allowing us to conduct tests and receive feedback on device design.
From left to right, Danika Meldrum, Carol Dai, Liam Mathews, Nundini Rawal, and Jasnoor Singh. This is a photo of our team after competing in the Michigan Business Challenge held at the Ross School of Business.
While many of us are new to surgical settings and adapting medical devices effectively, our team also took part in the Surgical Innovation Discovery Course through the Center for Surgical Innovation. Here, we received guidance in prototyping Emboflux for clinical adaptation and conducted more customer discovery interviews to showcase our design and aim for perpetual refinement. With device design comes continuous iterations and regular communication with experts to add modifications or features. Customer discovery will remain a vital part of our team moving forward, and it’s also incredible that we can think of many more stakeholders and bright minds at Michigan we have yet to meet, and that they would have such insightful input for our EmboFlux device. With feedback and advice from Candice Stegink, Jon Campbell, and the many surgical solution experts through SIDC, we really developed a clearer picture of how EmboFlux could find its way to ICUs and ECMO patients without disrupting existing workflows. The healthcare setting provides a whole new set of design criteria I’ve never really experienced in past projects. It has thus been super valuable to have resources like residents, surgical mentors, and researchers so close for advice.
In April 2023, our team was invited to present and pitch EmboFlux at the National Sling Health Demo Day in St. Louis. It was here that we presented our work exploring our clinical problem, market, and initial benchtop studies in a five-minute on-stage pitch. While we were anxious about our presentation or about the questions judges might counter with, we were excited to interact with many individuals who were incredibly curious about EmboFlux. Ranging from surgeons literally on call during the event to undergraduate students, we walked away with numerous contacts for future potential collaborations. We also witnessed presentations from up-and-coming medical devices all designed by future engineers, doctors, and innovators. After an incredible pitch from our spokespersons, Liam and Danika, we were so grateful to have received the National Demo Day’s 1st place award and audience choice for best pitch!
Within our team, I’ve especially admired how individual members are so confident and willing to take initiative on different aspects of our design work. We all bring technical design skills, but our background in ECMO technology, hemostasis research, and effectively pitching to investors has been valuable in creating a well-rounded, multidisciplinary team that can respond to each new problem with “challenge accepted.” I have self-reflected and can think about multiple times where I was unsure of specific aspects of medical device development, regulatory guidelines, the business side of medicine. But so often, I am met with unwavering resolve from our other team members to find the resources necessary to make our path forward more clear. This helps me reinforce my belief in my own abilities and encourages me to approach ambiguity with confidence and intrigue.
Beyond these experiences, numerous other spaces and opportunities within our medical school will allow me to continue exploring my interests in engineering and design through the Innovation and Entrepreneurship Path of Excellence, I have already gained vital exposure to design thinking principles and effective interview strategies. Recently, we received the opportunity to interact with patients and brainstorm a user-specific design solution in an ongoing process. I was able to see my colleagues shine and show their willingness to fully explore a healthcare concern prior to proposing innovative ideas. My fellow classmates truly are so multi-faceted, and the field of innovation and design is so fulfilling, even for anyone who may not have a technical background. Your curiosity and novel ideas are always welcome!
In the future, I hope to work on medical device design in low-resource areas, where user-friendly, low-cost, and quickly adaptable engineering devices can be beneficial to address healthcare concerns for underrepresented patients. I look forward to clinical rotations in the coming year, where I will develop even more exposure to workflow and areas of innovation possible in a healthcare setting. Our EmboFlux team also looks forward to further pitch competitions, solution refinement workshops, and helping prevent many complications of ECMO procedures!
Jasnoor (he/him) is a first-year medical student at Michigan. Some of his favorite hobbies include listening to music, flying his drone, and 3D-printing or design. Please stop and say hi if you ever see him in the Taubman Health Sciences Library or the Hospital!
Hi, everyone! It’s been a while since we’ve written for Dose of Reality. A lot has happened since our last post in 2020… We hope everyone is caring for themselves and their loved ones as we transition out of the acute COVID era.
For us, we have a couple of updates to share:
1. We got married in August 2022 in a small wedding in New York’s Hudson Valley with close family and friends.
2. We are now proud dog parents to a 3-year-old puppy named Georgie.
3. Patty now works for Duo Security here in Ann Arbor as a Customer Solutions Engineer, while Matt recently finished his MBA year at the Ross School of Business. He is preparing to re-enter the medical school world later this summer and apply to residency programs this fall.
The Challenges of Giving Advice
Giving advice is difficult as every person has their own unique experience, so we tried to be thoughtful about choosing 10 universally applicable ideas that might resonate with others on the same journey. Reflecting on our medical school experience was a helpful exercise. In preparing for this post, we discussed our highs and lows to distill what worked best for us and what we might have done differently.
Some highs of medical school included finishing the USMLE exams, finding my passion in medicine, meaningful patient encounters, connecting with mentors and celebrating our life outside of school – weddings, travel, birthdays and dog birthdays. Some lows of school are the ones you can imagine; it’s a challenging four years filled with frustration, stress and many missed events. We hope these 10 pieces of advice can be a jumping-off point for reflection and conversation between you and your partner.
Please know that what worked for us may not work for you, but discussing these principles may help shape your experience. The ultimate goal is to be intentional about the life you are building together.
Lastly, before we get to the advice, a framing that has been helpful for us is to intentionally choose to see life as an adventure. Adventures have both rewarding and challenging parts, but everything is part of the plot. This lens has been a beneficial filter when times are tough because highs and lows are both part of the expected path on any adventure. Now, onto the advice!
10 Tips for Navigating Med School with a Partner:
1. Open communication: This sounds cliché, but it’s truly the key to any successful partnership. Both people should equally share their feelings, concerns and expectations with one another. These may change over time, and disagreements will arise, but it’s important to know how each other is doing, how they feel and how you can be supportive. Medical school, personal life, job, etc., all come with difficulties, so set aside time a few days per week to give honest updates about your life, work, finances, health, struggles and triumphs.
2. Understand the demands: This is one of the more challenging aspects of medical school. Students generally don’t know exactly what is expected of them or how they’ll need to allocate time, but do your best to understand and communicate what is expected of you. It can be hard to explain the exact situation and expectations of medical school but proactively share that information, as it helps to set reasonable expectations. As they say, disappointment is the difference between expectation and reality.
3. Create a realistic schedule and prioritize time together: Your calendar is your friend. Be sure to add all of your obligations, study time, exercise, gatherings with friends and partner time on there. This helps you be intentional about how you spend your time and serves as an exercise in setting priorities. Set a recurring block in your calendar that is protected time to spend with your partner. This can be for catching up, having dinner in town or doing your favorite activity together. Show me your calendar, and I’ll show you your priorities.
4. Be flexible and understanding: Medical school is often unpredictable, and some months are busier than others. Plans may need to be changed or canceled at the last minute. It’s frustrating, but it happens. Both partners should be adaptable and flexible when this occurs. Do your best to set aside protected time and communicate the need for flexibility.
5. Take care of yourself: Both partners should prioritize self-care and maintain their own physical and mental well-being. This may cut into some personal time, but it’s important to encourage each other to pursue hobbies, exercise and maintain a healthy lifestyle. Having independent lives and interests helps when schedules are hectic and you find yourself without something fun to do. View taking care of yourself individually as a way to support each other as a couple.
6. Celebrate milestones and achievements: Medical school is a long journey, and it’s important to celebrate milestones and triumphs along the way. Whether it’s finishing an exam or a hard rotation, take the time to acknowledge and celebrate these accomplishments together. This can be anything from a handwritten card to a nice dinner. Time passes quickly, so be sure to find reasons to celebrate together.
7. Seek support from others: Both partners should reach out to friends, family or groups in the community for additional help when needed. Having a network of people who understand the challenges of medical school is a valuable source of support and encouragement. The Medical School Mental Health Program now has robust resources for students to use, so reach out and see how they can help!
8. Practice patience and resilience: Medical school can be stressful and exhausting, but it’s temporary. It’s not always easy, but view this as an opportunity to prove to yourself the ability to overcome challenges. You are both working towards a common goal; relationships often grow stronger through shared challenges.
9. Assume good intentions: It is a long road, and some days it is hard to maintain a positive outlook. When someone makes a mistake or things do not go according to plan, it is best to default to assuming good intentions. (This is a powerful default in life, too – see ‘This is Water’ by David Foster Wallace). And, as Ted Lasso says, ‘Be curious, not judgmental.’
10. ‘Things are rarely as good or bad as they seem’: This is a motto we deeply resonate with. The bad isn’t always as bad as it initially seems, and the same with the good. Life is complicated and full of tradeoffs, so it is crucial to keep moving forward with equanimity, optimism and curiosity. What may seem difficult in the short term may be a blessing over time. Ok, this is the last cheesy quote of the article, I promise, ‘there is nothing either good or bad, but thinking makes it so’ from Hamlet.
Every relationship is unique, and it’s essential to find what works best for you as a couple. Hopefully, these are some universal considerations to discuss and agree upon while going through school and training. We encourage you to revisit these topics with each major change in schedule as the demands of school and home fluctuate. It is definitely possible to maintain a happy and healthy relationship while in medical school, but it requires open communication, prioritizing quality time, patience, support, empathy and compromise. Be intentional and enjoy the adventure!
Wishing you the best, Matt & Patty Friedland
Matt Friedland is an M4 at the University of Michigan Medical School. He recently completed an MBA at the Ross School of Business and is preparing to re-enter the medical school world and apply to residency programs.
Patty Friedland works for Duo Security in Ann Arbor as a Customer Solutions Engineer.
Out of the countless PowerPoint slides from M1 year, there’s one that, four years later, I can still picture with absolute clarity. Presented in coordination with the University of Michigan Medical School’s Program on Health, Spirituality and Religion (HSR), the slide was part of a lecture on attending to the religious and/or spiritual identities of our patients, and it portrayed the Theory of Total Pain. Proposed by the founder of modern hospice, Dr. Cicely Saunders MD, this theory describes suffering as the sum of a patient’s physical, psychological, social, and spiritual distress. This slide and its message has stuck with me as, over the course of medical school, I have seen Dr. Saunders’ multidimensional view of health and suffering come to life in the stories of my patients.
Figure 1: Dr. Cicely Saunders’ Theory of Total Pain
As clinical students, we have the privilege of accompanying people during some of their most joyous and some of their most challenging moments. These patient relationships range from witnessing someone deliver their newborn baby to walking alongside someone mourning the reality that they are dying. While at vastly different ends of the emotional continuum, a common thread connects these two relationships. Both prompt a sense of wonder about how patients and their loved ones navigate such significant moments of transition. It’s in these moments where it becomes particularly clear to me that the practice of good medicine demands both provision of excellent biomedical care as well as a willingness to connect, person to person, with the human sitting in front of me.
Our HSR Welcome Dinner, a time for medical students and HSR core faculty members to connect, reflect, and eat good food!
Within this connection, patients consistently teach me about Dr. Saunders’ theory of medicine in conveying that health is not solely biological or physical, but together with other essential dimensions of health and personhood – health is also psychological, emotional, social, and spiritual. Their instruction to me of these dimensions comes in many forms: a request to keep family informed about clinical updates, an inquiry about Halal food options in the cafeteria, a desire to spend time outside in the midst of a long hospital admission. It is these lessons about the multidimensional nature of health and suffering that have led me to dive into all that the HSR Program has to offer.
The HSR Program was created in 2017 with the mission of developing opportunities for medical trainees and physicians to explore the intersections between health, spirituality, and religion. Broadly speaking, spirituality is anchored in where an individual finds meaning, whether that be in a world religion, nature, family, music, etc. Our exploration of this intersection occurs through lectures, research, and interdisciplinary training and is all geared towards enhancing patient centered care and encouraging personal meaning making in the practice of medicine. With this mission in mind, we host a speaker series, create courses/curricula on health, spirituality and religion and mentor students on how their religious and/or spiritual identity contributes to their professional identity formation. This innovative program is led by an incredibly kind and thoughtful group of attending physicians, Drs. Kristin Collier (Internal Medicine), Jeremy Baruch (Psychiatry), Adam Baruch (Ob/Gyn), and Phil Choi (Pulmonary & Critical Care).
To expand further upon opportunities for engagement with the HSR Program, I want to share some of my highlights from my involvement. Our monthly Woll Family Speaker Series on Health, Spirituality and Religion (an opportunity that is open to all who are interested!) brings in speakers who share how the intersections between HSR are apparent in their own experiences with patients. We’ve heard lectures from physicians affiliated with the University of Michigan, including our own Dr. Scott Stonington, an Internal Medicine physician and anthropologist, who presented a talk entitled “Working the Mind-Body: Discomfort and the Pragmatics of Spirituality (in Thailand and the U.S.).” We also bring in speakers from other institutions. Recently, we hosted Dr. Rita Charon, an Internal Medicine physician at Columbia University and literary scholar credited with creating the field of Narrative Medicine, who led an interactive discussion entitled, “Native Fusion: Creativity, Responsibility, Meaning,”. These seminars have led to rich discussions about the nature of suffering and what it means to be healthy, all the while building up a sense of community among students, faculty, staff, and members of the Ann Arbor area who are interested in engaging with such questions of humanity and healthcare in all its fullness.
In addition to the seminar series, all medical students rotating through an intensive care unit (ICU) have the opportunity to participate in the HSR Program’s Healing Presence elective, which I participated in during my Pediatric ICU rotation. The ICU directors love Healing Presence and encourage all medical students to partake. For participating students, you have the opportunity to develop new patient care skills focused on the spiritual needs of your patients. This development occurs through rounding with chaplains in the ICU during which you have the chance to explore various skills such as taking a spiritual history, providing supportive listening, and sharing healing words/prayer. You also engage in a structured, small group facilitated by a chaplain to process your own experience working with critically ill patients and their families. Personally, the Healing Presence elective helped promote my wellbeing while on an intense rotation and has helped me feel more equipped to attend to the spiritual distress of my patients and to work effectively with Spiritual Care colleagues.
Presenting the Conference on Medicine and Religion workshop that Dr. Baruch and I created.
At the core of my experience with the HSR program has been the longitudinal mentorship I received. What started with a “cold email” sent near the beginning of M1 year has turned into what I hope will be lifelong mentoring relationships with Drs. Kristin Collier and Adam Baruch. Through their mentorship, I have grown personally and professionally and added depth of meaning to my understanding of the practice of medicine. They have opened the door to unique opportunities for scholarship. I’ve contributed to curriculum development, specifically working alongside attending physicians and other medical students to evolve in the Doctoring session on “Religion and Spirituality in Patient-Centered Care.” In coordination with Dr. Collier, I’ve co-presented a talk entitled, “Whole Person Care” at a Continuing Medical Education event hosted by Michigan Medicine. I’ve collaborated with Dr. Baruch in conducting an Ob/Gyn Grand Rounds presentation and a Conference on Medicine and Religion workshop, both of which were entitled, “Cultural and Religious Humility: A Foundation for Relationships in Medicine.” With the help of another medical student, we’ve subsequently turned these presentations into a manuscript that is pending submission.
These mentoring relationships and my engagement with the HSR Program has culminated in being the inaugural student fellow for the program during the 2022-23 academic year. Within this role, I’ve had the privilege of helping develop our programming through participating in regular HSR core faculty meetings, helping select speakers for the Woll Family speaker series, providing near-peer mentoring of a clinical trunk student, and cultivating a community among students interested in what the HSR Program has to offer. Having wrapped up medical school, I’m thrilled to know that three, all-star medical students will step into the role of HSR student fellow for this upcoming academic year. I can’t wait to see how they help shape the HSR Program and community!
While I’m immensely proud of our scholarly work, what is most significant to me is the way I anticipate this work finding expression in my practice of medicine. As I look ahead to July and the start of my OBGYN residency at the University of Michigan (Go Blue!), I’m confident that my involvement in the HSR Program will continue to come to life in the patients I help care for and in the ways they will take up Dr. Saunders’ torch in teaching me about health and suffering as the sum of their physical, psychological, social, and spiritual states. And more personally, I’m grateful for the ways that my role as an interested student, mentee and fellow continue to help me feel more deeply connected to sources of meaning in medicine, a gift that feels particularly significant amidst the crisis of physician burnout.
A fun dinner outing with core faculty for the HSR Program!
The HSR Program has so much to offer the intrigued Michigan medical student. Opportunities abound both for dabbling in our programming and for more in-depth exploration. You can find these opportunities summarized on our website, and while you should absolutely explore this webpage, I would be remiss if I didn’t encourage you to reach out to talk with us! At the core of this Program’s mission is its commitment to personal connection with students who have never had the opportunity to explore this space or who wish to dive deeper into this space of whole person care. If you find yourself interested, please reach out! You can connect with me at email@example.com or message our HSR Program email at Health.Spirituality.and.Religion.Info@umich.edu. Whether you’re a current or prospective medical student, we would love to hear from you!
Ellery Sarosi is a 2023 graduate of the University of Michigan Medical School. During her fourth-year of medical school, Ellery served as the inaugural student fellow for the medical school’s Program on Health, Spirituality, and Religion. She will be continuing her training at the University of Michigan as an OBGYN resident.
Not every path is linear, especially when it comes to going to medical school. Some students may move directly from their undergraduate into M1, others may take a few years off before entering the field. Then there are individuals who have paved their way towards a certain career and turn to medicine as their new goal. My path was somewhere in the middle. With the intention to pursue medicine after my undergraduate degree, a different career delayed my way.
I entered freshman year of undergrad with the intent of going to medical school upon graduation. As an athlete, I balanced sport and academia, knowing they both gave me a unique future opportunity. I completed all required pre-medical prerequisites and graduated in May of 2015 with my undergraduate degree. I transferred to Michigan later that year to continue playing football while working towards a Master’s in Kinesiology. Following my Wolverine season, I was fortunate enough to have the opportunity to keep playing football for another five years after college.
When football seemed to be fading from my future, I poured myself into a year of MCAT prep and working through the application cycle. The goal of pursuing medical school was back at the forefront. I was ready to start living my dream, a full six years from diploma in hand.
Needless to say, I had some anxiety going back to school. On one hand, I knew an MD was exactly where I wanted to be and exactly what I needed to do. On the other hand, I’ve been in meeting rooms and practice fields for the last half decade, a vastly different atmosphere. As I pride myself in being prepared, I desired something that could help get my feet wet, so to speak, before returning to the books full time. I wanted something that could help me adjust between two different worlds.
As fate would have it, a former teammate of mine from Michigan told me about a pre-matriculation program that helped him feel a bit more comfortable before starting the four-year journey of medical school. That program is called LEAD (Leadership and Enrichment for Academic Diversity), a two-week leadership course to aid in the transition of becoming a medical student. Learning more about the program, I realized it would help ready me for the school year. Without hesitation, I sent my application.
Feeling a sense of inferiority as I walked in, it took no time at all to feel welcomed, as if I was part of a team. I gained mentors who were more than willing to help me out with whatever I needed throughout school. Throughout the two weeks, we had various discussions and lessons on what to expect as well as tips and tricks of navigating medical school. While we discussed things you might expect such as study tools and med student resources, we also talked about the emotional journey of medicine, which includes success and failure. I found many of the lessons taken from LEAD helped provide perspective while also gearing me up for the long journey ahead.
Our days were mostly typical of a job schedule, wherein we would get to school around 8:00 and be done around 5:00, give or take depending on the day. Thankfully, no work needed to be completed at home. This scheduling alone allowed me to get back in the groove of things as the previous year I had been focused on waiting for applications to come back, and my wife and I were anxiously awaiting the arrival of our first child. Furthermore, even navigating a simple change of which room and which building we were to meet in proved to be more helpful than I could have initially imagined. According to the coordinator, the change in location that occurred nearly daily was by design.
Through LEAD, I was also able to make friends and build a sense of community among my classmates. Meeting periodically throughout the year, we’d learn from someone in the Michigan community about various topics like building your residency application, finding a mentor and creating a CV.
As a bridge connecting my gap years away from academia to the beginning of my medical training, I have no regrets in having devoted two weeks of my time to engage in the LEAD program. The simple step of getting my feet wet provided me with a sense of connectedness and calmness moving forward as I walked across the stage to receive my first white coat.
Jake Rudock is a first-year medical student at University of Michigan Medical School. When not studying, he is working on the Parents in Medical School (PiMS) organization or spending time with his wife and running after his 14 month old toddler.