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Author Archive: Jennifer Chevinsky

About Jennifer Chevinsky


Professionalism in Medicine: I Know it When I See it

by Jennifer Chevinsky, BS

A medical student comes into the hospital wearing his favorite pair of old, ripped, dirty jeans.

A physician ‘pimps’ a medical student and publicly shames her when she doesn’t know the answer.

A nurse tells the patient that he really does not like working with the case manager on the medical service.

A resident presents her patient to the attending, including a complete physical exam that she did not perform.

In recent years, increased focus has been placed on the concept of professionalism in medicine by the Association of American Medical Colleges (AAMC), Liaison Committee for Medical Education (LCME), Accreditation Council of Graduate Medical Education (ACGME), and Accreditation Council of Continuing Medical Education (ACCME).…

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The Oscars: Hollywood’s Biggest Night and Why it Matters to Medicine and Public Health

by Macey Henderson and Jennifer Chevinsky

The Oscars, or the glamorous Academy Awards, are known as the biggest night for Hollywood’s actors and for its big ratings for the mass media. For days following this gala, the media reports on the outfits worn, Oscars won, and perhaps most passionately, they begin to critique the process and decisions of the prestigious American Academy of Motion Picture Arts and Sciences (i.e. “The Academy”).  But why should the medical and public health community care about the Academy, the big name nominees, or the ultimate winners?

An Oscar win means positive attention for the film, director, and actors.…

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How to Use Your Third-Year Medical Student

Jennifer Chevinsky, B.S.

Conversation around the ethics of medical student treatment – or mistreatment – has changed greatly over the past 50 years.  From hazing to ‘pimping’ – overnights to business hours – ‘see one, do one, teach one’ to facilitated and guided learning.  Literature continues to discuss the moral erosion of students as they progress through medical school and go on to further training. The hierarchical structures and the domains of influence (especially relating to grading policies) have been illuminated.  What are ways that you, the healthcare professional, can best and most ethically incorporate medical students into clinical practice?

Starting on my third-year medical school rotations, I have been given an amazing and humbling opportunity to interview patients, perform physical examinations, and participate on a medical team. …

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Chicago: Medical Students Support Medical Ethics!

by Jennifer Chevinsky

For the ethics and humanities professors out there, I want to pass on a message – medical students around the nation want to hear more from you!  On June 15th, the American Medical Association’s Medical Student Section (AMA-MSS), the largest and most influential organization of medical students in the country, passed a resolution calling for reformation of medical education that includes increasing the medical ethics and humanities curricula. The AMA-MSS includes student leaders from across the nation, representing all allopathic and osteopathic medical schools within the United States.  At the annual AMA-MSS conference in Chicago, delegates from these universities voted in support of ‘Resolution 6,’ which resolved clauses read as follows,

 “RESOLVED, That our AMA and AMA-MSS recognize the importance of addressing the disparity between current outcomes and the ideal status of undergraduate medical education in bioethics and humanities; and be it further

RESOLVED, That our AMA, in partnership with appropriate AMA-MSS bodies, leverage its internal resources and its relationships with professional society stakeholders to create suggested guidelines for undergraduate medical education of bioethics and humanities guided by LCME requirements and the ASBH Task Force; and be it further

RESOLVED That our AMA advocate for the national adoption of a set of suggested guidelines for undergraduate medical education in bioethics and humanities by allopathic and osteopathic medical schools.”

This resolution was written and proposed by the members of the national Standing Committee on Bioethics and Humanities, comprised of students from the University of Buffalo School of Medicine, USF Morsani College of Medicine SELECT, Southern Illinois University School of Medicine, UMDNJ-New Jersey Medical School, John A.…

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Doctor, a Bitcoin for Your Two-Cents?

Jennifer Chevinsky, B.S.

When surfing online forums, I have become accustomed to expecting the unexpected; however, coming across a website about new economic currencies, I was surprised to find a forum entitled ‘Medical Consult for Bitcoins.’  On this forum, individuals have written about their medical problems, agreeing to pay for medical advice posted in a response by a fellow member of the anonymous online community.  Once receiving the advice, the ‘patient’ would then pay – not with Dollars, Euros, or even Groupons – but by ‘Bitcoin.’

‘Bitcoin’ is the name of the monetary unit within the world’s first fully online payment system or currency.…

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NUBC: Undergraduate Students Take on Environmental Ethics

Jennifer Chevinsky, B.S.

A recent study led by a University of Washington research team has found that air pollution is among the top five threats to the health of people living in China.  According to the World Health Organization, Mongolia has the highest level of outdoor pollution internationally, a value which correlates with three times the amount of pollution found in China and approximately fifteen times the amount in the United States.  It is not by luck however, that U.S. air pollution statistics are on the lower end of the spectrum.  Over the past 50 years, the U.S. Congress has enacted an Environmental Protection Agency as well as multiple Clean Air Acts, leading to large drops in emissions.…

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The Diabetes Challenge

Jennifer Chevinsky, B.S.

A recent study found a strong association between the number of test strips covered by insurance and better medical care in type 1 diabetics. Test strips are impregnated with chemicals that react with glucose when sensed within a drop of blood. Strips are disposable and cost from 40 cents to $1 each, although this cost is often defrayed to some extent by insurance.

Type 1 diabetes, previously called ‘juvenile onset,’ is a chronic illness that affects over three million Americans.  It was previously referred to as ‘juvenile diabetes’ because it was believed that this condition only developed in childhood, a theory that has been disproven. …

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Paging Dr. Howser

Jennifer Chevinsky, B.S.

Hospitals in Adelaide, Australia had seen a young man looking like a doctor wandering hospital halls. Was this a case of Doogie Howser, M.D. – a fictional teenage doctor on a 90s television show – or something less benign? On February 1st, a 17-year-old Australian was arrested for impersonating a physician. He was arrested after treating a 12-year-old girl for minor injuries related to a scooter accident. The charges against him include administering prescription drugs, assault, and identity theft. As early as October, the seventeen-year old ‘physician’ had been found in hospitals across Adelaide, wearing scrubs and a name badge while confidently reading patient files.…

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Diagnosing the Famous Non-Patient

Jennifer Chevinksy, B.S.

The Philippine Medical Association (PMA) has recently denounced the actions of neurologist Dr. Rustico Jimenez who publicly commented on the health status of boxer and politician, Manny Pacquiao. If Dr. Jimenez had evaluated Mr. Pacquiao as a patient, performing a history and physical exam, certainly it would be inappropriate for him to share any related findings with the public since that would be a breach of the duty of confidentiality. However, Dr. Jimenez is not Mr. Pacquiao’s physician nor has Dr. Jimenez met or examined Mr. Pacquiao. Dr. Jimenez stated that from observing Mr. Pacquiao from afar and from his professional knowledge that boxers are more likely to suffer from neurological disease, the politician-boxer may be experiencing early signs of Parkinson’s disease.…

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Twenty-Three-Year-Old Female

Jennifer Chevinsky, B.S.

On December 16th, a 23 year-old female physiotherapy student was raped by six men on a private bus in New Delhi, India, while returning home from a movie theater. She has recently died, after being transferred in critical condition to a hospital in Singapore. This incident is one of many that has been plaguing India in recent years. It seems natural for us to demonize the six men who perpetrated this crime and to feel safer when they have been caught and prosecuted. However, it is important to also recognize the larger systemic structural violence issues at play if there is to be any hope for resolution and change to prevent such crimes in the future.   

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