This the hardest earned piece of paper I have ever gotten.

Perhaps it isn't talked about enough but the anxiety and stress around preparing for and taking @Royal_College examinations is intense. It's like nothing I have ever experienced before. 1/4 In many ways, it felt like a hazing event that lasted for a year, culminating with FRCPC.

Having an examination that is so high stakes is both against the principles of CBME as well as the values we promote in medical education of learning from mistakes and questioning. 2/4

Medicine is a highly ableist profession, one that provides little flexibility or tolerance if physicians or trainees have disabilities.
Here is a list things that residency programs can do to reduce ableism and allow residents with disabilities to thrive rather than just survive. 1. Provide lead time when policy changes are introduced, such as lengthening weekend call or duty hour requirements. This allows residents to get additions accommodations in place if needed.

A reflection on one year at @StanfordHP , and a bit of what I have learned over the last year studying US #HealthPolicy at one of the top universities in the world. (And a photo tour.) During my time here I learned about health policy in the classroom, through my own research, and by being both a patient and resident doctor in one of the most expensive health systems in the world. I have experienced US healthcare from all angles.