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AMWA
RESIDENT
QUARTERLY



Summer 2014 

In this Issue:

  • Conference Chair Update
  • Become an On-Call AMWA Member
  • Diabetes in the New India: New Face on an Old Problem
  • Member Achievements: Mrs. India International 2014
  • Mindfulness-Based Meditation: An Approach to Dealing with Residency
  • Resident Voices:
    • This Side of the Looking Glass: Let’s Get Away For A While
    • Hold My Hand
  • AMWA RD National Awards Description
  • Come Write for the ARQ!
  • New ARQ Publishing Guidelines
Arthy Saravanan, MD (center), Mrs. India International 2014. All photos courtesy of Atin Photography

Conference Chair Update
Parin Patel, MD
 
As planning for the Centennial Conference ensues, we are brimming with ideas to make this a memorable experience for all. This year, the residency division wants to focus on the growing obesity epidemic. As residents, we are in a unique place to both educate our patients about the importance of a healthy lifestyle and also implement these habits into our own lives to set a good example. Unfortunately, both of these can be tough due to the time constraints of residency. However, this year we plan to work together and support each other in this endeavor. Finally, we hope to conclude this year-long mission at the conference and encourage all the attendees to follow a healthy lifestyle and promote exercise and good nutrition to patients. Look out for the details on how we plan to put all of this together in the next ARQ!
 
Additionally, the residency division conference chairs are seeking out women medical school deans. If you want to recommend a dean, please send the dean’s name and school to Parin Patel at parin.patel89@gmail.com.
 
We are eager to hear your thoughts and if you have any suggestions for the conference, please contact Parin.

 
Become an On-Call AMWA RD Member!
Parin Patel, MD
 
Calling all residents and outgoing MS4s: get involved with Resident On Call: Personalized Q&A with AMWA Residents, the new AMWA-Resident advisory line. Resident On Call is a new AMWA program that brings together AMWA's resident and medical student divisions. Every month, an AMWA resident will be taking questions from all AMWA medical students. All questions will be screened and those chosen for Resident On Call will be answered through the AMWA blog at http://www.amwa-doc.org/blog/. To get involved, contact Mica Esquenazi at secretary@amwa-student.org.

 

Diabetes in the New India: New Face on an Old Problem
By Preethi Raghu, MD
Staff Correspondent

 
Amidst the booming urban center of Chennai, capital city of the South Indian state of Tamil Nadu, restaurant chains like McDonalds and KFC stood alongside the sizzling local eateries, often attracting a youthful crowd of loyal customers. Many people I met in Chennai had desk jobs during the day, draining city commutes in the sweltering summer heat, and limited time and space for exercise. Most of them also had something else in common: Type II diabetes.
 
A disease that was almost unheard of during my early years in India was now a household term. The new cityscape strewn with numerous diabetes clinics, endocrinologists, and ophthalmologists reflected this new trend. I sought to understand the extent of this diabetes epidemic in the rapidly modernizing Tamil Nadu, along with the challenges it posed to medical students and residents there.
 
Unlike the patients I was accustomed to in New York, many of these chronic diabetics in Chennai were neither obese nor elderly. These were middle-aged men and women within a normal weight range and some central obesity who first presented to clinics and hospitals with symptoms of diabetic complications such as “I have an ulcer on my foot,” “I can’t see out one eye,” or “My heart is racing and I feel shaky.”
 
There are numerous case reports of dramatic initial presentations, such as a young woman in South India who presented with a brainstem stroke from uncontrolled diabetes (2). Though extreme, her story draws attention to the jarring impact undiagnosed diabetes can have on this growing patient demographic, and the complicated attitudes behind diabetes education and prevention in India (2).

 
According to the Indian Council of Medical Research (ICMR), there are already 65.1 million diagnosed Type II diabetics in India, with an estimated 77.2 million with pre-diabetes (3). Furthermore, results from Phase 1 of the INDIAB Study 2011 approximated that 10.4% of the population in Tamil Nadu is already diabetic (1). Given the magnitude of the diabetes problem worldwide, Tamil Nadu being no exception, I delved deeper to understand why there was often an unsettling delay in diagnosis even though Tamil Nadu is one of the few states offering regular diabetes screenings (1).
 
Nimeshika Jay, a graduating medical student at Sri Ramachandra Medical College in Porur, writes that “patients often want us to just take care of the acute problem, even when they present with a diabetic ulcer and get newly diagnosed. The hectic lifestyle and focus on being a productive member of society here also makes exercise and self-care less of a priority, so there isn’t always a concept of attending regular screenings if one isn’t having symptom.” She further notes that the necessary medications and technology for providing top-notch diabetic care are available in the city, but it is often a matter of discussing with the patient the gravity of their medical condition so that their attitudes towards health care aligns with the physician’s goals.
 
Based on her insights, I cannot help but notice that medical students and residents are grappling with many of the same challenges with regards to diabetes prevention and education in India as we are in the US. Both countries have a growing population of diabetics, wide range of pharmaceutical options for treatment, and increasing awareness of the disease itself. The diabetics we admit to the hospital may require anything from a simple tune-up of their insulin regimens to intensive care for a life-altering complication. The focus of our care for such patients cannot simply be on rectifying their acute problem or on discharging them swiftly.
 
 As resident physicians, we are important points of contact for diabetic patients on the wards or in clinic, and diabetes education cannot just be delegated to the patient’s primary care doctor. We carry shared responsibility with our colleagues for our patients’ health and -- just as with other lifelong battles like smoking cessation -- we owe it to our patients to educate them and to encourage their fights against diabetes. Moving forward, my Chennai travels will flash as a reminder to spare an extra minute after rounds to sit with my diabetic patient, for my meaningful contribution to tame this global epidemic begins with an important pixel of the big picture: my patient.
 
1.            Anjana, R. M., et al. "Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: Phase I results of the Indian Council of Medical Research–INdia DIABetes (ICMR–INDIAB) study." Diabetologia 54.12 (2011): 3022-3027.
2.            Lipska, Kasia. "The Global Diabetes Epidemic." The New York Times Sunday Review. N.p., 25 Apr. 2014. Web. 5 June 2014. <http://www.nytimes.com/2014/04/26/opinion/sunday/the-global-diabetes-epidemic.html?_r=0>.
3.            "More than 77 million people in India have pre-diabetes: expert." The Hindu - Tamil Nadu. N.p., 27 Jan. 2014. Web. 5 June 2014. <http://www.thehindu.com/news/national/tamil-nadu/more-than-77-million-people-in-india-have-prediabetes-expert/article5620842.ece>.
Member Achievements: Mrs. India International 2014, Dr. Arthy Saravanan
Arthy Saravanan, MD
 
Dr.Arthy Saravanan was crowned Mrs. India International 2014 in Atlanta, Georgia on May 3, 2014. She will be the face of married Indian women in the global finals of Mrs. International 2014 in Florida. This pageant showcases the achievements of married women and is the oldest of its kind in the world.
 
The competition took place over two days, and involved a rigorous interview process with a 5 judge panel. The final competition involved three rounds that were scored individually by the judges including an aerobic wear round, ethnic wear round and evening gown round. Arthy competed against 13 finalists. After being selected as one of the top 5, Arthy’s confidence shined as she answered the on-stage question about her platform of access to healthcare for children. Arthy represented the city of Toronto, Canada in the Mrs. India International 2014 competition and also won the city title Mrs. India Toronto International 2014.
 
As the newly crowned Mrs. India International 2014, Arthy hopes to promote her platform, which is about healthcare disparities among underprivileged children. According to the World Health Organization, 6.6 million children under the age of 5 died in 2012. Among these, more than half of the early child deaths were due to a preventable or easily treatable condition. Arthy believes that health care should be made available equally to children worldwide, not discriminating on their socioeconomic status. She hopes to raise awareness on this issue, fundraise and donate to charities that support this cause, and volunteer her services and time as a physician to help underprivileged children receive adequate health care.
 
Arthy is actively involved in the American Medical Women’s Association on the Resident Division board. She continues to pursue medical research with numerous publications in academic journals. She has presented at local and international medical conferences on a variety of medical subjects.
 
Arthy was born in Kanyakumari, a small village in the southern tip of India and a popular tourist spot. She did her primary schooling in Muscat, Oman and subsequently moved to Toronto, Canada to pursue further studies. She graduated from the University of Toronto with a Bachelor of Science in Human Biology with minors in Zoology and Psychology. She completed her medical education at Indiana University and earned her MD in 2011. She is currently completing her residency specialty training in radiology and anticipates graduating in 2016. She hopes to pursue her fellowship sub-specialty training in Women’s Imaging.
 
Arthy has been happily married to Ranjith Varadarajan for 5 years and is the proud mother of Anya, their 1-year-old daughter. Her parents, Perumal Pillai and Bhama Saravanan, operate a tax and accounting business in Toronto. She has one older brother, Rohith Saravanan, who is currently a practicing family physician.
 
Arthy is also an accomplished Indian classical dancer, having performed Bharatnatyam professionally for 10 years. She continues to perform in shows and cultural events to promote her proud Indian culture. Additionally, Arthy is a volunteer Bollywood Zumba instructor, and believes that fitness is fun, especially dancing. Arthy also enjoys playing badminton and running. She ran her first half marathon only 3 months after delivering her baby. With her busy schedule as a resident physician and new mother, Arthy finds immense personal satisfaction in knowing that she has managed to find time to pursue her dreams.
Mindfulness-Based Meditation: An Approach to Dealing with Residency
By Savitha Bonthala, DO/MPH
Staff Correspondent

 
What do LeBron James, Oprah Winfrey, Russell Simmons, Arianna Huffington, Chairman and CEO of News Corp Rupert Murdoch, Ford Motor Company chairman Bill Ford, former google.org director Larry Brilliant, billionaire founder of Bridgewater Associates Ray Dalio , Padmasree Warrior of CTO Cisco Systems, and  CEO of Green Mountain Coffee Roasters Robert Stiller all have in common? They all practice meditation. 
 
Meditation is the practice of thinking deeply or focusing one’s mind for a period of time, in silence or with the aid of chanting, for religious or spiritual purposes or as a method of relaxation. Meditation has its roots in the Hindu Vedas – scriptures, which date to 1500 BC, that represent the earliest religious texts.  There are numerous types of meditation that encompass anything from breath work, to walking, to cleansing energy centers (dan tian or chakras, for example), to reciting mantras, and more.
 
In a broader sense, meditation is having one pointed focus. To meditate is to be in the present, without the influence of extraneous thoughts and to create a space to go into deeper levels of consciousness. It helps channel the mind and thoughts in one direction. It helps people strive to achieve lofty goals by detaching the mind from external stimuli and focusing on the goal at hand.
 
The medical benefits of meditation are far beyond promoting relaxation. Meditation has been shown to reduce cortisol levels by 25% in long term meditators. Additionally, it has been shown to promote deep restfulness, deeper than that found in sleep: oxygen consumption is reduced by 8% in deep sleep whereas it is reduced by 10-20% in meditation. Moreover, alpha and theta waves, which are linked to creativity and intelligence, are increased both in intensity and frequency during meditation. This demonstrates that meditation is more than relaxation and peacefulness: it is expanding our mind to a more creative and intelligent existence.
 
Even more remarkable, new research is linking meditation to gene expression. A recent study by the University of Wisconsin and the Institute of Biomedical Research of Barcelona found that meditation down regulated inflammatory genes, such as COX2 and RIPK2. In addition, results showed that meditating participants had faster cortisol recovery after being placed in a stressful social situation. Participants were asked to complete mental calculations or deliver a speech in front of an audience and those who completed mindfulness meditation had lower cortisol levels relating to these tasks than those who did not.
 
Among benefits for the body, meditation can reduce pain, boost the immune system, lower blood pressure and reduce heart risk. Benefits for the mind include cultivating willpower, building focus and concentration and boosting cognitive function. Interestingly, neuroimaging after an 8 week mindfulness-based stress reduction program showed increase in gray matter in the hippocampus and other areas regulating emotion, specifically compassion and self awareness. Moreover, meditation has been linked to fostering healthy body image, easing stress and anxiety and fostering sleep.
 
Meditation has been shown to reduce emotional reactivity. In one study, researchers found that participants who engaged in anywhere from one month to 29 years of mindfulness meditation practice, could disengage from emotionally upsetting pictures. They were better able to focus on another cognitive task versus those who did not meditate.
 
I had dabbled with meditation since high school, and recently I made it part of my daily routine during internship. Prior to starting a practice of daily meditation, I would often come home exhausted emotionally and mentally after working in the wards and grappling with the extensive medical knowledge needed for patient care. After starting a daily practice of meditation, I am able to leave the suffering I see at hospital. I wake up refreshed for another day of patient care. When I am with patients, my focus is unwavering. I complete the same amount of work in 2/3 of the time with undivided attention and more compassion.
 
More importantly, meditation has given me a space to reflect and observe the problems I face outside of the hospital – whether it’s the passing of my grandmother or shifting relationships. As I close my eyes each day to reach deeper levels of consciousness I know I am healing from within. As Paul Brunton states, “That deep silence has a melody of its own, a sweetness unknown amid the harsh discords of the world’s sounds.”
 
Suggested Reading/Selected References:
 
1)            Davis, Daphne M., A. M. Strasburger, and L. F. Brown. "Mindfulness." An Intervention for anxiety in schizophrenia. J Psychosoc Nurs 45 (2007): 23-29.
2)            Kaliman, Perla, et al. "Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators." Psychoneuroendocrinology 40 (2014): 96-107.
3)            Luders, Eileen, et al. "The unique brain anatomy of meditation practitioners: alterations in cortical gyrification." Frontiers in human neuroscience 6 (2012).
4)            Gaines, Trudi, and Leasha M. Barry. "The effect of a self-monitored relaxation breathing exercise on male adolescent aggressive behavior." Adolescence43.170 (2008).
5)            Healthy Lifestyle: Stress Management. http://www.mayoclinic.org/healthy-living/stress-management/in-depth/meditation/art-20045858?pg=2 Mayo Clinic. Accessed 6/8/2014.
Resident Voices


This Side of the Looking Glass: Let’s Get Away for a While
R Claire Roden, MD

There are few things more important to surviving residency intact than vacation. Much of the time this involves frantic searches on airbnb.com, rushed loads of laundry at midnight, and an awful lot of fantasizing about how wonderful a week of sleeping in will feel. In the dead of winter, when the Rubicon between “student/apprentice” and “essential personnel” has been solidly crossed, idly thinking about what to do with time off, no matter how many months away, is sometimes the best preserver of sanity.
 
I recently absconded from my hospital in one of the grimier parts of the East Coast for the Adirondacks. I traded fluid boluses for mountain lakes, and exchanged teaching rounds for exploration. My specific plans were not very concrete—I only got as far as deciding where to stay and the knowledge that I wanted to throw my phone in the deepest body of water I could find. I had bolded the dates I was traveling for ages.
 
When the time finally came for me and my husband to load up our tiny, fuel-efficient car for our 10 days of escape, I was distressed to discover that no matter what I did for distraction, all I could think about was medicine. I prattled endlessly about odd cases to my traveling companion, who is definitely not a physician, and I couldn’t shake the feeling that no matter what extremely important bit of relaxation I was currently occupied with was getting in the way of something that had to be done. I jumped at text messages and awoke at dawn for the first three days we were gone.
 
In short, I recently found that residency has trashed my ability to relax.  It took days to remember to enjoy myself.
 
I had spent the past several weeks wondering what on earth I was going to write about for this edition of the ARQ: the theme this time around is meant to be “renewal,” and I had no inspiration. I was trapped in my hamster wheel, always running in the same place, barely aware to stop and sleep and eat, and oblivious to whatever comforts my surroundings may offer.  I couldn’t imagine that I had any thoughts on the topic at all. Every draft I started, I scrapped.
 
Upon returning, the topic for my essay was obvious. Renewal is not a thing that residents frequently do. We are highly focused people, who like to finish ask many tasks as possible before we allow ourselves to breathe. The more we work, the easier it becomes to ignore and put off the parts of living that enrich us; and the truth of the matter is that ideally we would not require renewal. We would be able to draw strength from the parts of life that strengthen us on a daily basis. For me, being away was invigorating, but allowing myself to pick up my head to see the horizon, to hold hands with my partner and laugh at a podcast, or to take ten deep breaths and reevaluate what had me so anxious in the first place: those are things that renewed me.
 
Remembering our humanity is nearly impossible in residency. Escaping for a while is a dramatic way to remind ourselves of it, but on a daily basis we can continue to be connected to the world by protecting the parts of us that live there, and not on the wards. Some days I’m so pressed for time that I find myself calculating how to eat a bagel while also sleeping and taking a shower, but even in those moments it is possible to breathe a little deeper, to close my eyes for an instant, and to remember that there is a world that I live in that doesn’t end at my hospital’s front door.  The Adirondacks have existed for thousands of years, and residency will not.

 
 
Hold My Hand
Vanessa al Rashida, MD
 
I thought this was going to be an observation only and nothing else.  My Interventional Radiology month was supposed to be observational only.

"I need someone to please hold my hand" she said.  She did not explain why she wanted someone to hold her hand.  I was told to take her hand by the attending and reluctantly did so.  Her hand felt like a raisin in the sun.

The patient was brought in on her bed by a transporter.  She had a huge ascites from her liver disease that caused her great pain. 

Her hand held onto mine like a vise.  I wanted to tell her she was hurting me but I fell silent.   

We were able to find the ascites with ultrasound.  There was a large amount of fluid.

I did not understand why she needed someone to hold her hand.  Her hand was also dry.

The radiology resident sterilized an area on her abdomen, just far enough from her liver.  He then injected the patient with lidocaine to numb the area.

The patient squeezed my hand a little harder and exhaled a moan due to the pain.  In response, I squeezed her hand with equal strength.

I have seen this procedure many times during the month, and I knew exactly what to expect.  They were able to insert the tube in a large pocket of fluid without any difficulty.

She appeared relieved as the fluid started to pour out of her and into the vacuum-sealed container.  Her grip loosened, but she still did not completely relinquish my hand. 
I began to wonder why this woman did not let go of my hand almost for the whole procedure. 
I thought and I thought and I thought about it. 

By the time the procedure came to an end, the attending had already left the room.  The resident then explained how the draining might take a while, cleaned up his work space, signed a few papers, and left.
 
She wanted someone to hold her hand.  It could have been anybody.  I thought the nurse would have done it.  As I was holding her hand, my reluctance soon transformed into something profound.   It was as if we were not only physically connected by our hands but emotionally connected through our hearts.  It was not until towards the end of the procedure that through holding her hand, I saw this procedure through her eyes; knew her feelings about it.  When she winced at the needle sticking her, I found myself wincing too.  When she squeezed my hand, I squeezed hers in return.
 
 It was not until then I understood why she needed someone to hold her hand.  She did not need words to explain why, her actions explained it all.  In the end, I no longer was reluctant but glad to have been the one given the responsibility to provide her comfort during this time.

When the appropriate amount of fluid was extracted, the tube was removed from her abdomen.  She released my hand and tiredly said, “Thank you for holding my hand.”  I looked at her for a second and could only find myself to say, “No. Thank you.”  From this invaluable experience, I have learned to always provide not only the medical needs to the patient, but a helping hand as well
.
AMWA RD Awards
Dana Bonaminio, MD

 
We at national AMWA are honored to recognize residents who have demonstrated leadership, compassion, and commitment. AMWA will be presenting several awards to women currently enrolled in a residency program. Awardees will be chosen based on demonstration of exceptional leadership skills, inspiration and innovation that furthers the mission of AMWA by improving women’s health and/or supporting women in medicine. 
 
Through AMWA's prestigious awards and recognition programs, AMWA celebrates the contributions and accomplishments of remarkable American women in medicine. Awards are presented at the AMWA annual meeting.
 
Throughout our 99-year history, AMWA has been dedicated to a dual mission: advancing women in medicine and promoting women’s health. AMWA continues to recognize the contributions and accomplishments of outstanding women in medicine and to encourage the promising young medical professionals of tomorrow through our many awards, grants, and scholarship programs. We are proud to use our resources towards making a difference in the lives of women every day by providing grants to AMWA student branches, supporting physicians-in-training overseas and rewarding students for outstanding service and merit.
 
As you build your medical career, know that AMWA is there to support you not only with scholarship opportunities, but also with mentorship, leadership development, and more. We look forward to your success!
 
Please email bonaminio.dana@gmail.com or president@amwa-resident.com if you have any questions about the below awards.
 
 
Charlotte Edwards Maguire, MD Outstanding Resident Mentor Award
Deadline: January 31, 2015
In honoring the achievements of AMWA’s resident members who have ddemonstrated outstanding mentorship and guidance to AMWA national student members as judged by highest and most active ratings as determined by AMWA student evaluations
 
Criteria:
•An AMWA national resident member
•Must be a part of the Charlotte Edwards Maguire, MD Resident as Mentors Program
•Must be nominated by an AMWA Student member who has engaged in a mentor-mentee encounter with nominee
 
Award: Awardees will be honored during AMWA’s Annual Meeting. The individual award recipient, as well as nominating student members, is strongly encouraged to attend the meeting.
 
Please see website for further details regarding the nomination and selection process.
 
Susan L. Ivey, MD Courage to Lead Award
Deadline: January 31, 2015
In honoring the achievements of AMWA’s resident members, we honor Dr. Ivey’s dedication to the welfare and success of all women physicians in training. Dr. Ivey’s work and commitment to AMWA is a celebration of what women can achieve and contribute to others. Dr. Ivey was the 2006-2007 AMWA National Physician President whose courage led AMWA through financially difficult times. Dr. Ivey has stayed on as vital mentor to AMWA students and residents. As an active advocate for women’s health issues, her work and accolades speak for themselves. We are extremely proud of her accomplishments and acknowledge that without the struggle of women like her, our careers as young women physicians would not be possible.
 
Criteria:
•An AMWA national resident member
•Demonstrated exceptional leadership skills through vision, inspiration, innovation, and coordination of projects that further the mission of AMWA by improving women’s health and/or supporting women in medicine
•Must be nominated by an AMWA national member
 
Award: Awardees will be honored during AMWA’s Annual Meeting. The individual award recipient, as well as nominating student members, is strongly encouraged to attend the meeting.
 
Please see website for further details regarding the nomination and selection process.
 
Elinor T. Christiansen, MD Altruism Award
Deadline: January 31, 2015
In honoring the achievements of AMWA’s resident members, we honor Dr. Christiansen’s dedication to the welfare and success of all women physicians in training. Dr. Christiansen’s work and commitment to AMWA is a celebration of what women can achieve and contribute to others. As an active advocate for universal access to health care, her work and accolades speak for themselves. We are extremely proud of her accomplishments and acknowledge that without the struggle of women like her, our careers as young women physicians would not be possible.
 
Criteria:
•An AMWA national resident member
•Demonstrated altruism by acting unselfishly as an ambassador of the healing arts and AMWA for the continued promotion and success of healthcare and AMWA
•Must be nominated by an AMWA national member
 
Award: Awardees will be honored during AMWA’s Annual Meeting. The individual award recipient, as well as nominating student members, is strongly encouraged to attend the meeting.
 
Please see website for further details regarding the nomination and selection process.
 
Young Woman in Science Award
Deadline: January 31, 2015
Demonstrated exceptional contributions to medical science, especially in women’s health, through her basic and/or clinical research, her publications and through leadership in her field.
 
Criteria:
•An AMWA national resident member
 
Award: Awardees will be honored during AMWA’s Annual Meeting.
 
Please see website for further details regarding the nomination and selection process.

 
Let your voice be heard!
 
Have something to say? An experience to share? A unique perspective on research, residency, or healthcare? We’re all ears!
 
The AMWA Residency Division Quarterly is a journal for AMWA Residency Division members, and we want to hear your voice and publish your words. We are actively seeking submissions from our members on a range of topics, from your personal experiences in education to opinions about virtually anything connecting to medicine. This is a non-peer-reviewed publication of first-person writing, and we want to give you a place to publish your pieces. We are interested in short essays, poetry, photography, and illustrations.
 
We would also like to act as a place to trumpet our members’ accomplishments. If you have recently had a publication accepted at a peer-reviewed journal, received an award, presented at a conference, won a race, or had any other big achievements, let us know! Send an email letting us know of your successes, and we will publish it in the ARQ with a link or citation of your choice.
 
We are also interested in offering the position of “Staff Correspondent” to one AMWA RD member. Your only obligation is writing a 500-700 word article four times a year, and you get a great title for your résumé. To apply, please send a 200-500-word writing sample on the topic of your choice to Claire.roden@gmail.com.
 
For the history buffs among us, we would also like to offer the special opportunity to research and write a long-form article on the history of AMWA in time for our 100th Annual Meeting in April, 2015. To apply for this opportunity, please send a 200-500-word scholarly writing sample (with appropriate citation) to Claire.roden@gmail.com. Excerpts from larger works are acceptable; writing samples from the humanities and social science are greatly encouraged.
 
If you have a thought about medicine, we have a forum to publish it.

 
A little bit of fine print: Deadline for the September issue is 11:59pm on August 15, 2014. There is a limit of 500-700 words.
 
Please send all submissions and questions to Claire.roden@gmail.com.
 
ARQ Publication Guidelines, 2014-2015
R Claire Roden, MD
 
  1. The word count for all (prose) submissions is 400-700 words.
  2. Types of submissions accepted:
    1. Poetry
    2. Prose or essays
    3. Reviews of books, movies, or other media
    4. Photography or other illustrations
    5. If you would like to submit something outside these categories, please contact the ARQ editor at claire.roden@gmail.com
  3. If there is anything in the submission that is to be read as fact, please include appropriate citations.
    1. Citations do not count towards the word limit.
    2. Please use PubMed citation style.
  4. All submissions are to be original content, and not published through any other organization.
    1. Submissions may be published through multiple outlets if all other outlets have a written agreement regarding publication by outside groups.
  5. Dates for publication during academic year 2014-2015:
    1. For September publication: August 15
    2. For December publication: November 15
  6. We reserve the right to refuse publication.
  7. Please send all submissions to the ARQ Chief Editorial Officer, R Claire Roden MD, at claire.roden@gmail.com
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