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CounterPOINT: If you have to take drugs to study, you shouldn’t be in Medical School

Tony Lassaletta M'07

They say that plumbers have the worst pipes. Perhaps they’re just too busy fixing everybody else’s. I suppose it’s similar to walking out of the hospital and seeing that group of doctors and nurses puffing away under the “No Smoking Within 20 Feet of This Building” sign. It has become apparent to all of us, not only through stereotypes, but also from observation, that doctors don’t always make the best heath decisions for themselves. Perhaps it’s related to the phenomenon that police cars never use their blinkers, or stop for pedestrians.

We all worked very hard to get into medical school, studied for weeks on end for the MCATS, perhaps drove hundreds of miles for interviews, and by the looks of the line at Dunkin’ Donuts between 10:00 and 10:15am, most of us acquired a caffeine addiction somewhere along the way. Hopefully, we also acquired excellent study skills and the self-discipline to stay on track. I don’t think any of us were expecting medical school to be easy, no matter what Ivy-league school we went to or how elite our major was; we all knew medical school was going to be harder.

Studying has never been my forte, and to be frank, I probably studied more last semester than I did getting an engineering degree, but that’s OK, this is medical school. I work hard, stay up late, wake up early, and have fun when I can. However, one thing I don’t do is take drugs to stay focused. The rising popularity of amphetamines on college campuses and in our medical school reminds me of Junior High when I first heard someone publicly talking about masturbation. The seal of “no one talks about it but everybody does it” was broken, and slowly, more and more people admitted to doing it, or at least went home and tried it themselves to see what all the hoopla was about.

I may be a bit naive, but I was extremely surprised to find that this was not only a popular, but acceptable practice in medical school (taking amphetamines that is, not masturbation). We are going to be doctors, developing a dependence on amphetamines should not be on our agenda, and as for the excuse that it’s only to study to get through the first year, or first two for that matter, is absurd. I don’t believe that our schedules are going to get any easier after medical school, so do we plan on taking amphetamines for the rest of our careers? Seeing our patients on a fix? Many of us have physicians in our families, for those of you who don’t, let me fill you in; medical school is much more low stress for us than for our predecessors. We have a pass/fail system and we’re all going to graduate, that my friends and colleagues, is a luxury to know. I’m sure we all graduated at the top 10% of our class and scored well above the mean on our MCATS, why then do we suddenly feel the need to take drugs so that we can get honors in medical school? Not only are we engaging in self-destructive behavior, but it’s not fair to those who don’t take amphetamines to study for 20 hour blocks of time.

We all find it difficult to pay attention for 6 hours of lecture followed by a 4-hour anatomy lab and 2 of physical diagnosis, and it’s not easy to spend 3 straight days reading 200 pages of physiology notes printed with low toner. I’m sure we can all go to our physician and honestly list our textbook symptoms of ADD, but the bottom line is, few of us probably have ADD for which we need medication. We’re in medical school, it’s supposed to be challenging, and the use of amphetamines is not only a sign of disrespect for yourself, but to your classmates and future patients as well. I know I wouldn’t want to go to any doctor that had to take drugs to study in medical school, whether he got honors across the board or not; just like I don’t want to see an amazing baseball season if it’s due to steroids and testosterone patches. It’s lying, and it’s cheating.

Hopefully, I’ll continue seeing everyone in line at Dunkin’ Donuts between classes instead of in line at CVS getting a prescription refilled. I think we need to be in the mindset that we are future doctors, not just medical students. We not only have a future duty to our patients and profession, but a present one. I’d like to think that when we’re practicing physicians, Starbuck’s stock will have gone up, and when we walk under the “No Smoking” sign outside the building, the people with cigarettes in their hands won’t be wearing white coats.