I'm very smart , I was told so all my life , I never had to make any effort to get into med school or to graduate until the steps exams , I took step 1 in crazy circumstances and I had a good score , 2 weeks later passed the CS very easily, 2 months later I failed step 2CK !!!! I didn't completely get over it yet , I took an NBME 2days before got 248 then I FAILED , I'm taking my exam again in 2 weeks trying to convince myself that i might scramble but the truth is I failed because I was arrogant , I thought that the CK is too easy , that I'm great cuz I never failed anything no matter what .....I hope that this lesson will be helpful for u guys without the need of a failure , stay focused , study even if u feel that it's boring and u know it , u might have a bad test day and u will need more reflex answers then actual thinking . GOOD LUCK
I think people who go through atrocity are saying what you are in essence - that they had a bad day and that isn’t representative of what they are capable of. If someones father dies I think it would be rather psychotic or abnormal if it didn’t effect the student and he or she continued to move on as if nothing happened. Having cancer, divorce, immediate family deaths can tear someones life apart and I think its an okay excuse. If you are on the job as MD and your father passed away most hospitals would give you some time off to recuperate and once back - a lot of help and a light load to compensate for a bit. You would be forgiven for slower performance. So, ultimately blaming it on a bad day is not the best way I agree but I don’t think you are a loser if you failed a step cause you got diagnosed with cancer a week before or your wife walked out the night before. You’ve gotta be some asshole or a psychopath if you just move on after that and it doesn’t effect you mentally. Having empathy is a needed trait as a clinician. A failed step score is different to busting under pressure on the job imo. If something insane happened to you, don’t think its a bad thing to say it effected your test day, as long as you mentioned that it didn’t stop you from moving on and you kept pushing forward despite your circumstances. In fact someone with no excuse for a failure to me is more of red flag as maybe the didn’t prepare properly the first time and then studied harder the next showing inconsistency in their work ethic.
THE REAL LOOSER IS THIS UN-EMPATHETIC QUACK ! I WENT THROUGH A LOSS OF MY DAD RIGHT BEFORE MY EXAM, AND FAILED IT. I CALLED FISCHER UP FOR ADVICE AND HE SPECIFICALLY TOLD ME TO GIVE UP MEDICINE, I WILL NEVER MATCH, AND CHOOSE A DIFFERENT CAREER ! I WAS VERY DISTRAUGHT. 4 YEARS LATER I GRADUATED AND MATCHED !!! A HUGE PART OF BEING A PHYSICIAN IS HAVING EMPATHY AND FEELINGS. I WOULD NEVER WANT TO BE TREATED BY C. FISCHER NO MATTER HOW KNOWLEDGEABLE HE IS. A FAILED EXAM DUE TO A TRAGEDY DOES "NOT" MEAN YOU CANT PERFORM WELL UNDER PRESSURE A A DOCTOR. A GOOD TEACHER, YES....... BUT HORRIBLE PHYSICIAN ! STICK TO ACADEMIA MR. FISCHER !!!
I am not at all surprised at your comment going by your name. Humans are emotional beings, not logical beings for most part. Success is a logical process. I am surprised that you did not put the video in perspective. Dr.Fischer was advising those aspiring for a position in residency , attending interviews , after having not done very well in one of the steps or having failed one of the steps. More so Immigrants , I guess. He is telling the cultural difference of a American Program director expectation versus an immigrant residency aspirant. What Dr. Fischer has advised them is to own up the failure and say that I will change my methods to be successful is far more acceptable and palatable excuse for poor performance THAN putting it on death in family or divorce that happened. Death in family or divorce in family will cause an effect on the individual and will cause affective(mood)disorders for sure, but it does not mean that you should mention those in residency interview, to justify poor performance. That is culturally acceptable in sub-continent and other parts of the world, not here, where Residency program director is looking for some one who is looking for someone who is ready to reside in Hospital , be on 27 hours call at a stretch (residency) and 36 hours call (Fellowship) and who are not offering excuses to do that. His advice is precisely for those who are aspiring for residency and not for the whole humanity, and his advice is very appropriate. I used his teaching and advise 17 years ago, and now teach and advise in a Public university in same /similar capacity.
I would like you to clarify this Dr. Fischer: if my mother dies, or if my father dies, or if I have cancer, or if I get divorced, I should still function normally, is that so? I have to function normally to answer 240 questions smoothly after my close one dies or If I am told i am going to need chemo? As a doctor, compassion is not only towards the patient, it is supposed to be directed also towards fellow colleagues and ourselves. What I hear from you is that we are ROBOTS. Unfortunately, that's not the case for us. Just failing or not doing well in one exam shouldn't be dictating our careers and people like you are making it worse. I am actually inspired to study better and become someone who supports and helps people around me, I do not want to end up as a person who doesn't understand that mistakes happen and should not be carried forward.
What really makes me upset and hate myself is failing at incredibly minuscule tasks. Failing to type correctly on a phone that isn't new for me. Failing to put away groceries without dropping something. Failing to click the right part of my computer screen the first time. Things like that. I find this incredibly hard to get over.
sir, i have to agree with u...that..if we fear something..we just have to keep pushing..and be in d game....and anyone can achieve anythin.....but turning our backs and running away.. will never do any good..
Forgiving yourself is only second yo seeking forgiveness from those you hurt and from your Maker after he provided a way out of miserable mortal humanity by offering himself to expiate every evil that plagues human souls.
Honestly I’m more concerned in identifying the etiology of mistakes knowing I’m only human than in forgiving myself. Medical error ( a huge spectrum of things) remain in my understanding and many research lines the second cause of death in the USA. I’m more appreciative of the slow medicine movements than I am of the heroic medicine movement Our medicine has evolved to become too divorced of many other necessary health disciplines and patient engagement.
Some people fail precisely because of this attitude. I understand that we live in neoliberal capitalism and it's probably a realistic option that employers or professors might see it that way, but is that the world we want to live in? There is always the assumption that discipline leads to success, and while that's true to a degree, perfectionism is also related to anxiety and burnout. People do not produce their best work when they beat themselves up, they do so when they feel understood and inspired. Many procrastinate because they are afraid to fail, not because they are lazy or lack discipline. Too much pressure will in time either create uninspired uniformity or plain hostility. It makes our society sick.
At the end of the day we are human being. We are not made out of fire or rocks. We are the most weakest creature in this life. Based on your speech we have to be strong but we are not. The creator did not make us strong compare to the rest of the creature in this life
Hi Dr. Fisher! Thank you for your videos! I have one question, hope you can help me. I graduated on March 2014 and I am really confused with the time since graduation definition due to the 5-year cutoff of many programs. If I submit my application on sept 2019, would I be considered to be within 5 years of graduation or more than 5 years? Not sure if: 1. The system calculates it from the exact date of graduation or from the year of graduation, 2. If its until date of application (sept 2019) or date of match (march 2020)?
I enjoyed your lectures, especially the one about immunodeficiency disorder in which you make things very clear. However, I disagree with some of what you say in this video (hope you do entertain different perspective). Even the medical ethic committee understands that involving loved ones will make our judgement not perfect. It takes up to 6 months to grieve! Some may take longer, that's why they have yearly anniversary. Yes I do hope the candidates can get back on track at some point. God bless!
That's super toxic. I can't wait until your generation of thinking dies off. We are trending towards a more civilized tolerant society not the other direction. While I do completely agree that resilience is a key trait, you shouldn't be resilient just cuz PD or employer is gaslighting you into coping with your personal life a certain way. Programs and careers need to move forward to implement structural changes to reasonably accomodate for big life events in individuals. I mean if women get maternity leaves, surely a resident/med student diagnosed with cancer should get something too right??? Getting cancer and being sad about that makes you a fucking loser??? Seriously...? How out of touch can you be??? Do we just suddenly don't believe doctors are humans? Did you just stop believing in psychiatry? You make great material for IM learning and I thank you immensely for it, but I hope your mentality on this topic is buried with you when you die.
This has got to be the most pathetic, sad and inhuman way of thinking. Shame on you Conrad. If someone’s immediate family member dies, it is absolutely reasonable to expect that they will have trouble ‘functioning’ after all we’re not robots, or I’m not anyway. You sound like you might be one. Or expect your residents to be robots. I understand the difference between making an excuse and taking responsibility but it is possible to have an excuse AND still hold yourself responsible. For example, Conrad if you said, your mom died the week of your test and you had distress and trouble focusing after that, that would be understandable. You could not study but still needed to take this exam.
Dr Fischer.You are THE Genius and I adore your videos, but this one is too ''Yankee'' Capitalist rat race brouhaha . Maybe some balance would not hurt. For me it is not ethical and professional if you do not show compassion to everyone(Including poor junior Doctors).To be nice to patients and be realistic(cruel) to you subordinate colleagues is not ethical. Resembles kind of Dr Mengele attitude . Doesn't it
I'm very smart , I was told so all my life , I never had to make any effort to get into med school or to graduate until the steps exams , I took step 1 in crazy circumstances and I had a good score , 2 weeks later passed the CS very easily, 2 months later I failed step 2CK !!!! I didn't completely get over it yet , I took an NBME 2days before got 248 then I FAILED , I'm taking my exam again in 2 weeks trying to convince myself that i might scramble but the truth is I failed because I was arrogant , I thought that the CK is too easy , that I'm great cuz I never failed anything no matter what .....I hope that this lesson will be helpful for u guys without the need of a failure , stay focused , study even if u feel that it's boring and u know it , u might have a bad test day and u will need more reflex answers then actual thinking . GOOD LUCK
Hi did you match? Thanks and good luck
Great suggestions. I used your suggestion for my interview.
I think people who go through atrocity are saying what you are in essence - that they had a bad day and that isn’t representative of what they are capable of. If someones father dies I think it would be rather psychotic or abnormal if it didn’t effect the student and he or she continued to move on as if nothing happened. Having cancer, divorce, immediate family deaths can tear someones life apart and I think its an okay excuse. If you are on the job as MD and your father passed away most hospitals would give you some time off to recuperate and once back - a lot of help and a light load to compensate for a bit. You would be forgiven for slower performance. So, ultimately blaming it on a bad day is not the best way I agree but I don’t think you are a loser if you failed a step cause you got diagnosed with cancer a week before or your wife walked out the night before. You’ve gotta be some asshole or a psychopath if you just move on after that and it doesn’t effect you mentally. Having empathy is a needed trait as a clinician. A failed step score is different to busting under pressure on the job imo. If something insane happened to you, don’t think its a bad thing to say it effected your test day, as long as you mentioned that it didn’t stop you from moving on and you kept pushing forward despite your circumstances. In fact someone with no excuse for a failure to me is more of red flag as maybe the didn’t prepare properly the first time and then studied harder the next showing inconsistency in their work ethic.
THE REAL LOOSER IS THIS UN-EMPATHETIC QUACK ! I WENT THROUGH A LOSS OF MY DAD RIGHT BEFORE MY EXAM, AND FAILED IT. I CALLED FISCHER UP FOR ADVICE AND HE SPECIFICALLY TOLD ME TO GIVE UP MEDICINE, I WILL NEVER MATCH, AND CHOOSE A DIFFERENT CAREER ! I WAS VERY DISTRAUGHT. 4 YEARS LATER I GRADUATED AND MATCHED !!! A HUGE PART OF BEING A PHYSICIAN IS HAVING EMPATHY AND FEELINGS. I WOULD NEVER WANT TO BE TREATED BY C. FISCHER NO MATTER HOW KNOWLEDGEABLE HE IS. A FAILED EXAM DUE TO A TRAGEDY DOES "NOT" MEAN YOU CANT PERFORM WELL UNDER PRESSURE A A DOCTOR. A GOOD TEACHER, YES....... BUT HORRIBLE PHYSICIAN ! STICK TO ACADEMIA MR. FISCHER !!!
yes
I am not at all surprised at your comment going by your name. Humans are emotional beings, not logical beings for most part. Success is a logical process. I am surprised that you did not put the video in perspective. Dr.Fischer was advising those aspiring for a position in residency , attending interviews , after having not done very well in one of the steps or having failed one of the steps. More so Immigrants , I guess. He is telling the cultural difference of a American Program director expectation versus an immigrant residency aspirant. What Dr. Fischer has advised them is to own up the failure and say that I will change my methods to be successful is far more acceptable and palatable excuse for poor performance THAN putting it on death in family or divorce that happened. Death in family or divorce in family will cause an effect on the individual and will cause affective(mood)disorders for sure, but it does not mean that you should mention those in residency interview, to justify poor performance. That is culturally acceptable in sub-continent and other parts of the world, not here, where Residency program director is looking for some one who is looking for someone who is ready to reside in Hospital , be on 27 hours call at a stretch (residency) and 36 hours call (Fellowship) and who are not offering excuses to do that. His advice is precisely for those who are aspiring for residency and not for the whole humanity, and his advice is very appropriate. I used his teaching and advise 17 years ago, and now teach and advise in a Public university in same /similar capacity.
Great to know .
Thank you doctor Fisher.
Success is the best form of revenge - loved it
I needed to hear that doc..
Use your failure as motivation to your success. Brilliant!
That really was incredible, precise and at the perfect time.
Thanks, Dr. Fischer.
I would like you to clarify this Dr. Fischer: if my mother dies, or if my father dies, or if I have cancer, or if I get divorced, I should still function normally, is that so? I have to function normally to answer 240 questions smoothly after my close one dies or If I am told i am going to need chemo? As a doctor, compassion is not only towards the patient, it is supposed to be directed also towards fellow colleagues and ourselves. What I hear from you is that we are ROBOTS. Unfortunately, that's not the case for us. Just failing or not doing well in one exam shouldn't be dictating our careers and people like you are making it worse. I am actually inspired to study better and become someone who supports and helps people around me, I do not want to end up as a person who doesn't understand that mistakes happen and should not be carried forward.
Loved that "OM" over your table.....stay blessed
Accepting your failure is the first and most important step to success..Thank Dr..You are really An inspiration for lot of Young dr..
What really makes me upset and hate myself is failing at incredibly minuscule tasks. Failing to type correctly on a phone that isn't new for me. Failing to put away groceries without dropping something. Failing to click the right part of my computer screen the first time. Things like that. I find this incredibly hard to get over.
You never fail to impress Dr. Fischer. Plus wolverine figurine and "OM" wooden art piece. You are right on money.
Atharva Desai haha didn’t even notice the wolverine and aum. Go blue haha
Thank you
The point : NO one is going to solve your personal hardships , Except yourself.
The best advice of 01,01,2021 for me and i di appreciate tour word of wisdom
Love it is like you are talking with my son who is going thru hard time with his studies...
A true Master of medicine, I have been a disciple ever since!
After all the things Dr.Fischer can do, I still can't think how he got behind the table.
sir, i have to agree with u...that..if we fear something..we just have to keep pushing..and be in d game....and anyone can achieve anythin.....but turning our backs and running away.. will never do any good..
Forgiving yourself is only second yo seeking forgiveness from those you hurt and from your Maker after he provided a way out of miserable mortal humanity by offering himself to expiate every evil that plagues human souls.
Om Sign on this table ❤
BRAVO! I really needed to hear this! Thank you Doctor.
"Success is the best form of revenge"
Truely inspiring talk! Thank You Dr. Fischer!
I love the way you teach! Thank you!
I can only see chaoson his table
panic forward 🏍️🏎️🏎️
Thanks 🙏
Ur the best mentor and teacher ever , god bless u 💖
Wow thank you for this dr Fischer. It is just another reason I love you and your company.
I like his Messy Desk lol
Honestly I’m more concerned in identifying the etiology of mistakes knowing I’m only human than in forgiving myself. Medical error ( a huge spectrum of things) remain in my understanding and many research lines the second cause of death in the USA. I’m more appreciative of the slow medicine movements than I am of the heroic medicine movement
Our medicine has evolved to become too divorced of many other necessary health disciplines and patient engagement.
Im crying bcs of that
Some people fail precisely because of this attitude. I understand that we live in neoliberal capitalism and it's probably a realistic option that employers or professors might see it that way, but is that the world we want to live in? There is always the assumption that discipline leads to success, and while that's true to a degree, perfectionism is also related to anxiety and burnout. People do not produce their best work when they beat themselves up, they do so when they feel understood and inspired. Many procrastinate because they are afraid to fail, not because they are lazy or lack discipline. Too much pressure will in time either create uninspired uniformity or plain hostility. It makes our society sick.
At the end of the day we are human being. We are not made out of fire or rocks. We are the most weakest creature in this life. Based on your speech we have to be strong but we are not. The creator did not make us strong compare to the rest of the creature in this life
All F**king bullshit! Take the heat and burn until you pass!
Never turn your back! Move forward without any regrets!
In other words, this is life - get over it!
Love you man!
Sir ❤❤❤❤
Love from Pakistan ❤
Thanks, Conrad, I needed that
Hi Dr. Fisher! Thank you for your videos! I have one question, hope you can help me. I graduated on March 2014 and I am really confused with the time since graduation definition due to the 5-year cutoff of many programs. If I submit my application on sept 2019, would I be considered to be within 5 years of graduation or more than 5 years?
Not sure if:
1. The system calculates it from the exact date of graduation or from the year of graduation,
2. If its until date of application (sept 2019) or date of match (march 2020)?
Thank you so much for this 😊
I enjoyed your lectures, especially the one about immunodeficiency disorder in which you make things very clear. However, I disagree with some of what you say in this video (hope you do entertain different perspective). Even the medical ethic committee understands that involving loved ones will make our judgement not perfect. It takes up to 6 months to grieve! Some may take longer, that's why they have yearly anniversary. Yes I do hope the candidates can get back on track at some point. God bless!
Thank you for inspiration
Thank you.
Thank you!
"Put all excuses aside and remeber this : You are Capable"
That's super toxic. I can't wait until your generation of thinking dies off. We are trending towards a more civilized tolerant society not the other direction. While I do completely agree that resilience is a key trait, you shouldn't be resilient just cuz PD or employer is gaslighting you into coping with your personal life a certain way. Programs and careers need to move forward to implement structural changes to reasonably accomodate for big life events in individuals. I mean if women get maternity leaves, surely a resident/med student diagnosed with cancer should get something too right??? Getting cancer and being sad about that makes you a fucking loser??? Seriously...? How out of touch can you be??? Do we just suddenly don't believe doctors are humans? Did you just stop believing in psychiatry? You make great material for IM learning and I thank you immensely for it, but I hope your mentality on this topic is buried with you when you die.
This has got to be the most pathetic, sad and inhuman way of thinking. Shame on you Conrad. If someone’s immediate family member dies, it is absolutely reasonable to expect that they will have trouble ‘functioning’ after all we’re not robots, or I’m not anyway. You sound like you might be one. Or expect your residents to be robots. I understand the difference between making an excuse and taking responsibility but it is possible to have an excuse AND still hold yourself responsible. For example, Conrad if you said, your mom died the week of your test and you had distress and trouble focusing after that, that would be understandable. You could not study but still needed to take this exam.
Hahaha what did you expect???? It is CAPITALISM....
👌👌👍👍
I am convinced he has adhd
Dr Fischer.You are THE Genius and I adore your videos, but this one is too ''Yankee'' Capitalist rat race brouhaha . Maybe some balance would not hurt. For me it is not ethical and professional if you do not show compassion to everyone(Including poor junior Doctors).To be nice to patients and be realistic(cruel) to you subordinate colleagues is not ethical. Resembles kind of Dr Mengele attitude . Doesn't it
Dr. Mengele attitude?! Either there is smth I misunderstand or your comment is distasteful to no end.
He is being brutally honest.
He can be a good actor but not a good doctor..