Sep 15, 2026 · 43 min · 10 segments
SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show! A first year general surgery resident slid into my DMs after our…
So I want to start first by talking about So overall, you know, one of the things that we talked about in the previous episode is I think that every medical student should do some type of global humanitarian or should have some type of global humanitarian experience.
I think that it makes you realize the system that we are practicing here in the United States.
And it's good to see what it's like in a low resource environment, in an environment that's not developed to see how good your clinical skills are.
But global surgery is the truest test of your foundation of medicine.
This experience is going to test how well your knowledge basis, how well your clinical skills are.
You know, I was listening to an episode a long time ago by Dr. Ali Abdaal, who was able to really verbalize what I've been thinking for a long time, but just...
I didn't know how to really say it, but basically when you're in the United States, you're a part of this complex system, this big system where you have these large hospitals and then, you know, there's tertiary hospitals, there's hospitals below that.
And then there's, you know, federal federally qualified medical centers, you know, they all work in part of this system and it allows you as a patient or your patients to be seen.
And it's, the likelihood of someone falling through the cracks, it's really low, right? There's a lot of technology.
There's a lot of labs.
There's consultants, second opinions.
There's a lot of imaging that we use.
There's backup systems.
Even in my trauma system that I've been to, we always have a backup system because you never know when there's going to be a mass casualty event or you never know when you need to be in the OR and another trauma comes in while you're in the operating room.
There has to be a backup system for someone to respond very quickly.
There's also protocols and so forth.
So for me, I find it... really hard to verbalize or even to quantify like me as an individual surgeon, am I specifically making a difference in the community that I serve? That's tough.
And I think that that's for me, the most honest way to describe my impact in the United States.
I don't have that feeling here in Ghana.
And I think that that distinction matters more than residents realize.
Because I think when you are in training, the focus really is on you.
You're just like, I'm trying to get enough information so I can pass this.
I'm trying to get enough information so I can live a lifestyle like this.
I'm trying to get, I want to get to this fellowship.
Everything is I, I, I.
So I want to start first by talking about So overall, you know, one of the things that we talked about in the previous episode is I think that every medical student should do some type of global humanitarian or should have some type of global humanitarian experience.
I think that it makes you realize the system that we are practicing here in the United States.
And it's good to see what it's like in a low resource environment, in an environment that's not developed to see how good your clinical skills are.
But global surgery is the truest test of your foundation of medicine.
This experience is going to test how well your knowledge basis, how well your clinical skills are.
You know, I was listening to an episode a long time ago by Dr. Ali Abdaal, who was able to really verbalize what I've been thinking for a long time, but just...
I didn't know how to really say it, but basically when you're in the United States, you're a part of this complex system, this big system where you have these large hospitals and then, you know, there's tertiary hospitals, there's hospitals below that.
And then there's, you know, federal federally qualified medical centers, you know, they all work in part of this system and it allows you as a patient or your patients to be seen.
And it's, the likelihood of someone falling through the cracks, it's really low, right? There's a lot of technology.
There's a lot of labs.
There's consultants, second opinions.
There's a lot of imaging that we use.
There's backup systems.
Even in my trauma system that I've been to, we always have a backup system because you never know when there's going to be a mass casualty event or you never know when you need to be in the OR and another trauma comes in while you're in the operating room.
There has to be a backup system for someone to respond very quickly.
There's also protocols and so forth.
So for me, I find it... really hard to verbalize or even to quantify like me as an individual surgeon, am I specifically making a difference in the community that I serve? That's tough.
And I think that that's for me, the most honest way to describe my impact in the United States.
I don't have that feeling here in Ghana.
And I think that that distinction matters more than residents realize.
Because I think when you are in training, the focus really is on you.
You're just like, I'm trying to get enough information so I can pass this.
I'm trying to get enough information so I can live a lifestyle like this.
I'm trying to get, I want to get to this fellowship.
Everything is I, I, I.
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