Louisville Medicine Volume 67, Issue 2 | Page 21

REFLECTIONS REFLECTIONS: THE WHITE COAT CEREMONY AUTHOR Teresita Bacani-Oropilla, MD A t a restful after-hours gathering of medical residents and their fami- lies in the 1970s, I asked a mother with a babe in her arms what her cute girl was going to be. Rather surprised, she said she had no idea. I explained that in the Philippines where we came from, and other Far East coun- tries, it was not unusual for parents to look at their batch of kids and assign them future careers according to their talents, as in: this talkative argumentative boy, Juan, is going to be a lawyer. Emma loves children and will be a teacher. Jose, who burnt himself building a bamboo cannon for New Year, could be an engineer if he keeps himself alive. Lucia is always a valedictorian and is compassionate; she will be a doctor. They may even set up a successful model for their child to emulate and call their attention if they deviate from their supposed goal. This of course is an alien concept among liberally inclined parents who believe that a child should decide what he wants to become, that which will make him happy in his future. Which brings us to the present time, the U.S.A., with our children from mixed cultures of East and West, North and South. Further honing it down to “what motivates our kin and others to join the medical profession?” The entering medical class of 2023 will soon have their White Coat Ceremony. Vested with a short white coat by faculty, they will be formally accepted to the healing profession. Taking vows that they will, from now on, adhere to the tenets of preserving health and life. Actually, they will have pledged the next four years of their young lives to the serious study of the art of healing the ills of their fellow men. Furthermore, they have also committed four or more years after that in pursuit of specialization in their selected fields of interest. To have reached this stage, these future medical doctors must have knowingly explored their options and decided it was worth putting together the necessary academic requirements for admission and taking the competitive MCAT to prove it. They have shadowed physicians, gone to medical missions, done research and worked odd jobs, medically related or not, to keep afloat. They applied to different medical schools and underwent interviews in hopes of being admitted to the schools of their choice. If they had gone through these rigorous activities and persisted, who says they are not qualified to don a short white coat? Their families and significant loved ones will be present with great hopes and pride at what their candidate has already accomplished. Many think of what they have contributed in love, sweat and tears, to this moment. They may have to do more of the same. Obviously, this ceremony is just a beginning, the first step in a lifelong quest for the fulfillment of the purpose of the rest of the candidates’ lives. The latter are just girding themselves for the real task ahead: medical school and specialty training. The hope is that after all these sacrifices, they will indeed be able to practice what they have learned, to alleviate illness, pain and misery among their patients, whoever they are and wherever they may be. We therefore wish for them courage, perseverance and good health. We pray their spiritual and personal lives continue as planned despite the challenges they face. When they do finally practice their art, may they find joy and satisfaction in what they do. Not to forget, may they be compensated enough to pay for their loans and debts, and have enough left over to lead a decent life. May they always be true to their calling so that others may not be deterred in following their footsteps when their life work is done. Whatever became of the little babe in arms at that resident party in the 1970s? She did become a professor in one of the prestigious university hospitals in the eastern USA. Her specialty? Emergency medicine. It’s obvious she has followed the course of the profession that she had awakened to. Will we ever know what motivates our kin and others to join the medical profession? Do we have an idea? Or do we not? Dr. Bacani-Oropilla is a retired psychiatrist. JULY 2019 19