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LEGISLATIVE WRAP-UP







             Making the Changes





                         We Want to See in Medicine




                                                       By Marc Ghosn



                 order to give my student perspective some context, I’d  ahead, registered online, and booked my hotels in advance.
                 like to start off with a bit of background about myself  The night before my first First Tuesdays, I stayed up for hours
                 and my school. Being a part of University of Incarnate  reading every document TMA and BCMS had published on their
        Word School of Osteopathic Medicine’s inaugural class has been  websites about the legislation we were there to support or oppose.
        an amazing and enriching educational experience. For the past two  I felt like it was my duty to walk in the following morning ready to
        years I have helped build a couple of school organizations from the  hit the ground running, since we had a packed schedule for the day
        ground up and have gained experience with writing, editing, and  and I couldn’t afford to lag behind! The next morning, I walked into
        passing constitutions, as well as cultivating leadership skills. As a  the TMA building in Austin at 7:30 a.m. and was amazed to see
        learner at a new medical school, we had no upperclassmen to “show  what looked like over a hundred physicians and students in white
        us the ropes” on how to be involved in organizations outside of  coats in the lobby and large conference room. I felt proud to be a
        UIWSOM and so we, as a class, took it upon ourselves to become  medical student after seeing all those physicians being strong role
        more involved in leadership at state and national levels. I currently  models to me and the other medical students in attendance that day.
        serve as chair-elect of Texas Association of Family Physician’s med-  I watched and listened attentively, taking notes on the legislative
        ical student section and as a TEXPAC board of director for the  agenda, and I prepared to march to the capitol to help advocate for
        medical student section, and through these organizations I heard  our patients in Texas. At the end of the welcoming session, I met
        about Texas Medical Association’s First Tuesdays. After being active  up with the BCMS delegation in the lobby, and we began our walk
        in these organizations for the past two years, I realized that the  to the capitol.
        change we want to see in medicine cannot be rushed, and that we  We followed our busy schedule, and after meeting with our first
        must start small and work towards the goal by building on it over  set of state senators and representatives, there was a very steep
        time. Through UIWSOM’s preceptorship shadowing program dur-  learning curve of catching up to the years of legislation that had
        ing years one and two, I was able to see firsthand some of the issues  been passed before my time, which has led to our current political
        that physicians encounter that we could fix with this year’s proposed  situation. Luckily, though, my research on current legislation made
        legislation.                                           that quick “firehose-style” history lesson a little bit easier to under-
          I believe the best time to learn about our political atmosphere is  stand. Taking up a supportive role in the group, I made sure to take
        as a medical student, since my extracurricular time will only get more  as many notes as I could in order to understand the details of where
        and more scarce as I progress in my career. Although I am currently  medicine stood on each house and senate bill. Listening and learning
        a third year, my experiences in First Tuesdays occurred in the spring  that first day from the amazing physicians in our BCMS delegation
        semester of second year, allowing me some free time to attend three  was truly an honor. They worked as a team, with clear cut roles and
        out of the four First Tuesday events for this legislative session. We  areas of expertise: truly a “well-oiled machine” in action.
        as medical students in San Antonio are lucky to be a part of a strong  What really amazed me was that, throughout the day, there was
        Bexar County delegation, since Bexar County Medical Society has  never a single mention of political sides being taken, Democrat or
        many active physicians in state leadership roles in many medical or-  Republican, liberal or conservative. Every topic was discussed with
        ganizations (TMA, TAFP, and other orgs). Hearing about First  the objectivity of medicine and the benefit of the patient! We all
        Tuesdays through the TMA this past January, I made it a goal to at-  know that our current political climate is very muddled, with no side
        tend as many of the events this legislative session, and so I planned  wanting to consider or even listen to the other side’s opinions. I was



         28  San Antonio Medicine   •  August  2019
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