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Published on: August 4, 2023
Behind the Curtain
1Faculty of Medicine, Medical University-Pleven, Pleven, Bulgaria.
Abstract:
This reflective essay chronicles my experience as a fourth-year medical student during a clinical rotation in a hospital ward. Initially overwhelmed by the sensory intensity and surrounding suffering, I developed an unexpected stillness-not born of indifference, but of necessity. Grappling with death as an inevitable reality, I reframed my presence at the bedside as an act of witness rather than a battle against the incurable. Through observing physicians and nurses, I absorbed not only clinical skills but the art of delivering difficult news with compassion. The essay explores the tension between empathy and emotional detachment, concluding that the quiet I cultivated was the only way to remain useful. Stepping outside the hospital, I realized the psychological distance I had built within the ward did not travel with me-leaving the outside world feeling strangely unguarded. This piece reflects on the hidden curriculum of medical training: learning to carry reverence for life alongside the discipline to act.
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