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Residency Internal Medicine, Russian Applicant

Call 911! The young Caucasian male had been thrown fifteen yards from the site of impact and surprisingly was still conscious upon my arrival. Flail chest", I thought to myself as I unbuttoned his shirt and placed my backpack upon his right side. "Pulse 98, respiration 28 short and quick; help is on the way. Hang in there buddy!" I urged. After assessing the patient, the gravity of the situation struck me. His right leg was mangled with a compound fracture, and his left leg was also obviously broken. The tow-truck that had hit him looked as though it had run into a telephone pole. The patient was no longer conscious; his pulse was faint and respiration was low. "Stay with me, man!" I yelled. "15 to 1, 15 to 1", I thought as I rehearsed CPR in my mind. Suddenly he stopped breathing. Without hesitation, I removed my T-shirt and created a makeshift barrier between his mouth and mine through which I proceeded to administer two breaths; no response and no pulse. I began CPR again and continued for approximately five minutes until the paramedics arrived, but it was too late. I had lost my first patient!

 When I decided to be a nurse, I imagined that I would be saving lives, curing ailments, alleviating pain, however as the paramedics pulled the sheets over that man’s head, I trembled and learned a very harsh lesson concerning my limitations. I also demonstrated then that I know how to cope with a life and death emergency with confidence, a confidence instilled in me by my diploma as a RN, a confidence that I had the ability to take charge of a desperate situation and help someone in critical need. I became increasingly, even painfully aware that I needed more education so that I could make greater impacts on patient care. This pivotal incident confirmed my decision to pursue medicine as a career. The knowledge base and practical experience acquired during nursing and medical school in Russia and then later ROSS University, has  helped me to become familiar with many medical perspectives in a wide range of specialties and given me a solid foundation which I intend to apply and build upon effectively during my clinical rotations.

  I found every patient interaction to be something new and enjoyable. I will always remember a 40-year-old diabetic patient who suddenly became unconscious in the ward.  My initial diagnosis of hypoglycemia was correct and the IV dextrose administered to the patient helped him recover immediately.  I experienced tremendous satisfaction when, with the power of my knowledge, I helped an individual feel much better almost instantly.  I thrived on the broad diversity of the ages and illnesses of my patients and the treatments utilized. I am enthralled by the wide spectrum of diseases, diagnoses, and treatments encompassed by Internal Medicine.  I love the diagnostic challenge that each patient poses and the thrill of seeing a patient improve with treatment.  Each patient taught me something new, and I was especially engaged by how even one sign or symptom could help establish or refute a diagnosis. 

 When my father was diagnosed with gastritis and coronary ischemia; the fear and uncertainty was an emotionally draining experience for not only for him, but for my family as well.  Each visit to the doctor’s office made me realize how a truly compassionate doctor can go a long way to relieve the patient’s anxieties, and that of their family members; and I am dedicated to struggling every day to further enhance my compassion. This physician educated my father about healthy lifestyle choices, and by doing so, patient’s and their families can sometimes avoid chronic disease entirely.

 Emphasis on disease prevention, the primary management of common diseases, and the long term relationships with patients of all ages, are the aspects of internal medicine that I most enjoy. My interest in Internal Medicine grew even stronger after the invaluable opportunity of working with Dr. Cadet, who has been a IM physician for more than 30 years.  I admire the long-term relationship he has built up with his patients and their families; many of them were first seen by him as young adults and now are retired. I am encouraged by his style of practicing medicine, with a heavy dose of education. I have incorporated this style of practice in my clerkships, by educating patients to participate in improving their own health.

 Throughout my clinical years I have learned to adapt to many different situations, staying up to date and learning about different cultures and belief systems. In this way I am able to provide more holistic care for my patients. I have also kept up my clinical skills by performing central lines, suturing wounds, intubating, performing CPR, and casting and splinting fractures. I have been involved in many research and other academic projects; this has helped me to polish my techniques and to better understand experimental data. I now keenly look forward to clinical practice as well as participating in research as part of your residency team.

 I am looking to join a residency program that will provide me with a broad-based clinical education and the skills necessary to become a knowledgeable, caring, and deductive physician.  I look forward to sharing my experiences with the faculty, the program, the hospital and our patients. The program that I am looking for fosters a team atmosphere of close contact between faculty and residents, working together for the welfare of the patient.  I’m certain I will harness my full potential in a program that provides opportunities for community involvement and encourages clinical research.  I am confident that my determination, resilience, and strength of character will enable me to successfully handle the many challenges that I will face during my residency training and make me a valuable asset to your program.

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