Residency Internal Medicine, Indian Application

My insatiable curiosity for medicine dates from the age of sixteen, when my father was diagnosed with three-vessel coronary artery disease. I was moved by his suffering and that of other patients, and these experiences resulted in my choice of a career in medicine as my life’s cause. I hope to join a residency program in internal medicine where I might practice internal medicine at the same time that I have the privilege of sharing in ongoing research.

Medical school in India was a time of profound personal, emotional, and, intellectual growth. I became actively involved in various community health projects including National Pulse Polio Immunization Program, HIV counseling, rural school health checkups, and health camps and I find working with the underprivileged to be especially rewarding. This was a very motivational experience that helped me to better appreciate not only the importance of team work but also the profound impact that we as teams are able to have on our communities. During my internal medicine rotations, I worked with a broad variety of patients, from a range of economic, social and cultural backgrounds, suffering from an even wider range of conditions. While I mastered the techniques of taking patient histories and conducting thorough physical examinations, each patient taught me something new. I particularly remember a 40 yr old female patient who presented with history of severe chest pain in a semiconcious state. By doing an ECG, I diagnosed STEMI and treated based on a predetermined, institution-specific chest pain protocol. This was my first independent diagnosis and management. The satisfaction I experienced when the patient recovered from a near death to normal state is truly indescribable. The variety of clinical encounters, procedures, and degrees of illness make internal medicine extremely appealing to me. 

I have found my clinical research and elective studies here in Boston to be most challenging and rewarding. At XXXX Hospital, I became especially concerned with the high readmission rate of patients with congestive heart failure. Thus, I helped the hospital director to design and implemented quality control projects that decreased the re-hospitalization and mortality rates of these patients. Throughout the completion of my clinical electives at XXXX Hospital and XXXX Medical Center, I navigated through complex diagnoses so as to come up with an appropriate plan of action at each juncture.  I interacted with residents and senior attending physicians on the ward and presented cases, discussed patient management strategies, and participated in the implementation of treatment plans. It all helped me to further sharpen my clinical acumen and through these experiences I developed mental and physical stamina and learned to manage and execute multiple tasks for long hours in stride. Here I realized that at the end of the day the most satisfying moment is to be able to cheer people up, and make a difference in patients’ life.

During my research elective, I worked with Dr. XXXX at XXXX Hospital on a multicenter observational study of 61,000 critically ill patients and several studies evaluating the relationship between lab-based variables (RDW, Vitamin D and Creatinine) and patient survival rates. Analyzing data using quantitative methods and preparing papers for publication I discovered in myself a hidden passion for research. Through my participation in these projects, I was able to share in publishing most valuable results and I look forward to a lifetime of devotion to research in Internal Medicine, always staying fully abreast of the latest developments in our literature.

At XXXX Free Health Clinic run by the Immanuel United Methodist Church working as a physician assistant, I obtained patient histories and performed physical examinations of patients with a broad range of conditions and who lack health insurance or are otherwise unable to obtain medical care. These experiences have helped to become ever more sensitive and responsive to the extent of emotional distress that chronic debilitative disease brings to patients as well as their families and friends. Working here with these patients I realized better how physicians have a special role in society as they are trusted by patients and respected by policy makers, allowing us to be strong advocates for our patients and our community.

At the Alzheimer’s Disease Center, I was inspired to study more about dementia hoping to contribute to the care of Alzheimer’s disease patients and I learned to deal with the emotional stress and frustration the families had by establishing good rapport and being there when they were in need of help. These experiences have provided me with additional tools and knowledge to become the physician I want to be. I also realize how crucial it is to educate patients, and spend the time needed to communicate to patients and their families about their illnesses which in turn give me the opportunity to develop into an effective teacher.

I now live in Trinidad and Tobago currently working as a house officer at a county health care center. As a physician, I strive to positively impact my patient’s lives. Prior to my current position I worked as house officer in an Intensive Care Unit and Anaesthesia. I find the experience of improving the lives of the most critically ill patients is truly euphoric and gratifying. The exercise of treating such a challenging array of diseases is the reason why I plan to devote my life to internal medicine. 

My greatest asset is the way that, for years, I have labored to emulate every caring, intelligent, and energetic physician that I have had the opportunity to work with and learn from. I am enthusiastic to train at a program that involves clinical practice, education, and research. I have a tremendous work ethic, which I have carried since childhood: diligent, focused, and driven for excellence in any task I undertake. I especially enjoy the intensity and challenge of treating the very sick and I am highly sympathetic to the anguish that often accompanies rehabilitation. Eventually, through commitment to consistent learning, I hope to obtain subspecialty training and be actively involved in clinical research aimed at decreasing mortality via improving quality of care of the critically ill. I look forward to bringing the fullest sense of commitment, enthusiasm, and integrity to my residency program.

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