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IM Residency, Heart Disease, Trinidad & Tobago

November 2, 2015

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 has been 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 made me realize, not only the importance of team work but also the profound impact that we as a team were able to have on communities. During my internal medicine rotations, I worked with a variety of patients, from a range of economic, social and cultural backgrounds, and featuring a wide 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 Brigham and Women’s Hospital and at MetroWest Medical Center, I navigated through complex diagnoses so as to come up with an appropriate plan of action.  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. 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 the 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 quatitative methods and preparing papers for publication I discovered in myself a hidden passion for research. Through these projects I published papers which help me to share the results which inturn I find myself gratifying as I could successfully contribute my efforts to the field of medince which could may make a difference in the treatment of the patients. My clinical research has been quite beneficial in maintaining my clinical skills and knowledge and staying apprised of the latest developments in the literature.

At New Hope Free Health Clinic run by the Immanuel United Methodist Church 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 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 the 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. Earlier to this worked as house officer in Intensive care unit and Anaesthesia. The experience of improving the lives of the most critically ill patients is truly euphoric and gratifying. The exercise of treating a challenging array of diseases and working with adults is the reason I am fond of 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 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 very sick. I look forward to bringing a true sense of commitment, enthusiasm, integrity, and ability to my residency program.

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