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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 appreciate better not only the importance of teamwork but also the profound impact that we as teams can have on our communities. During my internal medicine rotations, I worked with a wide variety of patients, from a range of economic, social, and cultural backgrounds, suffering from an even more comprehensive 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 a history of severe chest pain in a semiconscious state. By doing an ECG, I diagnosed STEMI and treated it 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 a 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 implement quality control projects that decreased the re-hospitalization and mortality rates of these patients. Throughout completing my clinical electives at XXXX Hospital and XXXX Medical Center, I navigated through complex diagnoses 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 implementing treatment plans. It helped me sharpen my clinical understanding further. 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 the most valuable results, and I look forward to a lifetime of devotion to research in Internal Medicine, always staying entirely 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. I performed physical examinations of patients with a broad range of conditions and who lacked health insurance or were otherwise unable to get medical care. These experiences have helped me 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 unique role in society as they are trusted by patients and respected by policymakers, 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 a good rapport and being there when they needed 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. This allows me 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 impact my patients’ lives positively. Before my current position, I worked as a house officer in an Intensive Care Unit and Anaesthesia. I find the experience of improving the lives of the most critically ill patients is genuinely euphoric and gratifying. The exercise of creating 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 about training in 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 a commitment to consistent learning, I hope to obtain subspecialty training and be actively involved in clinical research to decrease mortality by improving the quality of care for the critically ill.

I look forward to bringing a total sense of commitment, enthusiasm, and integrity to my residency program.

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