In his 2011 essay “Cowboys and Pit Crews,” Atul Gawande said, success in the face of “complexity [in medicine] requires group success.” This concept drives the way I want to practice medicine. Complexity is inherent to medicine. It requires a multifaceted, cooperative approach to ensure patient safety and care. Most recently, I saw this in a palliative care physician. We had a pediatric patient - the first in the area. The physician worked with family and other providers to ensure the patient was comfortable. Her approach to medicine echoes Gawande’s, and provides the foundation for my practice goals. The programs I am interested in have all similar characteristics – they are large, urban programs with a breadth of sub-specialties to expose …show more content…
Their approach to the world, even in the face of terminal diagnoses, is tenacious and inspiring. I want nothing more than to simply be a part of that power. Medicine has the unique ability to save lives, but it can also be draining. Pediatrics is a juxtaposition of levity and critical thinking at the intersection of embryology, genetics, and physiology. Where else can I turn a gown into a Minion costume because a patient is scared of us as we walk in with masks and gowns on? The science of pediatric medicine drew me to the field, but the culture, the hope that it inspires, and the humanism is what keeps me …show more content…
Medical inclusivity, as enacted via mandated health insurance, forces healthcare providers to work to find better ways to operationalize inclusion and accessibility. These changes are highlighting pieces of the old system that work and those that do not. As the tides shift towards coordination and cooperation, we have the creative room to develop new, better models of care. Pediatrics presents a rare opportunity, because it does not have the political action committees or billionaires of other specialties. It leaves innovation to practicing physicians. My goal is to enact positive, progressive changes in my community via implementation of small, but effective systemic changes. I will best fit in a program, like OHSU, that encourages resident involvement in system-based changes in the
Kleinman for any retroactive suggestions for Lia’s pediatricians. He said he had three: “Get rid of the term compliance; second, instead of looking at a model of coercion, look at a model of mediation; and three, understand that as powerful as the culture of the Hmong patient and her family is on this case, the culture of biomedicine has its own set of interests, emotions, biases, so how can you expect to deal successfully with someone else’s culture? (Fadiman, 2007, p. 261).” This resonated with me and really emphasized the need for proper education and understanding of cross-cultural issues and
Pit Crew “Careful, you’re pushing a little too hard, try to do it lighter.” I readjusted my grip on the saw and started again, not pushing so heavily that time around. The saw cut through the wood almost effortlessly. I carved through the last of the block and dusted off the misshapen lump that would soon be my pinewood derby car. “See, when you don’t push too hard it cuts easier.”
Shia LaBeouf's "Just Do It" speech is the epitome of empowerment for me. Whenever I feel like giving up on a task, I think of the speech by LaBeouf. LaBeouf empowers his audience by yelling at the camera. Though this terrifies some, the words he says are inspiring and encouraging.
I want to make a difference in this world and help others. That is why I have decided to go into medicine. Now I don’t want to go into “just medicine.” I want to go into pediatric medicine, and that is all because of one little boy.
The Lewis Katz School of Medicine at Temple University’s (LKSOM) mission and values reflect the will of an institution to impart students with an understanding of the necessary balance between gaining knowledge and fostering a sense of community. This commitment manifests in the emphasis on longitudinal care, interprofessional team learning, and the many varied opportunities for volunteering in the city and abroad. The opportunity to contribute to a wonderful community in one of the most culturally vibrant cities in America has drawn me to LKSOM. An education at LKSOM means many things: living in a beautiful city, having the opportunity to participate in world-changing research, serving an incredibly diverse patient population, traveling abroad, as well as pursuing various other life-changing experiences.
A major healthcare concern is making medicine available to those who are impoverished and live in underserved areas. I grew up in Gloversville, New York, a medium sized town that was at one point considered the most impoverished city in the state. Growing up in this region has given me understanding of what life is like in underserved areas. I 've witnessed first hand, the difference in opportunity between myself and students coming from a more urbanized background. It is easy to empathize with those who do not receive proper treatment due to demographic disadvantages.
I learned that the clinic saw mostly Medicaid patients and racial and ethnic minorities. The clinic provided Spanish interpreters and the physicians and PAs provided high quality and culturally competent care. The collaboration between the providers was one of mutual trust and respect. The physicians and PAs communicated effectively and utilized the strengths of each profession to enhance the quality of care. They worked seamlessly with one other to provide children with diagnostics, routine check-ups, vaccination, and therapeutic and preventative medical care.
I was selected to participate in a new service-learning program called Health Coaches, at the University of Arkansas, at the beginning of my sophomore year. This program has been pivotal during my undergraduate career. The Health Coach program comes from a partnership between Washington Regional Medical Center and the University. The program’s purpose is for undergraduate pre-health professions students to gain practical and clinical knowledge through hands-on learning while helping the surrounding community. As a health coach, our task is to be a bridge between high-risk patients and the healthcare system.
Pit pat. The sound of rain was all Rob could hear. Rob was an archaeologist who was driving to British Columbia. Rob was looking for a lost staff. He stopped and pulled over to the side of the road.
It was challenging, and personal – and it could save lives. As I continued, I was not completely satisfied with my choice. From my classes and teachers, I got the feeling I would be sitting behind a desk staring at a future where I may not ever even get through to my patients. But my focus was the same. I wanted to improve people’s quality of life and I wanted to work in a
“You will be meeting with Robert, a 35 year old legally blind man,” said the nurse calmly before introducing me to Robert. I was trained on patient communication, but felt unprepared for my first patient interaction as I had no previous experience, especially with legally blind individuals. Should I maintain eye contact? Call him by first name? What should I talk about?
My life has been devoted to children and families—my own, and those I 've encountered in my career as a pediatrician. My first baby was born only a few months before I started medical school, and my fifth child arrived seven years later, on the final day of my pediatric residency. These two paths—medicine and motherhood—have been inextricably intertwined; they 've often enhanced—and sometimes competed with—one another. But over the years, as I 've helped my own children journey into young adulthood and worked with countless families in my career, I 've gained some hard-earned perspective and insights into raising kids.
As I approached the large, stone edifice that was my medical school building, I was intimidated by the enormity of what lay ahead. But I realized in my first few days at the clinics that true medicine lay beyond books; it was at the bedside that a detailed knowledge base met diagnostic skill and was artfully translated into patient care. I was enticed by this field as it is akin to the base of a pyramid; a broad, solid foundation of medical knowledge. It is challenging working with a diverse patient population with an array of medical conditions and treating their problems in entirety reaching a diagnosis, yet allows perspective by considering differentials. Internal medicine lets me integrate my clinical reasoning with rewarding, long-lasting patient interaction.
The modern health care system places great importance on inter-professional collaborations and closer working relationships between different health care professionals. Studies have reported that the lack of communication and collaboration can result in adverse events patient care outcomes (L. Fewster-Thuente & B. Velsor-Friedrich, 2008). Inter-professional collaboration brings together professionals to facilitate improvements in the standards of patient-centred care, with each group contributing its own perspective and professional expertise to the collaborative process. In such collaborative effort, different professionals contribute in identifying and solving problems, deciding procedures and how to proceed, and collectively evaluate the
Mentoring younger students during my lunch times in chemistry, taking part in speeches with the debating society in school, captaining the school 2nd hockey team, as well as house cricket team and representing local cricket team in the regional and national competition, winning numerous trophies and medals, playing tennis and going to the gym regularly, I have the art of time management, leadership qualities and organisational skills. I feel these interpersonal skills are essential and will be a great asset as I train to become a doctor. My passion and resolve to pursue a career in medicine is not a starry eyed one, but grounded in real life and based on in depth consideration. I believe that my enthusiasm and drive along with my experiences have equipped me with skills necessary to be resilient in the face of challenge and to relish any difficulties.