Growing up in Eastern Europe in the midst of the social and political turmoil, I learned very early that success in life depends on the availability of opportunity coupled with personal efforts, determination, and hard work. I was inspired by the “American Dream,” which, ultimately, became a part of my dreams and aspirations. Coming to the United States opened up that door of opportunities I had desired for so long. Having no family or source of financial support in the foreign country, I completed the Basic Life Support course and became an Emergency Medical Technician. Working on the front-line of Emergency Services, I enjoyed that rush of adrenaline of being able to provide medical aid and emotional support to the people in the worst times
I am an on call Anesthesia Technician Assistant. Health care is my passion and my focus that why I work for Kaiser Permanente, where patient-Centered care is delivered. Speaking from my perspective of a health care administrator intern, I am convinced that Health Care is a very complex system. Per say, experts’ collaboration for a new dynamic is an important factor for improvement.
I want to be a physician because I want people to grow old. At the age of 6, one of my closest friends was diagnosed with leukemia. By age 8, the disease claimed his life, robbing him of the opportunity to experience the privilege of growing old. Unfortunately, we live in a society of vanity. We see the process of aging and choose not to embrace it. As a physician, I would work with my patients so that they do not fear age, but rather welcome it. I want to effectively educate my patients so they may willingly choose to lead healthy lives and ultimately extend their days left in this world with their loved ones. I hope that as a caregiver, I am able to help my patients realize that a long, healthy life is far more fulfilling than a short, glamorous one.
In the past 18 months, I have continued to shadow various physicians across a variety of specialties that serve different communities. Each time, I am amazed at their ability to heal patients with various ailments. This sense of wonder leaves me wanting to learn more and motivates me to eventually become a physician that has the ability to heal all of these patients as well. In addition, I have shadowed physicians for their full twelve-hour shifts, so I have seen all of the aspects of the career. Though there may be some less desirable aspects, such as the required time spent completing charts, I realize the importance of it.
Having the opportunity to listen to patients during their interactions with physicians while shadowing in primary care practices was most profound to my journey of pursuing a career in medicine. Often the diagnosis and treatment of medical conditions are regarded as most important in providing successful care to patients. However, from my experience shadowing, it became apparent that the act of listening to patients is just as essential to the practice of clinical medicine. While shadowing, I was amazed of how often and to the extent patients would disclose their thoughts, feelings, and fears to their physician. I began to understand that to be a physician is much more than treating the body itself, but caring for all of its components— physically,
However, he explains that it’s tough to change a medicine culture since the senior physicians always rank themselves higher and other lower positions rank below. Kalb explains doctors tend to refuse to follow the directions for safety and continue finishing tasks in the way they’re used to. Central-line infection is one of the major causes for fatal death, noted Kalb. Even though changes were made, that safety procedure such as washing hands is necessary, but people aren’t dedicated their time to adapt to these changes. He states that Dr. Gary Kaplan gave his staff members to report concern throughout the system even if it’s a smallest mistake.
The physician assistant profession was created to improve and expand healthcare based on demands in the mid 1960’s when physicians realized there was a shortage of primary care physicians. Happening concurrently was an influx of men returning from Vietnam War who were well trained and experienced in addressing medical emergencies such as traumas. To help this Eugene Stead Jr, MD, of the Duke University Medical Center, put together the first class in 1965. He selected four Navy Hospital Corpsmen who had extensive medical training while abroad at war. Stead based his teachings on his knowledge of the fast paced training of doctors serving in World War II.
I started my career with the intent to be at the bedside caring for patients. In the past 4 years I have been learning but not a majority from books or in a laboratory but from human to human contact. I work for a safety net hospital; truly no one is turned away. I’ve helped collaborate care in a time of crisis for people that bring with them cultures, beliefs and values from half way around the world.
Oddly enough, that same person walked through my door about thirty minutes later, or at least I thought it was him. I yelled at him. Full on screamed at him for giving me a medicine that nearly killed me. He looked flustered, but then recovered moments later.
However, I feel that the extreme degree to which this competency is being held, i.e. having to remake a patient’s coffee three times because it wasn’t the proper milk-sugar ratio certainly takes away from the more important aspects of life saving. I always greet my patients with a smile; I always treat them like I would treat my family member, and I always ask “Is there anything else I can do for you?” before I leave the room. And this is not too much to ask, it is simply treating humans with integrity. But the “have it your way” hospital experience expectancies sometimes make our jobs harder than they already are.
I was highly impressed by the overall teamwork in the emergency department. It has a sense of organized chaos that would have taken me some time to adjust to. My nurse and I ended up going through a large group of patient during the time I was there. The nurse has this uniformity to how she would get her tasks done. The thing that through me off was the amount of stuff got done with our patients by other people. The CNA was always there to get vitals and take care of anything additional the patients needed. The resource nurse helped with our potential stroke patient. He went through the whole neuro assessment and after my nurse and I placed a catheter he was quickly sent off to interventional radiology to get a clot removed. The efficiency
My experience in medical school has taught me that I do, in fact, exercise the characteristics vital to being an excellent internist. My altruistic nature leads me to be compassionate to every person I encounter: patients, coworkers, and friends alike. I have already worked in several different locations around the world, I have treated patients of different cultures and learned about many new cultures through my practice. Yet, the most consistent fact of my tenure came from how each of my patients were treated. Even in highly-stressful situations, I remained cool under pressure, treating said patients with the utmost respect and compassion.
Through my participation in Central Michigan University’s Pre-PT Club, I discovered seven crucial aspects of professionalism in physical provided by the APTA. The transition into a doctorate program relies on a higher form of professionalism. Clinical observations granted insight into a handful of situations where utilizing these traits is essential. Witnessing doctors recognizing their limits is eye-opening and shows how beneficial utilizing others in health care is. While in the hospital setting, I observed recovering alcoholic patients.
Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.