Thursday, August 20, 2015

Michelle's Personal Statement


Personal Statement
Internal Medicine Residency Program

After famously becoming the world Jeopardy champion, IBM’s supercomputer Watson went on to “medical school”. He memorized textbooks, medical journals, and databases, and eventually earned himself the title of “World’s Greatest Diagnostician”. Sometimes, medicine seems so highly algorithmic that it’s easy to see how a robot might outperform a human: it’s consistent, it’s objective, and most importantly, it doesn’t forget. However, I firmly believe in the unique advantage of the human factor, which is especially evident in Internal Medicine. Our diagnoses can be serpentine and elusive, and our management is complex and multi-factorial. Many of our patients are chronic, requiring robust personal skills to build the quintessential trust that transforms a doctor into a healer. As primary caretakers both inside and outside of the hospital, we are uniquely positioned to help our patients shape their experience of illness and recovery. In all of this, there is undoubtedly a special space into which our humanity enters, and it is in this space that I find myself belonging.
 
I admire the ardent debate that transpires between brilliant colleagues, each reflecting on intuition and experience rather than a set of algorithmic rules. I’m excited by the curiosity that arises when I'm sitting at the junction of normal physiology and aberrant pathophysiology, inquiring into how one becomes the other. I’m amazed by that heart-pounding moment when my patient is riding the line between respiratory distress and respiratory failure, when only an inexplicable clinical instinct can act as an impetus for quick action. I value the art of gauging someone's understanding, which allows me to send a patient home not only with a prescription, but also a comprehension of his condition. I am humbled by instances of breaking bad news, when a patient’s vulnerability brings out my own and I am reminded of that common human thread that runs between us. There is always a place for acknowledging the vast distance between physician and patient – and respecting the differences therein – but nonetheless conveying that we are in this together.

These parts of Internal Medicine resonate with me deeply, and I am well prepared to engage with them. I spent my college years studying philosophy, passionately learning and debating about topics ranging from morality to metaphysics. By delving into philosophical arguments, dissecting them and reconstructing them, I developed a sharp intellectual intuition and a strong aptitude for critical thinking, both of which I use now to navigate through puzzles of disease and therapy. Through my love of writing – both as a hobby and an outlet – I’ve learned the importance of narrative and its role in helping us understand the human experience. Writing has afforded me insight into my own thoughts, behaviors, and motivations, and having this deeper understanding of myself has made me better at empathizing with my patients. Working with low-income and homeless populations through volunteer projects has taught me a great deal about relating to others - by sitting down with these folks and just listening, I’ve learned how to invest myself into another person's story and cherish it as a chance to understand a life vastly different from my own. The art of listening well, I believe, is an essential part of bridging that immense gap between doctor and patient.

With this background and perspective, I have built an excellent foundation for becoming an exceptional Internal Medicine resident. I am looking for a program with strong physician mentors that encourage intellectual curiosity and independent thinking - two traits that I value in my colleagues and in myself. At the same time, I greatly value camaraderie and a lively culture that will serve as a reminder for us to retain those distinctly human characteristics that make us so good at what we do.

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