Lesson
Four: The
Why Qualified? Theme
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Why
Qualified?
Theme
3: Why I Am a Qualified Person
The last
major theme deals with your experience and qualifications both
for attending medical school and for becoming a good doctor.
Having direct hospital or research experience is always the
best evidence you can give. If you have none, then consider
what other experience you have that is related. Have you been
a volunteer? Have you tutored English as a Second Language?
Were you a teaching assistant? The rule to follow here is:
If you have done it, use it.
Hospital/Clinical
Experience
Direct experience
with patients is probably the best kind to have in your essay.
But the important thing to remember here is that any type or
amount of experience you have had should be mentioned, no matter
how insignificant you feel it is. Here is an example
of an essay by an HIV counselor and one by an applicant
with ER experience.
Research
Experience
A word of
caution: Do not focus solely on your research topic; your essay
will become impersonal at best and positively dull at worst.
Watch out for overuse of what non-science types refer to as "medical
garble." If it is necessary for the description of your
project, then, of course, you have no choice. But including
medical terms in your essay just because you are able to will
not impress anyone. This
applicant, for example, delves into the use of scientific
and medical terms, but also also spends enough time away from
them to reveal his own personal, non-technical voice.
Unusual
Medical Experience
Even if you
have not volunteered X number of hours a week at a clinic or
spent a term on a research project, you might still have medical
experience that counts: the time you cared for your sick grandmother
or the day you saved the man at the next table from choking
in a restaurant. It does not even matter if you were unsuccessful
(maybe, despite all your valiant efforts, the man at the next
table did not survive), if it was meaningful to you then it
is relevant; in fact, these failed efforts might be even more
compelling. This applicant,
on the other hand, deals with a fascinating success story:
The writer was forced to become a doctor by default in a village
in Honduras for a summer, even though she had no formal training,
no experience, and her only supply was "a $15 Johnson & Johnson
kit."
Non-medical
Experience
Your experience
does not even have to be medically related to be relevant.
Many successful applicants cite non-medical volunteer experience
as evidence of their willingness to help and heal the human
race. In fact, almost every one of our essayists cited having
been either a volunteer or a tutor at some point in their lives.
Sample
Essay One
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
High School
Teacher with AIDS; SCID/Genetics Research Experience; HIV
Counselor
Before I
found out that my high school Spanish teacher was HIV-positive,
AIDS was not much more than a bunch of statistics to me. The
disease, its course, and the people afflicted with it seemed
alien to my life-as distant as the continent from which the
virus was supposed to have sprung. Then Mr. T. stopped coming
to school. When he reappeared a few months later to wish us
well on the advanced placement exam, his face looked sallow.
His voice, once a thunderous bass that rumbled in class and
reverberated down the hallway, was weak and thin. Seeing my
teacher looking so unfamiliar was my shocking introduction
to AIDS. I felt as if I were in the presence of a stranger,
this mysterious disease, who was insulting Mr. T. right in
front of my eyes. I wanted to know who this stranger was.
I entered
college, believing that biology could explain to me why life's
processes went awry. I learned that the body is exquisitely
complex, but I was reassured by the underlying theme of systems.
Even if I didn't know all the molecules and connections, there
seemed no denying that a fundamental order existed.
From physiology
to cell biology to molecular genetics, my classes presented
smaller and smaller systems to explain the origins of diseases.
Finally, in genes, with their innocuous four letter alphabet,
I felt I was learning the foundation of it all. If biology
provided the keys to understanding life, then genetics must
be the master key (if only we could see some of the doors we
were trying to open). During two summers in a research laboratory
at The Children's Hospital of Philadelphia, I helped track
down the gene causing X-linked severe combined immunodeficiency
(SCID).
Even though
AIDS and SCID are very different diseases (SCID is exclusively
hereditary), each compromises the body's defense mechanisms
against foreign pathogens. I felt this was a significant connection.
In SCID, I was meeting a distant cousin of AIDS. Learning about
common themes of immunodeficiency disorders, such as the perils
of opportunistic infections, helped me to begin to understand
what had happened to Mr. T. In the SCID laboratory, and in
classroom seminars on infectious diseases, science was helping
me demystify disease.
In the same
year that Mr. T. became ill, my grandfather died during bypass
surgery and my father underwent chemotherapy and radiation
treatment for colon cancer. Since then, disease has had a human
face for me. To better understand how people deal with disease
or the fear of disease, I've become a volunteer counselor in
an HIV clinic.
Speaking
to people who come in for free testing, I've found that discussing
HIV, getting the scary words (and acronyms) out in the open,
is a way for many people to release their anxiety. Through
expression in their own words, they make the disease real,
which helps them to see that it is also preventable. Then,
they often take the next step, making specific goals to maintain
their health, whether they are HIV-negative or positive. What
science in class and lab did for me in confronting the difficult
issues of AIDS, talk does for my clients.
As an HIV
counselor in an anonymous clinic, I feel both the potential
of my role and its limits. I can't go home with my clients
to remind them to keep condoms under the bed, but I can help
them make a plan-something that could stay with them much longer
than the information I offer. At the end of one session, one
client surprised me with his response to a question I had asked: "What
do you think you'll do with the HIV information?" There
was a silence in the counseling room as the client pondered,
but I recall sensing the comfort of the silence. This was a
session that seemed to be producing the potential for a breakthrough
(not every session does), and I waited patiently. He responded, "I
think I'll ask my girlfriend to use her own needles." Then,
the client thanked me for having asked the question.
I was thrown.
My client proposed a strategy for reducing his HIV risk, but
he didn't address what was likely his main issue-heroin use.
Should I validate his plan? In effect, that's what I did, because
I didn't challenge the drug issue. When he left the clinic,
I practically wanted to follow him out the door. I wondered
if I would ever see him again and be able to ask him how his
plan was going. I wondered if he would ultimately seek help
for his drug use. My supervisor reminded me that I had done
my job as an HIV counselor. I had helped the client make a
plan; he had even thanked me for it.
And I can
thank him in return. He reminded me that although I have worked
to understand disease in the classroom, the laboratory, and
the clinic, I still have much to learn about caring for all
aspects of a patient's health. I am eager to continue the learning
process in the New Pathway Program at Harvard Medical School.
Sample
Essay Two
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
Radiation
Oncology Volunteer; Biochemical Lab Experience; Neurosurgery
Research; ER Volunteer; English Language Tutor; Student Advisor;
Community Service
"Carl,
the woman we're about to meet will receive her first palliative
treatment today," said Dr. A., an Attending in Radiation
Oncology. He continued to explain her case as we walked briskly
down the hallways of the hospital. I followed him into the
radiation treatment room to meet the patient and learn about
the procedure which, sadly, would not eradicate her disease.
Since then, I have met with him weekly throughout this summer
to learn about radiation oncology and medicine in general.
Through experiences such as these, I have learned much about
the profession of medicine. I want to become a physician for
the intellectual challenges and rewards that come from helping
others.
I first became
interested in medical research by working in a biochemical
engineering laboratory at MIT. For over two years I explored
the medically related field, biotechnology. I have led experiments
involving fermentation bioreactors and trained two inexperienced
undergraduates. Recently, I presented a poster entitled "Effect
of Antifoam during Filtration of Recombinant Bacterial Broth" at
a New England Society for Industrial Microbiology colloquium.
Enjoying the biomedical rather than engineering aspects of
the work, I have shifted my career interests to medicine.
Last summer,
I expanded my interest in medicine by working for the Neurosurgery
Department at Brigham and Women's Hospital. After a short training
period, I worked independently on three research projects:
Clonality analysis of schwannomas, clonality analysis of a
multiple meningioma, and the loss of heterozygosity (LOH) screening
of pituitary adenomas. I developed a strong interest in my
work when I observed my mentor, Dr. Peter Black, remove brain
tumors in the operating room. After the initial shock and amazement
of seeing the exposed brain of a conscious patient, I thought
more about the connections between this clinical work and my
research. While my projects' objective was to gain a better
understanding of tumors, the ultimate goal is to prevent and
cure tumors to save human lives-the very people whom I had
seen on the operating table! With this thought in mind, I found
the motivation to complete the short-term objectives of my
projects. I will be the second author of a paper, entitled "Clonality
Analysis of Schwannomas," which will be submitted to Neurosurgery.
This summer,
as a participant in NYU Medical Center's Summer Undergraduate
Research Program (S.U.R.P.), I am learning even more about
research and clinical medicine. In my work, I am determining
the effect of the absence of the N-ras protooncogene on induced
tumorigenesis. By conducting molecular oncology research for
another summer, I have greatly expanded my knowledge and interest
in the field. In addition, through my experiences in the Radiation
Oncology Department with Dr. S., I clearly see the greater
purpose of medical research beyond personal intellectual gratification.
In the case of cancer and many other diseases, research is
the only way to overcome the limitations of current clinical
treatments.
I believe
that one of the greatest joys and privileges of physicians
are their abilities to directly aid and affect a community.
While becoming interested in the science of medicine through
research, I have explored human service to understand the art
of medicine. When I volunteered in the Emergency Room of New
England Medical Center during my sophomore year, many physicians
impressed me with their sensitivity and compassion. When not
assisting the hospital staff, I took every opportunity to comfort
patients who felt scared and vulnerable. During that same year,
I also tutored a middle-aged woman in English as a Second Language.
It was challenging to teach her vocabulary and sentence structure
since, initially, simple communication with her had been difficult.
Helping her pass the high school equivalency exam made all
of my efforts worthwhile. In addition, I have been an Associate
Advisor for freshmen for the past two years. In this role,
I have helped first year students adjust to college life. Not
only have I played the role of academic mentor, but I have
also become an intimate friend and personal tutor to my advisees.
For my efforts, I won the annual Outstanding Associate Advisor
Award.
Besides individual
volunteering, I have taken the initiative to help the local
community on a greater scale. As Community Service Chair for
the Chinese Student's Club for the past two years, I established
a new program to promote the interaction between MIT students
and underprivileged teenagers. College students and children
affiliated with a local community organization, Boston Asian:
Youth Essential Service, have become acquainted through regular
activities. Through events such as a scavenger hunt and a hands-on
introduction to the World Wide Web, MIT volunteers help teenagers
learn about the opportunities available at college. Along with
several other undergraduates, I have become further acquainted
with the teens through individual tutoring. To establish this
new service program, I have done intensive planning and budget
management. I have refined rough, creative ideas into organized
activities involving over twenty people. During the planning
stages, I have worked closely with professional youth counselors,
other MIT participants, and the teens. While my involvement
in this program has been very demanding at times, seeing these
teens learn and develop their interests has definitely made
it worthwhile.
During college
I have learned many things outside of lecture halls and libraries.
In research labs, I have refined my intellectual curiosity
and scientific thought processes. In the local community, I
have developed my interpersonal skills and a greater understanding
of others. Through it all, I have learned to treasure the simple
pleasures of helping others. By becoming a physician, I will
continue to develop and apply these personal attributes.
Sample
Essay Three
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
Survivor
of Anorexia; Emergency Medical Technician Training; Clinic
Experience; Medical Volunteer in Honduras; HIV Test Counselor
I decided
that I wanted to be a doctor sometime after my four month incarceration
in Columbia Presbyterian Children's Hospital in the winter
of 1986-87, as I struggled with anorexia nervosa. Through the
maturation process that marked my recovery, I slowly came to
realize that my pediatrician had saved my life-despite my valiant
efforts to the contrary. Out of our individual stubborn wills
was born a kind of mutual respect, and he is one of the people
who make up my small collection of heroes.
I admire
doctors who understand both what is said and what is held back,
who move comfortably around the world of the body, and who
treat all patients with respect. I am lucky because a few of
them have become my impromptu teachers, taking a little extra
time to instruct me in anatomy, disease or courtesy. During
my Emergency Medical Technician training, one of the emergency
room doctors took me to radiology to point out the shadow of
a fracture in a CT-scan and trusted me to hold a little girl's
lip while he inserted sutures. The physicians in the Hospital
12 de Octubre in Madrid, Spain taught me to hear lung sounds
and to feel an enlarged liver and spleen. They explained the
social and medical difficulties associated with the management
of pediatric AIDS until I understood the Spanish well enough
to begin asking questions; then they answered them.
I work now
in the Mayfield Community Clinic, which provides primary care
to members of the Spanish-speaking community near Stanford
University. My job as a patient advocate involves taking histories,
performing simple procedures and providing family planning
and HIV counseling. I try to use the knowledge I have gained
from class and practice to formulate the right set of questions
to ask each patient, but I am constantly reminded of how much
I have to learn. I look at a baby and notice its cute, pudgy
toes. Dr. V. plays with it while conversing with its mother,
and in less than a minute has noted its responsiveness, strength,
and attachment to its parent, and checked its reflexes, color
and hydration. Gingerly, I search for the tympanic membrane
in the ears of a cooperative child and touch an infant's warm,
soft belly, willing my hands to have a measure of Dr. V.'s
competence.
I first felt
the need to be competent regarding the human body when I volunteered
with the Amigos de Las Americas program in the town of T. in
Lempira, Honduras. The hospital available to the people of
T. (at a day's ride in the bed of a truck) was "where
one went to die," so my partner and I, with our basic
first aid certifications and our $15 Johnson & Johnson
kits, quickly became makeshift "doctors". The responsibility
initially created a heady feeling; a distressed mother called
on us to bandage the toe her eight-year-old son had accidentally
sliced to the bone with his machete. I told him the story of
Beauty and the Beast in broken Spanish while my partner and
I soaked the dirt from his toe, and during the following week
we watched him heal.
Then our
foster-mother, who normally tended to the sick, told my partner
and me to "check on the foot" of D. The gentle-eyed,
sixty-five year old man lay on his bed, his leg encased in
bloody bandages from mid-calf to toe. After performing surgery,
the hospital had given him a bottle of injectable antibiotics
and some clean needles and sent him home without bandages or
further instructions. My partner and I had not been trained
to handle so serious a situation. We did not know what had
happened; we did not know what the antibiotics were (or if
they were actually antibiotics); we did not know if handling
D.'s blood put us at risk for disease. We wanted to leave,
but leaving the house meant leaving D. and betraying our foster-mother's
trust. So we injected the antibiotics and cleaned and bandaged
the wound every day for our remaining two weeks in Honduras
although we felt ill-equipped for the responsibility, crippled
by our ignorance and lack of supplies.
In T., I
did not feel qualified to receive the trust the townspeople
gave so willingly. As an HIV-antibody test counselor in California,
I struggle everyday to win my clients' confidence. Somehow
a twenty-one-year-old, Caucasian female must be sincere, knowledgeable
and open enough to earn the respect of a fifty-five-year-old
man who could be her father, a high school sophomore, an ex-drug
addict, and a pregnant Latina woman. My clients are black,
white, straight, gay, Ph.D. candidates and illiterate; some
choose to come to me while others have court-orders. Yet to
communicate effectively, each client must have enough confidence
in me to engage in dialogue about his drug or sex life and
to believe what I tell him, whether or not he chooses to act
on our discussion.
Speaking
with patients, doctors and community members has opened my
eyes to some of the difficulties involved with healthcare provision,
and I hope I have given some inspiration or comfort in exchange
for the knowledge I have received. I want these lessons in
openness and compassion to shape my understanding of medicine
and allow me to become the type of doctor I admire.
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