Saturday, April 26, 2014

My Med School Personal Statement



One of the most nerve-wracking parts of applying to medical school is crafting your personal statement. Schools use MCAT scores and GPAs as a quick and easy way to eliminate applicants. The personal statement is your chance to say, "Please don't toss me in the recycling bin yet." 
I really can't remember how many times I revised this essay. By the time I was done with it, I felt a combination of satisfied with it and sick of it. I'm posting this here as there are very few examples of personal statements for medical school applicants to read. My take on it was to emphasize the "personal" and to explain why medical school at this juncture in my life as opposed to when I was younger. All in less than 4500 characters.
 
Personal Statement
January days aren't supposed to be bright and beautiful, but this one was. The azure sky was a crisp backdrop to the dormant trees. The tall oaks reached heavenward, surrounding the lawn like a fortress wall. Their bare branches reminded me that despite the warm sunlight on my skin, it was the dead of winter.
The metallic blue coffin in front of me held my father's body. His diagnosis of cancer had come less than three months earlier, on Halloween. As a 14-year-old, I thought it was impossible for a disease to take my dad. 
Just the month prior, I sat at the foot of his hospital bed. "You know," I told him, "I've heard about people who got rid of their cancer. They visualized their bodies destroying all of their cancer cells, and it worked." Dad just smiled. His once thick, black hair was now thinning. His eyes were tired, his face swollen.
It was odd for me to be there, at the foot of his bed. I wanted to cuddle close to him, rest against his shoulder, talk to him, just as I normally did, but everything about the hospital room told me to stay away. The leads and lines connected him to massive machines. The wires and tubing looked too delicate to touch. Long before cancer took my father's life, the hospital had taken him out of my reach. 
As I headed off to college, I knew that a career in medicine was not for me. Three years after Dad's death, doctors and hospitals still meant shattered dreams. I chose a degree in the social sciences. I learned how the most primitive and intimate relationships we form early in life profoundly shape who we become. I sought to understand the human connections which influence how individuals respond to the human condition. Nothing was more fascinating.
The mother-child dyad had been a particularly intriguing area of study for me. I got married while I was a college student, and started a family. Once I became a mother, theory was tossed aside. Motherhood transformed me through the new roles that I took on. Even after my daughter was born, I found myself endlessly reading about the physical and emotional processes of childbearing.
Assisting a woman through her journey into motherhood was a way for me to integrate my personal experiences and my education. I became a childbirth educator and a doula (birth assistant). Preparing couples for birth and parenting, and attending births, reframed my view of hospitals. It became a place where I belonged, a place where my skills helped others navigate challenging and transformative events. Most significantly, I was able to serve as a bridge that helped patients stay connected to their loved ones despite the wires and tubing.
Working as a doula was the first time in my life that I felt the call to become a physician, and I felt torn. I had two small children at that time and a desire to have more. The lifestyle of a medical student seemed at odds with the lifestyle of a baby-wearing, breastfeeding-on-demand, young mother. The thought of working my way through the science courses was daunting. Medicine simply wasn't a priority.
Though I enjoyed my work as a childbirth educator and a doula, I wanted to do more. Becoming a midwife felt like the logical next step. The training was challenging both didactically and physically, yet it still allowed me to enjoy a balance between family and career. Working as a midwife has been immensely enjoyable. I still feel privileged to be at each birth I attend--rendering meaningful service to the families that I care for. That desire to become a physician, however, hasn't left me. I still have that drive to do more and become more, and that drive has grown. 
In October 2010, I sat down next to a 68-year-old woman at a professional conference. Some might call it fate, others might consider it a coincidence, but our conversation is something that my mind has returned to over and over again. The stranger who I sat by was at the tail-end of an FNP program. She asked me about my clinical background, and I shared that I was a midwife.
"You're a midwife?" It was more of an exclamation than a question. "I've always wanted to be a midwife! I want to start a midwifery program once I'm finished with my family practice classes." 
"Do you mean to tell me that the dreams don't just fizzle out and disappear with time?"  I laughed. "I've dreamed of becoming a doctor for the last ten years. If I don't do it now, does that mean I'll find myself applying to med school in my 60s?"
"Of course you will, and you already know that," she said in all seriousness. "If there is something you truly want, it will never go away."
Less than two weeks after that conversation, my big sister died unexpectedly. Sara was the one who stood next to me at Dad's funeral. She was the one who held my hand during the service. And she was the one who told me that we (especially me) were going to be all right.
At her funeral, I thought of Sara, Dad, and Mother (who passed away 10 years ago). I felt that two paths were set before me--one of feeling lost and another that told me to seize the day. Every day, Sara's passing reminds me that life is simply too short to stop moving forward.

Monday, March 24, 2014

Revived and Ready

Have I told you lately that my school rocks? Well, it does. I don't know how many first-year medical students get to take a Spring Break, but Texas School of Awesomeness just dished out this delight for the first time. (My 2nd-year friends were moaning the unfairness of the situation.) At least a dozen of my classmates headed off to Nicaragua on a medical mission. I headed off to tour my new home--covering over 1,000 miles in a week. Just days before the trip, I was tempted to cancel all plans and spend the week sleeping. But after heavy-duty, non-stop stress, I was utterly worn out and needed to put distance between myself and school. Literally.

Heading back to the books today felt a bit surreal. I updated my Firecracker set (I'm sure I'll write more about Firecracker later) to include only the bacteria that will be tested at the end of next week. After seeing 195 "review" concepts appear in my quiz queue, I just groaned. Oh, yeah, I am in medical school, and this is my life.

Fortunately, a friend invited me on a sanity break. We strapped on our skates and headed out to an abandoned tennis courts to enjoy the sunshine. It was the perfect time to wax philosophical on the intellectual and emotional beating that we lovingly call "school." (Remember? We want to be here.) The great thing about making friends who are upper classmen is that they feel your pain without a tinge of competition.

When she asked me how the last block went, I laughed and I told her that I passed. Why the laughter? I only needed a 54% on the final to pass, but even if I had earned 100% on that test, I still would have been 0.35% below the cutoff for "high pass." It's a little magical knowing I can't do that poorly on the final, yet I don't even have to try to do that well either. It's a bit of a sweet spot, really. I had grand hopes of "high passing" at least a couple of classes during the first two years of medical science. She confided with me that after missing "high pass" by less than one percentage point multiple times, she took a deep breath and let go. It's kind of funny how embracing the pass is the over-achiever's version of "embrace the fail." Funny, in a I'm-doing-my-best-to-prevent-an-ulcer sort of way. So far, I think it's working.

Monday, March 3, 2014

Best Laid Plans

Another block of classes is wrapping up this week. Physiology has been a whirlwind. The past eight weeks have covered all major systems in at a level of detail I never thought imaginable. Each section (cardiology, renal, etc.) has been taught by different professors, turning this block into a series of mini-courses with different lecture and testing styles.

After carefully planning my strategic attack for learning material this block, I managed to bomb the first two tests. Luckily, I'm adaptable and changed what wasn't working for me. Of course, the struggle this entire year has been trying to figure out what actually does work. My last two exams went well, so maybe I'm onto something. This week, however, has been a deluge of hormones as we've gone through endocrinology, and I'm not feeling too confident going into the exam on Wednesday. My confidence is even more wobbly when I look ahead to Friday. Our final exam is (once again) a national shelf exam and I'm feeling the need to actually learn all of the concepts I did not grasp from the first four weeks of the block. Wish me luck!

Saturday, February 1, 2014

An Urgency for Living

A friend of mine died yesterday morning. I just found out an hour ago while checking Facebook. She was diagnosed with breast cancer four years ago at the age of 37.

I really don't know for certain if death has stepped into my life more frequently than the typical American 39-year-old, but it sure seems like it. I know that it is a much more familiar acquaintance of mine than it is of my classmates. And I am certain that I will rub shoulders with death much more frequently as I move through my medical training and start my new career.

For Jason, Floyd, Johnny, Nell, Janice, John, Sara, Brianna, Georgia, Marissa, and Annika: thank you.

Thursday, January 23, 2014

Reality Check?


I've just wrapped up two weeks of fairly intensive studying followed by my first physiology exam. The new semester brought with it optimism and renewed determination to get it together and stay on top of the mountain of information. I've tried to be kind to myself by engineering a little success. At the conclusion of last semester, I made a pact to study Monday through Friday with one of my friends. The daily accountability has helped me not get buried. Furthermore, I negotiated a most-agreeable weekly tutoring deal with my favorite brainiac. You'd think I'd be set, right? My test score indicated otherwise.

I didn't realize that my new Determination would bring her side-kick Distraction along. In light of all that is going on, I honestly feel like Distraction does have a legitimate claim to some of the real estate in my head. The problem is, my limited ability to concentrate seems to have evaporated, leaving a salty residue behind. I feel like my mind just isn't working like I want it to, and that leaves me more than a little frustrated.

The exhausted feeling that set in on the third day of class has become firmly entrenched. The night after the exam, I slept for 12 hours straight, followed by 9 hours the next night. But the exhaustion is still there. Everything seems to just take longer for me to grasp. It's like I'm part of some bizarre sleep-deprivation study with the subjects being periodically tested. But this Exhaustion isn't purely an artifact of sleep-deprivation. I'm not certain, but I've got a suspicion that Exhaustion and Distraction are in cahoots. Determination doesn't even seem to realize that she's being played.

So today I did something my ego really, really, really did not want me to do. I ratted myself out. I went to the Office of Student Affairs and sat down with the educational counselor to talk with her about all these little Distractions in my life. The divorce, and all that comes with it, is my choice. But that doesn't seem to make it any easier. She pulled up my record and reassured me of how "solid" I was academically. She praised me for keeping so many plates spinning at once. And then, she just listened. It was somewhat cathartic (is that an oxymoron?) to give voice to my worries. By the end of the visit, I felt like I had myself pretty pulled together, but now it feels more like I just sloughed off a newly formed scab.

I don't regret my decision to end my marriage. I have not missed my husband at all since we've separated. I also do not regret my decision to go to medical school. Every day, I feel privileged to be where I am. Yet it's humbling to admit how utterly difficult it is to go through these two things simultaneously. That sounds so silly, doesn't it? No-duh it's hard. Thanks, self, for the reality check.





Friday, January 17, 2014

Exam Haiku

 Sleep, stay from my eyes
Quickly poring over books
Testing in the morn

Wednesday, January 8, 2014

The Grind

Is it really possible that I've only been in this new block for three days? I already feel worn-out. I'm nowhere near information-overload, but it certainly does not feel like I've had a two-week break. What happened to the rest and relaxation I was anticipating?

Perhaps my current state of exhaustion has less to do with school and more to do with the fact that my vacation was spent settling into the house we moved into back in August, getting my college freshmen ready for her second semester, negotiating a contract to sell my home in another state, and creating new holiday traditions with daddy out of the picture. Yeah. I think it's more that.

Good thing tomorrow is a new day.