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     As a medical student at St. George’s University (Grenada), I was attracted to a wide variety of disciplines.  Through my studies and clinical experience I found my goal was to become a physician in a specialty offering exposure to a variety of cases. During my clinical rotations, I was drawn to the challenge of emergency medicine’s complex medical assessment needed in a fast paced environment. I found that working under these conditions fit my skills as I am able to calmly and rapidly diagnose a situation while keeping an open mind to alternate case related solutions. Spending time with patients gives life to the knowledge I have gained from books. My interest in a wide variety of medical disciplines, combined with my talent and skill, motivated me to seek additional training opportunities in this area. In patient diagnosis, my tendency towards rational thought is strengthened by my intuitive drive to rapidly assess the distinct characteristics impacting the condition of each patient. To expand my life support skills, throughout medical school I instructed other students in their ACLS training.  I became certified ACLS instructor in my third year of Medical School.

     During an eight week rotation in emergency medicine at the Methodist Hospital in New York City, I was exposed to a variety of emergent cases under the rapid pace of emergency medical situations. Moreover, when patients come in a helpless, speechless state, I learned from my colleagues to be their Physician and advocate at the same instant. This rotation solidified my interest and desire to become a physician in emergency medicine. I remember the case of Mr.V; he was admitted with severe flank pain and other symptoms suggestive of Urolithiasis. Medical record of the patient showed a past history of Crohn’s disease. After the Urology consultation, the attending physician explained the etiology of increased incidence of Oxalate stones in patients affected with Crohn’s disease. That day I understood in a concrete manner how body systems are linked together by innumerable wires.

     To be a good Physician, I first thought that powerful knowledge is enough, later I knew that this knowledge, hard work, and continuous practice are not enough. In addition to these things, there must be a state of continuous wonder and curiosity to uncover the secrets of Medicine by continuous research work. 

     I plan on becoming a successful and skilled ER physician. After completing my emergency medicine residency, it is my goal become part of an emergency medical team in a level 1 trauma center that will afford me the opportunity to implement my training. I am seeking out a residency program with experienced and knowledgeable residency mentors that exhibit a high level of professionalism. I am impressed with the number of talented physicians within your residency program. I hope that you will strongly consider my application to become a successful member of your outstanding residency team. I know that through the knowledge and experience I will gain in your residency program, I will become a compassionate and competent ER physician. 

     I am looking forward to discussing this matter with you personally in the near future. Thank you for your time and  your consideration.

     There are many reasons why I would like to be accepted to an advanced nursing program.  I have always wanted a career in nursing due to the fact that I feel there are certain outstanding reasons why this career is different from other careers.I am eager to start the advanced academic and clinical education of your program. Nurse practitioners are responsible for promoting a holistic approach to health care and emphasize the overall health and wellness of their clients.  Due to all the special advantages that a nurse practitioner offers to their patients and to people in need and who are ill and suffering, I have selected this as a career and hence would like to apply for the graduate nursing degree.
     I also find nurse practitioners to be a very caring form of career since it has a very strong emphasis on primary care.  I am also interested in the manner in which nurse practitioners are employed in a number of specialties such as neonatology, pediatrics, nurse-midwifery, family and adult care, school health, women’s health, mental health, geriatrics, home care, and acute care. Having these vast areas of specialties under the umbrella of nurse practitioner gives the profession a certain empathy that is lacking in a lot of other professions related to the field of medicine.  Besides just focusing on the maintenance of general health, nurse practitioners also lay a great deal of emphasis on issues related to disease prevention, patient education, and counseling.  In addition to this, their specific education also fully qualifies them to be involved in patient diagnosis and treatment with some level of prescriptive authority.  It won’t be wrong to say that nurse practitioners are uniquely focused on issues related specifically to ‘caring’ as opposed to “curing”.
     Another major aspect about nurses and nurse practitioners that attracts me more as compared to other careers within the health field is that NPs are able to provide a highly individualized level of cost effective and preventative health care to people who are otherwise not financially able to afford the medical help they need. The work of NPs often takes them in medically understaffed areas to help patients who are in genuine and dire need of help. Hence among all the professions that I could have chosen, this is one career that would bring me the closest to solving the genuine need of a suffering humanity and is one of the main reasons why I have always been highly interested in this career.  The work of NPs extends just beyond helping the patient in need as they also evaluate and resolve issues related to the effect of this illness on
the family and members of the patient.  NPs are also fully involved in educating the patient fully about his or her medical condition and make sure that the patient is able to make informed and conscious decisions regarding their treatment options and subsequent care.
     In the words of Mike Walsh, Alison Crumbie, and Shirley Reveley in “Nurse Practitioners” (1999). ‘The advanced practitioner is reflective and recognizes that the contributions he or she makes to client care makes a difference.  Nurse practitioners also, importantly, ‘give of themselves’ and are ‘willing to bend the rules’. In my opinion it is all these qualities that set the career of advanced nurse practitioner apart from a number of other careers and hence I would like to apply to a nursing graduate degree to pursue a career in this field.  

     After schooling is an important question that comes in the mind of the students is: “What should I do next?” The answer to this question is not simple because college education is an important base for future career, so the student should analyze his or her interests, aptitudes, and ambitions.

     It is true that the medical profession has sufficient economic incentives to offer, but this is not the only reason why I have applied to a medical school for admission as. Any other profession, such as business executive, can offer similar economic incentives.
During my school days, I learnt that I have aptitude in natural sciences. I have scored 3.8 GPA in my BS. Second, I am passionate about medical profession. This is because the subject is closer to my heart than all other subjects. By becoming a physician and specializing in particular medical field, I will be able to serve my community, and members of the larger society.

     I realize, in a concrete manner, that my medical career can be a bliss, a deep sense of joy to others and to myself.
     All people do not get opportunity to serve their society. I have that chance and I want to take advantage of it. Personally, I have experienced and understood pain. This is because a few
of family members have suffered from a few ailments and I have closely observed their sufferings. This has inspired me to take up medical profession so that I can provide dedicated service to a few people who will surely benefit.

     Being in medical field, I can conduct research and contribute to advancement of the subject. I have great passion for research, to find new medicines or study major problems affecting large numbers of people. The nation needs large numbers of medical professionals. By taking admission in a reputable medical school, I am able to serve the nation. I am aware that the sophisticated researches in this great country will help millions of other people, tens of thousands of miles away.

     I am in a unique position of becoming a doctor and I would like to use this opportunity.
Medical profession, unlike other professions, is challenging. Every day spent in the hospital, the medical team uncovers new mysteries and face new learning opportunities. I understand that a medical professional needs to exhibit high emotional and intelligence qualities. I am confident that I will be able to communicate with my patients and colleagues and thereby improve interpersonal relationships. I understand that medical profession expects understanding the self and understanding the emotions of patients.

     I have to fulfill a major social obligation of comprehending views of patients and their family members. It is important to exhibit empathy to the pain of patients while at the same time handling patient emotions. I understand the difficulties associated with this profession. One should be prepared to do hard work, without any specified work time.  I am prepared to sacrifice my comforts in order to be a doctor.

     As a medical student at Rosalind Franklin University, my goal was to become a physician in a specialty that affords a great deal of personal patient interaction, coupled with complex problem solving and research opportunities. I kept an open mind during my clinical rotations; however, I was drawn to psychiatry. I found the connection between the mind and its effects on the body very intriguing. My strong interest in the psychiatric field combined with my talents and skill motivated me to seek additional training opportunities in this area. I can empathize with patients but still maintaining the ethics of Physician-Patient relationship. My tendency towards rational thought in patient diagnosis is strengthened by my intuitive drive to understand what unique outer circumstances may be impacting the health of each individual patient.

     During my eight week clerkship at the Chicago University Medical Center, I was exposed to a wide variety of psychiatric cases. I found the diagnosis and treatment of depression to be my primary interest. I enjoyed the trust building relationship between psychiatrists and their patients. It is a level of intimacy and trust that I did not see to the same degree in any other specialty. I know that training in your residency program will provide me with the additional skills I need to contribute to both the physical and mental health of my patients.

     The summer between my second and third year of medical school only solidified my decision to become a psychiatrist. During this time I was volunteering at St. Joseph’s Neighborhood Centre in Rochester, New York. This was an outstanding opportunity for me to obtain a broader exposure in the field of psychiatry. Again, I was drawn toward the research and treatment of depression. I enjoyed this experience so much that I sought out an additional rotation at SUNY in Syracuse, New York during my fourth year as a medical student. Throughout these training experiences I was surprised to find so many patients had been readily given antidepressant drugs by their primary physician without adhesion to the psychiatric treatment guidelines. I do not believe that the treatment of depression is a one pill fits all quick solution. As the cases of depression are expected to rise over the next decade, it is essential that the appropriate treatment is afforded to patients.
     One case that stands out in my mind was a female patient in her forties that had been on a variety of antidepressants for over seven years. Despite the constant tweaking of drugs by her  primary care physician, the patient exhibited increased migraines, disorientation and a lot of symptoms of what was later determined to be psychosomatic illness. The patient had recently been treated with Topamax without the necessary continued follow-up with her physician. This drug only increased the patient’s level of confusion. Eventually the patient sought out psychiatric assistance on her own, without a recommendation from her physician. When she entered our care she was edging on suicidal.

     At first glance the patient presented with major depressive disorder symptoms. Medications were changed conservatively at first. Regular visits and talk therapy brought the necessary information to appropriately treat the patient. Depression was only a small part of the picture. Upon further analysis the patient exhibited few flashbacks, intrusive recollections and other symptoms indicating post traumatic stress disorder, as well as hypervigilance, particularly towards children. She acknowledged that her short term memory, as well as her long term memory has been affected since starting the Topamax. Through a discussion of her background it was found that she was exceptionally intelligent and had accomplished many impressive achievements at a very young age. This only compounded the frustration of the patient when she remembers her past level of functioning in opposition to what was happening at that time. Unbeknownst to the patient, it was discovered that she was severely abused by both of her parents sexually, physically and emotionally throughout her life. At one point she had been suffocated by her mother and revived by an emergency medical unit. The impact of these events was triggered by the recent sexual and emotional abuse by her husband. Additional therapy was recommended along with transitioning out of topamax and starting a course of 120mg of Cymbalta. Stabilizing and strengthening the patient’s condition through medication was necessary. But without further therapy outside of a medication only solution, the root of this patient’s depression would not have been uncovered and appropriately treated.

     I strongly believe that medications only can not go so far in patient treatment. This case description is one reason I find treatment solely using antidepressants is not always the best course of action, particularly if there is no regular follow-up with a knowledgeable physician.  
I plan on becoming a psychiatrist. Upon completion of my residency it is my goal to enter a practice focusing on the research and treatment of depression. In searching for an appropriate residency program I am seeking out a high level of professionalism, experience and knowledge in my residency mentors. I am extremely impressed with the talented physicians within your residency program. I strongly desire to become an active member of your residency team. I know that I will excel in my future psychiatry career through experience and knowledge I will obtain in your residency program. 

My father used to tell me that challenges in life should be enjoyed. The happiness you get after solving a difficult problem gives you enthusiasm and motivation to solve more. This is how I started to have a wondering mind. I was only ten years old, so I understood very little of what he was trying to tell me at the time. My father also instilled in us punctuality and organizational skills, and the desire to strive for the highest point in our academics; with this upbringing, I was in a state of continuous wonder for natural science.                                         

 Childhood experiences influence our direction in the adulthood. Ted was my close friend in school who used to sit beside me. One day he was upset. I asked “Ted, why are you upset and crying?” He replied “After I returned from the doctors, my parents were upset.”He did not know what was wrong. I learnt that Ted has been diagnosed with an incurable blood cancer. This made me very sad and angry. I could not do anything for him. After my family moved to another city, I learned years later that Ted had died. As a young boy, I was angry, astonished and shocked. I wanted to know why despite all the advances in technology and medicine, my dearest friend was gone. Then I took a resolution to do something for young people like Ted.     

 Why to be a paediatrician? Is it the desire to help, alleviate pain, welfare of other people, or is it my self esteem driving me all the way to be a licensed physician in the US? All these arguments could drive me to be a physician but why specifically a paediatrician? Perhaps the most powerful driving force is my desire to be an advocate, for those who are unable to speak for themselves, like Ted. My ultimate priority is “caring”…curing will ensue. 

The introduction to paediatrics I received during the Foundation Program was excellent and stimulating .I was inspired by the doctors who taught me and can vividly remember working with the consultant whom I aspire to be like. Their friendly and approachable manner really put the children and parents at ease.

I am currently working as a trainee in neonatology at Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust. This position has allowed me to sharpen my skills in neonatal resuscitation and management of ventilated preterm neonates. My previous appointment was as a fixed term specialty training appointment year 2 at Birmingham Children’s Hospital rotating in Child Psychiatry with on call duties as a member of the hospital night team from February 2009 to August 2009.Over the years, my professors attested that I have matured as a compassionate, committed and trustworthy individual. Working with professionals of the multidisciplinary team has given me insight into the specialty and the challenges it brings. I do not hesitate to seek help and advice and I always learn from my mistakes.

My ability to successfully acclimate to a new country as the United Kingdom leaves me certain that I can successfully make transition to the American health care system. Passing all the exams required for the ECFMG certification on the first attempt increased my self confidence furthermore. The United States occupies an absolutely leading position in medical education. The doctors from different ethnicity, race and specialties team up to provide the best medical care. This kind of setting motivates people to give their best. It has advanced education system along with great research opportunities. This combination made me choose the USA for furthering up my medical career. The U.S. provides me the opportunity to do all that and the population being so diverse adds to an amazing cultural and social experience. I am not a bookworm .In my free time, I enjoy cycling, travelling and cooking.

I aspire to pursue a career in paediatric oncology and haematology. I hope this would help other young people like Ted. Throughout my rotations in different paediatrics departments, I personally met-for the first time in my life-healthy cured children who once suffered from hematologic malignancies, a group of diseases who carried the label “fatal” for decades. I realized in a concrete manner that my work could be bliss, a sense of joy to others and to me. 

 Thank you for your time and your consideration.