Winter 2010 Newsletter
Transcription
Winter 2010 Newsletter
UCLA SANTA MONICA CARE EXTENDER INTERNSHIP PROGRAM Winter 2010 THE BEATCare Extender News EDITORIAL In This Issue Care Extenders, Western Medicine Compromise On top of being busy students and working professionals, you’ve all dedicated your time to the program. Thank you all for being so Health Issue: Mental Health great! MCAT: Is it Vital? Inside this edition of The Beat you will be able to read about your peers responses to health care issues, as well as getting to know the CE Alumni: Dominic Hovsepian Care Extenders of the Rotation and their stories. Care Extenders of the Rotation I hope that it not only inspires, but that it gives everyone one of you a sense of pride to be a part of such a dynamic group of Care Extenders. The Staff Best, ANNOUNCEMENTS Yenith Ang Extension for Comp Checklist 2/17 5 PM Extension Requests due 2/17 Preference Sign-ups Begin 2/21 Comp Checklist due 3/7 Preferences sign-ups end 3/21 Department Assignments posted TBA (will receive email) Department Meetings and Training Day 5/2 2 3 4 7 8 11 WesternIs there Medicine: a compromise? by Yenith Ang Western clinics are now set up in almost all third world countries. The importance of cleanliness by washing hands, covering sneezes and coughs has now become ubiquitous. It is translated in several languages other than English with images of young individuals in different cultural garbs other than our own depicting the importance of cleanliness. Yet there are certain issues that are hard to approach because it is taboo. Young girls, not even in their teens, are kidnapped and even sold into prostitution, for the purpose of “curing” men with HIV/Aids in Southeast Asia. How do we reach a compromise here? How do we bridge the gap? An image on how to prevent in Tibet: In the world of medicine it is sometimes tough dealing with people from a different background other than our own. Because of the diversity in the world in which we live, it does not matter what profession we are in, we must always teach ourselves to be empathetic and understanding. In allopathic medicine, still a new field, is an amalgamation of research of medicine from all over the world. And yet we sometimes forget that, as we instill our own research and beliefs onto unsuspecting third world countries, expecting them to accept with open arms. It is not to say that our research is superior, because there is still much to be learned and discovered. The issue is, how do we bridge the gap and reach a compromise? A muscled cartoon condom educating the people of Tibet the importance of contraception. The Beat 2 HEALTH ISSUE: Mental Health by Sarkis Kavarian A particular health issue that I find to be currently controversial in a sense, and definitely “taboo” to address is the notion of mental health in our society. I feel that all too often, those with mental, psychological, and neurological disorders are labeled as inadequate of thinking rational thoughts and making rational judgements. Whereas those diagnosed with such conditions may indeed have some difficulty with certain tasks, this does not mean that they are not capable of rational thinking. On the contrary, if some health care professionals would approach these patients with a more compassionate and “open” perspective and worldview, they may notice certain words and body gestures that they would not have otherwise noticed as being illustrative of complex cognitive functioning. Furthermore, they may view certain words and gestures, which at first glance may seem uncalled for and quite inappropriate in the situation, to be rather understandable and even reasonable within the given context as is viewed through the lens of the patient. I am not claiming that these particular patients are altogether fine and are able to function to the best of their abilities, for on the contrary, they do need help in certain or many facets of their lives; this help should be given. Rather, I am merely claiming that health care professionals should address the thoughts and concerns of these very special group of patients with a more compassionate and open-minded perspective, so as to gain a better understanding of whom they are treating in order to preserve their dignity as human beings, in the fullest sense of the term. “...Health care professionals should address the thoughts and concerns of these special group of patients with a more compassionate and open-minded perspective.” Edvard Munch’s The Scream It is believed to be Munch’s private reflection on living and coping with depression. In the world where modern medicine as yet hasn’t proposed anything to the victims of psychological distress apart from Freudian psychoanalysis, Munch relates to the alienation from social circles that sufferers like him experienced solely in humility and solitude. Simultaneously, he draws a dramatic picture of a human being rebelling against those limits. Social constraints imposed on the victims of psychological illnesses at the turn of the centuries hasn’t grown old – instability of moods, anxieties and lack of acceptation still hold today as widespread social taboo. The Beat 3 Life of a Medical School Applicant: Is the MCAT vital? by Anderson Nguyen Four Years in a Nutshell Standardization For those interested in pursuing a career as medical doctors, the path is long and strenuous. Difficult classes and long hours stemming from involvement in extracurricular activities can be particularly draining on students during their undergraduate years. Yet these four years of seemingly never ending hard work in college translates to a packet that is submitted to the American Medical College Application Service and reviewed by medical schools across the nation and for some, outside the United States. Anxiety begins to settle in as the first stages of the application process is complete and applicants nervously await the news of an interview decision. Taking a brief glance at the application, many of the responses elicit one’s hard work over the span of four years. However, one of the exceptions is the MCAT score. While the pre-health core classes taken throughout the undergraduate years are partially reflected in the MCAT score, the score is nevertheless determined by one’s performance on four-hour examination administered on the computer. Yet similarly to the SAT score for undergraduate admissions, the MCAT score is closely examined by medical schools. So why is it that in speaking to medical school admissions boards, they reveal that two of the most important pieces of information about an applicant are reflected by the GPA and MCAT score? Being granted an interview is quite miraculous considering only about ten-fifteen percent of applicants were granted an interview at medical schools like UCLA and Harvard in the 2008-2009 year[1]. There were more than 4000 applicants at these schools that were rejected based on their application alone. The countdown begins as the interview decision letters roll in after the secondary is submitted. The application process can be quite nerve-racking, especially when the interview decision rests solely on what is written on the application. Nevertheless, it is no secret that medical schools heavily weigh an applicant’s GPA and MCAT score relative to the other portions of the application. The MCAT score is vital to an application because it serves as a standard way of measuring a prospective student’s potential to perform well in medical school. Nevertheless, while a high MCAT score translates into high potential as a scholar of medicine, it does not reveal the more intricate details about the applicant’s personality – a crucial aspect of being a good doctor. As one can imagine, different undergraduate universities contribute to enormous diversity in each medical school applicant’s academic background. Also, schools distribute grades based on different grading standards that may differ from one school to the next. Nevertheless, medical schools can accommodate for the differences to an extent by using the MCAT score as a way of standardizing those differences. Regardless of one’s grades or academic backgrounds, medical school applicants across the nation and world take the same exam. The MCAT, which is composed of 4 different sections – verbal reasoning, writing, biological sciences, and physical sciences – serves as a method of standardizing the varying undergraduate academic backgrounds of each applicant. Thus, the MCAT is a very necessary component of a prospective student’s application. (continued on p. 5) The Beat 4 Weighing the different entities on the application Certainly, the MCAT is very useful in standardizing the varying academic background of applicants. However, while many schools do not have a set minimum score, a simple glance at admissions statistics of several medical schools show that there is a reference scale out there. While medical schools don’t confirm a “minimum score on the MCAT” needed to gain admissions to a school, this minimum score does exist in the sense that the overwhelming majority of matriculants achieve a certain average MCAT score. For instance, in talking to several medical students at various medical schools, there is a widely “accepted standard” to meet. The average medical student applicant has a 3.5 GPA with a 30 MCAT. In speaking to medical student interviewees, an applicant applying to the top medical schools such as UCLA, Harvard, Johns Hopkins, and UCSF should have around a 3.7 GPA with a 34 MCAT to be deemed competitive. While the schools will not publish data, explicitly saying that these are the “minimum scores,” the average GPA and MCAT scores of the matriculants at these schools reflect these numbers and for some schools even higher. It comes as no surprise that the MCAT score typically varies directly proportional to the GPA. The better the student performs in the core science courses, the more likely that student is to perform well on the MCAT. The MCAT after all is somewhat analogous to a comprehensive exam of all the core pre-med courses an applicant typically takes during the first two years of undergraduate studies: physics, general and organic chemistry, biology, verbal reasoning, and one’s ability to write. Medical schools weigh the MCAT very heavily because the score supposedly reflects a student’s potential to perform well in medical school, which translates to doctors who are knowledgeable about medicine on a scientific level. But does being a knowledgeable doctor translate to being a “good doctor?” Not necessarily, because an intelligent doctor (based on the MCAT score) may not have personality and great communication skills that are essential in interacting with patients. The Personality Factor While the MCAT serves to be a reference point for medical school admissions boards, it is not the only thing they look at. A high GPA and MCAT score may grant you an interview, along with solid extracurricular activities (research, clinical experience, leadership experience, community service, etc.) and strong letters of recommendation. Don’t be mistaken: while the GPA and MCAT score are weighted heavily by the admissions boards, applicants who have weaker extracurricular activities and letters of recommendation may not be granted an interview either. Medical schools look for the well-rounded applicant, and one that has all of the above. However, applicants with a higher GPA and MCAT score along with solid extracurricular activities and LOR will get the nod for the interview over an applicant with lower scores in most cases. In other words, work to maintain your GPA and perform well on the MCAT, but also be active and not be a bookworm studying in the library 24/7. The key is maintaining a good balance as a student. Other important qualities about a “good doctor” are the personality and demonstration of one’s passion for pursuing medicine as a career, which are not necessarily reflected in the GPA or MCAT score. This is where the extracurricular activities come into play and thus make you a well-rounded applicant. In blunt terms, an applicant with a high MCAT score may demonstrate the potential to be a successful medical school student, but without the ability to communicate with others and personality, that applicant would potentially have a difficult time interacting with patients. Some characteristics of a good doctor include the ability to communicate with patients, being well knowledgeable about medicine, and having a passion for helping others. Thus while the MCAT score may help an applicant get an interview based on his or her potential, the interview weighs heavily on an applicant’s personality. Because let’s face it, an intelligent applicant (based on the MCAT score) without an amiable personality may not turn out to be such a great medical doctor. (continued on p.6) The Beat 5 The Interview The overall acceptance rates of medical schools like UCLA and Harvard are about 2-3% which translates to about 5000+ applicants for 150 spots. At the interview stage, about 800 students receive an interview, and about 150 students are ultimately accepted. When it comes down to the interview, applicants with the amiable personality that also shows his/her passion for pursuing medicine with solid scores will be favored over applicants that aren’t able to communicate as well, but have slightly high scores. Where is the fine line between having that personality versus an applicant with a slightly higher score? This is where the rest of the application also can make a difference. Applications that list many extracurricular activities which do not require much commitment (ex. General member of student organization – attended meetings for 1 hour every other week and helped out with fundraiser for 1 hour once each quarter) will not say much about the applicant. Rather, it would be preferable for applicants to participate in fewer extracurricular activities, but devote more time to those select activities rather than spreading himself/herself thin. Remember: quality over quantity. Undergraduate Years While having the high GPA, MCAT scores, and strong extracurricular activities are important (in terms of the medical school application), applicants must also remember that the undergraduate years are also a great time during their lives. There are many opportunities available for undergraduates to be active on campus and in the community. Pursue activities that you are interested in, not just so you can put it on an application. Most of all make your undergraduate years memorable, but also try to maintain a solid GPA. Remember that balance is key. Tying backing to the application process, medical school admissions boards can often detect “superficial” activities – one that applicants participate in just so they can put it on their application. Remember, these boards have years, and in some cases decades, worth of experience screening applications. Also, applicants should feel comfortable talking about their extracurricular involvements during the interview. The ability to communicate is vital and express oneself coherently is vital during the interview. Work on relieving any nervous anxiety during interviews by participating in mock interviews. An applicant’s personality may make a strong impression on the interviewers and is an important part in determining the ultimate decision of whether or not the applicant would be a good fit at a particular school. [1] UCLA Medical School: http://www.medstudent.ucla.edu/prospective/admissions/default.cfm?pgID=8 Harvard Medical School: http://hms.harvard.edu/admissions/default.asp?page=statistics The Beat 6 CE Alumni Q&A: Dominic Hovsepian 1. How long were you in the CE Program? I was in the CE program for about 2 and a half years. 2. Now that you’re on your way to medical school, do you think the CE Program helped in any way? I absolutely think CE program helped me on my journey towards medical school. Before entering the program, I had no idea what it would be like to work in a hospital environment or whether I would like working in a hospital. I entered the program to give back, but also to see if medicine was the path for me. Fortunately, my years in the program solidified the fact that becoming a physician was the path for me. 3. What have you learned as a CE? Through all of my time in the program I really learned how much I enjoyed helping patients in a hospital, how interesting and challenging it was to work with patients, and how exciting it was to meet so many new people each and every day. I also learned the qualities that it takes to be a great healthcare professional: compassion, communication skills, personality, dedication, intelligence, common sense, critical thinking ability, and so much more. 4. What was your favorite department and why? It is really hard to choose a favorite department because I have enjoyed all of them. My rotation in Ronald Reagan Pediatrics is probably my favorite because the kids were so awesome. I really admired how brave they all were. Plus, I must say that I really enjoyed playing XBOX, Chutes & Ladders, and Hide & Seek with all of the patients. The best thing about it was that the patients’ faces lit up when they saw the CE uniform because they love the fact that we are always there for them. 5. Please share us some of your notable experiences: Again there are too many notable experiences to choose from but one that sticks out in my mind occurred while I was volunteering in the CT-ICU. A patient recently had open heart surgery, but the surgeons had not closed his chest so doctors would have to clean up the area around the opening to prevent infection. I happened to be on shift when this was happening and one of the Care Partners got me in the room to observe this procedure. I was blown away because I could see the patient’s heart beating outside of his chest. I had never seen anything like it. It was amazing to see a live human heart at work (I know it doesn’t sound like much but it really made an impression on me and it is hard to capture the beauty of the human body in a few words). 6. Where are you going for medical school? Why? What do you plan on specializing in? As of right now, I am going to the Medical College of Wisconsin. I am still waiting to here back from about 6 schools so my decision is not yet fully made. I chose the Medical College of Wisconsin because they have a flexible curriculum in which students are able to individualize depending on what they want to do with their careers. This kind of freedom will really allow me to hone my skills to fit my goals, which many medical schools don’t offer. As far as specialties go, I am keeping an open mind because I am sure it will change, but I would like to specialize in neurology because I find the brain fascinating. Dominic Hovsepian- Future MD The Beat 7 Care Extenders of the Rotation Congratulations to all the outstanding Care Extenders of the Rotation for their hard earned recognition! Jesada Mathiyakom Department: CT-ICU “ Most memorable experience was getting to see an open-chest procedure on an ECMO patient. What I took out of the experience at CT-ICU is that everyone plays a critical role in patient care and there is always room for Care Extenders and volunteers to help out!” Adam Montagna Department: CCL “CCL was a great place to volunteer and learn. There were procedures scheduled almost everyday, so I always felt as though my time there was well spent.” Ross Kelley Department: 7W-CTU Palwasha Sajjadkhan Department: CT-ICU “During my first shift I observed doctors inserting Swan-Ganz catheter into a patient’s artery to monitor the blood pressure in his heart and it was amazing. But I have to say my most memorable experience during my rotation were when I was allowed to observe two heart transplant surgeries, one with Dr. Richard Shemin and one with Dr. Murray Kwon. The procedures were about 7 and a half hours long and THE BEST experiences of my life.” Kevin Machino Department: SM-PEDS “There were two patients in particular who stood out to me. One was a teenage boy who was there because he hurt his leg. He became more of a friend than just a patient. It was really gratifying for me when he remembered my name and was excited to see me. It showed me that I was more than a volunteer to this patient. Another patient was a little girl who was only a Pejman Zargarkalimi Department: CT-ICU “This department is amazing. Every second a new occurrence takes place wether it is good or bad I learned a lot in this place. Every room had its own memorable experiences. Beside all the medical experiences, I also learned how it could be hard for a doctor to tell a patient’s relatives about their current problematic situation. All the staff at this department are working so hard for every single patient health care. They also like to teach us whatever they know about their patients’ cases.” Milan Ardoin Department: 8EW “Most memorable moments will be conversing with staff and them providing important information to help guide me in my healthcare career. I love the family environment at 8ew.” Fornia Ung Department: CCU couple months old but she had respiratory problems. It really hurt to see her struggling and in pain, but I was able to hold her and comfort her until she fell asleep. These experiences with the patient made me realize that I can be more than just a volunteer and make a difference in the lives of other patients.” (continued on p. 9) The Beat 8 Carmel Moazez Department: WW-PEDS “I was fortunate enough to work with two kids for the majority of my time in Pediatrics. The first kid was Kevin who was a boy one year older than my little sister. He never wanted me to leave and I did everything with him including playing video games, helping him with homework, and getting beat at Monopoly and Uno . During the holiday party we took pictures with Santa together and played games. My most memorable experience with him was during the Holiday party when the dj played music and had us guess the names of the songs. Together we were able to get all of them :) The other child I worked with was Jamie, a girl the same age as my younger sister. She was such a sweetheart. I am a ballerina and after spending time with her she decided that once she was better she wanted to start taking dance classes. The toy center gave her a dance bag and I gave her a pair of my old pointe shoes to start off her dance career :) My favorite day with her was when we made jewelry for each other out of beads and she made me a painting. I currently have it hung on my wall :) Overall my experience in Pediatrics was incredible and I wish I could have spent more time in the Dana Shiffer Department: MED-SURG “The most memorable shift I had was when I was offered by Doctor Wu to watch a thoracenthesis procedure performed on a sweet elderly patient. During the procedure a tube was inserted into the patients lung through her back in order to get out the fluids which were accumulating there. It was truly impressive and interesting to watch. Overall it has been a rewarding and extreemly interesting experience. It gave me a whole different perspective about hospital dynamics and a deeper look at the very important different roles and functions of the staff members. I thank everyone in the medical surgical department for letting me be a small part of something this meaningful.” Department: Radiology Department: Greeter “My most memorable experience was escorting a woman in labor and her husband to the labor and delivery department. It was really neat to witness their excitement, and they were so thankful to have an escort to show them the way. As a greeter, I interacted with a variety of different people and I learned how to communicate well with people of all personality types.” Jonathan Lyons Department: Greeter (OA) Bita Luhrassebi Department: MED-SURG department.” Lauren Raney Christa Slaught My most memorable experience in the department was helping Sabrina (one of the nurses) in inserting an NG tube. It was a tough procedure especially for the patient who was very uncomfortable. But at the end, the patient was feeling so much better and was so appreciative and I felt really good to have played a part in that. Overall, what I take away from my experience in the Med-Surg department is an amazing feeling knowing that everyday I was there I made a difference, even though very small, in someone’s life and I was able to make a tough day a little bit easier for the patients I was able to help. “My experience in the Greeters department gave me the opportunity to see the hospital from the patients? perspective. I greeted people in the lobby and helped them find their appointments or loved ones. I met interesting and kind people every day. Being a greeter was a great way to start my experience as a Care Extender. Although I was never able to form long relationships with any of the patients or visitors, my most memorable experience would have to have been when a lady could not find her mother?s room. She was nearly in tears when she asked me to help her. I walked her right up to her mother?s room. Later that night when she was on her way out she stopped by the security desk to tell me how thankful she was that I was there to direct her. She said that she thought hospitals were cold sad places, but that I had made her feel more welcome. This was the most rewarding part of the entire rotation.” (continued on p. 10) The Beat 9 Patsy Chenpanas Department: ER-A “My most memorable experience in the ER was helping Dr. Halem with two sutures, and then hearing from two nurses later that he thought I was really helpful. My experience in the ER boosted my confidence in the pursuit of medicine, since I felt that I was an essential part of helping the department run smoothly in my time there.” Karina Soni Department: ER-B Albert Ly Arpine Panosyan Department: Post Partum “My most memorable experience at Postpartum was being able to work in a friendly and welcoming environment. Some of the nurses might’ve been a little grumpy here and there, but once I grew closer and bonded with them, it was different. I was very fortunate to have volunteered and worked alongside such a warm and caring staff. It makes me want to go volunteer everyday, nothing felt awkward. Caring for patients is obviously very important, but to also being able to care for them in merry surroundings makes it that much better and fulfilling.” Department: NICU “Working in the NICU requires excellent team work. Without a doubt, the one thing that I learned during my experience at the NICU is the importance of working together during a medical crisis because there is no “I” Shirin Mostofi Department: Post-Partum Jennifer Chang Department: Post Partum “The most memorable experience in the department was the opportunity to do compressions on a patient that lost her pulse. But even more extraordinary, was the fact that when I was doing them, she regained a strong pulse.” Tinh Nguyen Department: ER-B “Working on code, the first time I was assisting on a code was a really intense moment. We learn, we train and we get certified to be able to handle moments like this, But once you’re actually in that moment, it terrifying and exciting at the same time. I was relieving one of the techs during chest compressions. You’re standing there over the patient, its running though your head, of all the steps you need to do, but honestly you can’t really focus on it. you can’t take your eyes off the patient. you take the first plunge into his chest then you think “am i doing it right”, but you don’t stop, you can’t. In the end, we couldn’t bring him back. But it was a really nice moment to know that all your training and learning was put to good use.” “The most memorable experience I had was definitely when I got to watch a C-section delivery in the Labor & Delivery department. Since Post partum didn’t have any operations scheduled during my shift, Lizzy helped me call and check if Labor and Delivery, and I was able to sit in on the C-section. It definitely changed my perspective in terms of how operations are conducted, the environment in which they occur in, and the reaction and response times that are required of the doctors when something unexpected occurs. The doctor who was conducting the operation was telling me how although they prep for each operation thoroughly, no one can account for unforeseen circumstances that happen during the operation and thus the doctors have to rely on instinct and experience to act in a timely matter. It definitely changed my image of an operation in that I no longer view it as a rigid, step by step procedure but rather as an actively engaging process.” Alexandra Jensen Department: ORTHO “I have two memorable experiences. The first one was when A.J. and one of the nurses in L&D asked me if I wanted to see a delivery on my very first shift(and they gave me the option between a vaginal and a C section) I chose the vaginal one and my heart was pounding while anticipating the delivery. It was much more beautiful than what I had heard. The second one was when a nurse in PP asked me if I wanted to watch a circumcision, and it was nothing I had expected.” Sulin Wu Department: 8EW Casey Cooney Department: ER-A Caroline Rich Department: CCU Nicole Chow Department: WW PEDS Cari Mendoza “One of my favorite experiences was shadow- Department: L&D-A ing Tim, the physical therapist, when he went on rounds on the floor. I am very interested in the PT field and watching him was extremely encourag- Megan Cotterell ing. I also liked following Tim because it gave Department: L&D-A me an opportunity to get to know the patients in the department better and watch their recoveries. Some of the patients had experienced 7 or Sakinah Sabadia more failed hip or knee surgeries in the past, so to see their excited faces when they realized their Department: OR Escort recovery would be different this time at the UCLA hospital made me really proud of our medical facility and staff.” The Beat 10 Care Extenders Program Staff Executive Staff: Silva Thomas Care Extenders Manager Silva Thomas is a UCLA graduate in the field of biochemistry. She started working at SM - UCLA Medical Center and Orthopaedic Hospital in November of 1996 as a Care Extender Intern. After 4 years of being a volunteer, Silva took on the Manager role and has been the Care Extender Manager since then. Amy Ngan Associate Manager Jenna Nawa DC Supervisor SMH Christopher Bartlett Christine Thang DC Supervisor SMH DC Supervisor WW Santa Monica Department Coordinators Patrick Lu LKC/CCL Maria Bezchinsky Julia Kwon NICU Critical Care Unit Colleen Caldwell Eric Low ER-B Post Partum Sharon Huang Med Surg Alex Katz Orthopaedics Harry Li Radiology Michael Quocminh Pham ER-A Kyle Nguyen OR Escorts/Greeters (continued on p. 12) The Beat 11 Santa Monica Department Coordinators Cont. Megan Segal L&D- A Spencer Yeh L&D- B Danielle Whalen SMH-PEDS Jasmine Huynh Oncology Westwood Department Coordinators Sally Mung Ting Yung 8 North Stephen Ku CT-ICU Hande Tan 7W-CTU Marlene Meer 8 East West Samantha Briones Admissions Francis Javier Administrative Jenna Nawa MICU Jonathan Phuong WW-ICU Special Project Coordinators Maggie Pham Training Ferdows Ather LOA Hannah Tan Rita Tufenkjian Program Extensions Special Projects Gina Chien RRH-PEDS Ivette Zelaya Data Manager Tracy Wang Public Relations Eric Kwok Quality Control Yenith Ang Newsletter