Reflective Essay: My Four Years At Brown Medical School

As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing

When my interest and desire to become a physician went underway during my Junior year of undergrad, I had the desire to attend a medical school that I would fit into well, obtain a great medical education, and enjoy the years that I would spend at the school. I wanted to find a school that I could use my diverse skills to improve not only the student body and community, but also my life by being at a school with a similar vision as I have for myself. When researching universities that would fit this mold I came across Morehouse School of Medicine. After researching the school's mission and goals, I felt that I fit into the mold of a diverse individual looking for a nurturing environment where I could gain an effective medical education. The

My desire was to challenge myself and pursue my belief in life-long learning. And yes, the last eight weeks have definitely been a challenge intellectually in IDS 101. After the first two weeks of school, I seriously questioned why I would go back to school at fifty-one years of age for personal satisfaction. The days were long and I wasn’t sure I still had the self-discipline and determination that would be needed to finish. Over the last eight weeks, this class gave me numerous opportunities to hone my skills in critical thinking, research, and writing. This class has given me the necessary skills to continue toward completing my degree.

The one idea that drew me to a liberal arts college was the ability to take a wide breadth of classes from all disciplines. I hope to receive not just facts and memorization out of my education, but applications to other subjects and even daily activities. A prominent example of this is my potential major, physics. To prepare for an eventual career in the scientific field, this semester I am pursuing research in physical oceanography. Also, I joined the physics club in order to extend my learning outside the classroom, in addition to using this club as an opportunity to seek out like-minded individuals who also share a passion for science.

As a black male who grew up in a low-income family in Rio de Janeiro, Brazil and recently immigrated to the US, I am confident that I will significantly contribute to the diversity and education of the University of Colorado School of Medicine community. Through my unique perspectives, community awareness, and personal resilience I know that I will be a positive attribute the CUSOM and the communities it serves.

Over the last few days at Providence Crosstown Clinic, I have gained a tremendous amount of insight into the field of addiction and substance use disorder. Crosstown Clinic is an addictions treatment clinic with an interdisciplinary team that cares for over seventy clients with substance-use disorder. Clients come into the clinic three times a day and are given either DEM (diacetylmorphine) or HME (hydromorphine). DEM is an addictive drug derived from opium that produces an intense euphoria, also known as “high”; whereas, hydromorphone is a synthetic narcotic analgesic, similar to morphine and heroin. During the first few days, I have learned Crosstown clinic began as a study to assess long-term opioid medications effectiveness, also known as the SALOME trail, to test whether hydromorphone, a licensed medication, is as good as diacetylmorphine, the active ingredient of heroin, at assisting people who suffer from chronic opioid addiction and who are not benefiting sufficiently from other treatments. I was told by the clinic nurse that the test found that hydromorphone is almost the same as DEM; however, clients prefer DEM better since it gives them a longer “high”. I have yet to work with clients with substance use disorder, and I am excited to learn more about alcohol and substance use like alcohol, marijuana, cocaine, and amphetamines.

I have spent a great deal of time researching the college that would fit my lifestyle and able to offer tailored programs to fit me. Finally, I decided on Empire State College (ESC), the reason being, ESC’s capability to work in the capacity that I am seeking. The fact that ESC also has a great Military/Veteran program is an enormous plus, and something that I require in a college. Another feature that drove my decision to apply is I will have the opportunity to gain credits from my life experiences. This is a remarkable feature. I have always held the belief that the experience one gains in their career is just as, and at times more, valuable as what one receives in a classroom.

In recent years, reflection and reflective practice have become well-known term with in the health care arena. They are words that have been debated and discussed with in the health care setting (Tony and Sue 2006). Reflective practice is essential for nurses, as nurses are responsible for providing care to the best of their ability to patients and their families (NMC, 2008). Reid (1993) states reflection is a process of reviewing an experience of practice in order to describe, analyse, evaluate and so inform learning about practice. Johns (1995) notes that reflection enables practitioners to assess, understand and learn through their experience. Reflective practice, therefore, offers nurses an opportunity to review their decisions and

President Christina H. Paxson, Brown’s 19th president, has charted the course for the University’s future with the recently approved strategic plan, Building on Distinction. The plan provides a vision and set of broad goals to achieve higher levels of excellence as a university that unites innovative education and outstanding research to benefit the community, the nation and the world. It calls for targeted investments to attract and support the most talented and diverse faculty, students, and staff; capitalize on existing strengths; and provide the environment to foster rigorous inquiry and discovery across the disciplines. The plan highlights the need to keep a Brown education affordable for talented students from all economic backgrounds and to sustain a community with the diversity of thought and experience required for

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

I think Vassar first came on my radar because of my Latin teacher. Along with being my eclectic Latin instructor, Mr. Gnolfo was also my softball coach for two years. After observing that he wore his Vassar baseball cap almost every practice and listening to many of his anecdotes about his old days on the baseball diamond on the way to the field, I just felt like I had to research the school a bit. Now, I come from a very small, independent school in Rhode Island. With only a total of thirty-four kids in my graduating class, I’ve certainly learned the benefits of a small school community. Obviously Vassar has much a much larger enrollment, but still I believe that the small community and class sizes that your college offers would be very beneficial

I just saw the update with a tentative shoot schedule for next week.  I wanted to reach out because I was extremely busy last week and was not able to respond to your original request.  If there is anything I or my staff can do to accommodate you please don't hesitate to contact me.  I'm not sure if you have visited my website but my role in the industry is patient registration and education.  My company and our network of physicians has enrolled the majority of the patients in the Washington, DC medical marijuana program and we are gearing up to provide a number of patient and physician education and consulting services in Maryland.  I am also launching a nonprofit to provide grants to low income families and veterans as this is primarily

Shortly after the fibroid removal, aggressive intestinal shaking, chronic stomach swelling, and burning pain in the upper right quadrant area began. I had never felt such depilating pain. I sought for expert help, but it was difficult due to the lack of insurance that cause me to stay in bed the first year. I reached out to Dr. Tarek Bardawil (Gynecologist of the Miller School of Medicine) after examining me he referred me to his associate Dr. Alberto Iglesias (General Surgeon.) During this time, Dr. Iglesias left UM, and my condition deteriorated. My primary care physician, Dr. Elizabeth Philippe attempted to obtain help for me through the clinical system, but she was unsuccessful. After suffering and suffering I went to Fort Lauderdale

From early on, I have been infatuated with history, museums and the pursuit of learning. As a person (of mixed cultural heritage) with not only an artistic bent, but also a wide variety of other academic and non-academic strengths and interests, I fully appreciate and embrace the value of what a Brown education can offer. I love that its open approach extends beyond the curriculum to include both the cultural and social needs of the students, inviting experimentation and risk. Students like myself, who thrive on intellectual challenge and curiosity, who select courses and activities based on a desire to learn and not merely for boosting GPA or resume, cannot only continue to take this atypical path, but are encouraged too. In line with this

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the