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When I was sixteen, I was diagnosed with a fibroadenoma in my left breast. Although the mass was benign, I was concerned about potential complications of breast cancer and made the decision to have it surgically removed. After I recovered from the anesthesia, my surgeon pulled up a chair beside me and gave me his undivided attention. He reassured me that the surgery was a success and that my recovery would be uneventful. His compassion and unwavering support during this difficult time inspired me to pursue a career in medicine. Today, I strive to become a physician assistant (PA) so I can embody the same level of empathy and care with my future patients. 

During my internal medicine rotation at Richmond Medical Center (RUMC) in 2010, I acquired the skills necessary to succeed in the medical field. There, I was responsible for taking histories, conducting physical exams, creating patient management plans, completing morbidity and mortality rounds, and attending lectures with the residents. During rounds, I introduced patients to the attending doctor and discussed plans of care. I also helped interns by following labs, imaging studies, and reporting any concerns or complaints. I learned good bedside manners and how to effectively communicate with patients and their families. Not only did I understand how to establish rapport with patients, but I also learned how to respond to criticism constructively and confirm suspected diagnoses. I also understood how to apply my medical knowledge to manage and treat conditions such as asthma, COPD, and urinary tract infections. As a PA, I will continuously build on my expertise to improve the care of my patients. 

A PA is more impactful than people realize. At RUMC, I was inspired by one PA in particular. Intrigued by her competency, I often inquired with her about the profession. Her continuous emphasis on the patient-centered approach is what initially drew me to the field. My interest in becoming a PA solidified when I was able to put this approach into practice. During one of my rotations, a 90-year-old Alzheimer’s patient was admitted to the unit with a urinary tract infection. Quickly, she became restless, irritable, and confused, and she tried to pull out the IV. Since the attending physician was unavailable, I proceeded to care for the patient. While holding her hand, I reassured her that we were there to help, and I explained that she needed the IV medication to get better. Soon after, she calmed down and we were able to continue the treatment. At that moment, I understood why I wanted to be a PA. From my personal experience I know very well that being sick can make one feel vulnerable and scared. I also know that having empathetic medical professionals can make a big difference in the patient experience and the outcome of care. I aspire to be a PA not only to be skillful and competent in my profession but also to be fully present for my patients and to extend a compassionate hand to them when they are at a low point in their lives. 

Since the COVID-19 pandemic, I have been volunteering in a free clinic where I extend empathy and care to the underserved community. Last year, I attended to a homeless patient named James. He complained that his eyes and skin were yellowing and that he was bruising easily. When I took James’s history, he disclosed that he had been diagnosed with alcohol use disorder and was unsuccessful in AA. Based on his history and physical exam, I suspected alcoholic liver disease, so I ordered various clinical tests to confirm the diagnosis. The next day before we could discuss his test results, I found him lying near the front door of the clinic, unconscious. I called 911 and performed CPR until he was taken to the hospital where he was treated for an upper GI bleed. Two months later, James passed away from severe recurrence. Through this experience, I recognized the importance of conducting thorough patient screenings and extensive clinical tests to facilitate a prompt diagnosis and an early treatment plan. While it was already too late to save James, as a PA I will ensure that patients in my care receive timely preventive care to reduce the risk of future health complications.

Throughout my life, I have learned that I am strong and competent enough to relate to other people’s suffering without falling apart, and that I have a good work ethic with the intrinsic motivation necessary to get the job done. When I get admitted to the Miami Dade College Physician Assistant Program, I will contribute my life experiences, my determination to overcome obstacles, my desire to work in teams, and my enthusiasm to learn. Five years from now, I see myself working as a competent physician assistant, providing healthcare services to medically underserved residents in urban and rural communities. This time, I will be the one who pulls up the chair and provides my patients with undivided attention. I will be their reliable source of compassion and support. 

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