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New approach to primary health care
Primary health care: a new approach
An essay on primary health care
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When Vilayanur Ramachandran, one of the most prominent neuroscientists of our time, was asked how he came to be interested in the brain, he replied “How can anyone NOT be interested in it? Everything you call 'human nature' and consciousness arises from it”. I could not agree more. After all, the complexity and efficacy of the brain is what differentiates homo-sapiens from other species. It is where war and peace originate, love and hatred exist, religions created and destroyed; the source of our sensations, feelings, memory, action, creativity and communication; it is the epitome of humanity and the keeper of the soul. And what can be more challenging than to specialize in the human brain? I have always enjoyed learning about the nervous …show more content…
system. Every neurological case I encountered during my medical training appeared to be a mystery, waiting to be unraveled to teach us something new. Clinical neurology is a true confluence of a physician’s acumen, detailed examination skills and an array of tests. The practice of neurology demands unwavering dedication, insatiable curiosity, a sound knowledge base and a compassionate hand. After medical school, I spent time as a resident house surgeon.
It was during this period that the importance of primary care dawned on me. I noticed that several of my patients could have averted surgeries had they undergone appropriate and timely screening. Through my interactions with them, I could see how poverty and a scarcity of healthcare resources in the remote areas had been compounded by the residents’ lack of awareness and education. I decided that I didn’t want to join a big hospital or to immediately continue my higher studies but to utilize what I have learnt till then to serve in a remote area and to give back to the society. I joined the state primary care program as a rural physician, a decision I now cherish. In my three years in this role, I learned how to effectively prioritize and efficiently execute multiple tasks with limited resources – a skill set I believe is very useful for a physician. I am the leader at my clinic and have to continuously keep the team engaged and motivated. I work with ill-informed population and have been exposed to an array of patients dispersed across a variety of socioeconomic strata. Daily interactions with them have taught me the importance of compassion, empathy and effective communication, all of which are just as crucial as medical skills. I learned that being a doctor is not just about treating what is wrong in a biochemical and pathological context, but also the ability to earn a patient’s trust. The goal is to heal a person, not destroy the
disease. Over the years, there have been positive health outcomes in my community as noted by a decrease in hospitalization and emergency visits. This improvement gives me a sense of personal satisfaction. I consider myself privileged to be able to make a difference in their lives. Somewhere with all this time my desire to follow my passion in neurology has only grown stronger. In a quest to expand my horizons, I opted to gain clinical experience in the United States. During my rotations here, I witnessed the autonomy enjoyed by residents, the avenues for quality research and the effects cutting-edge technological advancements can have on patient care. The potential of personal growth and development, along with the promise of academic excellence has sparked in me a yearning to pursue my medical training in the United States. As I embark on this journey in Neurology, I want to master the clinical skills and understand the intricacies of quality patient care while exploring avenues of productive clinical research. With abundant patient diversity, an enviable list of esteemed faculty and exquisite clinical facilities, your residency program provides ample opportunities for training. I am convinced that your program will transform me from a diligent student of neurology into a conscientious physician and an independent thinker. In return, I bring to your program a motivated, friendly and enthusiastic person with integrity, a strong work ethic and a unique perspective on health care derived from three years of rural medical service in a rapidly developing country. I am inherently curious and hardworking. I assure you that I am both emotionally and professionally prepared for the responsibility of being a Neurology resident. The art and science of neurology is worth a lifetime of study and I believe my journey has just begun.
I wish to take the time to give thanks for this impeccable opportunity in applying for the highly sought after National Honor Society. I have been looking forward to embarking on this journey since I heard about this organization freshman year. I am truly elated to be one of the many students that qualifies, as I know the standards of excellence and character that must be exemplified and met.
Many people rush through their daily life without contemplating their actions, thereby missing vast opportunities for achievement. They waste valuable time engaging in frivolous matters instead of putting their energies towards more productive and meaningful purposes. In the words of the Dalai Lama: “Life is not about acquiring money and other facilities; it is about dedicating your life to helping others as much as you can.” The immeasurable value of helping others has been engrained in me since childhood. As a result of my own difficult family circumstances, I have become more sensitive, kind and mindful towards others and their own situations. I have developed a passion for helping others, which, in combination with a proclivity towards medicine has lead to my descion to become a Physician Assistant. I want to live a life where I can provide healthcare and aid to anyone who needs.
I’m currently enrolled in Montgomery College, located in Maryland. Montgomery College is a community college. Community colleges are different in comparison to four-year universities. I had a choice of either getting a job or going to college. There are many reasons why I choose to go to Montgomery College. I chose to go to college because I want to pursue a degree in Psychology. When choosing a college, there are a lot of decisions to make and you have to choose what’s best in your interest. In today’s society, community colleges take up a lot of the students going to pursue their education. President Obama has proposed to make all community colleges free for all Americans and I agree with this statement. People have different perspectives
Healthcare is intriguing. The health and wellness of people always has been intriguing and always will be. My background in healthcare came as an environmental pass down with a father as a Registered Nurse and a mother in healthcare management. It was inevitable that the journey of healthcare started being instilled without my knowledge of it, as a young child. A constant learning in the health sciences and management directed my way. By the start of college, the intrigue lead to compassion, lighting a fire for the administration of healthcare. This calling spurred by a great woman, my mother, who is a national redesign award winner by the Bureau of Primary Healthcare in Health Disparities. These footsteps down her similar path with careful guidance, but not to be confused with an easy path.
After reviewing Maxwell’s five levels of influence I would classify myself as being in-between the production and people development levels, but I can also see small indications of being in the personhood level.
...epersonalized. Although not every patient is easy to deal with and doctors are under colossal pressure, by inspiring students with a possible future in the medical field to get involved with type of community service early we can ameliorate the distressing situation. Coming into contact with, speaking to, and intimately understanding these incredible individuals can dramatically alter one’s perspective and ensure treatment with self respect and dignity. I strongly believe in this notion of early involvement. My changed view coupled with my future medical training in college will allow me to be a figure to emulate and hopefully inspire others to follow this path. By embarking on this monumental journey mankind has the opportunity to shape history and enrich the lives of others while personally experiencing the most rewarding of all endeavors: helping someone in need.
The brain, unlike how we perceive, is not hardwired or programmed. Neuroplasticity acts as a ray of hope in challenging this old belief and extends our understanding of the healthy brain and human nature. The book brings out many case studies which deal with amazing and startling progress made by brain, whose conditions were dismissed as lost cases. Doidge also observes this changing brain to understand the phenomenon of sex, love, culture, education etc. This one is a truly inspiring book that will change the way you look at human possibility and gives you a deeper understanding of the workings of brain. More than everything it generates
The Honors Program is less about reward and more about the push for personal growth for myself. The last four years have shown to be a challenge, from being the first year student in Pre-calculus to being the junior who is aiming for a five on the AP test. I came from having mostly A’s, with few B’s, to being the student who earned A’s in every class. Personal motivation led me to this achievement. The Honors Program at CSU looks like a program to help me continue my journey of gaining knowledge. Being a member of this program would give my motivation to continue to strive for those higher grades. It is in my interest to be in this program to keep my performance in classes at the upper level. This program would allow me to focus on academics and strive for the best grades personally possible.
As a prestigious neuroscientist and professor, Norden contributes tremendously to the involvement of humanity’s ability to understand the brain. Her background in neuroscience and the help of other researchers, allows for the development of her book and the message by which she conveys to the reader about the brain. Norden’s work is not only effective in her own research, but provides insight to a vital organ many take for
... tutoring, advising, and volunteer opportunities, I have developed a strong sense of leadership, confidence, and responsibility. A career in medicine will not only strengthen such attributes, but provide me with an ongoing opportunity to learn, not just from books, but also from patients; and to educate and serve those individuals as well. Though my journey began under dismal circumstances, I believe those experiences will specifically enable me to better understand quality of life issues in the under-served populations of my geographic region.
The human brain is an incredibly complex organ responsible for basic physiological reflexes like breathing but, at the same time, creating master pieces of literature like The Odyssey. The brain is responsible for many things, and it takes multiple fields of study to truly understand it as a whole. Neuroscience focuses on the inner workings of the brain and how it functions, while psychology focuses largely on the mind and behavior. The idea that “mental activity is brain activity,” (Churchland 2002) allows both psychologists and neuroscientists alike, to study not only the brain, but its actual impact on human behavior. Without neuroscience, psychologists would not have a cause behind human behavior. However, without psychology, neuroscientists
When my father stopped paying postsecondary support and I could no longer afford tuition at USF, I worked 3 jobs to save enough money to go back. At CVS, I saw the repercussions of neglected health and mismanaged patients. Patients would pick up hundreds of dollars of medications for preventable chronic diseases. I spent countless hours mediating between insurance companies and prescribers for authorization of prescriptions that might maintain what’s left of a patient’s ‘health’. I was spoken to with more courtesy by patrons on my overnight shifts at IHOP than I was by patients at the pharmacy. There was a deviation in my understanding of medicine. As I took jobs in different fields, I found that this impersonal approach to patient care pervaded nearly all of them. I shadowed under doctors who relied on signals from machines over conversation with the patient in front of them. When there was conversation, they lacked a degree of compassion and despite the doctors medical abilities, made patients feel needless
In the book “Philosophical Foundations of Neuroscience”, M.R Bennett and P.M.S Hacker discussed the conceptual problems neuroscientist often make. Bennett and Hacker claim that how the mind is related to the brain is misunderstood among philosophers and neuroscientist. Since the information is being misunderstood, it ultimately leads to scientist having problems in research. Bennett and Hacker also claim several neuroscientists have fallen victim to the mereological fallacy and often make this mistake when referring to the brain. Philosopher Joel Smith published a review on Bennett’s and Hacker book and challenged their ideas. Smith claims Bennett’s and Hacker view on mereological fallacy is senseless. Hacker and Bennett claim the brain does not have any psychological features, therefore it cannot think, remember or see. However,
She also discussed her struggles of being a single mother, unemployed and a high school dropout. I deduced from the conversations that she lacked the resources to afford her medications. The clinic took steps to provide prescription assistance. This experience emphasised the importance of communicating, listening to patients, working in a team and how poverty and education critically impact healthcare. Consequently, as a nursing school instructor, I have used my clinical observations to explain scientific concepts better. Physicians' roles transcend beyond just treating or managing diseases. They are also leaders, teachers, researchers, innovators and mediators. In America, I became aware of the lack of minority professionals to serve as positive role-models. Thus, as the only Black graduate student in my department and a New York Cares volunteer, I used the opportunity to mentor and motivate younger at-risk minorities to seek to be useful contributors to society and to embrace the work needed to achieve those goals. For instance, I mentored Delois, an inner city kid who through our interactions expressed uncertainty about pursuing a college
My current job as a research assistant has provided me with the opportunity to work as part of a team to achieve shared goals as well as to receive and provide feedback from other team members. Social skills and cultural competence are other competencies that I continue to strengthen. In the last 10 months, I have been able to interact with cultures and perspectives new to me which I have learned to appreciate, understand and respect. As a potential medical professional, my main drive is to alleviate others’ distress and help others, and through my current job and as a volunteer I have been able to help others locally and globally in a direct or indirect way. Finally, these experiences continue to strengthen different important skills in the medical field such as ethical responsibility, resilience, responsibility, continuous improvement, adaptability, and