Lesson
Two: The
Why Doctor? Theme
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Why
Doctor?
Theme
1: Why I Want to Be a Doctor
Comments
by our admissions officer advisory are in italics.
Many people
look back in time to find the moment of their initial inspiration.
Some people have wanted to be a doctor so long they do not
even know what originally inspired them. To incorporate this
theme, look back to the material you gathered in the last lesson,
specifically in response to "The Chronological Method," "Note
Major Influences," and "Identify Your Goals." Ask
yourself these questions: How old was I when I first wanted
to become a doctor? Was there a defining moment? Was there
ever any ambivalence? Was I inspired by a specific person?
What kind of doctor do I want to be and how does that tie into
my motivation?
Here are
a few of the common ways that students incorporate this theme:
"I've
Always Wanted to Be a Doctor" AKA: "I've
Wanted to Be a Doctor Since I Was…" and "Everyone
Has Always Said I'd Be a Doctor"
This is perhaps
the most common approach of all. The secret to doing it well
is to show, not just tell, why you want to be a doctor. You
cannot just say it and expect it to stand on its own.
The "I've
always wanted to be a doctor" essay has been done
to death. I think candidates need to be careful to show
that their decision was not only a pre-adolescent one and
has been tested over the years and approached in a mature
manner.
Supply believable
details from your life to make your desire real to the reader.
One secret to avoiding the "here we go again" reaction
is to be particularly careful with your first line. Starting
with "I've wanted to be a doctor since…" makes the
reader cringe. It's an easy line to fall back on, but admissions
officers have read this sentence more times than they care
to count; don't add to the statistic.
See this
Harvard applicant's essay for an example of
successfully incorporating this theme.
"My
Parents Are Doctors"
This approach
to the "why I want to be a doctor" theme is dangerous
for a different reason.
It's
a prejudice of mine, but the legacy essay, the one that
reads, "My dad and my grandpa and my great-grandpa
were all doctors so I should be too," makes me suspect
immaturity. I envision young people who can't think for
themselves or make up their own minds.
This is not
the opinion of every officer, though. The point is not to avoid
admitting that your parent is an M.D., it is to avoid depending
on that as the sole reason for you wanting to go to medical
school. If a parent truly was your inspiration, then describe
exactly why you were inspired. This Duke
applicant tells of inspiration from a mentor: The
doctor in this case is not related to her, but the treatment
is still applicable.
"My
Doctor Changed My Life!" AKA: "Being
a Patient Made Me Want to Become a Doctor"
Some people
claim to be motivated to become doctors because they have had
personal experience of illness or disability.
I had
a student who grew up with a chronic illness. She spent
much time with physicians and other health care providers
throughout her young life. In her essay she wrote about
this continuing experience and how the medical professionals
treated her. She wrote of her admiration of them as well
as her understanding that they couldn't yet cure her. Her
essay literally jumped off the page as being unique to
her and a compelling understanding of and testament to
her desire to join the people who had been so important
to her life.
If your personal
experience with the medical profession sincerely is your motivation
for attending medical school, then do write about it. The problem
is that many students fall back on this topic even when it
does not particularly hold true for them. We cannot stress
enough that you do not have to have a life-defining ability
or a dramatic experience to have an exciting statement. Admissions
committees receive piles of accident and illness related essays
and the ones that seem insincere stick out like sore thumbs
and do not reflect well on you as a candidate.
"My
orthodontist changed my life!" "My dentist gave me
my smile back!" These types of themes are certainly valid,
but go beyond that to what particular aspect of the profession
intrigues you. Do you understand how many years of study your
orthodontist had to have in order to reach his level of practice?
Have you observed your dentist for any significant amount of
time? Do you know that the profession now is much different
than it was when he or she was starting out? Have you given
any thought to the danger of infectious diseases to all health-care
professionals? Present a well-organized, complete essay dealing
with these points.
This
applicant demonstrates a very personal patient
experience. The writer suffered from anorexia and "slowly
came to realize that my pediatrician had saved my life-despite
my valiant efforts to the contrary." Her story works
because she tells her story objectively and with no intention
to manipulate the reader's emotions.
"My
Mom Had Cancer"
This theme
is really just a variation of "I was a patient myself" and
the same advice applies: If a loved one's battle with illness,
trauma, or disability is truly what inspired your wish to become
a doctor, then by all means mention it. But don't dwell on
it, don't overdramatize, and don't let it stand as your sole
motivation -- show that you've done your research and you understand
the life of a doctor and you chose it for a variety of reasons.
This
Harvard applicant begins with the story of a
teacher suffering from AIDS. What validates this focus
is the writer's subsequent involvement as a volunteer at
an HIV clinic. Without this evidence to prove her sincerity,
the poignancy of the situation would have been doubted
and the essay considerably weakened.
The Medical
Dichotomy
One of the
major draws of the medical field is its dualistic nature combining
hard-core science with the softer side of helping people. This
is described by people in many ways; some describe it as a
dichotomy of science to art; to others it is intellectualism
to humanism, theory to application, research to creativity,
or qualitative to social skills. No matter how you choose to
phrase it, if you mention the dichotomy, then be sure to touch
on your qualifications and experience in both areas.
Sample
Essay One
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
Childhood/Family
Experiences; Religious Church of Jesus Christ of Latter-day
Saints; Unpleasant Medical Experience; Interest in Alternative
Approaches; Well-rounded Academic Background; Exercise-Science
Major; Financially Self-supported
"One
time, a family cat captured... a moth. The cat's play disturbed
E., who promptly got a local veterinarian on the phone to get
tips on reviving the mortally wounded moth. The moth didn't
make it, but knowing E.'s enthusiasm, Mrs. E. is more optimistic
about the park." (The Idaho Statesman, 11/22/78)
This article,
about me as a ten-year-old boy trying to turn a nearby drainage
pond into a park, had a misprint-it was a mouse, not a moth.
Still, this example shows why people have always said I would
probably be a doctor or veterinarian. Wandering the fields,
I brought home sick and hurt creatures; if anyone found an
injured bird or animal, they brought it to me for care.
We didn't
exactly live on a farm, but were in farming country. My father
always made sure that we had a large garden; that, along with
a small vineyard, orchard and corn field, provided work for
us six kids and a little extra family income. My parent's couldn't
give us allowances and we had to help pay for our own clothes,
so we worked on local farms (bucking hay bales, moving sprinkler
pipes, etc.) and did whatever we could find-I started an early
morning daily paper route (on my bike, in all weather) at age
eleven, and had it for five years.
During this
period, we did manage to find time for other things. Besides
earning the rank of Eagle Scout, I sang in school choirs, performed
in state piano boards, acted in school and community theater,
ran (and earned a letter) in cross-country and track (until
forced by my Junior year to choose between school sports and
earning money), and served as a student body representative
in my high school.
After two
semesters at Boise State, I volunteered to serve for two years
as a missionary with the Church of Jesus Christ of Latter-day
Saints, going to the California, Ventura Mission. I loved it,
learned a lot, being able to dedicate every hour to helping
and teaching people of all nationalities, cultures and religions.
Many of the friends I made among the people and the other missionaries
are still very close, and the lessons I learned from all of
my experiences affect my life every day.
Returning
to school, my classes included math and sciences (subjects
I had shied away from before)-out of curiosity, at first; then,
to keep my options open. I actually enjoyed them, and managed
to get good grades. My love for the humanities continued, including
writing guest editorials and articles for the Fullerton College
school paper, and I was awarded the annual Book Award for Excellence
in Foreign Language from the Spanish department. My activities
were rounded out by helping at a nearby adolescent rehabilitation
clinic, and serving the single members of my church as the
activities committee chairman and representative to the regional
council.
In high school,
I had had some health problems and seen a number of doctors.
When a general practitioner didn't find anything, he sent me
to a specialist, who sent me to another, who sent me to another...
none of whom could find a problem, yet all of whom charged
my parents what seemed exorbitant fees.
This experience
soured me on the medical profession. My interests in people
continued to grow, but because of my cynicism toward physicians
and lack of money, medical school wasn't seriously considered.
Besides, math and sciences didn't appeal to me at that time
like music, drama, philosophy and writing did.
I pursued
psychology and the humanities, while growing more fascinated
by health, nutrition, and what people I knew had found in "alternative" approaches
to health, including preventive and Eastern medicine. Although
a natural skeptic, it seemed to me that if something appears
to work for rational, respectable people, it should be taken
seriously-researched, to determine whether the benefit is merely
psychological or not-contrary to the doctors I had met, who
felt that if THEY didn't have it, it was "dangerous".
This seemed narrow-minded, opposing the principles I understood "science" to
be based upon.
Upon transferring to USC, I found that my view of the medical establishment
wasn't really accurate-there ARE those who care more about helping people
than about the money or their intellectual pride. As a result, I've decided
to enter medical school, focusing on research and preventive medicine.
My major in Exercise Science is providing a strong background in physiology
and nutrition.
Throughout
my college career, I have had to support myself financially.
Working full-time while at Boise State as a restaurant manager,
and then doing singing telegrams, fitness consulting, and running
my own window-cleaning business since moving to California
have allowed me to get by. Now, my work-study research job
at the LA County General Hospital/USC Health Sciences Campus
is also providing excellent experience in working in both hospital
and research settings. My church responsibilities continually
mean opportunities for volunteer service, and as Vice-President
of the USC chapter of S. fraternity, one of my projects has
been setting up and directing our relationship with Challengers,
a local inner-city youth club with which our fraternity is
now involved in activities and tutoring.
Sample
Essay Two
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
Survivor
of Anorexia; Emergency Medical Technician Training; Clinic
Experience; Medical Volunteer in Honduras; HIV Test Counselor
I decided
that I wanted to be a doctor sometime after my four month incarceration
in Columbia Presbyterian Children's Hospital in the winter
of 1986-87, as I struggled with anorexia nervosa. Through the
maturation process that marked my recovery, I slowly came to
realize that my pediatrician had saved my life-despite my valiant
efforts to the contrary. Out of our individual stubborn wills
was born a kind of mutual respect, and he is one of the people
who make up my small collection of heroes.
I admire
doctors who understand both what is said and what is held back,
who move comfortably around the world of the body, and who
treat all patients with respect. I am lucky because a few of
them have become my impromptu teachers, taking a little extra
time to instruct me in anatomy, disease or courtesy. During
my Emergency Medical Technician training, one of the emergency
room doctors took me to radiology to point out the shadow of
a fracture in a CT-scan and trusted me to hold a little girl's
lip while he inserted sutures. The physicians in the Hospital
12 de Octubre in Madrid, Spain taught me to hear lung sounds
and to feel an enlarged liver and spleen. They explained the
social and medical difficulties associated with the management
of pediatric AIDS until I understood the Spanish well enough
to begin asking questions; then they answered them.
I work now
in the Mayfield Community Clinic, which provides primary care
to members of the Spanish-speaking community near Stanford
University. My job as a patient advocate involves taking histories,
performing simple procedures and providing family planning
and HIV counseling. I try to use the knowledge I have gained
from class and practice to formulate the right set of questions
to ask each patient, but I am constantly reminded of how much
I have to learn. I look at a baby and notice its cute, pudgy
toes. Dr. V. plays with it while conversing with its mother,
and in less than a minute has noted its responsiveness, strength,
and attachment to its parent, and checked its reflexes, color
and hydration. Gingerly, I search for the tympanic membrane
in the ears of a cooperative child and touch an infant's warm,
soft belly, willing my hands to have a measure of Dr. V.'s
competence.
I first felt
the need to be competent regarding the human body when I volunteered
with the Amigos de Las Americas program in the town of T. in
Lempira, Honduras. The hospital available to the people of
T. (at a day's ride in the bed of a truck) was "where
one went to die," so my partner and I, with our basic
first aid certifications and our $15 Johnson & Johnson
kits, quickly became makeshift "doctors". The responsibility
initially created a heady feeling; a distressed mother called
on us to bandage the toe her eight-year-old son had accidentally
sliced to the bone with his machete. I told him the story of
Beauty and the Beast in broken Spanish while my partner and
I soaked the dirt from his toe, and during the following week
we watched him heal.
Then our
foster-mother, who normally tended to the sick, told my partner
and me to "check on the foot" of D. The gentle-eyed,
sixty-five year old man lay on his bed, his leg encased in
bloody bandages from mid-calf to toe. After performing surgery,
the hospital had given him a bottle of injectable antibiotics
and some clean needles and sent him home without bandages or
further instructions. My partner and I had not been trained
to handle so serious a situation. We did not know what had
happened; we did not know what the antibiotics were (or if
they were actually antibiotics); we did not know if handling
D.'s blood put us at risk for disease. We wanted to leave,
but leaving the house meant leaving D. and betraying our foster-mother's
trust. So we injected the antibiotics and cleaned and bandaged
the wound every day for our remaining two weeks in Honduras
although we felt ill-equipped for the responsibility, crippled
by our ignorance and lack of supplies.
In T., I
did not feel qualified to receive the trust the townspeople
gave so willingly. As an HIV-antibody test counselor in California,
I struggle everyday to win my clients' confidence. Somehow
a twenty-one-year-old, Caucasian female must be sincere, knowledgeable
and open enough to earn the respect of a fifty-five-year-old
man who could be her father, a high school sophomore, an ex-drug
addict, and a pregnant Latina woman. My clients are black,
white, straight, gay, Ph.D. candidates and illiterate; some
choose to come to me while others have court-orders. Yet to
communicate effectively, each client must have enough confidence
in me to engage in dialogue about his drug or sex life and
to believe what I tell him, whether or not he chooses to act
on our discussion.
Speaking
with patients, doctors and community members has opened my
eyes to some of the difficulties involved with healthcare provision,
and I hope I have given some inspiration or comfort in exchange
for the knowledge I have received. I want these lessons in
openness and compassion to shape my understanding of medicine
and allow me to become the type of doctor I admire.
Sample
Essay Three
Note:
This essay appears unedited for instructional purposes. Essays
edited by EssayEdge are substantially improved. For samples
of EssayEdge editing, please click
here.
High School
Teacher with AIDS; SCID/Genetics Research Experience; HIV
Counselor
Before I
found out that my high school Spanish teacher was HIV-positive,
AIDS was not much more than a bunch of statistics to me. The
disease, its course, and the people afflicted with it seemed
alien to my life-as distant as the continent from which the
virus was supposed to have sprung. Then Mr. T. stopped coming
to school. When he reappeared a few months later to wish us
well on the advanced placement exam, his face looked sallow.
His voice, once a thunderous bass that rumbled in class and
reverberated down the hallway, was weak and thin. Seeing my
teacher looking so unfamiliar was my shocking introduction
to AIDS. I felt as if I were in the presence of a stranger,
this mysterious disease, who was insulting Mr. T. right in
front of my eyes. I wanted to know who this stranger was.
I entered
college, believing that biology could explain to me why life's
processes went awry. I learned that the body is exquisitely
complex, but I was reassured by the underlying theme of systems.
Even if I didn't know all the molecules and connections, there
seemed no denying that a fundamental order existed.
From physiology
to cell biology to molecular genetics, my classes presented
smaller and smaller systems to explain the origins of diseases.
Finally, in genes, with their innocuous four letter alphabet,
I felt I was learning the foundation of it all. If biology
provided the keys to understanding life, then genetics must
be the master key (if only we could see some of the doors we
were trying to open). During two summers in a research laboratory
at The Children's Hospital of Philadelphia, I helped track
down the gene causing X-linked severe combined immunodeficiency
(SCID).
Even though
AIDS and SCID are very different diseases (SCID is exclusively
hereditary), each compromises the body's defense mechanisms
against foreign pathogens. I felt this was a significant connection.
In SCID, I was meeting a distant cousin of AIDS. Learning about
common themes of immunodeficiency disorders, such as the perils
of opportunistic infections, helped me to begin to understand
what had happened to Mr. T. In the SCID laboratory, and in
classroom seminars on infectious diseases, science was helping
me demystify disease.
In the same
year that Mr. T. became ill, my grandfather died during bypass
surgery and my father underwent chemotherapy and radiation
treatment for colon cancer. Since then, disease has had a human
face for me. To better understand how people deal with disease
or the fear of disease, I've become a volunteer counselor in
an HIV clinic.
Speaking
to people who come in for free testing, I've found that discussing
HIV, getting the scary words (and acronyms) out in the open,
is a way for many people to release their anxiety. Through
expression in their own words, they make the disease real,
which helps them to see that it is also preventable. Then,
they often take the next step, making specific goals to maintain
their health, whether they are HIV-negative or positive. What
science in class and lab did for me in confronting the difficult
issues of AIDS, talk does for my clients.
As an HIV
counselor in an anonymous clinic, I feel both the potential
of my role and its limits. I can't go home with my clients
to remind them to keep condoms under the bed, but I can help
them make a plan-something that could stay with them much longer
than the information I offer. At the end of one session, one
client surprised me with his response to a question I had asked: "What
do you think you'll do with the HIV information?" There
was a silence in the counseling room as the client pondered,
but I recall sensing the comfort of the silence. This was a
session that seemed to be producing the potential for a breakthrough
(not every session does), and I waited patiently. He responded, "I
think I'll ask my girlfriend to use her own needles." Then,
the client thanked me for having asked the question.
I was thrown.
My client proposed a strategy for reducing his HIV risk, but
he didn't address what was likely his main issue-heroin use.
Should I validate his plan? In effect, that's what I did, because
I didn't challenge the drug issue. When he left the clinic,
I practically wanted to follow him out the door. I wondered
if I would ever see him again and be able to ask him how his
plan was going. I wondered if he would ultimately seek help
for his drug use. My supervisor reminded me that I had done
my job as an HIV counselor. I had helped the client make a
plan; he had even thanked me for it.
And I can
thank him in return. He reminded me that although I have worked
to understand disease in the classroom, the laboratory, and
the clinic, I still have much to learn about caring for all
aspects of a patient's health. I am eager to continue the learning
process in the New Pathway Program at Harvard Medical School.
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