The practice of medicine often involves working with patients of varying backgrounds and from diverse communities. What are your experiences and thoughts about diversity and how would you apply them in the practice of medicine?

I was born in a multicultural and multiethnic immigrant family. I'm a mix of two ethnicities and have attended both historically African American and Hispanic American colleges. My high school was markedly multicultural and I've made many different friends that are culturally and ethnically different from me. I also attended a few of my grade school years in various international schools in the Middle East. There, I had the opportunity to be acquainted with people from over 30 different countries including people from the Middle Eastern countries in which I attended grade school.

Comments: write name of the countries as most American does not know Middle Eastern countries. Your objectives is to relate you from Michigan Arababic patient papulation

This has consequently opened my view about people in general. By having some sort of connection to so many cultures and ethnicities, I was able to develop an understanding that no matter what race, culture, or religion we follow, at the core we are all alike. We all have the ability to be compassionate, intellectual and, with situational differences aside, we all have an equal potential to succeed.

I’ve also lived in many different cities throughout America, an experience which has proved to be principal in helping me be as diverse as possible. I have lived in some of the poorest parts of Baltimore, Maryland in which crime rates were one of the highest in the nation, houses were left abandoned, and the school system was failing. Yet I have also lived in much better places such as in Edinburg, Texas. Edinburg is a polar opposite to Baltimore in that the crime rates are low, the schools are better, and the economy is thriving. By living in such contrasting cities I was able to further fortify my diverse experiences which I hope to project at medical school.

My socioeconomic status adds another dimension of diversity into the mix. My parents have been unemployed since 2008 and I have had to work to support them. Besides having many odds stacked against me, including being financially disadvantaged, residing in a rural and medically underserved town, and working in order to make ends meet for my parents, I was still able to graduate with a BS degree majoring in biology and with a minor in chemistry (with a total of 132 semester credit hours) with an overall GPA of 4.0 in only 2 years. I was also able to score a 30 on my MCAT and achieve 99 and 97 national percentiles on the SAT Mathematics and Critical reading sections respectively. My academic achievements demonstrate that I can achieve anything under any given circumstances.

The US is a melting pot of people from a variety of ethnicities, financial backgrounds, and cultures. As a physician brought up with my aforementioned diverse background, I will be better able to connect with a large amount of these people in the melting pot. I will be better able to

empathize with my wide array of patients and thus establish a firm patient to physician bond. Also, as someone from a diverse ethnic and socioeconomic background I will be more conscious of specific medical concerns for many ethnic and/or socioeconomic groups in my region of practice.

These diverse life experiences have shaped me as a mature adult who recognizes his roots and who can take on challenges in the real world.

Discuss the reasons you wish to pursue your medical education at Wayne State University School of Medicine. What do you anticipate being the most challenging and most rewarding?

My main goal is to become a physician in order to help save lives. I made this my personal goal after surviving a three trains major accident accident and witnessing the unfortunate passing away of my young cousin in 2008.

during a horrific three train collision in which I was also involved. delete

In order to serve humanity though, a physician must receive top quality education and clinical experiences. Wayne State School of Medicine provides just that. Wayne State School of Medicine has a strong history of producing physicians that score well on the medical board exams and as a consequence Wayne State School of Medicine has a very high passing rate for the board exams. By attending this school I know I will be receiving a top notch, and historically proven educational experience which will enable me to achieve my goal of saving the lives of others.

Also, Wayne State School of Medicine provides many clinical experiences to choose from by being affiliated with many hospitals and medical centers within the Detroit region. Many of these centers such as the Children’s Hospital of Michigan are one of the largest and top rated health care centers in the US. Thus, by having the opportunity in my clinical years to complete my rotations in such excellent medical centers, I will ultimately be provided very strong clinical experiences which will further help me reach my goal of saving lives as a physician. Also, the Kado Family Clinical Skills Center was something that further attracted me to this school. I believe that such a center will provide me with a top notch clinical experience and I will not be able to experience such a center if I were to attend another medical school.

Comments: you paragraph should start with Fiance and then family. American culture prefer fianance or wife over family (parents). Either you are not looked my earlier comments or do not comprehend importance of priority sequence of writing important and persuasive facts to get attention of reader. Read carefully my comments for your own benefits. Looks like you are wasting my time.

Another differentiating factor that further motivated me to apply to this school in particular was the school’s location in Detroit, Michigan. My family has always been interested in moving and settling down in Michigan in order to be close to our many extended family members that live in or near the city of Detroit By attending Wayne State School of Medicine, I will make it much more feasible for my

parents to relocate to Detroit in order to help unite them with extended family members. I have also chosen to apply to this school because I believe that I am a very competitive candidate and that I will fit in well with the future class of entry year 2014.

As a reapplicant who physically went to Wayne State School of Medicine for an MD admissions interview for entry year 2013 last year (and who was wait listed), I can attest to the fact that I felt very comfortable at the school and instantly felt a great sense of community within the school’s atmosphere. I personally enjoyed this vibe, and to me this is another great reason as to why I specifically wish to attend this school of medicine.

One of your pediatric patients has been diagnosed with a progressive degenerative disorder. You have recommended a stem cell therapy which, when completed, has been proven to arrest the progress of the disorder and, in some cases, reverse its effects, resulting in normal growth and development. Based on their beliefs, the parents have not given their approval for the stem cell therapy but will give their

approval for a previously widely used drug therapy which slowed the disorder's progress but did not arrest or reverse its progress. Considering your obligation to your patient, the values of the parents and standards of best medical practices how would you respond to this situation?

As a physician my primary responsibility and obligation is the well being of my patient. Yet, this scenario presents the situation of dealing with a pediatric patient which most likely means that the patient is a minor. Thus, as a physician in this situation, I must be in a constant state of communication with the parents of this patient as the patient is not old enough to make such major life decisions by themselves. And I must view and recognize the opinions of the parents as an extension of the opinions of the pediatric patient.

Also, it is my belief that it is imperative for physicians to have a sense of cultural/ethical sensitivity and must respect a patient’s decisions even if it means that the decision might hinder the physician’s ultimate responsibility of maintaining and improving the well being of a patient.

I am also a firm disbeliever that a physician should force a patient such as the one in the scenario to utilize the recommended stem cell therapy against the patient’s parents’ will. Physicians should only reserve such extreme measures for rare situations such as when patients are not physically or mentally able to make decisions for themselves and they lack a legal guardian present to direct the strategy of their care. As physicians we should be there for our patients—not the other way around.

Hence, with my aforementioned stated beliefs about this scenario my response to this patient would be that I would try my best to explain why I recommend the stem cell therapy for their child and try to convince the parents that the stem cell therapy will be more medically effective than the drug therapy. Yet, in my quest to provide best standards of medicine I would not overstep my bounds and sacrifice the values and beliefs of the parents by forcing the child to undergo the stem cell treatment if the parents still disagree with it. I would instead respect their decision and start the drug therapy which they insist on after they have listened to my professional opinion.

Comments: Edit your are wasting my time. I told you again and again, look your previous response and use verabage from their such

I will follow state board ethic and professional conduct guideline and hospital policies and standard operating procedsure etc

Must include rules, regulations, professional code of ethic and etc. They want to know if you will follow make decesion based on existing codes, rules, regulations, etc. They are not interesting in your opesnion.

What academic, employment, volunteer experiences have you been engaged in since your last application to medical school? How does your current application differ from your previous application?

ADDITIONAL ACADEMIC AND WORK EXPERIENCES

Since the last application cycle after interviewing and being waitlisted by Wayne State School of Medicine, I have graduated with a BS degree major in Biology & minor in Chemistry with a 4.0 overall GPA with 132 credits and SUMMA CUM LAUDE (College’s Highest) Honors from the University of Texas Pan American (UTPA). According to my undergraduate advisor I am the 1st person in Texas to have graduated from a 4-year undergraduate institution in 2 years. I also completed an additional 42 semester credit hours last year (mostly Upper Level Sciences). I have continued past experiences like being my family's financial contributor, tutoring, and Peer Counseling.

ADDITIONAL HEALTH CARE EXPERIENCE S

I have recently completed a 2013 summer enrichment/internship program at the University of Texas Medical Branch (UTMB) School of Medicine and Hospital at Galveston. This second year summer enrichment program at UTMB provided me additional opportunities to explore the medical field in many ways. I was exposed to medical school courses such as Gross Anatomy and I had the opportunity to listen to various medical and attend an career information session delivered by a prominent UTMB OB/GYN Physician. I also had the important experience of shadowing a number of primary care physicians.

Moreover, since my summer 2013 internship program at UTMB, I have been a medical assistant at Shifa clinic. My roles include documenting and reporting a patient's symptoms, height, and weight. I am also responsible for measuring patients’ blood pressure, blood glucose levels, and pulse. As a medical assistant I send all the results to their respective physicians in the clinic. In the absence of the clinic receptionist I have sometimes been responsible for volunteering at the clinic's reception desk. As a volunteer I also shadow physicians in the clinic. I’m committed to the clinic as a volunteer for 1 year till June 2014.

I’m also in the process of getting a full time job in the healthcare field as a researcher at various medical centers. I had previously applied for a position as a Diabetes Lab Researcher at the Methodist Research Institute in Houston, TX, but this position has recently been canceled after a recent budget cut. After being employed, I’ll work full time for the coming year.

ADDITIONAL RESEARCH WORK

Also, from January to May 2013, I was an Advanced Chemistry Researcher at the University of Texas Pan American (UTPA). I worked independently through the guidance and support of the UTPA Department of Chemistry and especially through the guidance and support of my research mentor Dr. Bhat. As a researcher I researched the “Highly diastereoselective synthesis of Z-trisubstituted alkenes via organoboranes” at UTPA. I investigated the hypothesis of whether or not a particular Suzuki Coupling Reaction could efficiently synthesize Z-trisubstituted alkenes. I ultimately produced a research poster describing my experiment, relevant background information, and my results and conclusions. I displayed this poster at the Service Learning Showcase conference and at a UTPA Department of Chemistry presentation. My poster was judged to be one of the best posters in both presentations. I gained valuable research skills which I can apply to research I do at medical school in the future.