Thursday 19 September 2013

Blog 6: Second Interview Questions



Who is your mentor and where do they work?

Dr. Francisco B. Fuscaldo, MD

North Broadway Medical Clinic
2926 N Broadway Los Angeles, CA 90031

or

Dr. Amable R. Aguiluz JR., MD

Amable R. Aguiluz MD 
21500 Pioneer Blvd Suite 209, Hawaiian Gardens, CA 90716


Dr. Fuscaldo is my mentor and the one that I plan to interview for Interview 2 as he is an internist.
On the other hand, Dr. Aguiluz is another doctor (Family Doctor w/ experience in Emergency Medicine) that I have as a back up. Dr. Fuscaldo is on vacation right now, so in the case I cannot do an interview with him, I'll do it with Dr. Aguiluz (I may try to visit the clinic if I have the time). Even though Dr. Aguiluz is not an internist, I believe it is important to have experience in a non-internal medicine clinic to note the differences in work ethics and procedures.

Although, Dr. Fuscaldo should be back in time before October.


What five questions will ask them about their background?

  1. What country are you from and why did you come to the United States?
  2. What school of medicine did you attend? Why?
  3. What was your major in college?
  4. Are you board certified? If so, can you explain the process of getting certification?
  5. Why did you decide to open a clinic instead of staying with a hospital?
  6. How long have you been practising medicine?
  7. Can you explain your experience with residency?
  8. Why do you think that being a doctor is a worthwhile career?

Saturday 7 September 2013

At the clinic

So it was time to do some mentorship and I decided to do it at Dr. Fuscaldo's clinic in LA. He greeted and talked to me with an enthusiastic aura. He was working with patients; I honestly felt as if I was in the way, but to my surprise, he let me talk to the patients and observe what he and his assistants do. His assistants showed me some machines, procedures, and teven the paperwork they had to fill out. He did a Pap Smear, but he didn't let me go in. (Thank god, right?)

Centrifuge used to separate the blood cells from the water in the vacutainers

Never in my life have I ever thought to take a picture of urine. That changed today.

Imagine this exactly used like pH
indicator paper we use to determine acids
vs bases. Except instead of acids and bases,
the type of problems within urine.


Hypodermic needles and vacutainers.
These particular vacutainers are called
"Tiger Top Vacutainers" as they contain
a coagulant which separates the blood
cells from the water when used in a centrifuge.

Dr. Fuscaldo and me

Blog 5: Project Reflection and Working EQ



Positive Statement:


What positive thing happen as a result of what you have completed so far?


Today I went to the doctor's office to do my mentorship and interview. I asked a question about being an Internist and he went on a long speech about what he believes they do. I want to do that. That is, not only know the information, but use the information. I'll become a doctor. I will.


EQ Content: 

Pick a piece of research or your interview. How has it helped you improve your understanding of your topic?


Article Title: Physician burnout affects patients too
Info: http://articles.latimes.com/2010/jun/07/health/la-he-the-md-20100607

Just like what the OBGYN at the UCI Medical Centre said, Primary Care professions such as Internal Medicine are decreasing. A huge cause for this is that other specialties such as orthopaedic surgery pay nearly twice as much. Another factor is burnout, which affects the entirety of the medical profession. I believe knowing the pros of something is fine, but knowing the downsides is even better. Senior project isn't just a school assignment. It's a tool that will help me prepare for the future. Might as well make the best out of it.

The fact that primary care physicians also encounter burnout is interesting. Many would think that surgeons, who hardly sleep, would mostly be the ones that get burnt out. My point is, Internal Medicine is only one out of the many specialties in the medical field. Knowing how burnout affects not only the doctors, but the patients too is important.


What has worked for you so far in the senior project?

I really do like the idea of researching. Frankly, my problem with it is where to find good articles. Many studies and dissertations are interesting, but are way too specific for me to effectively use for my project.

I have an idea on what I'll do for my activities though, that's a long ways away. I had the idea since the summer, but since I thought of my EQ (subject to change), I might have to rethink them.

I'm surprised I was able to waltz right into the doctor's office and so informally talk to the nurses today. So I think that's a step up for me.


What hasn't worked so far?

While I know I want to do Internal Medicine, it's pretty hard to find research on it. What's hard isn't finding information on how to become a doctor, definitions of medical jargon, or the pros and cons; it's the type of research that will be used for my senior project that I'm having difficult with. More specifically (and more accurately) what is hard is narrowing down my research to find what is really helpful for my project.

Also, finding another mentor for the other interview is going to take some work. I can get in touch with many doctors. (Honestly, many are general practitioners. I have connections!) So I'll have to decide on stretching out to find another internist, or interview a general practitioner to ask him about what he does in contrast to what an internist does.


Finding Value:

What is a potential question you would like to study this year? (working EQ) 

What is the most effective way to treat a patient with _____ as an internist?



Researching specifically on a single disease is incredibly wise. The issue (challenge is more accurate) is how that disease will be treated differently as an internist That's probably what research is for!


What do you plan to do for mentorship? If you haven't found a mentor yet, then discuss where you are currently looking and who you are talking to to find it.

Well, my mum knows many doctors and the only thing stopping me from talking to them is.. me talking to them. I mean, I have a mentor who I can talk to, but his schedule isn't exactly reliable so I'll try to find someone who is.

The problem is that the doctors my mum knows are mostly general practitioners. I don't mind Yellow-paging to ask to speak to doctors, but I would rather have that sense of familiarity with my family than a new experience with a total stranger. Better step out of my boundaries.