Sharing a lifelong interest in science | News | Harvard TH Chan School of Public Health – HSPH News

Chidi Akusobi, MD-PhD 22, wants to understand the biology of infectious diseases, and help build the science pipeline for students of color

May 27, 2020Like everybody else these days, Chidi Akusobi, MD-PhD 22, is thinking a lot about COVID-19. But for Akusobiwho defends his doctoral thesis at Harvard T.H. Chan School of Public Health in June before finishing his degree at Harvard Medical Schoolthe virus is both a potential spark for future research and a deeply personal concern.

Akusobi grew up in the Bronx, the heart of New York Citys COVID-19 outbreak, where his parents and sister work as nurses. During the initial weeks of the pandemic, they lacked adequate personal protective equipment even as they cared for sick and dying patients. It was a stressful time for Akusobis close-knit family, including his two brothers and extended relations in Nigeria, but by early May, his parents and sister reported they were feeling adequately protected and seeing fewer severe cases of COVID-19.

From his parents, Akusobi said, hes learned the value of education and hard work, and what it takes to truly care for patients. They emigrated with him to the U.S. when he was a toddler and sacrificed to put themselves and their children through school. His decision to become a physician-scientist, he said, speaks to both their influence and his lifelong curiosity about the natural world.

As a kid, Akusobi improvised experiments at home because science education at his school was under resourced. But everything changed when he caught the eye of New York Citys Prep for Prep program for gifted students of color. Through the program, he was admitted in seventh grade to the Horace Mann School in the Bronx, where science class was a regular part of the curriculum. For the first time, my passion was matched with resources, said Akusobi.

From there, he went on to a post-high school research internship through the National Institutes of Health; Yale, where he studied evolutionary biology; and the University of Cambridge in the UK, where he earned a master of philosophy research degree with a Gates Scholarship. He then matriculated at Harvard Medical School for his MD-PhD degree, and received a Paul and Daisy Soros Fellowship and NIH F31 Fellowship for his graduate school work.

Essential genes

Working in the lab of Eric Rubin, Irene Heinz Given Professor of Immunology and Infectious Diseases at Harvard Chan School, Akusobi researches Mycobacterium abcessus, which is related to the bacterium that cause tuberculosis. He used a method called transposon sequencing (Tn-seq) on clinical isolates of M. abcessus to identify essential genesthose that enable M. abcessus to survive.

M. abcessus is a naturally occurring bacterium found in the outdoor environment as well as in indoor water sources such as showers and drinking fountains. It can infect the lungs and other parts of the body and cause illness in those with lung disease and compromised immune systems. And like TB, its resistant to many antibiotics. In his research, Akusobi discovered a gene that is uniquely essential in M. abcessusfor an enzyme that builds the cell walland thus represents a potential important new target for treatment.

He had hoped to complete a few more experiments, but the COVID-19 pandemic brought his work to a premature end. Fortunately he had enough data to complete his dissertation, he said. From his apartment in Boston, Akusobi is writing up his findings for eventual publication. Hes also making use of the time to learn a few new skills like coding, and read science fiction novels.

The pandemic has sparked some new ideas for research questions hed like to explore in the future. When theres an emerging infectious disease like COVID-19, theres so much that we dont know about the pathogen, he said. I would like to work on understanding the basic biology of infectious diseases. I think of biology as the armor of the organism. When you understand the armor, you can find the chinksand exploit them for therapeutics.

Mentoring students of color in science

In gratitude for the life-changing support he has received, Akusobi has made it a priority to give back. Throughout his academic career, he has mentored and taught science to young students and, through leadership roles with the WhiteCoat4BlackLives movement and the Student National Medical Association, helped to build the pipeline of underrepresented minority students in science and medicine.

Its a key part of what he sees as a successful career. I want to be an excellent, caring physician, and I hope that any research I conduct will have an impact on how medicine is practiced and how diseases are treated, he said. But I wont truly feel successful if I look around the room decades from now and Im the only one there who looks like me.

Amy Roeder

Photo: Kent Dayton

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Michigan Medicine Ranked No. 5 Hospital in the US, No. 15 in the world by Newsweek – University of Michigan Health System News

ANN ARBOR, Mich. Michigan Medicine has earned the No.15 spot in Newsweeks 2020 Worlds Best Hospitals list.

The institution also came in fifth in the United States and as the top hospital in Michigan.

The rankings are based on recommendations from medical professionals, patient surveys and key medical performance indicators, including patient safety, readmission rates and staffing levels.

Its our organizations mission to advance health to serve Michigan and the world, and its an honor to be ranked in this years Worlds Best Hospitals ranking, says Marschall S. Runge, M.D., Ph.D., CEO of Michigan Medicine and dean of the University of Michigan Medical School. We are pleased to be deemed an international health care leader.

The Worlds Best Hospitals 2020 analysis lists leading hospitals in 21 countries, including the U.S., Canada, Germany, France, United Kingdom, Italy, Spain, Switzerland, Netherlands, Sweden, Denmark, Norway, Finland, Israel, South Korea, Japan, Singapore, India, Thailand, Australia and Brazil.

A new and independent global board of medical experts has helped create this years list, according to Newsweek. The board, chosen based on national and international expertise, is tasked with the constant development of the quality and scope of the Worlds Best Hospitals Project.

Newsweek has reported on advances in medicine and science since its founding in 1933. For the last two years, the group has partnered with Statista Inc. to curate a ranking of the 100 best hospitals in the world.

For 2019-20, Michigan Medicine was also among the nations best hospitals and No.1 in Michigan in the U.S. News and World Report rankings. Hospitals are rated based on high-quality patient care, commitment to patient safety, clinical resources, family centeredness and other measures.

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About Michigan Medicine:At Michigan Medicine, we advance health to serve Michigan and the world. We pursue excellence every day in our three hospitals, 125 clinics and home care operations that handle more than 2.3 million outpatient visits a year, as well as educate the next generation of physicians, health professionals and scientists in our U-M Medical School.

Michigan Medicine includes the top ranked U-M Medical School and the University of Michigan Health System, which includes the C.S. Mott Childrens Hospital, Von Voigtlander Womens Hospital, University Hospital, the Frankel Cardiovascular Center and the Rogel Cancer Center. Michigan Medicines adult hospitals were ranked no. 11 in the nation by U.S. News and World Report in 2019-20 and C.S. Mott Childrens Hospital was the only childrens hospital in Michigan nationally ranked in all 10 pediatric specialties analyzed by U.S. News and World Report for 2019-20.The U-M Medical School is one of the nation's biomedical research powerhouses, with total research funding of more than $500 million. More information is available atwww.michiganmedicine.org

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Michigan Medicine Ranked No. 5 Hospital in the US, No. 15 in the world by Newsweek - University of Michigan Health System News

Grad Profile: Med School valedictorian reflects on L.A. filmmaking past and a new future in medicine – Dal News

This article is part of a series focusing on the grads of the Dalhousie Class of 2020. Visit our Class of 2020 virtual space to share in the excitement with our newest graduates.

David Hung was sitting in Kanye Wests office when he learned he would be attending Dalhousie Medical School.

Born in Palo Alto, California, and raised in Halifax, David originally set his sights on becoming a skateboard video director. Armed with a camera at a young age, David and his friends started to make music videos, commercials, short films and even a feature film, in addition to medical education videos with his physician father.

I feel like in film theres these really fast-paced and high-stake environments, says David. That was where I thrived.

While working on filmmaking projects in Halifax, David completed a BA with Honours in Theatre at Dalhousie but decided to follow that need for high-stakes into a career as a paramedic.

Although working as a paramedic allowed him to follow his passion for a fast-paced environment, combined with his inherent interest in medicine filmmaking options in Halifax were limited.

David, and his friends Tyler and Jacob, made the incredible decision to move to Los Angeles to follow their filmmaking dreams. Over a span of two years, they made the right connections and began working with rap superstars such as Kanye West and Travis Scott, and celebrities like Kylie Jenner.

Tyler worked with Kanye West on tour, and then toured with Travis Scott, which eventually led to the Netflix original documentary, Look Mom I can Fly, which David worked on as an editor and cinematographer.

Even with this burgeoning success in the industry, the pull to practise medicine remained. So with the support of mentors such as Dr. Ron Stewart, who was supportive of Davids Arts career and passion for pre-hospital and emergency medicine, David finally decided to apply for medical school.

He was a huge inspiration for me to not only pursue this as a career but also to keep rooted in my creative outlets and mediums, says David.

Fast-forward to sitting in Kanye Wests office. At the time they were just finishing up work on the music video for the hit song Famous, but uncertain what the next job would be and where the next paycheque would come from.When I got that letter, it was a huge relief, says David. It was something that not only represented hard work and determination that everyone who applies puts in, but it represented stability which is something I think I was looking for at the time.

Four years later, and David is set to graduate from Dalhousie Medicine School as valedictorian of the Class of 2020 and preparing to start his residency in Emergency Medicine in Halifax.

Hes travelled the world learning what makes a strong leader and observed the collaboration it takes to make a hit record which is a nice correlation to working successfully in interprofessional teams.

While from the outside it seems that he has been chasing the thrill of filmmaking with stars, or the high-acuity world of emergency medicine, its been those closest to him that have kept him grounded and helped him survive medical school.

My wife-to-be, Meghan, was a huge part of my success. Being able to have a person to talk to, to go on adventures with and experience life together outside of the hospital was the key to my wellness, says David. Now we have a beautiful daughter, Violet, and spending time with her is all that matters.

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Harvard MBA Admit: Battling COVID-19 On The Frontlines – Poets&Quants

Shahdabul Faraz, a resident surgeon, will be joining Harvard Business School as an MBA student this fall

The exact time that the application portal for Harvard Business School admissions decisions comes open is an anxiety-ridden moment for any applicant to the schools MBA program.

But few candidates would have been in the same position as Shahdabul Faraz. A resident physician at Bostons Beth Israel Deaconess Medical Center, he was scrubbing up to perform a surgery minutes before the noon EST deadline on Dec. 10.

It was literally 11:58 and I had to scrub in, he recalls. I was really waiting two or three more minutes to see if I got in. But everyone was waiting and it was a three- or four-hour surgery.

THE ANSWER IS YES!

Faraz couldnt wait any longer. He strolled into the operating room for a complex abdominal surgery, not knowing his HBS fate. For the entire time, I kept telling myself, Dont think about this.

Somehow, he managed to put it out of his mind for the next three and one-half hours. Finally, I stepped out, logged into the portal from my phone and couldnt believe it.

The message? The answer is YES!

APPLYING TO BUSINESS SCHOOL WHEN YOU HAVE TO DO 24-TO-28-HOUR WORK SHIFTS

As difficult as the journey to a top school for most MBA candidates, few could imagine what it would be like to take that journey while you are a resident surgeon at a teaching hospital of the Harvard Medical School. The pressure, particularly for someone wielding a scalpel, is formidable. The hours just pile on top of each other. In fact, its not uncommon for Faraz to work 24-to-28 hour shifts at a time, often without a break for a meal. In the first two months of his residency, Faraz shed 30 pounds.

Yet, somehow, while in his acute surgery rotation, he managed to fit in time to study and take the GMAT exam. I was doing surgery during the day and at night learning how to do long division again, laughs Faraz who would ultimately land a score of 720.

Since he has gotten the good news from Harvard, he has been on the frontlines of the deadly virus that has claimed hundreds of lives in the city of Boston alone. In a recent New York Times essay, written after he read one of Trumps tweets on immigration, he unloaded in a remarkably candid way.

I JUST REMEMBER BEING VERY, VERY FRUSTRATED AND OVERWHELMED BY TRUMPS TWEET

My hours are grueling, he wrote. The physical and mental toll, unimaginable. Ive begun to suffer from panic attacks. I have trouble sleeping. In one of the toughest moments of our careers, my colleagues and I cannot properly console one another. Amid all this mental anguish and physical danger, some of us must also contend with a government that seems to want to get rid of us.

When he wrote the Times opinion piece under the headline President Trump, I Am Not Your Enemy. I Am a Doctor, nearly 4,000 coronavirus patients were lying in hospital beds in Massachusetts, with 675 in intensive care units. Faraz felt compelled to puts his feelings in print after returning home from a long hospital shift on April 20th and encountering a tweet announcing that the U.S. was about to close the border to immigrants. Trump said that he was acting as a response to the coronavirus pandemic and to protect the jobs of American citizens.

I had just come home after a rough 14-hour shift and had just showered and laid in bed browsing Twitter when I saw his tweet, recalls Faraz. I just remember feeling very, very frustrated and overwhelmed by it. Even though I had to work the next day, I stayed up from 10 p.m. until 5 a.m. to write that piece and then went to work in the morning. What I was trying to get out in that piece was an honest reaction to the national conversation as someone who is a non-American physician on the front lines taking care of mostly American patients.

I REALIZED THE VIEWS OF THE CURRENT ADMINISTRATION ARE NOT SHARED BY THE MAJORITY

The reaction from the public at large and from his HBS classmates has been positive. I got a lot of emails from around the country showing support. Thats been true in our HBS class, too. So it has been great. I really have appreciated the support Ive gotten. I realized that the views of the current administration are not shared by the majority of Americans.

Faraz, who has spent the last ten years in the U.S., has come to view the U.S. as his home. Born in Bangladesh, Faraz spent his formative teenage years in Canada where his family immigrated in search of a better life, far from the inequality and political unrest that has plagued the South Asian country for decades. In 2010, he applied and was accepted into Emory University in Atlanta, where his aunt and uncle lived. He started Emory as a philosophy major but that didnt take and he transitioned to pre-med.

In my first year, he says, I started branching out and taking all the different pre-med courses starting with general chemistry and biology. I loved those courses, and I knew I could help a lot of people. It made sense to me to do something where there was a lot of demand. Society needs a lot of doctors and medical professionals. But there was a lot of pushback because it is very, very difficult for international students to get into a U.S. medical school.

IF THEY ONLY TAKE ONE, WHY SHOULDNT IT BE YOU?

If you go to the pre-med advising department, everyone pretty much tries to discourage you. They give you grim statistics about how few international students get into med schools each year. The stats on internationals also made me understand I had to be at the top of my game. I hunkered down and studied when people were going out on Friday and Saturday nights. I did what I needed to do because I realized the odds were stacked against me.One of my mentors at Emory retired a couple of months ago and always said, if they only take one why shouldnt it be you?There were 20 or 30 of us who applied in our cohort and I was the only one who actually got into a U.S. medical school.

Cornell Universitys medical school in New York City accepted Faraz and that obviously led to his general surgery residency, a seven-year-long path to becoming a full doctor. After two years of non-clinical work, every resident then leaves for a stint, usually to work in a lab doing clinical research.

Faraz had other ideas. Mid-way through med school, he was elected class vice president, went to networking events and eventually began working with hospital administration. I realized that I wanted to have a clinical career but do something different as well. So I became interested in inequality outcomes research and hospital administration.

I THOUGHT APPLYING TO HARVARD WAS GOING TO BE A LITTLE BIT OF A CRAPSHOOT

During his residency, he became involved with his hospitals quality improvement council, working closely with administrators on those issues, an experience that led to his interest in getting an MBA. Five to ten years down the line when I finish my residency and my MBA, I do want to have a part-time clinical career but also want to focus on hospital administration. Im also keeping an open mind to explore healthcare consulting or something related to healthcare.

After getting his GMAT out of the way, heapplied to a half dozen business schools: Harvard, Wharton, MIT, Yale, Chicago, and Northwestern. I honestly didnt know how competitive I was because I didnt have many resident friends or doctor friends who went to business school, he says. I thought it was going to be a little bit of a crapshoot.

When he began studying for the GMAT, Faraz found the quant the most challenging, despite his science background. The verbal wasnt difficult because I grew up speaking English. But math was a real challenge because I hadnt done any math for eight or nine years. I actually had to relearn long division. When he scored 720, he hit the 98th percentile in verbal and the 50th in quant.

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Its the American dream: Law school and medical school grads visit their grandpa at La Crescenta nursing home in emotional reunion amid pandemic – KTLA…

Vana Ebrahimi, a 25-year-old from Glendale, graduated from Loyola Law School on Sunday as her brother graduated from medical school. Although their in-person commencement ceremonies were canceled due to the coronavirus pandemic, they found a way to make the day special.

The pair went to visit their grandpa, Hayrik Abnous, at a La Crescenta nursing home, where he has been since January. In an effort to curb spread of the virus, the facility has been under a lockdown since March.

So Ebrahimi and her brother first generation college students got to see their grandpa through a glass door in an emotional reunion.

We just decided since were both graduating, lets go and surprise him and wear our cap and gowns, Ebrahimi said. It was a big deal for us to include him.

The video of the special moment shows Ebrahimi and her brother, who did not want to share his name or school information, in their gowns, waving to their grandpa while he looks at them in tears from his wheelchair.

It was heartbreaking but cute at the same time, said Ebrahimi, who was also in tears in the video. It was a surreal feeling for us both. Its the American dream.

Her parents and grandparents escaped war in Iran and went to Austria, eventually making it to the U.S. in 1993, just before she was born.

My mom and dad came here literally with no money and not knowing English, Ebrahimi said. For us to be able to not just go to college, but also get a graduate degree It was like the struggle of coming here and escaping war and doing all that was worth it. For us it feels like were finally paying them back.

Having her children graduate from law school and medical school has been emotional for her own mother too, Ebrahimi said. While her uncles were able to leave Iran during the war on student visas, her mother was not.

You dont just, you know, send your daughter to America on her own, Ebrahimi reflected. So my mom had to stay back, and she never got to go to college because the war happened and the schools closed.

As an Armenian American, she says the accomplishment has even more meaning for her as a minority.

From a culture thats had a genocide, were still here were still standing. Were pursuing our dreams and they didnt destroy us, she said.

Ebrahimi has been staying with her grandmother while her grandpa remains at the nursing home for a broken hip and a heart condition. She says she and her grandma were going to the nursing home every day before they closed their doors, and at the time of their graduation reunion, she hadnt been able see her grandpa in two months.

It was a huge deal to be able to have us all together to celebrate, even though it wasnt the type of celebration we wanted or imagined, she said. Quarantine has had its perks of having more intimate moments with your family.

Ebrahimi said her metspop, as she calls him, has never stopped smiling, even while in the hospital or the nursing home. He is the most easygoing patient, she said, always smiling.

As an Armenian immigrant family, this meant the world for my grandfather who came here with little to nothing and not knowing the language to see us accomplish the American dream, she said.

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Northeastern president says school will rethink whole operation in order to brings students back in fall – MassLive.com

In an interview with CNN Wednesday night, Northeastern Universitys president reiterated that the school will welcome students back to its campus in Boston this fall but business as usual is not going to make it happen.

Describing the process as the new normal," Joseph Aoun detailed how the university plans to bring students back to campus while others in the city like Boston College havent made a decision yet and first-year students at Harvard Medical School will learn online.

Every department in every university and every university has a different context and different circumstances," Aoun said. "We have been working with other peers, not only in Boston, but in the nation as well. The Chronicle of Higher Education has announced that 70% of the colleges and universities have the goal to reopen in the fall. We are not outliers. But once again we have to do it in a different way.

Updated numbers as of Wednesday from The Chronicle of Higher Educations database show that 65% of colleges and universities in the country are planning for on-campus learning in the fall. Many in Massachusetts have yet to come to a decision, though, according to the database.

Aoun said in order to have the 37,000 students back on campus in the fall, the university has to rethink every aspect of what it has done in the past. Northeastern is looking how to lower density of classrooms, labs and dorms.

Aoun said during the interview with CNN, the university secured 2,000 additional beds to lower density in the dorms.

The school will also look at athletic events differently, although Auoun didnt provide specifics.

Its is going to be a rethink of the whole operation in order to ensure our that our students, our faculty, our staff and our community at large is safe and secure, Auon said.

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Medical students offer insights on inequities during COVID-19 – American Medical Association

The nations COVID-19 pandemic has brought to light glaring systemic inequities in the provision of care to marginalized demographic groups. A panel of medical students working to address those issues through organized medicine recently offered insight on the injustices, how the pandemic has amplified them and potential remedies.

Hosted by Aletha Maybank, MD, MPHthe AMAs chief health equity officer, overseeing the Associations Center for Health Equitythe panel brought together student leaders from the AMA, Association of American Medical Colleges (AAMC), Asian Pacific American Medical Student Association (APAMSA), Medical Organization of Latino Advancement (MOLA), Student National Medical Association (SNMA) and Association of Native American Medical Students (ANAMS). A recording of the panel discussion is available on YouTube.

Amid reports of individuals and organizations encouraging use of language like the Wuhan virus, the Chinese coronavirus, and similar variations, the AMA recently released a statement calling for an end to those references. The verbiage serves no legitimate purpose and is ethically inappropriate, derogatory and divisive.

According to APAMSA president, Yingfei Wu, those remarks are affecting medical students of Asian descent as well as the larger Asian American community.

Through APAMSA we have heard about a lot of different instances of [that language] toward medical students and of people in the community being abused and having racist remarks directed toward them, said Wu, a medical student at theMedical College of Wisconsin.

APAMSA members have been sharing their reflections with each other and offering advice on how to cope.

We are supposed to be this model minority, Wu said of a common conception regarding Asian Americans. We are supposed to have expectations that we are safe and nothing will happen to us. This has been challenging.

As Dr. Maybank has highlighted, the need to understand how the COVID-19 pandemic is affecting communities of color is imperative to addressing its spread. But even within those communities, there is a divide.

One thing I have noticed as we are seeing a lot of data showing that [COVID-19] is impacting the Latinx community significantly is a fact that theres a disproportionality among those who can work from [home] and those who have to go out in the environment for work, said Richard Gomez, a member of MOLAs board of directors and a medical student at Loyola University Chicago Stritch School of Medicine.

There have been these moments or arguments I have had with [community] members who are in white-collar jobs and have the fortune of earning a paycheck to work from home being very critical of those who dont. Some people dont have the fortune of being able to work from home. They have to go out and endanger themselves whether its through work in restaurants or in airports as flight-crew staff. Ive noticed that is something significant with the Latinx and Hispanic community, especially for immigrants.

Disparity figures are one thing. Why they exist is another. To tell a true story of inequity, both are required. That dynamic is playing out in Native American communities.

When I first started medical school, a physician in the community told me the only thing I needed to know about Native American health as a medical student is that if a tribe has a casino they have great health care, which couldnt be further from the truth, said Alec Calac, a medical student at the University of California, San Diego School of Medicine. He is the schools ANAMS chapter president, and national policy director for the larger ANAMS organization.

The pandemic has really laid bare the inequities we are seeing in tribal communities and the Indian Health Service. People dont understand why the Indian Health Service exists. They dont understand that this system that cares for than 3 million people has less than 100 ventilators in the entire system. You can go from factoid to factoid, but the reality today is there are more than 4,600 cases of COVID-19 in areas served by the Indian Health Service.

Throughout the COVID-19 pandemic, the AMA is carefully compiling critical health equityresources from across the web to shine a light onthe structural issues that contribute to and could exacerbate already existing inequities.

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Coronavirus question: How long does the virus live on surfaces? – NJ.com

NJ Advance Media has launched a daily coronavirus question, a service in which our reporters provide answers to commonly asked questions about the epidemic that has hit hard in New Jersey.

Todays coronavirus question is answered by Dr. David Cennimo, an infectious disease specialist who teaches at the Rutgers New Jersey Medical School.

Q: How long does the virus live on surfaces?

A: Its still unknown. The Centers for Disease Control and Prevention (CDC) has recently updated its guidance to note that the coronavirus doesnt spread easily from surfaces, although it can nonetheless live on them. But, according to Cennimo, researchers dont yet know the true length of time the virus can remain on surfaces because the growth rather than detection of a virus is a stronger indicator of its existence. In other words, how long a virus exists on a surface is ascertained by taking the virus, putting it on a surface, and picking it back up and attempting to put it in a cell culture to see if it will grow a complex process for which conclusive answers have yet to be produced.

Is it safe to ride in elevators?

Can the virus be spread from swimming?

If I already had the coronavirus, am I now immune to it?

Is a face mask really effective in preventing the spread of the virus?

If you would like to submit a question about the coronavirus, please email your question to coronavirus2020@njadvancemedia.com.

Our journalism needs your support. Please subscribe today to NJ.com.

Caroline Fassett may be reached at cfassett@njadvancemedia.com. Tell us your coronavirus story or send a tip here.

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‘A heart for service’ beats within this medical superhero’s chest – Longview News-Journal

As the world endures the COVID-19 pandemic, medical staff at hospitals, clinics and public health departments have become the selfless superheroes of our day.

Family nurse practitioner Debbie Mahoney is one of those superheroes, though shes been fighting death and disease at home and abroad for more than 20 years.

Mahoney first went to Guatemala on a medical mission trip in June 2000 with a group from Texarkanas First Baptist Church.

I took students to San Raymundo in May 2019, and the improvements that (local residents) have done over 20 years are mind-boggling. The students were just blown away by how the Guatemalan people have improved that hospital. Its really gratifying, she said.

Mahoney also volunteers in the medical clinic at the Hiway 80 Rescue Mission in Longview, a project supported by Refuge.

Ive always enjoyed working with under-served people. Ive worked with veterans and HIV patients, said the longtime Gladewater resident.

It makes me feel good to have that feeling that you may have helped another person. . A nurse told me one time that a patient had said that every time she saw me, I made her feel special. That is the highest compliment I could have, Mahoney said.

So many things in life can make you feel beat down. If someone can help you recognize your uniqueness, thats a real gift, she said.

Its almost a ministry, to help build people up, to help them realize their potential, said Mahoney, a professor and coordinator of the masters degree in nursing program at Texas A&M Commerce.

Deborah Bell, Refuges founder, has known Mahoney for more than 20 years. They met while teaching in the College of Nursing and Health Sciences at the University of Texas at Tyler during the 1990s.

Sense of adventure

Mahoney has a very generous spirit. Shes very intelligent, very dedicated to her profession, a great mother and grandmother. Shes a great friend. She always has a sense of adventure, Bell said.

Mahoney was one of Refuges first board members. She soon began recruiting her nursing students for medical mission trips to Guatemala.

Her initial effort had a snowball effect. Now Refuge takes students from all over the country, Bell said.

Mahoney received her bachelors and masters degrees in nursing from the University of Texas at Austin. The Missouri native received a doctorate in nursing from Texas Womans University in 1993.

A post-doctoral fellowship from the Kellogg Foundation enabled her to complete the family nurse practitioner program at East Carolina University in 1998. She also taught nursing at the University of Texas at Tyler for 21 years.

Since 2003, Refuge has conducted three or four health clinics each year at a hospital in San Raymundo, Guatemala. The hospital was built with funds raised in 2000 by Texarkanas First Baptist Church, according to the Refuge website.

Because the nonprofit wants to ensure its projects are sustainable, a local committee in Guatemala raises money for each clinic, Mahoney said.

I took students to San Raymundo in May 2019, and the improvements that they have done over 20 years are mind-boggling. The students were just blown away by how nice the Guatemalan people have improved that hospital. Its really gratifying, she said.

Mahoneys family also has joined in her efforts in Guatemala. Her husband, Tom, is a nurse anesthetist who has been to Guatemala twice. Her son Stephen Mahoney, a general surgery resident, and his wife, Rachel, a plastic surgery resident, have gone to Guatemala as well. Stephen Mahoney started the organization Refuge Guatemala at University of Texas Southwestern Medical School, with medical students and residents going to Guatemala to deliver health care. She also has another adult son and daughter, Joseph and Sarah, and four grandchildren.

While the more than 3,000 procedures performed since 2003 by Refuge medical mission teams have improved the local populations health, not all patients respond to treatment, Mahoney said.

The need is so great. You do what you can, and you have to let it go. There are people whom you just cant save, she said.

Small efforts, big rewards

Still, the rewards for just being there and trying to help are great.

I cant emphasize enough how appreciative (Guatemalans) are, Mahoney said.

And small efforts can reap big rewards.

In developing countries where many people dont have access to clean water, intestinal parasites are a big problem. Children develop open sores; they become anemic, and that makes it hard for them to learn in school.

In 2007, Refuge started a national school-based program called Adis Lombrices! which is Goodbye Worms! in Spanish, Mahoney said. It aims to eliminate parasites hookworms, roundworms and whipworms by giving all rural children aged 2-15 a chewable tablet of Albendazole.

Rotary International clubs have generously supported this effort, Mahoney said.

Its such an inexpensive program and it does such good. Thirty cents will treat 10 children for a year, she said.

Children who get the worm medicine are growing up to be taller than their parents. (The previous generations) short stature wasnt because of genetics, it was because of malnutrition, Mahoney said.

Closer to home, Mahoney also volunteers at Longviews Hiway 80 Rescue Mission.

We can take care of small problems before they become large problems. We want to take care of everyone because their health can affect all of us, she said.

No unnecessary suffering

I have had patients at Hiway 80 who got back up on their feet and were successful, Mahoney said. I dont want any individual to suffer more than is necessary, because we are all precious individuals.

Refuge Internationals Medical Director Dr. Ken Eveland has known Mahoney since 2006, when he joined the organizations board.

When asked to describe her, the retired general surgeon said compassion.

She really does care about other people and taking care of other people. She excels in both academic and clinical areas, Eveland said.

We both have a lot in common in practicing medicine, how medicine ought to be practiced. Patient first, ethics second. Our passion is to take care of the least of these, in Guatemala and at the Hiway 80 Rescue Mission in Longview, he added.

Groups who contribute to the clinic include emergency medicine physicians at Leading Edge Medical Associates and nursing faculty and students at UT Tyler.

The clinic sees about 40 to 50 patients a month, and it has provided unexpected benefits: some homeless individuals now volunteer at Refuge International.

Whenever we have projects, we call them. They have helped with a fund-raising bike ride. Theyve helped us with packing for medical mission trips, Mahoney said.

By giving them the opportunity to help others, it builds them up. It gives them joy. They may not think they have anything to give, but they do, she said.

The COVID-19 pandemic has forced the cancellation of an upcoming medical mission to remote Sarstun, Guatemala. Mahoney had planned to again take some of her nurse practitioner students with her on the trip.

To the moon and back

However, Refuge still found a way to help others.

In late March, it donated about 11,000 items of personal protection equipment surgical caps, face masks, gloves and gowns to Christus Good Shepherd Medical Center-Longview, Longview Regional Medical Center, Christus Mother Frances Hospital in Tyler and The University of Texas Health Science Center at Tyler.

Refuge International Executive Director Ginia Northcutt has known Mahoney for just six months.

When you first meet her, it is very obvious where her heart is. Shes intelligent, shes thoughtful and she has a heart for service, Northcutt said.

Bell added, Shes the quintessential nurse practitioner. Her patients would follow her to the moon and back.

Excerpt from:
'A heart for service' beats within this medical superhero's chest - Longview News-Journal

A Young Doctor Fights to Survive the Coronavirus – The New York Times

A few weeks ago, I visited two hospitals in the Bronx to report from the front lines of this pandemic. While there, I kept hearing about a young doctor with Covid who was fighting for his life in the ICU. Things just were not getting better. The amount of anger and frustration and sadness that I felt. Just the idea of losing my son was unbearable. But ultimately, he survived. Im Andres Maldonado, and Im an ER doctor here in the Bronx. Im a healthy 27-year-old guy. No medical problems. But I got Covid-19. I was so sick that, at one point, I thought I was going to die. This is my story, which should be a warning to everyone. I was working mostly in the two weeks where it was really starting to ramp up. It was quite dire. Stretchers lined two or three deep. You were just being called from one patient to the next. I need a vent. I need a vent. How many vents do we have? All these questions that we had never considered, ever. Theyre starting to ration out these N95s. Were in a spot where were wearing stuff a day at a time, multiple days at a time. A lot of these patients that Ive met are scared. I want to be able to help people when they need you the most. There was a patient, and she coughed right on my face. And thats when I got scared. What if she does have coronavirus? Day one, March 23rd. It was the middle of the night. I started to feel just really horrible chills. But I thought to myself, oh, you know, Ive been sick like this before. You know, Ive had a virus. Im young. Im 27. Im invincible. Like, you know, nothing can touch me. Day two. When I would take a really deep breath, it would hurt. Day three. Fevers that would come up to 102. But I would take Tylenol, and Id be OK. Day four. I spoke to my mom. Through the whole week, it was like, whats going to happen, whats going to happen? Day five was actually when I went to go get tested. Day six, and my coronavirus is positive. Our worst fears were coming true. Day seven. I was pacing my room, and I was just thinking, come on, Tylenol, just start working already. It worked a little bit, but then the fever would come back two hours later. Day eight. Couldnt finish my sentences without taking a breath. Thats when it clicked, I cant continue to stay home. Day nine, March 31st. Andres calls me, and he tells me, the first thing is, Mommy, dont panic. And when he says dont panic, what do you think Im going to do? And he goes, Im going to the ER right now. I dont feel good. And I said, whats wrong? And he said, Im short of breath. I met Mike Jones, our leader in residency, inside of a tent in front of the ER. He came to the hospital where I was that day. Every patient with COVID reaches a critical time period where you can see that theyre heading in the wrong direction. Theyre kind of going over that tilt of that cliff, heading in the direction where they may need intubation. At least 70% to 80% of patients who were placed on ventilators were dying. So we tried very hard to avoid intubation. Everyone who was there knew me. All the nurses, Mike Jones. I know Dr. Romo personally. They were alarmed. Just looking at him through the window, it just felt like I got kicked in the stomach. I ended up writing we love you and taping it on the window so he could see it. I went in the room and I cried. I cried. I wanted to remain strong and support Andres, and not let him see that I was worried. I was terrified. When I walk into the room, I realize that he was breathing at a faster rate than he was before. That was a significant moment for me because I have been in that position where you see a patient, they were critically ill. I knew that sense of urgency meant that they were considering more invasive options. We decided that he was getting sicker, and that maybe he was going to need to be intubated. We made the decision to admit him to the intensive care unit. I said, call the ICU right now. Let them know hes coming. I heard Dr. Romo say he needs to be placed on a high-flow nasal cannula. A device that provides a large volume and high velocity of oxygen to a patient. So we brought him right up and started the high-flow nasal cannula. The only thought in my head was, just please get better on this. Please, please work. I woke up in the middle of the night. I heard a lot of commotion outside, and people turned on all the lights. I looked at the monitor to check my vital signs, and overhead, you hear Rapid response. Rapid response. Theyre calling for extra doctors to report two rooms down from me. She was a 25-year-old. She just kept saying, I cant breathe, I cant breathe. Then she had this cardiac arrest. Her heart stopped. And I was terrified. You know, I was thinking, thats two doors down, and that could have been me. Sometimes, you think about what would happen if you would die. And then you think about your parents if you died, the permanent distress theyd probably feel. And I havent really seen my husband cry, and he did break down. I have never seen him like that. He went on his knees, and he was asking God to please save Andres and take him instead of Andres. My dad doesnt get like that. You know, hes serious. Hes like a military guy. Just let me get over this. Just the idea of losing my son was unbearable. Despite thinking I can die, I still felt determined to somehow get better. And the way that translated to me and my medical mind was focus on your breathing. One breath at a time. Think about the air going in, out. Try and take deep breaths. Makes you cough? OK., take a break. Try again. And then at some magical point, we turned the corner. Whats up, Andres? Welcome back. Hey, thank you. Wow. [CHEERING AND APPLAUSE] (CHANTING) Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Andres! Im completely overwhelmed right now. Its a victory. Every victory helps us try to help the next patient get through this. It was an amazing feeling of triumph. It was like, yes, we did this, we beat it. They saved my life. 24 of our 84 emergency medicine residents have been out sick during this crisis. The number of health care workers that have died is horrible. All health care worker infections are preventable. I really, truly believe that. I believe the government failed everybody. Oh, only 400 died today, not 700 like last week. Its like, for goodness sake, were talking about human lives. Its a virus. It will infect you. It doesnt care who you are, where youre from, what you do, who you support politically. It just doesnt care. Please appreciate your life more before you choose to ignore the stay at home orders or the quarantine, because anyone can get sick.

Originally posted here:
A Young Doctor Fights to Survive the Coronavirus - The New York Times

Foreign doctors want to help fight the coronavirus. But the US health system stands in their way. – Vox.com

As the coronavirus pandemic continues to rip through the US, hard-hit areas have been facing doctor shortages, placing both patients and overworked health care workers at greater risk.

Thousands of foreign doctors who already have clinical experience and are waiting for a chance to practice medicine in the US could step in to help. But even before the current crisis, the immigration system, coupled with medical licensing requirements, have made it difficult for them to work in the US and go where theyre needed.

Graduates of foreign medical schools face the same certification requirements as any American graduate they have to pass their medical licensing exams and obtain a highly sought-after spot in a three- to seven-year residency program.

Many foreign students, though, have already completed years of training in their home countries before they seek US certification. That experience has little bearing on their admission into residency programs, where available spots are always fewer than the number of applicants, and graduates of US medical schools are given preference.

In 2020, about 40 percent of foreign medical school graduates didnt match with a residency program, compared to only 6 percent of American graduates. That means thousands of qualified doctors being effectively shut out of practicing medicine in the US. And if they want to try again next year, that comes with a hefty price tag: It can cost thousands of dollars to apply to residency programs.

Amid the pandemic, both New York and New Jersey have eased some of these licensing requirements so that foreign medical graduates can contribute to the coronavirus response. As the virus continues to spread to rural America, where there was already a shortage of doctors, other states may also have to relax their licensing requirements for foreign grads, or else face imminent shortages.

For S, an aspiring doctor from Canada who asked to be identified only by his first initial for fear of harming his residency applications, the decision to attend medical school abroad has put him at a disadvantage in finding a residency placement in both the US and his home country.

He had applied to Canadian medical schools but wasnt accepted into a single program. Thats not uncommon; medical school admissions are highly competitive in Canada the average acceptance rate is about 10 percent, compared to nearly 40 percent at US schools.

At the advice of his guidance counselor, S opted to attend medical school in the Caribbean instead, where dozens of programs now cater to students seeking to practice medicine in the US. He chose Saint James School of Medicine, spending about 16 months in class there before moving on to clinical rotations in the US. He worked in hospitals in Illinois, New Jersey, and rural Kentucky alongside US medical students and passed his medical licensing exams.

But when it came time to apply for residency programs in the US a process that costs between $10,000 to $12,000 a year for foreign medical students he couldnt get a placement. He has applied three years in a row with no luck, but he knows people who are still applying for the sixth or seventh year in a row. And practicing medicine in Canada, which also has a doctor shortage, isnt really an option either since hospital residency programs strongly favor Canadian medical school graduates.

Its kind of sad, because youre so close. You have your degree. You just need your foot in the door, he said. Especially with coronavirus, you really want to help. Youre in a situation where you have the training.

After he didnt match with a residency program this year, hes planning to work as a physicians assistant part-time and take up a flexible gig on the side, such as driving for Uber, to help pay off his student loans. He cant work at a hospital amid the pandemic, but hes been working with several volunteer organizations to aid coronavirus medical research.

Still, he feels hes capable of contributing so much more to the pandemic response, especially if he were placed at one of the rural hospitals where he did his clinical rotations, since many of them are facing doctor shortages and a lack of specialists. But instead, hes stuck in Canada.

I am one among many sitting on the sideline while this pandemic unravels, he said. I have years of training, experience, and medical knowledge but cant do anything but watch the situation unfold.

Even for foreign medical students who are already living in the US, finding a placement in a residency program can prove difficult.

Sana Javed, a foreign medical school graduate from Pakistan hoping to specialize in psychiatry, lives in Germantown, Tennessee, with her husband, a physician on an H-1B skilled worker visa. He was able to get a waiver for the requirement that he work in Pakistan for two years prior to applying for residency programs in the US because hes working in a medically underserved area at Le Bonheur Childrens Hospital in Memphis.

Javed can get a work permit through him, but she said she didnt match with a residency program this year, even though she has clinical experience in both the US and Pakistan.

She graduated from Nishtar Medical College & Hospital in Multan, Pakistan, in 2011 and worked for two-and-a-half years alongside doctors treating psychiatric patients examining their mental status, designing treatment plans, and counseling them and also volunteered at a military hospital. When she moved to the US in 2016, she worked for a few months as a clinical extern in a psychiatrists office in Troy, New York, and has been volunteering for a psychiatrist specializing in addiction medicine since.

Javed is planning to reapply for residency programs in the next application cycle. In the meantime, she is trying to accumulate more clinical experience in the US to improve her application, but the pandemic has made that difficult. Her clinical externship in Chicago that was supposed to start in March was canceled, but she has another one lined up in New York later this year.

She said the field of psychiatry is especially critical during a pandemic and that shes ready to contribute but because she doesnt have a placement in a residency program, her ability to do so is limited.

With this whole pandemic going on, there are many mental health issues emerging suicide rates and attempts are increasing, PTSD will be on the rise as we will be nearing the end of this pandemic, she said. I am hoping to contribute to the mental health of the people of the United States as much as possible now and even after matching into residency.

But even if she had more years of clinical experience, its not clear whether that would assure her a place in a residency program.

Rizwan Rabbani, who is from Pakistan but attended medical school in China, had over seven years of clinical experience under his belt when he applied to residency programs.

He went back to Pakistan after graduation for a one-year internship in internal medicine, surgery, and urology, and then to work as an internal medicine practitioner in a teaching hospital for five years where he instructed undergraduate medical students.

When he came to the US, he did an eight-month clinical rotation in cardiology at Mount Sinai Hospital in New York City and another six-month rotation in family medicine in Pensacola, Florida.

Nevertheless, he failed to match three years in a row. Every time, he had to spend thousands of dollars.

Its a money-making process, he said. They are making money every time you apply to one program.

He decided to move back to Pakistan instead, where hes currently working in the government coronavirus quarantine facilities at a teaching hospital in Lahore. Hes also hoping to practice in the UK instead, where he can start working immediately as a physician with the clinical experience he already has. But he also could have brought that experience to coronavirus patients in the US.

I would have contributed as a frontline doctor in US hospitals and with my experience and skills, would have been very beneficial, he said.

Support Voxs explanatory journalism

Every day at Vox, we aim to answer your most important questions and provide you, and our audience around the world, with information that has the power to save lives. Our mission has never been more vital than it is in this moment: to empower you through understanding. Voxs work is reaching more people than ever, but our distinctive brand of explanatory journalism takes resources particularly during a pandemic and an economic downturn. Your financial contribution will not constitute a donation, but it will enable our staff to continue to offer free articles, videos, and podcasts at the quality and volume that this moment requires. Please consider making a contribution to Vox today.

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Foreign doctors want to help fight the coronavirus. But the US health system stands in their way. - Vox.com

Focus on What You Can Control: Brown Alpert Med School Orthopaedic Surgeon’s Advice to Athletes – GoLocalProv

Thursday, April 30, 2020

Smart Health on GoLocalProv

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Dr. Brett Owens appeared on "Smart Health" on GoLocal LIVE.

These are unprecedented times and you know sports certainly has taken a back burner at every level of course, the professional athletes get the most attention but college sports has been a huge hit, said Owens.

For injured athletes, it does make things a little bit easier in my office. When Im working with athletes that are recovering from knee or should surgery, theres very much always that sense of fear of missing out and thats not there, said Owens. But theres certainly a lot of missing out to go around. Athletes want to be able to be back in full performance and I think potentially using this time to really refocus their rehab efforts is helpful, but for all athletes, its extremely frustrating.

University Orthopedics' Owens is the Team Physician at Brown as well as for the Providence Bruins.

Preparing to Come Back

In general, conditioning can be challenging right now. I think redoubling your efforts, focusing on the things you can control you cant control COVID and all the impacts on society but you can control your own condition, whether thats aerobic conditioning running, biking, said Owens, of his advice to athletes.

Some people are getting really inventive, folks that dont have weights available to them are working out with milk jugs of water, sand etc. and focusing on core [strength], said Owens. In addition, you mentioned diet and maintaining body weight. Some people have unfortunately been more sedentary than they usually would be. Youre going to come back at potentially a higher body weight and that impacts not just athletes but us middle-aged folks trying to stay in shape.

Surgeries in Focus

Patients and their safety is our number one priority, so we work and communicate directly with the Department of Health and theyve strongly encouraged us to continue to take care of our patients, said Owens. Weve transitioned to telehealth for many but weve also continued to do semi-urgent surgeries for people that otherwise would have to be at the hospital.

Owens is a Professor of Orthopaedic Surgery at Brown and Chief of Sports Medicine at Miriam Hospital. He is a board-certified orthopaedic sports medicine surgeon whose clinical practice focuses on complex knee, shoulder, and cartilage injuries.

About Alpert Medical School -- and Smart Health

Since granting its first Doctor of Medicine degrees in 1975, the Warren Alpert Medical School has become a national leader in medical education and biomedical research.

By attracting first-class physicians and researchers to Rhode Island over the past four decades, the Medical School and its seven affiliated teaching hospitals have radically improved the state's health care environment, from health care policy to patient care.

"Smart Health" is a sponsored content segment on GoLocalProv.com featuring experts from The Warren Alpert Medical School on GoLocal LIVE.

Excerpt from:
Focus on What You Can Control: Brown Alpert Med School Orthopaedic Surgeon's Advice to Athletes - GoLocalProv

Cary Brothers Lends A Hand to Aspiring Physicians Fighting Outbreak in Roanoke – The Roanoke Star

The students pandemic response efforts began shortly after they were no longer allowed to go in hospitals to gain hands-on training, much of which occurs during the third year of medical school.

It was definitely disappointing because we wait our whole lives to get to this part of medical school, said fellow student, Grace Lee. It left us with a lot of time on our hands and wanting to help.

Channeling that desire to assist local health care workers, some of whom they had been working with prior to the outbreak, was sparked by a text from their classmate, Vaishnavi Sridhar.

She actually asked our group chat about starting to help the residents and attending physicians with childcare and groceries, Kar said.

As the statewide social distancing guidelines grew into a stay-at-home order, the students efforts evolved from helping out with general errands to raising funds and coordinating with businesses to get PPE for the workers.

They also decided to use their annual student open mic night as an online fundraiser for the effort and reached out to the broader VTC community for help putting together a lineup. The group email asking for help connected them with Becki Morrison, the lead vocalist with a regional band, Becki and the Boom Booms, and an occasional standardized patient with the medical school.

I was in the unique position as working with the school and having a band, and also knowing all of these great musicians, Morrison said. I thought, if theyre struggling to pull together music for this fundraiser, I have the inside loop to that.

With Morrisons help, within 10 days the lineup was filled out with about 10 Roanoke-area musicians and three medical school students. Cary Brothers also learned of the fundraiser via a medical school employee and quickly signed on as the finale for the event, which had a goal of raising $1,000.

Kudos to the students who put on this event, Brothers said. Their cause is noble, and the show was every bit as smooth and technologically sound as the online charity shows Ive played in recent weeks run by music industry folks. I think the students did a great job, and Im so happy they hit their goal.

While the pandemic caused the students to miss out on learning experiences in the hospitals, they feel the experience fundraising and locating PPE has helped them learn many other valuable lessons.

[Were seeing how] how difficult it is to navigate the health care system, Lee said. This is really shining a light on the systemic issues within health care by showing us the challenges that we are forced to face during a pandemic. We are learning how to promote public health as well as advocate for the safety of health care workers.

And being located in Roanoke has also helped enlighten them to health care related disparities that exist between localities.

Weve seen how an emergency situation of this scale impact communities and how rural voices get lost, Kar said. When theres a global lack of PPE, were almost at the bottom of the totem pole, even though our patients continue to get sick. We have similar needs, but not as many resources.

Travis Williams

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Cary Brothers Lends A Hand to Aspiring Physicians Fighting Outbreak in Roanoke - The Roanoke Star

Melanie Etti: The A levels fiasco is part of a wider picture of inequality in medical school recruitment – The BMJ – The BMJ

This years A levels debacle is fresh proof that more needs to be done to widen access to medicine, says Melanie Etti

The initial release of A level grades this year resulted in widespread uproar as almost 40% of students across England saw their predicted results downgraded, causing many to miss out on their places at university. Their final grades had been calculated from their predicted grades using a new algorithmits flaws soon became glaringly apparent. The algorithm favoured students who studied in smaller cohorts and who were from historically high performing schools, meaning the downgrading was inordinately skewed towards students who attended larger, state funded schools.

Among the reports of students who were adversely affected by this downgrading, there was a disappointingly high number of students who had lost out on their places at medical school. Many of the students I saw telling their story were from lower performing schools, less advantaged socioeconomic backgrounds, and of Black or minority ethnic heritagea sad yet unsurprising outcome to say the least.

The government has since backtracked on their decision to use this algorithm in the allocation of A level grades. Nevertheless, the fallout from this initial act has been profound and, in many ways, this years debacle has only forced into clearer view the inequalities that many students from disadvantaged backgrounds face every year in trying to gain a place at medical school.

The lack of diversity in medical school recruitment has long been recognised and documented, with last years annual report by the Medical Schools Council Selection Alliance revealing the extent of the persisting inequalities in the UK. In 2017, just 120 medical school entrants were from households with at least one parent in a lower supervisory and technical occupation, a figure that remained largely static over the preceding decade. While the number of entrants from Black and minority ethnic groups has increased overall, students of Black heritage continue to be under-represented among both standard and graduate entry medical school recruits.

As the child of African migrants, I understand and have experienced firsthand the challenges that many Black students face when applying to medicine, and how feelings of impostor syndrome can develop from being underestimated by those around you. The opportunity to take my A level exams in many ways felt redemptive, and allowed me to prove myself, independently of my circumstances. Sadly, this opportunity was not afforded to A level students this year, meaning their futures hinged almost entirely on estimations of their capability made by others.

Organisations such as IntoUniversity, Generation Medics, and the National Medical Schools Widening Participation Forum have been instrumental in responding to these disparities, providing much needed assistance to students from various social circumstances in their pursuit of a place at medical school. The BMA has also launched a number of initiatives to widen participation in medicine, including the BMA aspiring doctors programme. Many medical schools have also committed to increasing access to medicine by providing foundation years and widening their entry criteria to include the successful completion of an access course. The use of the algorithm in the initial allocation of this years A level grades undermined the efforts of these organisations, essentially building back up the barriers that they strive to overcome and reversing vital work done throughout the year.

While there is often pushback against the notion of introducing quotas to medical school recruitment, I would argue that the outcome of this years A level grade allocation demonstrates exactly why quotas are not only justified, but necessary. One of the main arguments against them is that they would allow disadvantaged students who are not deserving of a place at medical school access to one. Yet the government was complicit in implementing a system that produced the exact opposite outcome.

It therefore seems illogical to view the introduction of quotas as discriminatory when they are merely compensating for an imbalance that already exists. Formalising medical schools recruitment targets for students from underprivileged backgrounds would go some way to mitigating the limitations that their circumstances can impose on their ability to reach their full potential.

The events that unfolded this summer also signify the need for the government to increase their involvement in widening participation schemes. The government cannot hope to improve access to medicine if they are not at least partially invested in the ongoing efforts towards this goal. It is important that we begin to hold them accountable for ensuring that the tools for upwards social mobility are available to those who need them most. The initiatives required to enable these students a real chance at successfully entering medical school must be implemented during their school years, and only the government, through the Department for Education, have sufficient oversight over the state funded education system to be able to realise such a vision.

For many students this year, the glass ceiling was held very firmly in place by a system that purported to be rooted in meritocracy, but instead favoured those in positions of privilege. This may have a lasting effect on their self-esteem, reaffirming any budding feelings of impostor syndrome that might have already started to develop. While the government has announced that they are lifting the national cap on medical school places, many of those who have now fulfilled their grade requirements will still likely see their entry to medical school deferred until next year. This could mean that the effects of this flawed judgment last for years to come.

A vast chasm already separates many disadvantaged school students from a chance of attending medical school. It is imperative that the government begin to put corrective systems in place in order to prevent it from widening any further.

Melanie Etti is a clinical research fellow at the Institute for Infection and Immunity, St Georges, University of London. She is also a mentor with the Black Medical Society, a peer led organisation that provides support for Black medical students, junior doctors, and school students who are considering a career in medicine.

Competing interests: None declared.

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Melanie Etti: The A levels fiasco is part of a wider picture of inequality in medical school recruitment - The BMJ - The BMJ

TTUHSC named most affordable medical school in the country – KLBK | KAMC | EverythingLubbock.com

by: News Release & Posted By Staff | newsweb@everythinglubbock.com

(Photo provided by Texas Tech University)

LUBBOCK, Texas (NEWS RELEASE) The following is a news release from Texas Tech University:

The U.S. News and World Report ranked the Texas Tech University Health Sciences Center (TTUHSC) School of Medicine as the most affordable medical school in the country for out-of-state and in-state tuition and fees.

U.S. News surveyed 188 medical schools for the 2019 survey of research, primary care programs and affordability. Among the 72 ranked public medical schools that provided data for the survey, the average annual cost of out-of-state tuition and fees in 2019-2020 was $60,293. But the average cost was much lower at TTUHSC with tuition fees at $31,908. According to the Association of American Medical Colleges, an average of 78% of U.S. medical school applications were sent by students with an out-of-state residential status in 2019-2020.

According to U.S. News, the average student loan debt for those who completed medical doctorate degrees nearly doubled in the 17 years from the 1999-2000 academic year to the 2015-2016 academic year. The average cost of in-state tuition and fees in the 2019-2020 academic year was $36,735, according to data submitted by 74 ranked public medical schools to U.S. News in an annual survey.

Among the 10 most affordable public medical schools for in-state students, TTUHSC tops the list with the least expensive in-state tuition and fees, totaling $18,808 in 2019-2020.

We are proud to claim being the most affordable medical school but we dont compromise on quality education. A number of key metrics make our School of Medicine extremely competitive at a national level, Steven L. Berk, M.D., TTUHSC executive vice president and School of Medicine dean said.

Along with affordability, Berk said students attend the TTUHSC School of Medicine because of excellent educational advantages that include:

We offer an excellent curriculum and learning environment, Berk said. Our medicalstudents obtain the best residencies across the country at graduation, and today, with theCOVID-19 pandemic, our students are working hard to support our physicians and staffproviding care to hundreds of patients across West Texas.

(News release from Texas Tech University)

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TTUHSC named most affordable medical school in the country - KLBK | KAMC | EverythingLubbock.com

Nations Newest Physicians Graduate Virtually in the Midst of COVID-19 – Newswise

Newswise I will be an advocate for patients in need and strive for justice in the care of the sick. No other time in recent history do the words resonating from the Hippocratic Oath convey the importance of the vow that all physicians solemnly swear to hold and value throughout their careers. Today, 63 members of the class of 2020 at Florida Atlantic Universitys Schmidt College of Medicine made that vow virtually, in unison, as they were conferred the Doctor of Medicine (M.D.) degree. Family, friends, faculty, staff and others celebrated the occasion with the graduating class using a web-based virtual gathering.

More than half the class of 2020 will start their residency program in a state that is currently considered a hotspot for the coronavirus disease (COVID-19) according to the United States Centers for Disease Control and Prevention. Seven of the graduates are headed to New York; others will be going to New Jersey, Illinois, California, Pennsylvania, Michigan, Louisiana and Texas. In line with the medical schools mission, 21 of the 63 members of the class of 2020 will conduct their residency in Florida (34 percent) with 25 members who will specialize in primary care including family medicine, internal medicine, and pediatrics (40 percent). One of the graduates will serve as a physician in the U.S. Army.

Relevant to the current pandemic, one of the most popular residencies among FAUs class of 2020 is emergency medicine; eight of the 63 graduates (13 percent) will begin training in emergency medicine this July. The class also matched in other highly specialized fields that are among the most competitive in the match process, including neurosurgery, orthopedic surgery, physical medicine and rehabilitation, urology, among others.

Congratulations! Today marks an extraordinary accomplishment for each of you, and you are achieving this feat at an extraordinary time in our collective history, as doctors across the globe work alongside other scientists, healthcare workers and public health officials to address the COVID-19 pandemic, said Phillip Boiselle, M.D., dean of FAUs Schmidt College of Medicine who addressed the class of 2020 virtually. Today, you officially become doctors, and soon you will be among those on the front lines directly serving patients in need.You are well prepared for this challenge and for the many others that you will face during your medical careers.I wish you all the best as you begin your professional journeys as humanistic physicians.

Douglas J. McConnell, M.D., an alumnus in the inaugural class of 2015 in FAUs Schmidt College of Medicine, delivered the keynote address. McConnell practices internal medicine/pediatrics in Tampa.

I certainly did not think I would be giving the commencement address from my bedroom, but here we are. Graduating during a pandemic is very different than it was for me in 2015, said McConnell. The silver lining behind COVID-19 is that there are no experts. Given enough time and effort, a motivated resident can be just as helpful as a seasoned attending. Think about all you have been through in the last few years and how much you have learned. Most importantly, you have learned to assimilate challenges into knowledge. This is why today you are being called a doctor. Congratulations on this achievement and good luck on the road ahead.

Among the various Florida institutions where FAUs class of 2020 placed are the University of Florida College of Medicine Shands Hospital, Gainesville; University of Central Florida College of Medicine /GME Consortium, Orlando; University of Florida College of Medicine, Jacksonville; Nicklaus Children's Hospital, Miami; Mt. Sinai Medical Center, Miami Beach; Nemours Children's Hospital, Orlando; AdventHealth Orlando; Memorial Healthcare System, Pembroke Pines; University of South Florida Morsani College of Medicine, Tampa; and FAUs Schmidt College of Medicine.

The class of 2020 also placed in several top institutions nationally, including Emory University School of Medicine, Atlanta; University of Michigan Hospital, Ann Arbor; Baylor College of Medicine, Houston; Walter Reed National Military Medical Center, Washington, D.C; New York-Presbyterian/Columbia University Medical Center; Barnes-Jewish Hospital, St. Louis; Children's Hospital, Los Angeles; and Nationwide Hospital, Columbus.

Class of 2020, you are entering the medical profession at an unprecedented time in the delivery of health care in Florida and throughout our nation, said Stuart L. Markowitz, M.D., senior associate dean of student affairs and admissions in FAUs Schmidt College of Medicine. You have been preparing for this special day for years, and now, you are ready to continue to the next phase of your medical journey. We could not be more proud of your accomplishments and we wish you much success in your careers as physicians. Congratulations.

FAU President John Kelly provided congratulatory remarks and Bret Danilowicz, Ph.D., FAU provost and vice president for academic affairs conferred the M.D. degrees. Sarah Wood, M.D., senior associate dean for medical education in FAUs Schmidt College of Medicine announced the candidates, and Markowitz and Jennifer Caceres, M.D., assistant dean for student affairs in FAU Schmidt College of Medicine, initiated the Hippocratic Oath.

- FAU -

About the Charles E. Schmidt College of Medicine:

FAUs Charles E. Schmidt College of Medicine is one of approximately 152 accredited medical schools in the U.S. The college was launched in 2010, when the Florida Board of Governors made a landmark decision authorizing FAU to award the M.D. degree. After receiving approval from the Florida legislature and the governor, it became the 134th allopathic medical school in North America. With more than 70 full and part-time faculty and more than 1,300 affiliate faculty, the college matriculates 64 medical students each year and has been nationally recognized for its innovative curriculum. To further FAUs commitment to increase much needed medical residency positions in Palm Beach County and to ensure that the region will continue to have an adequate and well-trained physician workforce, the FAU Charles E. Schmidt College of Medicine Consortium for Graduate Medical Education (GME) was formed in fall 2011 with five leading hospitals in Palm Beach County. The Consortium currently has five Accreditation Council for Graduate Medical Education (ACGME) accredited residencies including internal medicine, surgery, emergency medicine, psychiatry, and neurology.

About Florida Atlantic University: Florida Atlantic University, established in 1961, officially opened its doors in 1964 as the fifth public university in Florida. Today, the University, with an annual economic impact of $6.3 billion, serves more than 30,000 undergraduate and graduate students at sites throughout its six-county service region in southeast Florida. FAUs world-class teaching and research faculty serves students through 10 colleges: the Dorothy F. Schmidt College of Arts and Letters, the College of Business, the College for Design and Social Inquiry, the College of Education, the College of Engineering and Computer Science, the Graduate College, the Harriet L. Wilkes Honors College, the Charles E. Schmidt College of Medicine, the Christine E. Lynn College of Nursing and the Charles E. Schmidt College of Science. FAU is ranked as a High Research Activity institution by the Carnegie Foundation for the Advancement of Teaching. The University is placing special focus on the rapid development of critical areas that form the basis of its strategic plan: Healthy aging, biotech, coastal and marine issues, neuroscience, regenerative medicine, informatics, lifespan and the environment. These areas provide opportunities for faculty and students to build upon FAUs existing strengths in research and scholarship. For more information, visit fau.edu.

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Nations Newest Physicians Graduate Virtually in the Midst of COVID-19 - Newswise

Rowan University adopts test-optional admissions policy for 2021 – Rowan Today

Rowan University is joining the ranks of many of the nations top colleges and universities in adopting a test-optional admissions policy for 2021.

The decision to make the SAT or ACT exam optional stems from the struggle high school students face this spring to take those tests the COVID-19 outbreak has made sitting for an exam difficult or impossible.

Many students and families face challenges due to the pandemic and this policy will alleviate some of the stress involved with the college application process, said Dr. Jeffrey Hand, senior vice president for Student Affairs.

Many top colleges and universities, including Yale, Brown, Cornell and Harvard announced in recent weeks a decision to suspend, for one year at least, the requirement for prospective undergraduate students to submit the standardized test scores due to challenges in scheduling for them.

Rowans decision to go fully-test optional, and to rely on other means such as high school grades, activities and essays, would apply to freshmen applicants seeking admission for spring or fall 2021.

Rowan has had a test-optional admissions policy for several years, but it has been limited by major and required a minimum 3.5 high school GPA.

Exceptions to the test-optional policy include students seeking admission to Rowans 3+4 medical program through Cooper Medical School of Rowan University or the Rowan University School of Osteopathic Medicine;homeschooled students; and students applying for admission with a GED.

While Rowan has always taken a holistic approach to applicant evaluation, more emphasis will now be placed on transcripts, curriculum, GPA, recommendations, essays, activities and leadership, Hand said.

For years, the SAT and ACT tests have been falling out of favor with admissions officers nationwide with many believing that high school transcript, GPA and curriculum provide a better assessment of future success.

For more information, please visit the Rowan University Admissions page.

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Rowan University adopts test-optional admissions policy for 2021 - Rowan Today

What To Know About Dating Someone In Medical School – MadameNoire

Source: Jose Luis Pelaez / Getty

Theres always been a tremendous amount of honor in working in the medical field, but I think we all feel a heightened respect for those doing so now, during the COVID-19 pandemic. We always knew, to some extent, that doctors and nurses do something very similar to firemen, in that they walk into the situation from which everyone else is trying to escape. Nobody hopes to wind up in the hospital. But every day, doctors and nurses go there, intentionally, knowing theyll witness some horrifying things. Theyll also witness some beautiful things, but they know theyre embracing an emotional roller coaster thats beyond comprehensible to those who dont work in this field. And then, there are those quieter heroes who maybe we dont talk about as much: those behind the doctors and nurses. Their loved ones who support them. Their family and friends and romantic partners who give them the strength to keep going. Thats no small task, either. If youre romantically involved with someone in this field, you know what its about. Now, if youre involved with someone currently in medical school, that is its own heaven and hell. Med school is quite a bit like training camp for the military: every day is meant to be like the hardest day on the real job may be, so theyre prepared for when those days come. Here is what to know if youre going to be with someone in medical school.

via GIPHY

Youre entering what will feel like the waiting room or lobby of your relationship. Youre not fully in it right now. Its just on the other side of some doors. You can see it and taste it. Its right there. But now, you have to wait. There is no semblance of a normal relationship when youre with someone in medical school.

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What To Know About Dating Someone In Medical School - MadameNoire

OC Medical Association and Local Disease Experts Argue County Supervisors Should Have Kept Mask Order – Voice of OC

By Spencer Custodio | 9 hours ago

Infectious disease experts and the Orange Countys Medical Association said Orange County Supervisors shouldve kept their public health-related mask order in place as more businesses are slated to reopen during the novel coronavirus pandemic.

Editors Note: As Orange Countys only nonprofit & nonpartisan newsroom,Voice of OCbrings you the best, most comprehensive local Coronavirus news absolutely free. No ads, no paywalls. We need your help.Please, click here to make a tax-deductible donation today to support your local news.

I think theres compelling evidence now that masks are important, said Dr. Tom Cesario, a former medical school dean at the University of California.

Cesario is also an infectious disease expert.

OC officials said enacting a mandatory mask order would be the last line of defense against state officials again closing down large swaths of the economy if virus case counts see a dramatic spike.

We dont have a vaccine, the treatments are marginally effective at best and in very short supply. We have to do the best we can to just prevent it that means social distancing, masks, quarantine, contact tracing. Thats all we have to protect the majority of people, particularly the most vulnerable, Cesario said.

UCI epidemiologist Andrew Noymer has consistently echoed the same sentiment for weeks.

People should absolutely mask, thats clear, Noymer told Voice of OC earlier this month. Mask, mask, mask, mask, mask.

Former Health Officer Dr. Nichole Quick issued a mask order late last month as dine-in restaurants and shopping centers were reopening. But she faced blowback from Supervisors and residents on the order.

OC Health Care Agency Director, Dr. Clayton Chau, took over for Quick after she abruptly resigned following a series of threats, including one during a public meeting that Supervisor Michelle Steel deemed a death threat.

Chau walked the mandatory mask order back last Thursday and masks are now a strong recommendation.

The Orange County Medical Association condemned the Countys handling of the mask situation.

We think the mandate should have stayed in place and we came out very strongly the night after Dr. Quick resigned understanding that she resigned because of the numerous personal threats on her and her family, which we find disgusting to say the least, association executive director Jim Peterson said in a phone interview.

Our stance is that public health policy should be made by public health experts and that facts and science should override political considerations, even though we all know that is a reality, Peterson said.

The Buena Park-based United Food and Commercial Workers Union Local 324, which represents more than 22,000 grocery and other service employees, is calling on cities to require masks.

It is irresponsible to take such action as businesses start to reopen, and as COVID-19 cases continue to rise. It is a critical time and Orange County needs to take a stand for what is right for the sake of our communities. We will continue to call on our local cities to lead where the county wont, said local union president Andrea Zinder.

A large concern has been centered around Disneylands phased reopening plans beginning next month. Disneys two Anaheim theme parks, Disneyland and California Adventure, employ over 30,000 people.

The multinational entertainment giant released updated health guidelines Monday, mandating all employees and customers are required to wear cloth masks inside the park. Everyone will have their temperatures checked before entering Disneyland or California Adventure.

Because of all the business closures, Anaheim is facing a projected $75 million budget shortfall this upcoming fiscal year and is expected to make citywide cuts.

The shutdown has impacted so many workers and businesses. You can help by visiting your favorite Anaheim restaurant and store. And soon our theme parks and hotels. But we need to be safe and very responsible, Anaheim Mayor Harry Sidhu said in a Facebook video.

We urge everyone to wear a face mask, keep social distance and do everything we need to do, he said.

Cesario said cases are on the rise in OC and the state.

My feeling is this. I got to tell you the epidemic has not gone away. You look at the California curve, it keeps going up. Orange County had the highest single day this weekend for new cases, Cesario said.

This past Sunday saw 299 new cases in OC, the highest daily increases recorded so far.

Meanwhile, the virus has now killed 243 people out of 9,197 confirmed cases, according to Wednesdays updated numbers from OC health officials.

There are 300 people hospitalized, including 137 in intensive care units.

Nearly 4,200 people have recovered so far, and just over 187,000 tests have been conducted throughout OC, which is home to roughly 3.2 million people.

Cities with large working class neighborhoods, like Anaheim and Santa Ana have been hit hardest by the virus.

Anaheim, OCs largest city thats home to nearly 360,000 people, has 1,754 confirmed cases.

Santa Ana, which is home to roughly 337,700 residents, has 1,977 confirmed cases.

Taken together, the two largest cities account for 40 percent of the total cases in OC.

Some are questioning whether or not Disneyland is reopening too quickly.

Nearly 40,000 people, and counting, have signed an online petition to halt Disneylands reopening. The petition, started by an anonymous group, cited concerns over the rising virus deaths, hospitalizations and confirmed cases.

We have to take into consideration the problem remains. I do understand that people have to get back to work, Cesario said. If that is the case, you have to make accommodations which is social distancing. And if you cant social distance you absolutely have to wear a mask. I think if they cant do that, they shouldnt let people in.

Disneyland employees have also reached out to Voice of OC, sharing similar concerns.

Im concerned about the training aspect, because itll be about four months since anyones touched an attraction, one employee said. I think were opening up too early.

They also said theres been no communication from managers or the union on potential retraining employees for best practices during the pandemic.

The union representing Disneyland employees, Teamsters Local 495, didnt respond for comment.

Councilwoman Denise Barnes said the union should get involved and work with Disney to address employee concerns.

Im no mind reader and if the cast members and employees need reassurance, then I would hope that their union and own company would give them that reassurance. And I would also look for the County to put their blessing on it also, Barnes said.

And Disneylands phased reopening, which the company hopes to begin July 9, also needs a blessing from state health officials before its official.

Steel, at a news conference last week, said shes lobbying state officials to allow OCs theme parks Disneyland, California Adventure and Knotts Berry Farm to reopen.

Cesario said he understands the need to reopen Disneyland.

It would be better if we didnt have to open it up, but with economic pressure, I understand the need to do that.

Peterson said other parts of the country have shown the dangers of reopening too quickly.

What were seeing right now in our country is the number of states and counties who, on Memorial Day, relaxed restrictions. And were seeing whats happening there in Texas, Arkansas and Florida, Peterson said. Theyre having to pull back because numbers are climbing, drastically. So theyre having to rethink these policies.

He said the same thing could happen in OC if safety measures go unchecked.

Were a little considered from the physician community that we might have to do the same thing as well and that is going to be a very heavy lift in the community.

Heres the latest on the virus numbers across Orange County from county data:

Spencer Custodio is a Voice of OC staff reporter. You can reach him at scustodio@voiceofoc.org. Follow him on Twitter @SpencerCustodio

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OC Medical Association and Local Disease Experts Argue County Supervisors Should Have Kept Mask Order - Voice of OC

Medical Students Teach Science to Kids of Hackensack Meridian Parents – Seton Hall University News & Events

Denis Colceriu, 8, the child of a Hackensack Meridian Health employee, learns about buoyancy from Hackensack Meridian School of Medicine at Seton Hall University students virtually.

The kids cackled happily, and danced around the room as they added pennies to their tin-foil boat, in a small tank of water. Dozens plunked into the seaworthy craft before it finally took on water and sank. But the boy and girl, Denis Colceriu, 8, and his sister Alexa, 6, were thrilled to watch it go.

Through the computer screen, their teachers for the afternoon, first-year medical students Nicole Feigenblum and Simmy Panesar, cheered them on in amazement.

"Science is like magic but it's real," said Panesar, during the May 28 lesson.

The session was part of a new initiative called the NJ COVID Care Team. Panesar and Feigenblum are two of nine Hackensack Meridian School of Medicine at Seton Hall University students who plan to give back to their practicing colleagues, by teaching the children of doctors, nurses and team members in the Hackensack Meridian Health network through group workshops and tutoring sessions, physical education breakouts, and even story time.

The team says they are giving back to the people who are doing so much amid the COVID-19 pandemic.

"As medical students, we have been thinking of ways to help our Hackensack Meridian Health community that could be implemented safely," according to the group's website. "Our goal is to lessen the burden on you, by providing virtual sessions for your children. We are constantly looking for new ways to help, so we welcome suggestions and feedback."

Denis Colceriu, 8, the child of a Hackensack Meridian Health employee, learns about buoyancy from Hackensack Meridian School of Medicine at Seton Hall University students virtually.

That first session was entitled "Buoyancy: Things that Float and Things that Don't!" and it was focused on density, weight, volume and how they all factor when objects enter water. For an hour, the children learned the terms and then put the learning into watery action.

Additional upcoming virtual events will include story time, rounds of Jeopardy, and still more hands-on science experiments, all conducted from afar.

The other students involved in the program include Ora Batash and Lauren Valentine, the pair who first conceived of the program; as well as Jay Zaifman, Allison Zuckerberg, Caitlin Sarubbi, Teona Iarajuli, and Tai West.

The medical students, who have been receiving their education "virtually" rather than in-person due to the social distancing regulations undertaken by essentially all medical schools in the nation, initially wanted to provide childcare volunteering services. But, like at other medical schools, the in-person options were limited. As the students realized how effective virtual teaching could be, they decided to offer their new science curriculum to young children through this approach.

The virtual learning possibilities came together, and the group of students, all of whom have varying interests, came together quickly.

"This team sprung together in a day," said Valentine. "We always wanted it to be a way to give back to Hackensack Meridian Health providers."

"This whole situation has called for people to step up in different ways, and in different roles," said Batash. "Medical students are being pushed to show up as more than just fulfilling our duties until we get to the end of this learning process. Childcare or tutoring can be a way to give back to our community, and also be part of our responsibility."

Plans are currently to expand the sessions even beyond the pandemic era, since the resource could be helpful to the health network providers.

The mother of Denis and Alexa, Andrada Pop, is a physician practice compliance specialist for Hackensack Meridian Health. She said the medical students' efforts make a quarantine lesson worth remembering, every time.

"The kids liked it a lot, as it was something different than our everyday. The science experiments are always very fun for them, as the words become things they can see and make sense of them," said Pop. "We are totally supportive of their initiative. We feel their time is well invested. In my opinion, kids will always be more receptive to teachers' than parents when it comes to school work and learning."

All Hackensack Meridian Health team members who may be interested in taking part in the sessions with their children of all ages can discover more at NJCareTeam.org.

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Medical Students Teach Science to Kids of Hackensack Meridian Parents - Seton Hall University News & Events