Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you’ve seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, anything that will enhance learning in the online classroom.
While reading the chapter on the Self-Efficacy Theory by Dr. Hayden (Hayden, 2019), I realized that different constructs applied to my personal story. Gastroenterology is one of the most competitive subspecialties in internal medicine (NRMP, 2020). The position offered from various programs is at least 95 percent filled. I have always wanted to become a gastroenterologist ever since I started medical school. When I applied for the first time for gastroenterology training after my internal medicine residency training, I did not match into a program. I was devastated, felt humiliated, and lost my self-confidence. Despite having achievements and awards, I thought I was not good enough to get into a gastroenterology program, and gastroenterology was not the right subspecialty for me. I was about to give up that dream when my mentor, a gastroenterologist, told me not to give up. She is also a world-known hepatologist who was the Chief of Medicine. She said that what happened to me was just a roadblock, and this should not discourage me from what I wanted to be (verbal persuasion). She re-directed my attention to helpful, more successful directions. I attended the annual gastroenterology convention and met other Filipino-American gastroenterologists who succeeded in the US (vicarious experience). The following year, I thought about whether I should apply or not. I have so much anxiety, worry, and fear (emotional state), and lots of doubt; what if I don’t make it again? Despite that, I applied, and this time, I added research publications to my curriculum vitae with the help of my mentor, and I finally got into a program. And the rest is history. Currently, I am a full-time gastroenterologist and transplant hepatologist working in the VA, serving the veterans. I love my job; looking back, I would have given up if not for the encouragement from my mentor and seeing how other Filipino-Americans can succeed here in the US.
References
Hayden, J. (2019). Introduction to Health Behavior Theory Third Edition. Massachusetts: Jones & Bartlett Learning.
NRMP. (2020, December 3). Press Release: NRMP Medical Specialties Matching Program Appoints 5,208 Residents To Advanced Training Positions. https://www.nrmp.org/press-release-nrmp-msmp-2020/
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