Interview Assignment

Name; Mokhtar Khaled Elsayed Radwan title D.O (Doctor of osteopathic medicine)

2- start in the hospital Palmetto General hospital at 4 am, begin by evaluating the new admission from the over night service. Starting with patients in the critical care units, obtain their history to evaluate why they are in the hospital, assess their hemodynamic stability then perform physical exams to determine the treatment plan, and consult with the specialists. Then I go to the regular medical floors and repeat the same process, after I am done I write the patients electronic medical records.

3- on a typical day 10 to 14 patients.

4- the education he received was thorough, involved studying different disease processes, and underwent clinical training in his last 2 years in medical school and during the residency years.

5- it is a difficult question to answer because each case is unique and involve people lives. However, I felt comfortable managing different disease process during my first year of residency training.

6- medical terminology is crucial for my filed because it’s a unified method of communication between practitioners. If I write that a patient has a lesion in the right proximal aspect of the upper arm, any other physician will be able to understand the location I am describing. Medical terminology eliminates confusion and facilitates communication.

7- no I wouldn’t change my career because my commitment to medicine was instilled in me during my years of training. I get immense satisfaction from helping people getting better.

8- the most rewarding aspect is seeing patients improving clinically to be able to return to their lives healthy. The most challenging part is the long hours being away from family and social live.

9 characteristic that come to mind are hard work, perseverance, being goal driving, and willingness to sacrifice to accomplish their goal.

10- keeping up with advances in my field is a part of what makes me a good clinician, without continuous studying I wouldn’t be able to keep up with the most current guidelines. Guidelines dictate how to safely manage patients. On average I spend at least an hour a day learning new guidelines.

12- during my undergraduate years in the University of Texas at Austin I volunteered for over 500 hors in three years. During my masters degree at the University of North Texas health science center I volunteered for 200 hors in one year. During medical school year at Nova Southeastern University I volunteered for 150 hours in four years. I worked as a medical scribe for 2 years.

13- my family made a lot of sacrifices for me to become a doctor. I had to miss a lot of social event due to studying, and I had to spend a lot of time far from family. These impacted my personal live, but I always had incredible support from my family and friends which help me eventually achieve my goals.

14- question what one of the hardest medical cases you have to deal with in your internal medicine specialty? From the cases I have encountered in my professional career I am always cautious when managing diabatic keto acidosis. Managing DKA is difficult because you have to have deep understanding of acid/ base status, patients can decompensate rather quickly, and they can have rapid hemodynamic instability leading to death. DKA affect patients breathing, leading to circulatory derangements and eventually shock, which if not corrected rapidly can lead to death. I am also wary of septic shock because it’s multi factorial and can lead to death if not corrected rapidly. Cardiac tamponade can be quickly fatal if not recognized and treated in timely manner.

15- what are the non-medical challenges you have to deal with? Part of the challenges of practicing as a physician involves dealing with insurance companies to ensure that I am able to deliver the best health care for the patients. It requires a lot of resources and time that are entirely independent of medicine and are more administrative. I was not trained during medical education years in how to manage those issues, and it can be quite frustrating.

16- describe one of your interested medical cases? I treated a young lady that presented to the hospital complaining of menorrhagia (vaginal bleeding), she had no previous medical history, I noticed on her complete blood count that she was anemic and had monocytosis. That lead to suspect an underlying hematological abnormality, so I ordered a manual differential and the pathologist suspected Acute myeloid leukemia (AML). I ordered a bone marrow biopsy which confirmed the diagnosis of AML, and she started chemotherapy. If I had treated the vaginal bleeding only I could have missed the AML which would have led her to have significant comorbidities later in her life.

17- what are one of the easiest diagnosis to make? I think one of the easiest diagnosis to make as clinician has to be Acute appendicitis. You can identify acute appendicitis rather quickly based on the history and the physical exam.

18- what are easy suffixes and prefixes you can tell?

-itis : inflammation

-rrhge: bleeding

Chole- anything involving gladbladder

Appy- any issue involve appendix

-lith stone