Professional Documents
Culture Documents
First at all, I am a father of 2 beautiful children, both under 2years age and I
love spending time with them. they have cultivated*taught me’\option
patience*patinces, love, caring.
Second, With my wife we participate helping an association called in
spanish patitas al rescate * in English little footprints to the rescue*, it is an
association for helping abandoned dogs on the streets in my city Arequipa.
Finaly, another thing that I wanna say, During my clinical rotation in the US I
meet Dr Pablo Perez a Peruvian physician working in the USin internal
medicine who has a research center in Dalton,Georgia I participated
helping in research in the study called nash … A Randomised, Double-
blind, Placebo-controlled, Multicentre, Phase 3 Study Evaluating
Efficacy and Safety of Lanifibranor Followed by an Active
Treatment Extension in Adult Patients With Non-cirrhotic Non-
alcoholic Steatohepatitis (NASH) and Fibrosis Stages F2 and F3
and my function was help to clasificate the hepatic fibroscan results and fill
de database, the study it is interesting for me because NASH is an
important part of the metabolic syndrome and risk for CV diseases. It
experience called my attention about the process of the clinica trials , and it
would be so interesting in continue learning more about that.
I love the process of the differential diagnosis and unifying of the many
symptons in one diagnosis, overall in complex cases is a pleasure to me. I
think it is an art and the way that I could see in internal medicine during my
medical school and residency in cardiology always was CAptivating for me.
Internal medicine is an umbrella specialty for many others subspecialties,
and I think it will help me in the future to have more structure vision about
medicine.
There aren’t really any things that I don’t like specifically related to internal
medicine, but probably one of thing that sometimes I felt frustrated is that
the internal medicine is so broad specialty and in constant actualization and
it is difficult to have all the knowledge, but I think to make internal medicine
in the US in your program will help a lot in try to reach and improve another
medical status with more knowledge and systematic way in order to help
more patients with a high quality.
I have 2 principal passions in my life, first I love spend time with my family, I
enjoy to do activities with them at home and go outside, or travele with
them. Another passion is practice calisthenics everyday it helps me in to
mantein a healthy state and relax. Calisthenics workout I use bodyweight
movements to build strength, flexibility, and endurance. Exercise such as:
Pushup, Dip, Handstand, Pull-ups
Squat, etc
10. What are the areas that you need to improve upon?
WEAKNESS AREAS:
I am a quite introverted an was limiting to network and communicate with others
and speak to big groups or network with other people I feared that would impact
have an impact on my career and I wasn’t about to let that happen so I push myself
and involvement in different activities team based work and that helped me come
out of my shell and made me more confident when dealing with people , you know
that served me really well and at this point I am able to confidently relay my
thoughts and my concerns even in big groups without feeling shy or nervous
Difficulty maintaining work life balance someone might be like you know in my ….. I
was just overwhelmed with work and studying for exams and doing research ,
extracurricular activities and that I was compromising my health and my overall
wellness and my connection with my family and friends you know I learned from
that and I made it a point to set aside some time for myself whether exercising or
spending time with family and friend and I felt that that made me feel better maybe
more productive at work and stuff like that you get me so
12. Who would you consider a role model in the field of IM?
13. What is the most recent book you've read? Tell me a little bit about this
My biggest weakness right now is the fact that I am not in residency in the
US you know, I’ve completed my residency in Peru in 2019, and I should be
in residency in the US right now, I am not, so, there is going to be a gap
which I am not happy about it okay and I am here trying to do my best for to
get an specialty in the USI I believe that´s my first and then…
the second weaknesses you know I have only 2 months of hands on
experience in outpatient and no in inpatient , but when I performed my
observer ship in CCU in a hospital I can see the reality and I wanted to do a
hands on rotation in internal medicine for to have close experience in this
specialty, but I had some problems to get the visa how consequence of the
pandemic.
WEAKNESS AREAS:
I am a quite introverted and it was limiting to network and communicate with others
and speak to big groups or network with other people I feared that it would impact
on my career and I wasn’t about to let that happen, so I push myself and
involvement in different activities team based work, uhmm also a clown workshop
and impro workshop in my country and that helped me come out of my shell and
made me more confident when dealing with people , you know that served me
really well and at this point I am able to confidently relay my thoughts and my
concerns even in big groups without feeling shy or nervous. And look me right now
I am talking with an important( PD/Attending in the US)
Difficulty maintaining work life balance someone might be like you know in my ….. I
was just overwhelmed with work and studying for exams and doing research ,
extracurricular activities and that I was compromising my health and my overall
wellness and my connection with my family and friends you know I learned from
that and I made it a point to set aside some time for myself whether exercising or
spending time with family and friend and I felt that that made me feel better maybe
more productive at work and stuff like that you get me so
Always I heard that the medicine in the US is one the best in the world , I am
a person in constantly improving personally and professionally. The
excellent practice in medicine I noted during my medical rotation in the US
reinforce this idea, a big difference in a new health system with high
technology, resources, specialties and subspecialties, high academic
training for example in my country there are no programs with formation in
interventional cardiology and it is one of my future goals. Also a noticed new
medication that I cannot find in my country right now. The medicine practice
is more according to the current guidelines
I feel like the primary care system is much better developed in the US. In my
country I have noticed that patients tend to go more directly to specialists because
the system is not such that there is a family doctor for almost every family as in the
United States, so a bigger difference that I have noticed is patient in the US are
more involved in their care , they tend to ask ,you know, questions, they tend to be
aware seek second opinions, seek more information about the treatment option
and so on, that was not something I saw in Peru you know , patients seem to be
more accepting of whatever advice or treatment that there are prescribed by the
physician that questioning it too much but I think it is important to highlight that
patients have the right information , patients have the right to ask questions about
their care so they can understand the different aspects of their care best
16. Tell me about this paper you published (If you talk about the publication tell about
what inspired to do this publication and trying to answer blab la bla and I would like to tlk
very broadly what the method of methodology)
My previous cardiology training will help the program with some capacitation
about ekg because I have seen many people during my medical school and
career have difficulties to interpreted ECG, also we can share different
cardiology topic and share my knowledge with my co residents
(l would like to share many cardiology topics with my coresidents)
I would like to be a Condor it is a big bird who lives in the andes mountains
in south America, my city is one of the reservoirs of this special animal. I am
feel identify with that because it has an Andean Origen like me, and also it is
magnificent during its large trips through countries in the south America I
think I am perseverant and always give the best of myself to reach long
journeys like a condor but in my medical career and in my personal life
Behavioral Q
5. What would you consider your most difficult case, and how did
you handle it? / Tell me about a case that taught you a lot
Think -----
6. What do you think your peers would say about you? - Difficult Q
They would say that I am a person that continuing try to improve
himself (my friends). that I loved the medicine (my family).
Compassionate person (my patients)
7. What do you think the nursing and ancillary support staff would
say about you?
That I am good work partner, calm to make decisions in difficult
situations and I always like horizontal dealing between all
workers.always I try to work in a good environment , I know that
the good relationship in the team is refleted in the good
outcomes in our patient . an d also it is metal health
10. Tell me about a time when you had to deal with a difficult
attending physician /co-resident / tell me about a time when you
were really upset by the words or actions of an attending or
resident / Tell me about a time when you had a personality
conflict with another team member how did you deal with it –
--------
15. (a)How would you deal with a fellow resident who is not doing his
share of the work / (B)Tell me about a time when you had to build
a relationship with someone you didn't like /(C) Tell me about a
time when you are able to successfully work with another person
even when that person may not have personally like you
A. Talking with the resident, explain the necessity of
team work and perform their tasks, also I should
listen his reasons , probably he has family
problems . If my college persists on this I should
report the situation to my chief of residents.
B. Hh
C. During my trinig in cardiology I didn’t have good
relation with another resident but we received the
order to my chief of resident to work together in a
recollection and data procees in the study bout
RDW(red blood cell distribution width) and
relation with the severity of endocarditis. we
worked successfully and the publication was in of
the journal of the cardiology Peruvian society.
We had a cordial relation durgin the processes
and we were very happy when we saw our work
in the journal .
16. Your colleague is abusing alcohol or drugs how would you
handle the situation
First decision is to avoid the damaged patient from him or her,
talk to my collegue about in order to help, but this causes of
subsutances abuse must be informed to inmediate chief and also
to the board in order to help the college and protect the patients
17. (A)Tell me about a clinical situation that didn't go as well as you
would have liked / (B)Tell me about a time when you handled a
stressful situation poorly
(A) At the beginning of the pandemic I was working in a
rural hospital I had a patient with heart failure and AF
with anticoagulation, the heart failure was compensated
, but the patient had a hematemesis and then aspiration
of the blood to her lungs , the oxygen saturation in 60%
I had to intubate and put then in the mechanical
ventilation, beavuse it was a rural hospital it didn’t have
the condition to manage this case at this moment . the
next step was refer to a another complex hospital but
for the pandemic I had many difficulties to made the
reference, I didn’t have enough tools to gave care to
this patient it was so frustraintng and my patient was
going worse she was referred until the 5 day of
intubation . unfortunately she developed multiorganic
failure and death in the 15 days of hospitalization
(B) During my first week of my cardiology trainnning I
recived the indication to retire a femoral catheter my
chief of resident gave me only verbal indications about
the procedure but I never performed this procedure
before . I retired the catheter alone and the patient had
a shock and bleeding trhoguth the femoral artery
Affortunately I can to talk other reisdnts and they helped
me at this moment . it was an experience that taught
me a lot about the necessity to pe4rforme d procedure
after see many times how to performed that and always
we need someone to assit if we performed invasive
procedures.
18. Tell me about a time when you became really angry over
situation at work
I remember durong the pandemic I worked in the ICU covid , I
had patient with the set in their ventilator in the volume mode and
high peak pressure around 50mmhg it is so high with the risk to
cause trauma in the lungs and I changed the modalitiy to
pressure mode and changed the parameters in the ventilator
during my medical round. The physician of the night changed the
parameters besides I explain my reasons and the patient
worsened and presented a pneumothorax. I had to talk with the
chief of this ICU because my college caused damage in the
patient besides my advices.
19. Was there a time during rotations in which you didn't feel like part
of the team how did you handle the situation
Always I felt part of the team , but during my first rotation I had
many other observers from india and it situation was difficult to
underastand their accent at the beginning and I felt a little
frustration , but I put all my effort to understand their accent and
in the following days it was very good , during my next 3 weeks I
could make excellents friends learn about their culture and eat
their delicious foot .
18. Tell me about a time during rotations in which you went above
and beyond
During my rotation in CCU in Miami I had de opportunity to
contribute in help to my pstient , female 56 with heart attack post
cardiac catheterization the arteries were ok , but my patient had
a past medical history of dementia and pacemarker placed 12
years ago. My patient was going to be discharged, but I check
her medical record in detail and I could see and electrical defects
in her ekg and also I thought that my patient that came from
nursery home probably doesn’t have checks of her pacemarker. I
talked with the cardiology fellow about that and we performed the
interregoation and owe found that the battery was very low. The
patient underwent to change of the pacemarker generator the
next day and then go home.
I felt very confortable to participate actively in the process and
changed the course of the life of my patient .
18. Describe to me a time when you received an evaluation with
which you disagreed
------
19. Your senior resident insists on a treatment plan you feel may
harm the patient what do you do
The fist action is talking with seniors and show clinic evidence in
the current guidelines about the situation and explain my point of
view, In the case that my seniors doesn’t understand my position
I should talk with my attending and explain the case and show
the evidence in order to support my suggestions
23. Have a case ready to present: you need not and probably should
not choose the most difficult or challenging case you've
encountered instead choose a patient who made an impact on
you make sure you can answer the following questions:
END : thank so much for this opportunity I have a great time today and I hope that
we keep meeting and I get a chance to work with you and we would build a good
bond and we would be able to work very nicely for the next 3 years .
TIPS:
- you need to mentioned during your speech very specific words such as:
empathy, communication , team work, giving back to community,
- don’t forget hands action
- if you don’t know the answer: wow dr . XXX you hit me with a hard one there let
me ponder on that for a second. (SMILE, JOKE)
Webinar notes:
- An ethical dilemma can be in the pandemic I had to choose who patient
will live … it is the idea
The patient had lung complication .. the problem was preventable by lowing
the ventilar pressure
I explained what caused the problem and propuse solutions
GPT openai
Doctor: You are speaking with the son/daughter of a patient (their father)
who was admitted yesterday due to unexplained severe swelling of the knee
and fever. Test results show that he has a staphylococcus aureus infection
(golden staph), likely contracted after hernia surgery he underwent one
week ago at the same hospital. · Explain the test results and the effect the
infection has had on their father (e.g. septic arthritis in the knee causing
swelling, endocarditis or inflammation of the inner surface of the heart which
led to fever). · Explain the possible cause (i.e. very common type of
bacteria, can enter the body after surgery via the wound). · Express your
regret about the situation and explain that all necessary measures were
taken to prevent infection. · Advise the carer about the first line of treatment
(antibiotics). Most staph infections will respond well to this. Notify the carer
that their father will need to be isolated to protect other patients. · Reassure
the carer that they will still be able to see their father, and the isolation is for
the welfare of other patients.