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Dr. Forch’s wake-up call to the medical school (opinion)


At that time, as a medical student, I didn’t fully understand the importance of his statement. But with the rapid spread of Covid-19 affecting communities across the country and exposing the disparities within our health care system, Dr. Forch’s words took on a whole new meaning.

On March 20, 2020, I became known to medical students as Match Day and I learned that I participated in my Best Residency Program. I became a physician at Thomas Jefferson University Hospital in Philadelphia.

Jefferson was my first choice for many reasons. For starters, it’s close to my family in Pennsylvania. It is also a hospital specializing in medical education, healthcare innovation and the highest quality patient care. But most important to me is that Jefferson embraces diversity and inclusion. Because it helps many low-income, marginalized people.

That is part of the reason Jefferson serves such a diverse community. Its flagship hospital is located in Center City, a nearby food and cultural center of downtown Philadelphia. The area is home to a large LGBTQ community, as well as a thriving African American, Asian and Latino community.

Some communities, including the Black Community, remain the few underserved in the city. And that reality is clearer than the outcome of healthcare. As stated in the 2019 city report,City healthBlack men and women in Philadelphia have the shortest life span in the racial groups in the town. Black men are also more regularly affected by heart and kidney disease, and black children are hospitalized for asthma attacks.
But I was still a few months until I was able to jump into a new career and help Jefferson deal with some of these health care consequences after I got a match. But there were obviously complex factors — the case for Covid-19 is on the rise, Over 1,000,000 America, and a few weeks before my graduation.

When I finally arrived on virtual graduation day, I helped lead the class and take the Oath of Hippocrates. Graduation was undoubtedly a lot of accomplishments over the last four years, but it also gave me time to think about the new challenges and opportunities to become a resident physician in Philadelphia during this pandemic.

We have found that health care disparities affecting Philadelphia’s color community are clear, if not clear, throughout Covid-19. Of the 25,443 coronavirus-positive patients in the city as of late June, black residents Occupied Just over 46% of cases. Make up 40% people’s.
They were also more hospitalized than other racial groups and were much more likely to encounter serious complications from Covid-19. And black patient Occupy more than half Percentage of coronavirus deaths in Philadelphia, according to the city’s Department of Health.
In addition, black and Hispanic patients Low wages or important work In the city, the risk of getting herpes is high. As a result, you are more likely to live in a neighborhood or address where maintaining social distances is difficult.
Of course, Philadelphia’s problem certainly reflects what ethnic minority patients are seeing at the national level, feeling the effects of a pandemic. Greater than Faced more disproportionately than their white counterparts More policing On the issue of social distance.
But these numbers are particularly hard for me. As an internal medicine intern, I Have seen The highest number of Covid-19 cases in the city, according to state data.
An institution that is also responsible for absorbing a large number of patients (the majority are under-treated) later Rounding out last year Of Hahnemann University Hospital in Center City. And, while worried about my own risk of exposure, there is further concern about these significant racial disparities in health care in both Philadelphia and the United States.
To be an effective healthcare provider, my colleagues and I have to do much more than treat patients at the patient’s bedside. We must look for gaps that affect the communities in which we serve. Social determinants The state of health, the complex situation in which people are born and alive, plays an important role in health outcomes. And factors such as access to health care, affordable housing, balanced eating options, clean water, and racial prejudice all affect overall health.
As a new medical practitioner rooted in new cities and towns, my fellow graduates and I need to work together with this future patient to build relationships and strive to understand both personal and community needs. there is. And as doctor advocates, we Can press It focuses on respecting and trusting culture, including improving accessibility to quality healthcare, increasing community involvement from other healthcare professionals, and increasing education about resources available to patients.

In addition to the larger systematic issues in healthcare, Dr. Forch’s words speak to the city within the walls of healthcare facilities, especially to my fellow immigrants. Most of us have a new group of doctors who rely on support and morale when it comes to visiting hospital floors, intensive care units, and patients caring for Covid and non-Covid patients. In addition, with the help of fellow medical graduates and mentors who have taught us how to adapt to ever-changing situations, we have provided the basis for addressing residency challenges within a pandemic. Imminent.

It may take some time to fully understand the role of the doctor until my graduation ceremony in an international infectious disease. I would be happy if I could play the role of. Of the larger community.


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