Sunday, October 4, 2020

Medicine learning competencies through a USMLE LOR lens 2

Dear Program Director,


It is with great pleasure that I endorse Dr. ______, one of our very bright students, for your Internal Medical Residency Program. 


I currently look after the Department of General Medicine at xyz Institute of Medical Sciences and other than a graduate residency training and undergraduate program, we also host a global elective learning program supported nominally by the BMJ group detailed here: https://promotions.bmj.com/jnl/bmj-case-reports-student-electives-2/


Our department has known ______ since her second year General Medicine rotations, and she has interacted with us most heavily in her final year posting in General Medicine. 


As part of her clinical rotations, she was assigned a medical ward and single handedly managed the case study, care, report follow up, and diagnostic work up of more than twenty in-patients at a time. One such 11:00 AM to 1:00 PM regular ward round with students like her is archived here: https://youtu.be/ls-h6vdW4XU


Her interest in the subject went far beyond the necessary academic requirements and led to many in-depth discussions in the 2:00 PM to 4:00 PM sessions archived here: https://www.youtube.com/playlist?list=PLvOgc9_v4PCKsIrVK4laA3_rUJOMPAYKJ


During her rotations, she along with her batchmates submitted records documenting many cases she examined—including Rheumatic heart disease with valvular defects, diabetes, liver cirrhosis, pleural effusions, and cerebro-vascular accidents leading to hemiplegia. Many such cases are recorded in the virtual case bank hosted by the post graduate residents of our department to which our students and interns regularly contribute and is linked here:https://karnativaishnavi.blogspot.com/2020/09/httpsmedicinedepartment.html?m=1


Her unit team members report being impressed with her systematic and meticulous approach to assessing a large caseload, and are certain that she has a strong aptitude for the internal medicine field. 


______ has undergone intensive training in acute medical care, Basic and Advanced Life Support, and can handle most medical emergencies efficiently. 


She has imbibed from our department a patient centred approach to medical care, and shall always makes it her priority to ensure their comfort. 


______ was also an active participant in the pulse polio program among several other social and welfare activities conducted regularly by our hospital for our rural outreach population. 


She was even part of a select group of students who wrote up case studies of patients similar to what has been published by our students here:https://casereports.bmj.com/content/13/9/e233197.full?ijkey=j97rohET1rNJeZm&keytype=ref


I am confident that her strong subject foundation and passion towards the profession will make her an irreplaceable addition to the medical community and I whole-heartedly recommend ______ as an excellent candidate for your Internal Medical Residency Program. 


best regards,