A young doctor from the Philippines, I became a US citizen in May 2011. I have been working in cardiac ICU and cardio-thoracic units in America for more than six years. My crowning achievement so far, however, of which I am immensely proud, is my publication (Date) in the Journal of the American Society of Hypertension: “Evening Dosing of Anti-Hypertensives to Reduce Cardiovascular Events: A Third Type of Evidence Based on Systematic Review and Meta-Analysis of Randomized Trials.” I am published here in America and hope to continue publishing in various areas related to Cardiology and distinguish myself as a very diligent researcher in our field. I hope that my application to your distinguished fellowship program will be looked upon with favor due to my clinical and research experience, as very strongly that I have a lot to give to the field of Cardiology.
I am, most of all, an extremely hard worker who gives his profession his all. I love working long hours and following instructions, and I excel as part of a team, as I am constantly cheerful and always willing to go that extra mile. I adore performing procedures, and I work well even in stressful situations. I now have extensive first-hand experience in running a highly efficient cardiac ICU. I know what lies ahead of me will be sleepless nights, getting called for a critical patient who is deteriorating or urgently needs a procedure. However, I fully embrace my lifestyle and even find joy in waking up at 2 am for emergencies, still single and totally immersed in my work. The hospital is also my family. I enjoy saving lives and giving patients another chance to spend quality time with family.
I hope to be selected for your program based on my long-term goals. I look forward to serving as an internist at an academic and teaching hospital and participating in the training of medical students and residents. After completing a General Cardiology Fellowship, I intend to pursue further training in Critical Care Cardiology, followed by Heart Failure & Transplant Cardiology, the areas I plan to pursue as an investigator for the balance of my professional life. I also look forward in the future, as a long-term goal, to getting involved with medical missions to my home country, the Philippines, giving lectures, getting involved in educational projects, and giving something back to the land of my birth.
I am determined to excel in cardiology, especially because my father became very ill with heart failure when I was only four months into my first residency training position. My father was found to have severe mitral regurgitation and non-ischemic cardiomyopathy, requiring urgent mitral valve replacement. Although his mitral valve surgery went well, he failed to recover his heart function even months after valve surgery, thus going on to require an implantable cardioverter and defibrillator (ICD). My father's heart disease has been a powerful motivation for my career journey.
Among the special contributions I am privileged to make in my hospital is serving as an active member of the CHF Readmission Committee. By making sure patients admitted with congestive heart failure have 1. their meds before getting discharged, 2. an understanding of dietary restrictions, particularly salt restriction, 3. appropriate and timely out-patient follow-ups with their primary physicians and cardiologists and 4. are aware of warning signs of heart failure recurrence with the proper phone number to call if they do develop warning signs after they get discharged. Our committee has helped us to achieve readmission rates at our hospital that are well below the national average. I find all of this to be enormously exciting, and it spurs me to want to continue to do heart failure research.
I am currently working with my mentor in Coronary Flow Reserve (CFR) and Fractional Flow Reserve (FFR) on patients with discordant myocardial perfusion imaging studies and coronary angiographic findings. We hope to understand better the role of microvascular dysfunction in patients with abnormal myocardial perfusion studies and functionally insignificant coronary artery stenoses (as evidenced by 50-70% stenoses in one of the epicardial coronary arteries or their major branches but normal FFR values).
I seek balance in all things, indoor volleyball in the winter and lawn tennis in the summer, and an occasional escape to nature which I immensely enjoy photographing. Happy, successful, and well-adjusted, I find life a joyous experience that centers on the heart. It would be an honor to be accepted as a member of your team, and I thank you for considering my application to your program.
Fellowship Cardiology, ICU, Filipino Doctor