Category Archives: Family Medicine Stories

Taking Baby Steps to Success

Kehinde Eniola, MD, MPH

Kehinde Eniola, MD, MPH

It takes baby steps; do not be in haste to accomplish your goal. And when it seems your goal is unattainable, never give up.

This motto is what I lived by during my journey as an immigrant from Nigeria on my way to becoming a family medicine faculty member.

My baby step to success began back in 1997 while getting ready for college in Nigeria. I was enrolled in a predegree course in basic science with the intention of getting into college to study agricultural economics. However, as fate would have it, I completed my predegree course with excellent grades and I qualified to enroll in medical science.

In my first year, I quickly realized that it takes a devoted mind and a committed heart to be successful in the field of medicine. And on top of the rigors of medical school, I endured years of studying in the dark due to inadequate electricity supply and frequent school closure due to rioting and lecturer strikes. However, despite all the hardship, I was focused on one goal: becoming a medical doctor. In 2006, I graduated from medical school and shortly after I relocated to the United States.

One might wonder “why relocate to the United States after completing medical school?” Right after medical school, I applied to various medical institutions in Nigeria for a medical internship position. After multiple attempts to get into one of these institutions failed, I decided to relocate to the United States to further my medical education. Many questions crossed my mind: What if I do not pass the required licensing exam to further my medical career in the United States? What if I cannot afford to pay for the licensing exams? What if… What if…  Some international medical graduates say that it is challenging to get into a residency program; others recommended going for a nursing program instead, to make ends meet while trying to get into a medical residency program. Despite my fear, I summoned courage and began the process of getting into a US residency program. 

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Family Medicine Educators Need to Lead on Eliminating Race-Based Medicine

Andrea K. Westby, MD

Andrea K. Westby, MD

The practice of medicine—the traditions, diagnoses, treatments, and guidelines—is ever-changing, with new research and information flowing into clinical care at a pace that rivals the turbulence and abundance of a mountain stream in the spring. We now acknowledge human papillomavirus infection as the primary driver of cervical and now oropharyngeal cancer. Hormone replacement therapy is no longer routinely recommended for postmenopausal women. Rate control is preferred over rhythm control in atrial fibrillation. Prostate cancer screening is no longer reflexively ordered for adult men.

However, as we look back at the past hundred years, our profession has been glacially slow to release the vice grip that the concept of biological race has had on our science and our medical practice.

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Breastfeeding Behind a Bookshelf

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Laura Bujold, DO, MEd

The office is about to open when my office manager—I’ll call her Sally—walks up to me and says, “Did you see the pumping space I made for you?”

“No,” I respond. Sally and I walk in the door to an office that holds two nurse triage personnel. There is a rod with a shower curtain hanging that exposes a 3 x 21/2-foot area at best. One of the “walls” is the bookshelf and the other two walls are the corner of the office. The fourth “wall” is the shower curtain. Sally says she bought the supplies herself, smiles, and then leaves.

I run to grab my pump and pumping bag while panic consumes my confusion. There is no room for my pump. Even in a true office space, I could barely manage enough room for the pump, tubing, flanges, bottles, paper towels, water, and nursing bra, let alone the cooler for the milk.

I move quickly—my first patient will be here soon. I search the office for a small table and I find one in the bathroom; I put it immediately outside the homemade cubicle. I put my pump on the table. The electrical cord to my breast pump doesn’t reach any of the outlets. My heart skips a beat. My patient will be here any minute. I move the table toward the closest outlet. With the breast pump’s electrical cord completely extended and the tubing stretched, my pump is plugged in but it is sitting about 1 foot outside of the cubicle.

In order to breastfeed and meet patient access demands, I am dividing my lunchtime throughout the office day to pump. However, this dedicated pumping time frequently gets booked with patients. When I ask for the patients booked in my pumping times to be rescheduled, I am told “Oh, you can’t see them?” or “Are you sure?” or “But there isn’t another time available in your schedule.”

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