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Successful Harvard Medical School Essay

I sat in the US Senate’s Hart Building, memo in hand, nervously awaiting my chance to explain the complexities of an FDA draft guidance to staffers working on the Senate counterpart to the 21st Century Cures bill. This FDA draft guidance would, if finalized, increase the regulatory burden on laboratories developing genetic tests. Although nearly all the scientists I interviewed felt this guidance would unreasonably slow the integration of Next Generation Sequencing genetic tests into diagnostics, I learned that their story ignored the many inadequacies which currently plague genetic testing.

As I began to explain my memo, I thought of the first time I watched a doctor offer a genetic test to a patient. Dr. Patel, a geriatric psychiatrist, was offering a test to help determine which drugs might be most effective for her schizophrenic patient. This test seemed to offer an alternative to a frustrating experience that many patients face: trying various medication regimens to see which works best. The patient’s excitement was palpable, but I couldn’t help but recognize the sad truth that for this patient, a person of color, the diagnostic tools could be less than perfectly reliable. In a world where 80% of the DNA in genetic databases is European, I struggled knowing that these tests are significantly less effective for people of color than for individuals of European descent.

These hidden inequalities in emerging diagnostic tools, when combined with existing inequalities in access to care, have solidified my desire to work as a physician to care for marginalized individuals. As a doctor, I hope to help vulnerable patients access the care they desire while treating them with the respect they deserve, a goal I have looked to advance prior to medical school. During my first two years at Duke, I had countless conversations with my peers about the pressure they felt to embody “effortless perfection.” This expectation, whether self or culturally imposed, created a stigma around speaking out about one’s struggles, fears, and insecurities, which in turn led to a wariness towards accessing campus mental health resources. While Vice President of Equity and Outreach on Duke Student Government, I made combating “effortless perfection” my priority. I felt it was time to give students a space to discuss their struggles and make mental health resources more accessible. These experiences led me to create Duke’s first Mental Health Awareness Month. One particular event, a panel for students suffering from mental illness to discuss their experiences, was attended by over 100 students. Through the month’s programming, students were able to find strength and support in the recognition that they were not alone in their struggles. As a physician, I hope to leverage this understanding to create a space in my exam room where I work to understand and affirm patients’ experiences in the hopes that I can make their illnesses less isolating.

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Though it was extraordinarily fulfilling to create awareness of accessible mental health resources, I also sought to combat another impediment to care: access. This year, I have worked to provide abortion access to women who cannot afford their procedures through the DC Abortion Fund. As a case manager, I work with women in all stages of their abortion access process. For some, I simply help them close the gap in their funding. For others, I work with them from start, finding a clinic, all the way to finish, helping to fund the procedure. This work has revealed to me the mountain of circumstances that vulnerable women seeking funding for abortion face. Every time I call a patient, the first question I ask is, “Can I leave a voicemail on this phone and can I identify myself?” This question is a constant reminder that for many of these women, accessing this care is an act of resistance against circumstances outside of their control like homelessness, domestic abuse, and poverty.

One of the patients I aided, Ms. E, found out she was pregnant while at an urgent care appointment for debilitating anxiety. She only learned about the Fund because her physician sat with her in the exam room helping Google resources for abortion care. This physician recognized that without adequate resources, her patient would not have the agency to choose her next steps. As a physician, I will view it as my highest responsibility to understand patients’ lives and circumstances. Without understanding the systemic barriers many patients face, I do not believe one can optimally care for a patient. Even when a patient has access to care, I know that treating vulnerable patients demands cultural understanding. While shadowing Dr. Lo, a plastic surgeon in Philadelphia, I saw first-hand how physicians can utilize their knowledge to create a safe space. I watched Dr. Lo work with a transgender-identifying patient seeking cosmetic surgery as a part of her gender confirmation process. Dr. Lo treated this patient with dignity and respect through the simple act of using her correct pronoun, ignoring the fact that her birth name and gender were associated with her insurance. This simple act of recognizing a patient’s true identity reminded me of the vital need for good doctors: I can only hope to one day be among their number.

Professional Review by Admissions Helpers

Several features make Keizra’s essay strong and engaging. First, the essay contains a unifying theme that gives the reader a clear sense of the applicant’s motivations. Using different examples and anecdotes throughout the essay, Keizra demonstrates their commitment to working with “marginalized” and “vulnerable” individuals.

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This essay also demonstrates an awareness of some of the key challenges in today’s healthcare system. Specifically, Keizra discusses inequity in genetic testing for people of color, the impact of social determinants on access to critical healthcare services like abortion, and the need for inclusivity for diverse patients including members of the LGBTQIA+ community. The strength in this discussion is that Keizra directly connects each challenge to their lived experiences.

Finally, each of the different ideas presented in the essay are explicitly tied to the applicant’s desire to become a physician, allowing the reader to understand why and how their experiences have shaped their motivations. When writing about genetic testing, mental health services for college students, and caring for Ms. E, Keizra’s essay does an excellent job highlighting the kind of doctor they aspire to be.

While the essay is strong overall, there is opportunity for improvement. The explanation Keizra offers about why they want to be a physician (in the 3rd paragraph) could be further developed. In particular, one can’t help but wonder why Keizra wants to fight the inequalities as a physician and not through another career such as politics or public health? The reasons why Keizra wants to practice clinical medicine are not clearly articulated. The essay also ends fairly abruptly, failing to give the reader a cohesive and memorable closing argument. Ideally, a personal statement ends by providing reflections on the key ideas presented and pulling everything together with a powerful summative statement. This is difficult with limited space but could have nevertheless been achieved by rewording and omitting certain details in other areas of the essay.

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