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Visit the DOM Annual Report 2012 for a Feature Story (PDF page 7)

Visit the DOM Annual Report 2012 for a Feature Story (PDF page 7)

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Residents on <strong>the</strong> MoveJordan Nestor, MDI grew up uninsured, sought medical care through <strong>the</strong> clinics in one of <strong>the</strong> city’s public hospitals,and wanted to become a physician to increase healthcare access to <strong>the</strong> disenfranchised, such as<strong>the</strong> Spanish-speaking Latinos in my community. I chose internal medicine when <strong>the</strong> relationshipbetween poor access to care, worsening of chronic illness, and <strong>the</strong> burden of disease to one’squality of life became clear to me; <strong>for</strong> example, when manageable diseases like hypertension anddiabetes go untreated and lead to complications, such as End Stage Renal Disease, with individualsrequiring long-term hemodialysis, a treatment regimen that is life altering. Un<strong>for</strong>tunately, <strong>the</strong>burden of chronic disease frequently falls on poor patient populations, disproportionately Latinoand African American communities. The opportunity to train in medicine at this time in our history,when we are expanding coverage to <strong>the</strong> uninsured while making ef<strong>for</strong>ts to improve healthoutcomes and control costs, is tremendously exciting.I feel <strong>for</strong>tunate to be training in this program where<strong>the</strong> priority is both <strong>the</strong> development of our clinicalacumen and delivering excellent patient care toall those we serve. As prudent, thoughtfulclinicians, we can all work towards eliminatinghealthcare disparities associatedwith limited access to care.Marcus D. Goncalves, MDI entered medicine to cure disease. Throughout my training as a physician-scientist, I have beenfascinated by <strong>the</strong> inner workings of <strong>the</strong> human body and invested in learning how to fix <strong>the</strong> problemsthat result in disease. My focus is on how <strong>the</strong> body stores energy and regulates metabolism which isimportant in conditions such as obesity, diabetes, and cardiovascular disease. Every day at NYP/WCwe see <strong>the</strong> toll that <strong>the</strong>se chronic illnesses play on <strong>the</strong> lives of patients. As a resident, my goal is toobserve <strong>the</strong> complexities of patient care and identify areas that can be improved by my research in <strong>the</strong>future. Making people feel better is just a cherry on top.9495

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