STUDENT PROFILEOUT OF AFRICABy Sara RantanenAt Nelson Mandela MetropolitanUniversity, Racek was able topractice for and play in two gamesfor the soccer team. Her teammatesspoke Xhosa, which is a clicklanguage. The team tried for a weekto get her to learn their click namesbefore telling her their much easierto pronounce nicknames.IN EARLY 2007, ADRIANNE RACEK,now a second-year med student at theUND School of <strong>Medicine</strong> and HealthSciences, was given an amazingopportunity. As a junior at the Collegeof St. Benedict in St. Joseph, Minn.,Racek was working toward her biologymajor with a focus on premed whenshe entered a competitive interviewprocess for the chance to study abroadin eastern South Africa. She was amongthe 28, mostly pre–health careprofessionals and education majors,chosen.Starting in January 2007, Racekattended Nelson Mandela MetropolitanUniversity in Port Elizabeth, SouthAfrica. The majority of her studies werefocused on South African culture; theclasses ranged from history to literatureand even to South African jazz. OnMondays and Tuesdays, the studentswere given the opportunity to work atthe House of Resurrection Haven forpeople with AIDS. Racek offered hercare in the nursery, where she helpedfeed, change, prepare meals for, andplay with the children, most of whomwere orphaned or abandoned. Thechildren at the Haven were mostly HIVpositive or too young to test since testresults aren’t reliable until age two.They were receiving anti-retroviraltherapy and cared for by nurses andnuns. The Haven provided care for allages, but because of political,socioeconomic, psychological, andgender pressures, most adults were notmanaging their own HIV. “The adultsthat we saw would usually come in juston their last legs,” said Racek.As part of the NMMU’s curriculum,Racek and the other students took aCommunity Partnership and Developmentclass. “The class was wonderful becauseit made us more culturally aware and22 NORTH DAKOTA MEDICINE Holiday 2010
sensitive, and taught us to open ourminds from being brought up in anindividualistic, American culture andadapt to a collectivistic mind-set,” shesaid. It was an incredible experiencesince we could directly translate ourclassroom knowledge into real-lifesettings, and the lessons learned willcontinue to be a lifelong skill.” Thestudents participated in fund-raising andcommunity service projects, and as aresult, they raised about $1,500 for theHaven. When deciding what the moneyshould go toward, the students thoughtthey knew exactly what was needed. “Ithink a lot of us came in and we werelike, ‘Well, they need this,’ or ‘We’llbuy them this.’ But then when weactually did ask the staff what theywanted, it was nothing like ourexpectations coming in,” said Racek.Most of the money went to kitchensupplies such as knife sharpeners andmore cooking supplies. The rest of themoney went toward medications sincethe Haven wasn’t receiving funds fromthe government.Racek was in South Africa untilMay 2007, when she returned to St.Benedict and graduated in May 2008.After graduation, she worked at St.Joseph’s in St. Paul, Minn., where sheworked mainly in cardiac surgery for aperfusion company. Her main focuswas assisting the perfusionists andanesthesiologists in cardiac monitoring,central line placement, OR lab tests, patienttransport, and intra-aortic balloon pumpswhen needed. This experience gave hera taste of what the “call life” was like.As an effect, Racek thought she’d liketo go to med school for surgery.When choosing a medical school,Racek had known since high schoolabout UND’s School of <strong>Medicine</strong> andHealth Sciences and the School’s greatfocus on patient-centered learning. ThePCL program was one of the maindeciding factors for her. “The patientcenteredlearning is why I came here,so that still stands out,” she said. “I wasswayed, I guess, even in high school,having known about the curriculum.”Her father is a UND Law Schoolalumnus who highly regards hiseducational experience; growing upexposed to that certainly helpedinfluence her as well.Racek spent this past summer as anintern at the Mayo Clinic in Rochester,Minn. She assisted Dr. Myra Wick withclinical research in Trial of Labor AfterCesarean (TOLAC), a high-interest topicin clinical practice. Racek and Dr. Wickdid a retrospective chart review, inwhich they took records from the past10 years and plugged in the Grobmanet al. nomogram from a maternal-fetalmedicine unit study that was conductedat a 19-center East Coast hospitalnetwork. “We wanted to see if thepredicted nomogram would work onthis Midwest population,” said Racek.She was given the chance to do all thedata collections for their research. “Itwas really interesting because I wasable to learn about it, and Mayo is ableto offer TOLAC,” said Racek. Althoughthey haven’t finished analyzing all theirresearch (Racek is still working on thepaper), they found that the East Coastnomogram worked just as effectively fortheir Midwest population.While in Rochester, Racek metnumerous UND alumni. “Half of theirresidents are UND alums,” she said.Most of the alumni she met commentedon how they felt much more “clinicallyahead” since UND’s clinical training isso strong. “One of the doctors who hadbeen there the longest made a commentthat he’s never met a <strong>North</strong> <strong>Dakota</strong>student whom he hasn’t liked or whohasn’t worked hard,” said Racek.Racek is staying busy withschoolwork and extracurriculars such asstudent council president, co-creator ofthe Clinical Embryology Club, and copresidentof the OB/GYN Student InterestGroup. For her future career, Racekwould like to spend most of her timewith patients in-clinic, but she is stillintrigued by surgery and would like tocombine both passions. Currently,OB/GYN seems to be the perfect fit forher, specifically maternal-fetal medicine.Racek says, “It would be an honor to bean advocate for mothers and babies.”This coming spring, for Frank N. LowResearch Day at the School, Racek andDr. Wick will present the results oftheir TOLAC research project.Adrianne Racek and Dr. Myra Wickat the Mayo Clinic.NORTH DAKOTA MEDICINE Holiday 2010 23