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Journeys User4May 7, 2025May 6, 2025Clinical Training Experience, My StoryHospice and Palliative Medicine, India, Nebraska, PGY4, Returning Author

A “Good Death” in Hospice and Palliative Medicine

By Dr. Ram Prakash Thirugnanasambandam

In the palliative oncology clinic, a common concern among patients is what to do when their oncologist tells them no further treatments are available. Though difficult, it was often my responsibility to recommend hospice care as the next appropriate step for those facing the limits of medical treatment. Patients often seek clarity on the transition to hospice care, raising important questions:

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Journeys User4April 4, 2025April 4, 2025Clinical Training Experience, My StoryInternal Medicine, Jamaica, Pennsylvania, PGY2

Caring for Underserved Populations in Jamaica and the United States

By Dr. Karecia Byfield

I have cared for underserved populations in both Jamaica, my home country, and in the United States as part of my graduate medical education training. In Jamaica, I practiced medicine in resource-limited settings. In the United States, the environments in which I have practiced medicine have been more well-equipped. Yet, many of the patients I have cared for still come from communities facing significant barriers such as poverty, high crime rates, and limited healthcare access.

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Journeys User4February 26, 2025February 25, 2025Clinical Training Experience, My Story, Words of WisdomLebanon, PGY3, Public Health and General Preventive Medicine, Texas

A Brighter Chapter After Beirut’s Darkest Day

By Dr. Alaa Rihan

My name is Alaa Rihan. Before 2020, I was simply Dr. Rihan, living a fulfilling life in Beirut. I graduated from the School of Medicine at Beirut Arab University in 2011, then joined the American University of Beirut, where I completed four years of family medicine training in 2015. Those 11 years had been the longest chapter of my life, but I was finally ready to embrace the joys of family life and a growing career in family medicine. Blessed with a daughter and a son, my husband and I built a peaceful life amid the beauty of Lebanon.

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Journeys User4January 28, 2025January 28, 2025Clinical Training Experience, My Story, Words of WisdomEgypt, Internal Medicine, New Jersey, PGY2

Redefining the Path Forward

By Dr. Walaa Hasan

“Mom, you will pass—I believe in you.”

Those words from my seven-year-old son, Selim, still echo. Diagnosed with hearing loss at the age of three, Selim has faced life with resilience and strength that inspire me daily. If he could adapt and thrive despite his challenges, I knew I could, too.

My journey from Egypt to the United States has been one of starting over—not as a setback, but as an opportunity to grow, redefine myself, and chase my dreams. In 2019, my family and I relocated to the United States to create a better future. While my husband, also a physician, began his residency, I focused on rebuilding my medical career in a new country. Balancing rigorous preparation for residency with motherhood, I found strength in my family’s unwavering support and the lessons I learned along the way.

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Journeys User4November 22, 2024March 5, 2025Clinical Training Experience, Cross-cultural Experience, My Story, Post J-1 ExperienceAlumni, Headache Medicine, Kentucky, Neurology, Pakistan, Returning Author, Texas

Growth is Best When Shared

By Dr. Muhammad Ismail Khalid Yousaf

“Serve well and learn more—they’ve given you a place in their country, and it takes a big heart to do that,” my paternal grandmother, Jamila Begum, told me during our family’s ritual prayers before I left for the airport to begin my training in the United States. This 7,500-mile journey from Pakistan to Kentucky came with its own uncertainties and challenges, but the belief that “there is a blessing when you migrate to study abroad” was deeply rooted in my cultural and religious values. I was determined to carry forward these virtues with pride and dignity, as my parents had sacrificed everything to ensure I received the best training, and my wife’s support to get me to the United States to train was monumental. Thanks to the BridgeUSA J-1 Exchange Visitor Program, I was fortunate to match and start my training at the University of Louisville (“UofL”) School of Medicine’s Department of Neurology.

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