Hometown: Sacramento, California, USA

Undergraduate School: Private, Duke University

Major: Biology, Minor in Chemistry

GPA: 3.98 out of 4.0

MCAT: 524. CP: 130, CARS: 132, BB: 1320, PS: 130.

Sample medical school application 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sat in the US Senate’s Hart Building, memo in hand, nervously awaiting my chance to explain the complexities of an FDA draft guidance to staffers working on the Senate counterpart to the 21st Century Cures bill. This FDA draft guidance would, if finalized, increase the regulatory burden on laboratories developing genetic tests.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.

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 firsthand 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.

Analysis

Keizra demonstrates clearly a dedication to public service. Throughout the essay, she reiterates themes of responsibility, ethical consideration, and helping the marginalized, which all support that character

Keizra begins with an introduction featuring her civic participation in the Senate—an eye catching and impressive experience. The description of her involvement puts forth clearly her values: that progress ought to be paired with ethical consideration. Her presence testifying for policy makers demonstrates an energy to act and understanding of responsibility.

From this introduction, she segues into a backstory that introduces her desire to help marginalized individuals. This admirable theme is reiterated with further concrete examples, including involvement in student government to improve mental health on campus and volunteer service to help provide abortion access to women who could not otherwise afford it. Through these stories, she makes clear that she cares for “systemic factors” that surround treatment. She has taken steps to ensure the safety of patients who may be seeking treatment in adverse contexts and holds an awareness of secondary mental health effects that may surround treatment.

Overall, Keizra’s detailed storytelling of numerous relevant and impressive experiences presents a strong testimony of her character and her values.

From 50 Successful Harvard Medical School Essays edited by the Staff of the Harvard Crimson. Copyright (c) 2020 by the authors and reprinted by permission of St. Martin's Publishing Group