Wednesday, July 13, 2011

I think this is procrastination

So, with three weeks remaining, well two and a half now, before I would leave for MERP (If I go to MERP) I have been feeling the crunch.  Before I left I wanted to do a lot of projects

  1. Scan old photos of family and friends to have them on my computer for when I am gone
  2. List things on eBay to finance my medical education
  3. Get the back yard in a state so it is not too difficult for my husband to care for
  4. Box up some of my belongings that will not be used for the duration of MERP/ROSS so they are out of my husband's way
  5. Backup my laptop on the external hard drive in case it dies while I'm gone.
I want to get done with these projects soon and would rather just work on them now and hopefully get done with them early and have the remaining weeks to play around.  However, I can't tell if I am using these to actively procrastinate instead of doing worthwhile activities such as pre-study for MERP.

The fact that I "might" not go to MERP has given me a bit of leeway to think that I can sort of waste time on these projects, although I think that they do have some value. 

What do you think?  Time wasting procrastination, or Making my final preparations and getting my affairs in order before a long absence?

Tuesday, July 12, 2011

Finding an endorser for student loans

Due to circumstances which I do not want to specify here, I am unable to obtain Grad Plus loans myself without an endorser.  Endorsing a loan is similar to co-signing, if the loan holder skips town and fails to pay then you have to pay.  With the loans for med school being an estimated 250-350k that can be a lot of money for someone without a medical degree to pay back.  At the same time, these are government student loans and so you can get deferments if you are unemployed, in school, don't make enough money, etc...  The government has been very kind in working with me on repayment of my current student loans.  They are not loan sharks and will work with the student for repayment.  As I understand it currently, the worst that could happen is they would garnish wages and tax returns if you get behind.  I don't ***think*** but I could be wrong that they don't put liens on your property or reposes your vehicles, business properties, or home. (but I could be wrong or the rules may change in the future; and in fact I can't get a straight answer from them as far as what they do do when you totally skip out on student loans)

So, in order to obtain an endorser for my grad plus loans, I thought it most appropriate to ask my mother (closest family member) to endorse for me.  This ended up in producing several phone calls where she explained her own dire financial circumstances and explained to me how she could not repay the loan, and they would take away my step father's farm equipment, and how they would take away her retirement and kick her out of the nursing home.  Also, that she did not make enough money to pay back the loan.  I told her nevermind and then asked my aunt (her sister).

My aunt, at first said that she would endorse the loan and that is the time that I got the money out of my retirement to pay for MERP.  I wasn't going to get the money out without assurance that I could get loans upon arriving on Dominica.  A few weeks later, she calls me to say that the loan situation is keeping her up at night, and she wanted to talk.  I said sure, understanding that this is a big leap for her.  She first asked, what if I died, or was injured so that I could not work.  I then called direct loans to ask this because I wasn't sure myself.  They said that if I died the family would have to show them a death certificate and they would forgive the loans.  Similarly, if I were permanently disabled I would get a doctor's letter stating this and that I would not be able to work and they would forgive the loans.  I conveyed this to her and she seemed ok with it then.  Several weeks later I get another call that we must talk about the loan situation again.  She explained that she is past middle age and is just now being able to buy her own house and does not want to loose her house and is afraid that she would loose her house.  Also, she said what if I do not get into some of these primary care government programs that repay loans, what would I do then.  To this I said that even if I don't get into those programs then as a doctor I would still make more than enough to repay the loans.  She was then worried about what if I got into med school and decided that this was not for me, and then ended up with the loans what would I do then?  I assured her that I was not going into this lightly.  And indeed it has been my dream since at least high school.  Then I said that even if I can't stand to look at a patient there are lots of other doctor jobs such as working for pharma, writing, reporting, teaching, etc...  All of these pay the equivalent of a regular doctor salary (minus perhaps malpractice insurance).  She also asked if I would make enough money with mal-practice insurance.  I said it just depends on where I practice and my specialty and I wasn't sure yet about that.  Then she said she would feel better about endorsing the loan if someone else endorsed it with her.  I called the direct loan people to verify, but it is not possible to have two endorsers.  They really only need one and indeed having two just increases the risk to the family.

At this point, I felt like she was telling me without telling me directly that she did not want to endorse this grad plus loan.  I did not want to ask my married family because I felt that this is something I should ask my family of origin, but my mother in law agreed to endorse the loan without a second thought.

I think that this really speaks to my family of origin versus my married family.  My grandmother always had a rule to never have money dealings between family members.  She felt that it was too risky and could cause a rift.  It seems that this has carried on to the next generation.  Additionally, they have always said that getting a loan for ANYTHING (cars, houses, education) is a waste of money due to the interest.  Their philosophy has been if you cannot pay cash for it you just don't get it.  My married family is not that way and they often swap property, and help each other out financially.  I think that this is just a difference in family dynamics, and am not sure the term for it but I'm sure there is.  I do not feel that my mother in law will hold it over me that she is endorsing this loan or make me feel bad or shamed for it.  I do feel that my family of origin would.

I also feel somewhat let down by my family of origin, in that I have always felt this pressure to succeed, and yet when I have this opportunity they do not stand up to support me.  This really takes the wind out of my sails and wants me to just quit all together.  Why should I give them the bragging rights to say "my daughter is a doctor" or "my daughter is going to med school" when they won't even help me to pay for it?

I also feel that this is another way that my family holds itself back.  I think that no matter how well someone behaves there may be a time when one must rely on their family for financial support.  This is how families get ahead in the world.  I am thinking of a guy starting out and asking for a business loan to start a shop or something.  Yes, the American Dream is to climb up out of poverty and into wealth and success but I can't imagine Thomas Edison, Richard Murdoch, or Bill Gates doing this without even a little support from family members.  By not supporting me they would be essentially blocking my climb to the top.  Not sure what else to write about this.

Also inherent in this reluctance is the idea that I would get these loans and then run away to Canada and not pay for them.  My mother and aunt must think that this is something that I am capable of doing and would do otherwise they wouldn't bring it up.  What kind of person do they think that I am if they think that I would do this?  Are they just pretending to believe in me?  Do they really think I am just a slime bucket and are not telling me?  What do they really think of me?  They must think pretty low of me if they think that I would do this.

Conversely, my mother-in-law must believe in me greatly to cosign for this loan with-ought much thought to it.  She is past retirement age and has not had a great deal of financial wealth in her lifetime.  Yet, she believes in me enough to take on this great risk, and I am thankful to have her.

Also, I have gotten a lot of comments from my Aunt and Mother abut, "we are not rich".  Yes, I come from a lower middle class background.  But I think that richness is a state of mind.  This may be the fundamental difference between my philosophy and theirs.  I think that even if you start out "not rich" you can change that.  Just because you come from a family of factory workers and farmers doesn't mean that you are destined to be a factory worker or farmer.  That IS the American Dream after all.  I choose not to settle.


Am I acting entitled to think that they must support me in this?  I feel that I am being respectful of my mother's and aunt's world views and financial principles by not asking for their help any further, and not pushing this issue.   I hope I am not acting like a spoiled child.  I just see massive debt as a requirement to become a doctor.  That is how the system is set up and I can't change it.  That is just the way it is.

I will no longer be pursuing my family of origin to help me in financial matters, and will follow my grandmothers' advice to just not have money dealings with family and leave it at that.  It seems that she is right there is too much of a danger of creating a family rift.

My Stats

  1. Graduated in 2000 with a BS in Biology Minors in Chemistry and Psychology.  Official Transcript gives my GPA as 3.1
  2. Took the MCAT in April of 2003 and got a 20 O (BS 8) (PS 6) (VR 6)
    • Didn't study for this at all, took the test cold.  **not advisable**
  3. Graduated in 2006 with a MS in Medical Science GPA 3.0
  4. Took the MCAT in May of 2010 and got 28 Q (BS 9) (PS 8) (VR 11) 
  5. GPA according to AMCAS is 2.9 (They don't remove grades if you repeat a course)
  6. GPA according to AACOMAS is 3.2 (They are more lenient on GPA)
That's the numbers and that's pretty much all the schools look at on their first pass.

What frustrates me most about this is that I cannot go back and change my GPA, no matter how long I wait.  I have something like 180 credit hours now and would have to take a TON more in order to change my GPA.  [I would have to get 400 credit hours all with an A in order to move my GPA up to a 3.7 which is average for medical applicants] If I went and got a Nobel Prize now, and went back and applied to Med School, they would probably still not like me because of my undergrad GPA.

Similarly, when you get LORs they want your undergrad science profs.  While I was able to contact these people, they only remember the person I was in College, which was a bit of a slacker.  (as evidenced by my GPA).  My profs probably say that I am bright but lack the ability to apply myself or something like that.  You can't contact admissions committees and say, "Hey, I graduated over 10 years ago and am not the person I was back then, can I get a boss's recommendation or something like that?"  I think that this is unfair for the non-trad med applicant.

Monday, July 11, 2011

MERP / ROSS vs. LECOM POSTBAC

A list of the positive attributes as I currently see them for both programs.  Ignoring the negative attributes.  I am assuming that I will be successfully completing either one of these programs.  I am not taking into account failure at either one of these.  I really think I will do fine and be successful in either one.

MERP / ROSS
  1. Leads to MD degree which is more widely understood as "doctor".  
    • While most of the civilized educated populace understand what a DO is, there may be some cases where an explanation is in order.  I would imagine that it might get tedious after awhile.
    1. Could matriculate Med School in Jan rather than next September.
    2. Being in total isolation from everyone and everything I now know may be a good thing.  Driving down to see people may be tempting at times and may take time away from my studies.  Not being able to do this might be a blessing in disguise.
      1. Climate / location - I would much rather live on a tropical island than in an industrial city where in December it snows on average 23 inches.  I am also intrigued about possibly being able to experience a hurricane.  I LOVE Indiana rain storms and would like to compare the two.  Is that silly?  Also, when I would get to Dominica  I am excited to explore some of the natural resources/ nature trails, volcanos and scuba opportunities.
      2. The opportunity to experience a new culture/ be out side of the US for awhile.  This is a unique opportunity to explore another country(ies).  One that I may not have again in my lifetime.
      3. If you pass MERP, you start med school, with no need to re-apply or retake the MCAT. 
        • With LECOM you are 'guaranteed' admission if you BOTH pass the program with a 3.0 (3.1?) GPA and a 23 on an MCAT you take within 2 years of matriculation.  ( I would need to retake the MCAT).  But, it has to be BOTH, one or the other won't cut it.  Overall, there is a slight risk that with LECOM I could not be offered acceptance to their DO program.
        LECOM POSTBAC
        1. Is a US medical school and thus would be easier to earn a residency spot.
        2. Is a 7 hour drive from my family instead of a half day to a day plane ride.  Much easier to see people during breaks/ weekends.  
        3. My family would rather I go here.
        4. I feel more attracted to the DO model of medicine.  Namely patient centered medicine not just focusing on disease as an aberrant biological or neuro-physical manifestation but as a result of a lifetime of socio-cultural influence.  How can one expect to treat a diabetic patient when they go back to their community and are faced with a culture that promotes fatty and sugary foods?  How can a doctor effectively treat and medicate a patient suffering from Bipolar disorder when the patient's family view psychiatric medicine as not adequately tested and thus counsel the patient not to take it?  How does a doctor induce a patient to take a full course of antibiotics when the local culture advocates medication hoarding?  A disease does not form in a vacuum.  I would say that it is a minority of diseases that do not have a socio-cultural cause or influence. 
        5. Abundance of the things we take for granted in the US such as clean drinking water out of the faucet, cheap food, cheap electricity, ready access to high speed internet, a car, (relatively) save streets and transportation to and from school..
        6. A more organized, 'well kept ship'.  
          • I have heard horror stories of sylabi being changed immediately before finals at Ross.  Recently, the current April MERPERs have said that they have been locked out of the study cubicles and student lounge area because of a construction project.  This is happening 2 weeks prior to their MINI exam 3, when studying in a quiet environment would be crucial. 
        7. As mentioned before, LECOM being a US med school I could join the Navy to repay my student loans.
        8. The Post Bac program is eligible for US student loans while MERP is not.  Ross is, but MERP is not.
        9. Not sure if this should be an addendum to point #5, but I will be able to load up my car with all the things I will need for the semester and just drive up.  No need to finagle a printer from former student, no need to worry about being able to ship in printer ink.  I can bring with me much more of my familiar items. 
        10. Access to doctors more readily
        11. Cost, I can expect to be about only $250k in debt from LECOM rather than $350+ from Ross
        12. As I understand it, they have a state of the art fitness facility. 
        13. Another student who has attended both has said that the LECOM program prepares you the best to become a good doctor.  (I think this is probably the best point because isn't the ultimate goal to become a good doctor?)
        14. The Post Bac program is a certificate granting program. So, even if the worst happened, I would have more initials to tack to the end of my name on a business card.
          • MERP Is not a PostBac program.  MERP offers no certificate.  
                ***WILL BE UPDATING THIS LIST LATER AS MORE ITEMS COME TO ME***

              Things in Perspective

              Knowing that you are most likely going to be far far away from everyone and everything you hold to be familiar for a period of approximately 2 years really puts things in perspective.  I imagine that someone coming to terms with their mortality has a similar experience.  Of all of the things that I "OWN" some things that I have held on to for years suddenly do not seem that important to keep.  In other words, if I cannot use that bicycle that has been collecting dust in my garage, do I want to keep it for an additional 2 years?  Do I still want to keep these Barbies that my mom got for me to give to my children?  Especially now that I probably won't be done with my medical education until I'm 40 will I ever get to have my own children?  If I only have 3 weeks remaining with my family in the state as I know it currently, do I want to waste my time with these 'obligatory' obligations of family reunions, or just spend time enjoying things the way they are currently before my whole world gets turned upside down?

              Wednesday, June 29, 2011

              Am I getting Cold Feet?

              With about a month to go before I leave for Freeport, I am starting to have second thoughts about this whole process.

              I heard from a current student on Dominica who asked if I had looked into a post-bac program at LECOM.  This program is still accepting applicants and upon successful completion, if you earn a 3.0 GPA and then retake the MCAT and earn a 23 or above you will be granted admission to the 2012 incoming class.  For me this program is attractive for several reasons.

              First, I will be in the US and be a drivable distance from my friends and family.  It is about 7 hours from where I live now.

              Second, with LECOM being a US medical school (DO) I could possibly join the navy and they will pay for my education.

              Third, I will have all the conveinences of being in the US, grocery stores, electricity at normal rates, my car, etc...

               Fourth, graduating from a US medical school will make it easier, (not guaranteed) for me to get a US residency.  While it is true that many foreign med school grads, and ross students more so, do get US residencies; it is always easier to do so from a US school

              Fifth, I can start getting US Federal student loans immediately and not have to pay for the first $30k of ross out of my retirement money.

              Sixth, If I choose to do a primary care field LECOM has a 3 year program so that I would not be behind my Ross compatriots.

              While I think that Ross and Dominica are valid options and I will go if not accepted to LECOM, I think that all of the things that come along with being a foreign medical graduate and going to a foreign medical school (even if it is one that has a good track record of finding people residencies) will make going to Ross just that much harder.  Don't get me wrong; I am all for going to a tropical localle for 2 years, but I just think that the extra stuff that comes from being a ross student will somewhat detract from me learning what I am supposed to learn.

              The overall goal here is for me to absorb as much information as possible so that I can be helpful to my patients.  So, I applied to LECOM on Monday and I am also scouring the web for other similar post bac programs.  I would like to apply for 3-4 to give myself a decent shot at some of these.  If I am not accepted I still have Ross as a fall back.  None of the other schools have a 3 year to DO/MD program like LECOM so I would be looking at an extra year. Perhaps it will be best for me to be stuck on an island far away from everything.  I don't know.....

              I feel like I am really relying on External Locus of Control here.  I am basically putting my fate into a bunch of other people's hands here.  Namely Admissions committees.  Am I somehow deferring my own decision making power to these committees because I don't want to make a decision?   Or, am i being pratcical in the understanding that even the postbac programs are very competitive and I am still not guaranteed admission even with them.

              I do still mean to provide you readers with a concise accounting of all the costs associated with my start-up into Ross and the MERP program.  I am sort of sticking my head in the sand regarding all of these costs. 

              Speaking of money, all of you readers out there are welcome to look at some of my eBay auctions to see if something out there I am selling might be of interest to you.

              All of my eBay auctions....

              I have also thought of adding a donations button to this blog.  I can assure you that any donations given to me would go to my med school education.  [If every reader out there put $1... Now I sound like public radio]

              I sort of feel like I'm on the "BUS" do being a doctor, but just trying to get an upgraded seat.  Does that make sense?

              on that note, i'm out....

              Tuesday, June 14, 2011

              You're Going Wheeerrreee???

              People have been very congratulatory when I tell them that I have gotten into MedSchool.  The inevitable follow up question is -- where are you going?  I usually say that I am going to Ross University which is a Carribean med school; and that I will be on the island of Dominica for approximately 16 months before returning to the states for clinical rotations.  At this point people usually confuse Dominica (dom-i-NEE-ka) for the Dominican Republic.  I understand this confusion, because I probably couldn't have pointed Dominica out on the map prior to applying to Ross.  People may then ask, why Dominica?  Which is a fair question.  I haven't found a nice way to say that it was the only school that accepted me yet; so that is what I say.  Some people have been worried that I won't be able to practice in the States or that there may be some discrimination because of where I went to school.  It is true that Ross is considered to be a foreign Med School.  There is a different certification process for foreign med students.  The fact that I am already a US citizen and speak English as my native language will make things easier for sure.  I spoke with another physician who had done his training in the Phillipines. He said that you can get a Medical Education there for about $6,000 us.  I am sure that there are many fine doctors trained in the Phillipines, I don't think that route is for me. 

              I think that Ross has a good reputation as a med school which accepts students who may not be the perfect candidate on paper.  As a result, they do have a higher failure rate than more selective schools.  And yes, they do charge an arm and a leg.  To go to Ross you have to be really serious about going to med school.  You have to put your money where your mouth is, and take a big leap of faith.  I think you would find it hard to get someone to say that going to Ross is easier than any US med school. Moving to an island outside of your native country, thousands of miles away from any familiar faces, adapting to a new culture and climate, living without a CAR! These are all obstacles that a Ross student faces.  However, the reward for me is knowing that at the end of it I will be able to help people with their healthcare decisions will be worth it for me.