Iman Naimi, MD

Iman Naimi’s, MD ’14, career interests were solidified during his third- and fourth-year clinical rotations as a St. George’s University medical student. The mentorships and experiences he gained directed him toward the path he’s been on ever since, pursuing a pediatric residency and then pediatric cardiology and congenital interventional cardiology fellowships.

Originally from Vancouver, Canada, Dr. Naimi has been on quite a journey. As an aspiring medical professional, he went from Canada to Grenada to the US, and then finally back to Canada where he is now a congenital interventional cardiologist at Stollery Children’s Hospital and Manzankowski Alberta Heart Institute, as well as a clinical assistant professor of pediatric cardiology at the University of Alberta, Faculty of Medicine and Dentistry. Dr. Naimi shared how he made his way back to Canada to achieve his dream of becoming a physician in his home country.

St. George’s University: Why did you choose your specialty?

Dr. Naimi: I have always had an interest in cardiology and cardiac surgery. However, during my third- and fourth-year rotations my love for pediatric cardiology and interventional cardiology was greatly influenced by the mentorship and experiences I had in general pediatrics at St. Barnabas Medical Center with Dr. Margolin, Pediatric Cardiac ICU at Miami Children’s Hospital, and interventional cardiology with Dr. Marc Cohen at Newark Beth Israel. I was fascinated by the variety and complexity of congenital heart disease and transcatheter interventions to treat or palliate such lesions. At this time in the program, I decided to apply to pediatrics with the intention of pursuing cardiology and interventional cardiology.

SGU: Where did you match and what was your match experience like?

Dr. Naimi: I matched at SUNY Upstate Medical University for a pediatric residency and matched in Seattle Children’s Hospital and University of Washington Medical Center for pediatric cardiology and congenital interventional cardiology fellowships.

I knew SUNY Upstate Medical University has always had a great track record for residents matching in top fellowship spots across the country. Therefore, I was very excited and relieved that I matched at a University Programs knowing that I wanted to pursue pediatric cardiology.

My match experience at Seattle Children’s-UW for cardiology was surreal, and I vividly remember the match day. I knew I would get the best hands-on training there, leading to amazing opportunities for matching into an excellent advanced-fellowship spot in interventional cardiology and securing a competitive faculty position after graduation.

SGU: Did you always know you wanted to practice in Canada and how did you prepare for that?

Dr. Naimi: Canada is my home, and I always knew that one day I would return and practice somewhere in Canada after my training.

At SGU, I joined the Canadian Student Association and went to all the info sessions to stay up to date with different provincial policies and elective sites. While in school, I took the MCCEE alongside the USMLE. I also did a family medicine rotation in Vancouver, BC, and was able to obtain an excellent recommendation letter to increase my chances of matching into the Canadian residency program. However, after learning the timeline of CaRMS relative to the US match, I decided to only apply for US residency programs.

I then decided to take the Royal College Exam for Pediatrics to ensure I could eventually obtain a license to practice in Canada. During my fellowship, when looking for a job in Canada, I found that Alberta (CPSA) did not require me to take the Royal College Exam for Cardiology, and since I was boarded in the US, I could obtain a practice permit in Canada.

SGU: What advice do you have for SGU students who are hoping to practice in Canada after graduation?

Dr. Naimi: What I have learned is that the best way to prepare is to plan ahead. This entails getting involved with the Canadian Student Association and attending all the meetings and information sessions. It is very important to reach out to Canadian programs early on in your training to inquire about elective rotation opportunities. Given the timeline of the Canadian and US match in the past, I personally chose to apply only for US residency and fellowship spots and was still able to land a job in Canada. If you choose this path, depending on the Province that you want to work in, you may be required to take the Royal College Exams. It is crucial to know the timeline of all the Canadian exams and be prepared to take them alongside the US exams. This will provide ease when applying to Canadian residency programs or job opportunities after you complete your training.

If you maintain a high GPA and board scores, as well as excel in your clerkship training by demonstrating that you can perform well in a busy clinical setting, you will set yourself apart from others. Throughout your training, it is very important to form strong connections with mentors, especially those within the institution and program that you would like to pursue, allowing you to receive excellent recommendation letters for residency opportunities after graduation.

SGU: Looking back on your journey to where you are today, why was SGU the right fit for you?

Dr. Naimi: SGU gave me the opportunity to pursue my dream of becoming a physician. It is through its extensive clinical affiliations that I was able to secure clerkships in many great hospitals that provided me with amazing mentorship opportunities that helped me find my path and pursue my dream.

Natalie Harford, BSc/MD

Grenadian nationals Natalie Harford, MD ’22, and her older brother Nicholas Harford, MD ’20, have always been inseparable when it came to attending school. So, it came as no surprise when Dr. Natalie Harford made the decision to follow in her brother’s footsteps and attend St. George’s University two years after he enrolled.

“The fact that my brother went to SGU played a big part in my decision at the time,” said Dr. Harford, who graduated this past June. “What can I say—my brother has always been a successful role model throughout my life, and I don’t regret my decision to apply to SGU one bit.”

Indeed, the family had much to celebrate as the younger Dr. Harford walked across the stage to be hooded by her sibling at SGU’s 41st commencement ceremony at the USTA Billie Jean King National Tennis Center in Flushing, NY. Like her brother two years earlier, she and her fellow students from the Class of 2022 join a network of more than 19,000 alumni practicing in the United States and around the world.

“Hooding my sister was a great honor,” said Dr. Nicholas Harford, currently an internal medicine resident in Connecticut and the first doctor in their family.

“It was also extra special to be a part of the experience standing on stage since I wasn’t able to stand there at my own commencement ceremony in 2020 due to the pandemic. We owe that moment to our parents as they supported both of our dreams to become doctors. It would not have been possible without them.”

A Family Celebration

Having two children in medical school at the same time did provide a challenge for the Harford siblings’ parents—with both working full time jobs to make their children’s dream of becoming physicians possible. Their mother, Pratima Harford, also ran a successful international take-out food stall called Flavor House just outside of the True Blue campus. Over the years, she’s fed many SGU students and sometimes acted as a second mother while they were studying far from home.

“It was definitely a lot of sacrifice and a huge life challenge that we took on as a family,” shared Mrs. Harford. “The moment when our son hooded our daughter, we felt like we were witnessing our nine years of hard work come together in that one special moment. We couldn’t have been prouder of how happy and successful they both have become. It was truly a celebratory day for our entire family.”


A Doctor in the Making

Born in Guyana, and living in the Fiji Islands for five years, the Harford family eventually moved to Grenada.

Upon graduating from secondary school in Grenada, Dr. Natalie Harford had the option to attend T. A. Marryshow Community College or apply to SGU’s premedical program. Passionate about science—particularly anatomy—she carefully considered her options before joining her brother at SGU.

“I was drawn to SGU because it offered me a continuous seven-year pathway to earn my medical degree,” stated Dr. Harford. “And who wouldn’t want to enjoy being in the comfort of their home country to complete a degree, especially when it happens to be a paradise island like Grenada.”

 

“The best advice I can give anyone considering applying to medical school is to go after your passions and don’t be afraid to encounter challenges on the journey, it makes the reward that much sweeter.”

 

During her time at SGU, Dr. Harford was a member of the American Medical Student Association (AMSA) and the Indian Cultural Student Association (ICSA). She was also a teaching member of the Department of Educational Services (DES) and the Academic Enhancement Program (AEP).

“At SGU I grew both academically and personally,” said Dr. Harford. “In addition to pursing my medical degree, I had the pleasure of expanding my knowledge on the different cultural backgrounds of my peers and newly made friends. This was an invaluable experience, learning how to communicate and understand someone else’s belief system and how it impacts their lives—a skill I foresee utilizing to better the way I communicate in both my practice of medicine and in my everyday life.”

Dr. Harford will be entering the 2023 Match and hopes to secure a residency in pediatrics. The COVID-19 pandemic threw a wrench in her clinical rotation timeline causing delays which prevented her from applying to this year’s Match.

“From day one of my pediatrics core rotation, I fell in love with the energy, the people, and the patients,” she said. “Being a part of a pediatric team of healthcare professionals feels like my niche, and I cannot wait to join this amazing specialty.”

For now, Dr. Harford’s current plans include giving back to her alma mater as a teaching fellow, while brushing up on her Spanish and sign language skills, along with completing her USMLE Step 2 examinations and her ERAS application.

“The best advice I can give anyone considering applying to medical school is to go after your passions and don’t be afraid to encounter challenges on the journey, it makes the reward that much sweeter,” she said.

Asa Radix, MD

Asa Radix, MD ’88, PhD, MPH decided to pursue medicine out of a desire to offer patient-centered healthcare in an often-overlooked community in need.  Dr. Radix’s career has focused on LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Ally, plus) health and policy and being able to ensure patients receive quality care that is respectful, non-judgmental, and meets the unique needs of members of the LGBTQIA+ community.

Dr. Radix is originally from Grenada and attended SGU on one of the first Grenadian scholarships. They currently serve as senior director of research and education at Callen-Lorde Community Health Center in New York City—which has a mission to serve LGBTQIA+ communities and people with HIV.

In addition to their work at Callen-Lorde, Dr. Radix is a clinical associate professor of medicine at New York University and holds faculty appointments at Columbia University Mailman School of Public Health and Yale University. Over the years, they’ve developed expertise in transgender health and contributed to several US and international clinical practice guidelines and textbooks.

In honor of pride month, SGU News spoke with Dr. Radix to find out more about their experience providing care to the LGBTQIA+ community and the journey to becoming an expert in this field.

St. George’s University: Why did you choose your specialty?

Dr. Radix: I trained in internal medicine and then completed a fellowship in infectious disease. Infectious disease is a broad specialty, but it is a good field for people who like clinical practice as well as research. I like the diversity of the specialty. You can focus on many different areas such as travel medicine, global health, antibiotic stewardship, and emerging infectious diseases as well as a choice of inpatient or outpatient settings.

I mainly focus on HIV and Hepatitis C but still see patients with a wide variety of issues.

SGU: What are some unique medical needs of the LGBTQIA+ community? 

Dr. Radix: Members of the LGBTQIA+ community also have other social identities or groups to which they belong with varying health priorities. There are some issues that are common for all, such as difficulty in finding respectful healthcare providers as well as frequently facing discrimination in health settings. As a result, LGBTQIA+ individuals may underutilize cancer screening interventions, and there are often higher rates of substance abuse, including tobacco use, which is probably related to experiencing social stressors such as interpersonal and structural discrimination. In addition, it is important for medical providers to offer appropriate HIV/STI screenings and HIV prevention interventions (e.g., pre-exposure prophylaxis) to those who are eligible.

SGU: What training can physicians interested in working in LGBTQIA+ healthcare participate in?

Dr. Radix: There isn’t a specialty in LGBTQIA+ health. However, there are healthcare environments with a mission to care for LGBTQIA+ individuals, such as health centers like Callen-Lorde or dedicated clinics at other institutions. Many require training in a primary care specialty, such as internal medicine, family medicine, or pediatrics. Usually, these centers provide training in LGBTQIA+ health since most incoming providers have not had adequate experience during their medical school or residency training.

There are also organizations, such as GLMA: Health Professionals Advancing LGBTQ Equality and The LGBT Health Workforce Conference that hold annual meetings for clinicians who are interested in this field.

SGU: When you look back at your professional journey to this point, what stands out to you most as being the most formative experiences?

Dr. Radix: I trained in the early 1990s when HIV was one of the most important and prevalent health issues that we saw. It was also a time when there were few therapeutic options available. Taking care of individuals living with HIV was a major motivation for pursuing a fellowship in infectious disease.

SGU: How did your experience at SGU help prepare you for your career?

Dr. Radix: I was fortunate to do most of my clinical rotations in the United Kingdom and to be exposed to a diverse student body throughout my SGU experience. The love of travel continued, and I completed a diploma in tropical medicine in London during my infectious disease fellowship as well as a Master of Philosophy in epidemiology at Cambridge, later leading to a PhD at Columbia University.

Michael Keenaghan, MD

Before deciding to attend medical school at St. George’s University, Michael Keenaghan, MD ’06, considered entering the field of astrophysics with hopes of becoming an astronaut. He had been filled with a desire to both “know” everything and to help people. However, it was a family friend and former chair of pediatrics who recommended he apply to SGU, which inspired him on the path to specializing in pediatric critical care.

Not only does Dr. Keenaghan have a passion for his specialty of choice, that passion also extends to teaching the next generation of medical students. Since completing his residency training at SUNY Downstate (he served an additional year as chief resident) and his fellowship at New York-Presbyterian Morgan Stanley Children’s Hospital Columbia University, Dr. Keenaghan has been involved in academic medicine. At NYC Health + Hospitals/Kings County, where he worked for the past eight years, he was the associate director of pediatric critical care and associate chief academic officer. While there he developed and managed a pediatric simulation center focused on developing trainees’ procedural skills.

In 2013, he took on an associate professor position at SGU where he assisted students at patients’ bedsides at Kings County hospital. Three years later, he was appointed associate medical director of education and became involved with advising students initially with SGU’s Office of Career Guidance and then through its onsite student advisors.

But little did he know that his two passions would eventually lead him back to Grenada one day. Earlier this year, Dr. Keenaghan accepted a full time position within the School of Medicine as an assistant dean of students, moving with his family back to the island. In this new position, Dr. Keenaghan manages SOM’s academic advisors for clinical students. He discussed with SGU News his new role, how it feels to also teach Term 5 SOM students, and his plans to work with Grenada General Hospital to support and grow its pediatric critical care service.

St. George’s University: Can you share why you wanted to come back to Grenada and work at your alma mater?

Dr. Keenaghan: I was given a great opportunity to help students achieve their academic goals, as well as provide pediatric critical care support for the children of Grenada.

One of the best rewards in being an intensivist, after caring for an extremely sick child—a day, a week, or a month later when all the lines and breathing tubes have been removed—they smile. It is a priceless moment.

SGU: What are you most passionate about in your work?

Dr. Keenaghan: Each doctor, over the course of their career can contribute to about 2,000-2,500 extra patient lives lived. In pediatric intensive care, if I do my job well, I may contribute far more since my patients are so young. However, being able to help many more caring people become doctors every year, multiples that logarithmically. Alone I can help some, but together we can help the world. Being a teacher and assistant dean at SGU truly makes that possible.

SGU: Share what your experience was like at SGU and its impact on your life?

Dr. Keenaghan: I met my future wife a month before moving to Grenada in 2002.  Being 2,100 miles apart, she kept me focused on my studies and not distracted. She was my greatest support when school was the hardest. I think without her I wouldn’t be a doctor, but without SGU there would be no us, and our five amazing boys. Grenada gave me my first two dogs, lifelong friends throughout the world, and now is the place that I call home. I’d say it had a pretty large impact.

SGU: How well do you feel that SGU prepared you for the next step in your journey?

Dr. Keenaghan: I felt extremely prepared. I learned to persevere when things may not be in my favor, which has helped me on to all the next steps. From those lessons I learned the power of second chances, both in my own experiences and in my patients.

SGU: What plans do you have for the future in your new role?

Dr. Keenaghan: They are too numerous to count, but I’ll start with growing the Clinical Academic Advising Development and Support team and services to continue to help students succeed. Also, providing support to the healthcare professionals at the Grenada General Hospital in any way they need.

SGU: What advice would you give to prospective students who are considering applying to SGU?

Dr. Keenaghan: Don’t hesitate to follow your dream. Dedicating yourself to study and becoming a physician means giving up a few things for a few years. While pursuing your MD there are no immediate rewards along the way, but the long-term ones are worth every minute and every penny. Sitting in biochemistry learning about mitochondria for the third time, may not be the most fun, but standing in the ICU remembering that methylene blue improves mitochondrial respiration and starting it on a patient with severe shock, then saving their life, that’s worth it.

Ahmed Hussein, MD

Ahmed Hussein, MD ’22, has never been one to settle. He started his career in pharmacology in 2010 but soon realized it wasn’t the right fit for him. He found himself longing to make a greater difference in the lives of patients and decided to follow his dream of becoming a doctor in the US.

As someone who had grown up in Egypt, he didn’t have much knowledge of the US healthcare system and knew he needed to select a school that could help him gain this knowledge while providing high-quality medical education. Dr. Hussein soon found SGU, and he hasn’t looked back since.

Today he is a first-year pediatrics resident at Maimonides Medical Center in Brooklyn, NY. Dr. Hussein shared how he successfully reached his goal of becoming an MD with the resources provided to him throughout medical school.

St. George’s University: What made you want to pursue medicine and why did you choose pediatrics specifically?

Dr. Hussein: ”If you are lost in a desert and you know that you are walking in the wrong direction, will you keep going in the same direction or will you stop and change it?”

These words, said by my mother, resonated with me when I was thinking about changing my career as a pharmacist to pursue medicine. We can all be helpful to the vulnerable, but being on the frontline, diagnosing and treating patients, was my main drive to pursue medicine.

Pediatrics as a specialty wasn’t something I considered before starting my clinical rotations. However, I enjoyed it so much during my clinical training that it quickly became the only specialty I applied for during Match. Seeing how resilient the children are while fighting their illnesses is very rewarding. Plus, the cuteness factor is very real!

Since graduating from pharmacy school in 2010, I was fascinated by the hematology/oncology field, and it is my goal to sub-specialize in it once I successfully finish my residency.

SGU: What was the application process to SGU like and how did you feel once you were accepted?

Dr. Hussein: My application process to SGU was seamless, which I believe was the case for my colleagues as well. There was always someone to contact for questions, aid, or just reassurance.

Once I got the news about my acceptance, I felt that I was about to embark on a new journey that would require hard work, day in and day out, to reach my destination—MD.

SGU: How did you participate in campus life at SGU?

Dr. Hussein: I enjoyed the extracurricular selectives offered by SGU, such as dissection (Anatomy Cadaver lab) and wilderness medicine. The new campus gym and the intramural soccer league were my favorite physical activity to participate in on campus.

SGU: What was your favorite aspect of living in Grenada and what do you miss most?

Dr. Hussein: THE BEACH! And I can’t forget to mention the beautiful sunsets.

SGU: How did SGU help you with your academic achievements and USMLE preparation?

Dr. Hussein: I came to find out that SGU has very high USMLE passing scores for a reason! The modules taught and tested during the basic science years are very detailed. I was provided with all the tools that I needed to do well in standardized exams, such as DES facilitators who helped me set up study schedules, go over materials that I didn’t grasp well, and many other things.

SGU: Where did you do your core clinical rotations and what was your experience like?

Dr. Hussein: I did my clinical rotations at Brooklyn Hospital Center in New York. I had a wonderful experience rotating between different departments during my core rotations as well as my electives. Also, I met the love of my life in this hospital, who is currently my wife. So, this place will always be memorable!

SGU: What was the Match application process like for you?

Dr. Hussein: I believe the Matching process is one of the most stressful parts of the MD journey. However, preparing for it mentally by reaching out for advice from recent graduates and the Office of Career Guidance and Student Support helped me a lot.

It’s crucial to have a game plan to tackle the application process and interview season. But I was provided with assistance while still in Grenada. OCG provided me with a framework for filling out the application and my CV, and they provided reviews before the submission date. In addition, each clinical site has mentors that tailor their advice based on the students’ Step 1 grades, clinical performance, and the specialty they are applying for!

SGU: What did it feel like when you learned you Matched?

Dr. Hussein: I didn’t believe it. I kept checking the National Residency Matching Program website every five minutes to be sure!

SGU: Why was SGU the right fit for you?

Dr. Hussein: Coming from the Middle East, I didn’t have much information about the US healthcare system, which is very different from Egypt and the UAE (where I used to work). So, to be able to integrate myself into this system, I was looking for a medical school with a great track record of graduates matching with US hospitals. And the answer was SGU!

SGU: Do you have advice for international students (especially those from Egypt) considering medical school and insight on why they should consider SGU?

Dr. Hussein: Grenada is a wonderful island that accepts students from all over the globe and luckily for us (Egyptians) it doesn’t require a visa application process. In addition, in my experience, SGU was successful in matching me into the US healthcare system which is ultimately the goal.

SGU: Since graduating from SGU and matching in pediatrics at Maimonides Medical Center Program, what has your transition from med student to MD been like?

Dr. Hussein: One thing I learned quickly in med school is you’ll never “feel” 100 percent prepared for an exam or patient encounter during clinical rotations! However, I channeled this self-doubt to do my best, analyze my shortcomings and try to address them before my next exam or patient encounter. With the same mindset, I tackled my first block of residency. It’s a lifetime journey of learning and it begins by being open to self, peer, and supervisor appraisals.

 

Jisun Won, MD

For Jisun Won, MD ’21, medicine runs in her family. Both her sister and father are physicians, exposing her to the profession and influencing her decision to pursue her own medical degree at an early age.

Dr. Won is currently an internal medicine resident at Abington Memorial Hospital in Pennsylvania, a ways away from her hometown of Seoul, South Korea. She shared her journey from med school applicant to residency and provided insight on her experience as an international student at SGU.

St. George’s University: What was the application process to SGU like and how did you feel once you were accepted?

Dr. Won: After first hearing about SGU, I attended the information session in South Korea and had my questions answered by a Korean SGU graduate. Then I reached out to the admissions office through the SGU website, filled out the application, and soon afterwards received my acceptance letter. I felt excited and nervous to attend the Caribbean medical school.

SGU: How did SGU help you with your academic achievements and USMLE preparation?

Dr. Won: SGU’s systems-based curriculum and BSCE examinations helped me prepare for the NBMEs as well as the USMLE Step 1 examination. The small group sessions were especially helpful and taught me how to take a patient’s history and how to do physical exams which prepared me for clinical rotations.

SGU: Did you join any clubs while on campus?

Dr. Won: I mainly participated in activities through Iota Epsilon Alpha Honor Medical Society (IEA) and Christian Student Association (CSA). I formed relationships with other Korean faculties and made great friends by partaking in student clubs.

SGU: Where did you do your core rotations and what was your experience like? 

Dr. Won: I did my core rotations primarily in New York and New Jersey. As the COVID-19 pandemic began during my core rotations, I had no choice but to go back to Korea for a short period of time and participate in virtual rotations. However, SGU was prompt to place me back into in-person rotations in New York, allowing me to graduate on time.

SGU: Why did you choose your specialty?

Dr. Won: I chose internal medicine because it allows me to see a diverse group of patients. I am trained to treat the bread-and-butter diseases of medicine while also coming across the rarer pathologies. As internal medicine residents, we coordinate care amongst different medical and non-medical specialists so that we can ensure the patients receive the proper care they need within and outside the hospital.

SGU: What was your experience with the Match process and how did it feel when you learned you matched?

Dr. Won: As a non-US international medical graduate requiring a H1B visa, the (H1B) match process required extra effort as I needed to identify the hospitals which provided that visa. I utilized residency search tools, hospital websites, and called up all the hospitals to confirm that they were offering the visa for the 2022 Match. But then I finally received the email that I matched. I felt relieved more than anything, knowing that I didn’t need to go through the process again.

SGU: How did you feel about Grenada as a study destination for the basic sciences?

Dr. Won: Grenada is a beautiful island, and the campus is an excellent environment to study in. I was particularly thankful that there were adequate study spaces for group and individual study. I appreciated that the school was continually increasing the amount of study spaces and upgrading the existing facilities such as clinical small group rooms, study halls, and gym.

SGU: What advice would you give to students in South Korea considering medical school and why they should consider SGU?

Dr. Won: As a South Korean, coming to Grenada was an exciting challenge. To those South Koreans considering SGU for medical school, I’d like to say that it will require great dedication and sacrifice, but the result of becoming a doctor in the US will pay off all your hard work.

Chloe Moses, MD

Chloe Moses, MD ’21, found a home away from home while studying in Grenada at St. George’s University. Though it was far from her hometown of London, UK, she built a support system with the resources SGU provided, setting her up for the success she has found now as a foundation doctor completing a general surgery rotation at Southend General Hospital.

Dr. Moses was recently a featured doctor on SGU’s doctor shadowing series for future students that provides an opportunity to hear directly from SGU grads—where she discussed her experience as a med student in Grenada and as a physician in the UK. The session included a discussion about lower gastrointestinal bleeds, including real-life experiences from Dr. Moses.

At the end of the virtual experience, audience members were invited to ask questions about Dr. Moses’s journey as a physician.  Here is an excerpt from that live question-and-answer session.

What is a typical day like as a foundation doctor in general surgery?

Dr. Moses: It’s kind of difficult to answer because we do a lot of different shifts. If I have a normal ward day, I will do a ward round with the consultant or whoever’s relevant and part of the team. I will usually stay on the ward and cover all the ward jobs, which might be discussing patients with different members and teams, organizing different scans, taking blood tests, and dealing with acute emergencies, for example, lower GI bleeds.

During a typical on-call shift – as I am currently rotating in gastrointestinal surgery, we often see presentations of appendicitis, cholecystitis and acute abdominal pain. We also perform surgeries such as cholecystectomies, and for common medical emergencies such as acute bowel obstruction and pancreatitis.

As a practicing doctor, what would you recommend students do as they prepare for med school?

Dr. Moses: I would say just be prepared to be focused and know that it’s not going to be easy. It’s going to be a journey. SGU will teach you everything in terms of material that you need [to be successful in residency]. You also need to prepare mentally to be away from home.

How did you go about making friends and building your support system at SGU?

Dr. Moses: Quite conveniently, SGU assigns you to study groups at first. So initially, I became particularly good friends with the people in my study groups. We’re all in the same position. We’re all away from home. We’re all anxiously trying to learn medicine. I stayed close to my study group. We ended up being friends and, even though we were only together for one subject, we ended up studying for all our subjects together. There wasn’t one day where I didn’t see them or message them and we used to do some practice questions together.

I found SGU to be completely diverse, so chances are you will find someone else from wherever your town is, in America or Dubai or wherever else. It’s quite a good opportunity for you to meet people and I still speak to my friends, who are now working doctors, regularly.

What were some of the opportunities you got involved with on campus outside of your studies?  

Dr. Moses: I did a few societies, and they have a lot of opportunities for you to engage within the community, whether it be taking blood pressure or educating the local community on diabetes. I quite enjoyed doing things like that. I also enjoyed going to the religious celebrations on Sundays. It’s a time where everyone kind of came together and got a breather from studying. There’s a lot of social events that, even if you’re not a member of a certain club or society, you can join. One example is swimming, you can help teach swimming to the local children.

There’s always something going on, something for you to join in with and everyone’s always together. Even if you don’t know them, I’m sure most people didn’t know everybody there but you’re all able to have fun with each other.

What did you enjoy most about your time at SGU?  

Dr. Moses: I really enjoyed studying in Grenada. And for me, living in the UK, it was a wonderful opportunity to go somewhere else with lovely weather and to study what I love. Paired with the state-of-the-art facilities, I was not missing home at all. SGU had everything I needed, I was very well supported there and able to study with a beautiful view. I felt like it was an exceptionally good foundation for my medical knowledge, which is what I use today.

Jeremy Bosworth, MD

Before Jeremy Bosworth, MD ’13, enrolled at St. George’s University, he was considering a career in law or the FBI. But it was a chance encounter with an old friend who had recently graduated from SGU’s School of Medicine that changed his course forever.

With the encouragement of his friend, Dr. Bosworth applied and was accepted to SGU—and he never looked back. It was while he was on campus in Grenada that he discovered his true passion in life—medicine, particularly surgery, and eventually a love for the very specialized field of plastic surgery.

Dr. Bosworth is currently the chief resident of plastic and reconstructive surgery at the University of Alabama at Birmingham. Recently, he was awarded an aesthetic fellowship at North Texas Plastic Surgery (NTPS) in Southlake, TX, which he will begin this summer.

SGU News spoke with Dr. Bosworth to learn what appeals to him about the field of plastic surgery, his path to fellowship, and his advice for students on how to land a competitive residency position.

St. George’s University: What is aesthetic surgery?

Dr. Jeremy Bosworth: There are two parts to plastic surgery training: reconstructive plastic surgery and aesthetic plastic surgery. Reconstructive surgery is a big part of plastic surgery training and involves things like craniofacial surgery, breast reconstruction, and reconstruction after trauma. Aesthetic surgery involves many types of elective procedures to enhance the appearance such as face lifts, tummy tucks, liposuction, and even body contouring after weight loss.  It also includes non-surgical treatments such as Botox and laser treatments.

SGU: What is a typical day like for a chief resident?

Dr. Bosworth: My typical day at UAB—where I am now—will vary from a full day in the operating room to a full day of in-clinic seeing patients or some combination. We work at a major university hospital, a children’s hospital, a VA, some smaller hospitals, as well as with private practice surgeons in the community so the experience is quite broad and varied. At my fellowship next year, most of the training will be at the main office of a private practice with operating rooms right in the office as well as a medical spa.

SGU: Speaking of, congratulations on your new fellowship at NTPS. What will you be learning during this time?

Dr. Bosworth: Thank you! The fellowship, which is endorsed by The Aesthetics Society, includes advanced training in facial surgery, body enhancement and contouring, and non-surgical treatments, as well as learning some of the business side of private practice plastic surgery. I’ll be working with a number of highly trained plastic surgeons which will enable me to broaden and master my skills. I feel that I owe it to my patients to be as well trained as possible, so the fellowship just made sense to me. I’m very excited.

SGU: Why did you choose a career in medicine?

Dr. Bosworth: I went to undergraduate college at the University of Arizona where I was a political science major. My plan was to apply to the FBI or CIA or even law school. But I slowly realized that wasn’t what I wanted to do. A friend at SGU told me about his wonderful experience studying medicine there and said, “Why don’t you apply?” I quickly discovered that medicine was my passion. And the rest is history.

SGU: What was your path after graduating from SGU?

Dr. Bosworth: I first did a general surgery residency at Nassau University Medical Center in New York. I then went on to start a plastic and reconstructive surgery residency here at UAB. I am graduating this July. This was a three-year residency that required completion of a prior surgical residency to be eligible. UAB was my first choice for plastic surgery because of the amazing medical center and the unrivaled clinical experience and volume in all aspects of plastic surgery that we see here. There are only about 30 one-year fellowships in aesthetic surgery like the one at NTPS. I knew it would be competitive. It required going through an application process, interviews, and then finally a match process.

SGU: How has SGU helped shape your career aspirations? 

Dr. Bosworth: Going to medical school at SGU was an amazing and once-in-a-lifetime opportunity. The students there had such a family-like mentality. Everyone works to lift each other up. Medical school is hard! I could not have got through it without that encouragement from my peers. And living in Grenada was fantastic. It wasn’t even until I got off the island that I realized how SGU shaped my professional outlook. I did most of my clinical rotations in New Jersey. That’s when it became apparent the SGU students were far-and-above better prepared than the other medical students. We worked harder, were reliable, and motivated, and also grateful for the opportunities. This is all something that SGU engrains in you. I carry that with me today.

SGU: Have you ever encountered any bias or skepticism of your abilities because you had gone to a medical school outside the US?  

Dr. Bosworth: I think that old school bias is slowly disappearing in the field of medicine as a whole, especially for SGU grads. I have always been of the mindset that I am not owed or guaranteed anything, and I always try to just prove myself, regardless of whether I find bias or not. The right mindset, hard work, and of course a little luck always helps.

SGU: Aesthetic surgery is a field of medicine that is extremely competitive. What advice would you give to SGU students who want to pursue a specialized area of medicine?

Dr. Bosworth: I think it’s important to really be passionate about the field that you choose. When I was applying for residency, I knew I wanted to do a general surgery residency which is not easy! It requires long hours and lots of information and skills to master. And then there is plastic surgery, which is even more challenging. I always remind medical students who rotate with us that surgery is an amazing field if you love it!

In addition, no matter how hard the day before was, I always come to work the next day with a smile on my face. I believe that attitude is part of what helped me excel. When applying for plastic surgery, I knew it would be a tough road to get a spot as it is a very competitive specialty. I also knew that it was truly what I wanted to do so I was not going to let a challenge deter me.

My final piece of advice is don’t rush into making a decision on your specialty. If you don’t already know, keep an open mind. But when you do find that passion, go after it with everything you’ve got.

Myanna Charles, MD, MPH

As acting senior medical officer and member of the National COVID-19 Sub-committee in Grenada’s Ministry of Health, Myanna Charles, MD ’16, MPH ’21, responded to the call to serve her country at a very critical time.

Tasked with limiting community spread and preventing as much suffering as possible caused by the COVID-19 virus, Dr. Charles recalled the long days and late nights spent working to ensure that Grenadians had the tools and education necessary to stem the impact of COVID.

Even though there were many challenges, she shared with SGU News that being able to provide technical support and advice in such an influential capacity to a people and a country that has given her so much is what continues to fuel her dedication to her job and to give back to Grenada.

St. George’s University: What motivated you to step up during such a crucial time in your country?

Dr. Charles: This might sound very cliché, but I am a child of the soil. Although it was a heavy call, I responded because I’m dedicated to serving the Grenadian people. In the height of the outbreak, there was no rest, our team was working seven days a week to keep our citizens safe. This country and University have afforded me the opportunity to study and practice medicine and public health. It seems only natural that I would want to give back without hesitation to the people, who have allowed me to achieve my dream of becoming a physician.

SGU: What are some of your responsibilities as part of Grenada’s COVID-19 public health response?

Dr. Charles: In collaboration with and under the leadership of the chief medical officer, Dr. Shawn Charles, MD ’17, MIB ’07, MBA ’08, I provided technical advice on public health measures at the ports of entry and in the community. These included testing requirements, entry forms for travel authorization and health declaration, and quarantine requirements for travelers. I also helped put into place measures to curb community spread, address vaccine hesitancy, and increase uptake in vaccinations. I also assisted with curfew measures, contact tracing, and quarantine/isolation recommendations.

SGU: What do you find to be the most fulfilling aspect of your job?

Dr. Charles: Being able to practice an upstream approach to medicine and doing so in my own country. This approach has given me the opportunity to look at and address the root causes and social determinants of health. In doing so, I’m able to improve health and outcomes at a community and country level rather than at an individual level through policy and program management. Instead of treating the disease of individual patients and sending them back to the same environment, I am now able to look at where these patients are coming from and why they have a particular ailment—so that it never happens again. Preventive medicine is dear to me but being able to do so in my home country and for my people means everything to me.

SGU: How well has SGU prepared you for your journey as a physician?

Dr. Charles: My experience at SGU has been instrumental in who I am today. I particularly recall my clinical years in the United Kingdom. The experience there was integral to building up my interpersonal skills but also implanted that preventive approach to medicine in me. It also allowed me to cultivate a network of amazing friends and colleagues throughout the region. Networking is extremely important and I’m now able to tap into many of those resources today.

SGU: Any plans or future projects you’d like to share?

Dr. Charles: I intend to pursue my PhD and to continue my research on carcinogenic exposures. My hope is to improve health literacy in Grenada through effective health education one day, which can have a huge impact in disease care and prevention. People need to be more aware of their health and the importance that lifestyle measures play in the prevention and treatment of certain diseases.

SGU: What advice would you give to anyone considering becoming a doctor at SGU?

Dr. Charles: I want to encourage others to be more open to new experiences within the field of medicine. There is so much to explore so don’t be afraid to step out of your comfort zone.

Carmen Roessler, MD

For Carmen Roessler, MD ’14, there is great joy in the company she keeps. The native South African splits time between three sites within England’s National Health Service, including a rehabilitation unit for predominantly older patients who require physical and occupational therapy. It’s her job to develop their functionality and, ideally, their independence.

Along the way, she appreciates getting to hear about the path they took in life, and applying their healthcare goals to the treatment plan she gives them.

“They often have different insights and some amazing stories,” she said.

Dr. Roessler recently shared her story, one that began on a sugar cane farm outside of Durban and has taken her around the world.

What do you enjoy most about working with an older population?

I enjoy interacting with people who have had a lot more time in this world than I have. And along with that, people in this part of their lives can be quite lonely and frustrated. I’m glad to get a feel for who they really are and what’s important to them. There are nuances to caring for them as their priorities may be different than someone who is middle-aged.

What is one challenge facing physicians in this field?

One challenge is that there’s not a lot of evidence out there that’s based on putting older people in studies. If you think about most of the medicines that we take, they’re based on younger people having been in the clinical trials. I think there are limited insights into how medications are processed by older people. People at different stages of their life are going to respond to medications differently. This is an area of medicine where there needs to be more research, and we also need more people to be trained to work in this sphere of medicine.

You completed your GP training in the heart of the COVID-19 pandemic. How do you believe it’s changed medicine?

COVID is still a major concern. It’s an ongoing threat to human life and human quality of life. One thing it has done is accelerate some of the technological advances that were probably already coming our way. There are benefits, but seeing someone in person can sometimes give you clues that you aren’t privy to if you’re having a telephone consultation. I think primary care is trying to balance and negotiate that very carefully.

When did pursuing an MD come on your radar?

I grew up on a sugar cane farm in South Africa. We had a bit of timber and cattle as well. I think the earliest roots of my interest in medicine were in nature or biology, and was probably inspired by growing up with a lot of contact with the outdoors. And then later on, I had a great aunt who was ill with cancer, and I found it rewarding to be able to offer her emotional support.

You spent your first year in the SGU/NU program in the UK. What was that like?

My experience in the Global Scholars program in the UK was brilliant. We had a smaller class size and we were a really tightly knit group. We built this sort of mini community that studied together and, when exams were over, we’d celebrate together. It was a fantastic bond. Together it was a time of growth and learning across multiple spheres.

In what ways did attending SGU help shape you as a physician?

Going to SGU exposed me to different cultures, different ways of thinking, and different ways of communicating. I think that it made me richer on a personal level; not only that but it has also made me a better communicator and hopefully, therefore, a more understanding doctor.

– Brett Mauser