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A Piece of My Mind
December 5, 2012

Not Born in the USA

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Senior Editor.

Author Affiliation: Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey (rajput-vj@cooperhealth.edu).

JAMA. 2012;308(21):2197-2198. doi:10.1001/jama.2012.45065

On the first day of my internship on July 1, 1992, as a transitional-year resident at a Philadelphia community hospital, I thought I spoke good English, and because I was a board-certified surgeon from India, I thought I was knowledgeable about medicine. I quickly realized in taking the history and examining my initial patients that I did not know much about American culture and medicine. My transitional year of residency was literally a history-and-physical machine for me, as I did H&Ps on 15 to 20 patients each day, trying to learn more and more about American medicine and Americans in general.

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