Welcome to Beyond the Ness University of Minnesota, Rochester's alumni podcast. I'm Marco Lands, Umar, Director of Alumni Development Relationships. Today we hear from 2016 graduate, Dr. A Ali, as she chats with her student success coach, Jen Hook. The two talk about discovering UMR, the importance of mentorship, the experience of medical school, and advice for students pursuing medicine. Following her time at UMR, Dr. Le completed a gap year as a post back research scientist at Mayo Clinic, graduated from the University of Minnesota Medical School, and is now an Otolaryngology head and neck surgery resident at the Mayo Clinic in Rochester, Minnesota. What have you been doing since you graduated in 2016? Yeah. So I did a gap year for a year after I graduated and did research during that year. And then I went to University of Minnesota and the Twin Cities. The medical school up there spent four years up there, and then missed Rochester too. Came back, so now I'm an intern in the Otolaryngology Hedex Surgery department. It's just a fancy name for ear, nose, and throat doctors. So that's what I'm doing right now. You said it just so nicely. Just that's really, yeah, You practice saying that word a few times now. You interview at all these places and have to tell them why you want to be one of them. You have to know the name, you figure it out. Exactly. I love that kind quick overview. Let's maybe jump back in time because long ago you were a high school student and you decided to come to UMR. Walk me through that choice and that decision, like how did you end up at the University of Meta Rochester? Yeah. I grew up in Rochester and had just heard about this new college that was starting out and was probably three years in when I was like considering going to Mr. I think I told you this story, Jen, But it was a really funny story because my mom told me there was a university and I was like, no, there isn't one. You can't be I thought she was just trying to coax me into staying in Rochester. So I did a little bit of research and quickly learned that this was a health science school at the time. I wanted to do something in medicine, in health science. And I didn't really, for me, I wanted to be at a place where I felt like the school and the professors really wanted to support my pathway. Regardless of where I ended up, I was looking really for good education and support in being able to pursue whatever avenue I found myself interested in. Then of course, there's the attraction of Mayo Clinic and doing research for me was another thing that really sold me into staying. But honestly it was the people like I came and did, I don't remember what it's called anymore, but when you come and you visit the school and meet some of the professors and students, and I just felt like people were really supported at UMR. There was something ask whatever questions center. I don't remember what it's called more. Just as just as you were aware. I spent a lot of time there. I think for me that sold me as a high schooler coming to Oh, yeah. No. I was just going to say if you could tell us a little bit about maybe some of what you consider the most impactful experiences that you had while you were a student at U. Yeah, think the academic rigor of just made me a more confident student coming in from high school perception that I wasn't like a good test taker and was an average student, I think I really was. But coming to Mar, I felt like my professors really pushed me and challenged me to work harder, study better, study smarter. I think that people really taught me how to thrive as a student. I think the Just As Center was really a big part of that because I felt like people were open to helping me figure out what I knew and what I didn't know. Instead of just saying too bad, go learn this lecture, come back. I think learning how to deal, how to thrive in Aca, academically rigorous place, the biggest things I took away from UMR. Then the other thing for me was just didn't know I was interested in research, opened that opportunity for me to find people to work with at Mayo through the work study process and some research projects that I did with some of the professors there that really opened up my academic career for me. Those are really the two big highlights I take away from my time at UMR then the people I loved being your student. I know that there was a lot of tears in your office, but I think it was like growing pains and I felt like there was plenty of support in. Process for people to both be like a good listening ear but also like objectively tell me like, yeah, you can do this or no, you should reconsider this. And so I felt like there was a really good balance in that. I recall you being in my office your first year and you're like, I don't want to use the word easy, but so far it's okay. And then I remember in sophomore year you saying, okay, it's hard now. Yeah. Yeah, I did a lot of crying sophomore year, but I'm glad to hear that you felt that there was support in place to help you because my guess is it got harder in medical school. That's accurate, yes. And honestly, I think that, like I learned from Omar that it's really about like putting in the work, putting in the time, and that nothing really was beyond like my understanding. It just meant that I just needed to find a person who could explain it to me better. Something that could teach it to me better and then put in the work. And I think the just Ask center for me really did that and taught me those skills. I love how you describe those relationships and how important those relationships were in your learning. You had a lot of mentors, I think, throughout your undergraduate career. I'm just curious if you can speak a little bit to the power of mentors in your life, both when you were an undergrad, but how you've built a professional network now that you have gone through medical school and in your residency experience now, what does that feel like to you? Yeah, I'm a true believer in mentorship. I think that mentorship really opens up doors that you didn't even know existed. I learned how to build really good mentors at Mar because I felt that there's a tiered way. I think about mentors, there's people who are a year or two ahead of you, who are going through the same thing as you are and can tell you how to get through your day to day stuff. So those are like your peer mentors. There's people who in the next stage, like the people who are in med school or in grad school that you can talk to, to figure out how to figure out how to get to your next step. Then there are people who are like your big picture mentors, who help you figure out where your roadblocks are, what skills you need to get to the next stage. I felt that, at, um, I was able to learn that. One, I needed all those types of mentors, but two, have access to them. My classmates and the people, the class years that are above me were really great mentors to me in terms of the TA's, were really good at like telling you this is what you need to do to sight for this class is what you need to do to succeed, et cetera. And then there was you who I could come to and be like I need to go to med school, I need to do this, how do I get there? And you did a really good job of just helping me figure out what is the big picture and how do I get there. Then I had amazing professors like Dr. Cosco and Dr. Prat Recina, who really helped me from a big picture understand like what are your goals? Where do you want to go? How can we help you get there? When I went to med school, I like frantically tried to build a similar network. And I think that because it was a bigger school, was a little bit harder. But eventually with the skills that I had learned, I was able to do to kind of build a similar structure. That's kind of one of the biggest lessons I've taken away from mentorship is just you have to ask you to take the courage to ask people and tell them what you're struggling with, where you want to go, and let them help you. Does that exist in your world now as a medical resident? I mean, you're in the very interesting place, right? Postal. But still in training. Do you feel like you have that mentorship support now as a resident? Yeah. Yeah, I'm pretty early. So the programs five years start to find people who can fit into those pieces. Of course, like my co residents are really great and the people who I look to to be like how do I get through the day to day things now? Then there are some faculty members in our program who are fantastic, who I gravitate towards and are very open to mentoring me. But I think at the beginning of every stage, you're rebuilding that network. But I have no doubt that I'll find those people and be able to be able to get to the next step. You have to continue to build those other relationships you had in the past too because those people still serve a purpose, can still be vents even if you pass that stage. Oh, that's beautiful. Join Umar and Mayo Clinic on Tuesday, October 18 for the next installment of Current Center connects a partnership highlighting the research of the Robert D. Patricia E. Kern Center for the Science of Healthcare Delivery featuring University of Minnesota alumni at the current center, our panel will include Mayo Clinic professors Molly Jeffrey, Sean Pilon, and Jennifer Ridgeway, as well as 2018 Marlo and Mayo Clinic Phd candidate, Muhammad Dani. The group will discuss their wide ranging field of work as well as how they navigated a career in healthcare research and discovery. The event will be held on campus in room 414. The fourth floor of University square beginning at 05:00 P.M. To register, please visit Zacks Kern Center. Yeah, I definitely like community engagement and I think in a bigger picture of social justice is a big part of my interests. Then I learned very quickly that I love research and really get really nerdy about small, intricate pathways and clinical research in med school, especially in the first two years. I found it a little bit hard to maintain both of those two things at the same time. With med school going on, I think my community engagement interests took a little bit of a back seat. I was still engaged in mentorship of underrepresented minorities and things like that. But like being out in the community had to wait a little bit. But when I was doing my third and fourth year of medical school, honestly those experiences that I had with community engagement made my patient interactions more enriching. Every once in a while there'd be a Somali auntie who would be like, wait, you're like a medical student. A young Somali girl who's like, wait, you're going to be a Dr. for me it was just so fulfilling to see that and to even if I wasn't actively out in the community in a way where it's like in a free clinic or things like that, I was still part of the community. I was still making a difference by just existing in that space. Then I tried really hard to maintain my relationship with the Somali Health Advisory Committee which I had built an undergrad, See if there was ways that I could help. I continued some of my health disparities research as well into medical school. Then when I was deciding on what I wanted to do in my specialty, that was like where it felt like I had to choose. Because I think surgery is a, I wouldn't say hard, but I think have to be a little bit more innovative to fit community engagement into a surgical career. I think that, yeah, I think surgeons and people in general are now more open to trying to implement that. I think the easiest way that I saw community engagement fitting into my surgical career was picking a specialty where I felt like we still served as a primary care environment, but also we got to do a lot of surgery. I felt like things like urology, E and T, those specialties would like 0. B would be a little bit easier to build those experiences in, within a career, I just fell in love with E and T and felt that if and when I do get the chance to do community engagement in E and T, it's really easy. With oral health screenings And a cancer screening. Yeah. One of the main reasons, of course, I love Rochester and I think Mayo Clinic is an amazing place to train. But one of the main things I love about our program is one of our attendees is working on a community health clinic that she just got funded for, for oral cancer screenings and pack cancer screenings within the community. That's something that I'm, I think one of the reasons why I picked E and T was mainly because I felt like it was easier to do community engagement. And of course, you can always do research in medicine. That was easy. Yeah, that was an easy one. I came to medical school thinking I was going to be a primary care Dr. mainly because I thought the best way to serve the community was in primary care to be out in the front lines. When I was in medical school, I felt like I just gravitated towards the way surgeons fixed problems. For me, it was hard for me to grasp long term benefit of someone in terms of the work that we were doing every day. If somebody came in and their blood pressure was still uncontrolled, the fifth, sixth time that you're seeing them, I just felt defeated and I didn't feel like I was like doing something meaningful. As horrible as that sounds, I felt that there was something definitive about seeing someone saying, this is your problem, this is what I can do about it, this is our plan. I think once I realized that that was like how I wanted to help people, then I started searching in surgery, what the specialties were. Something about E and T for me. And T, I think allows you to see patients when they're brand new. Like few days old. All the way to when someone's dying. Because we deal with the airway, with the ears, everything from they say the pleura to the dura, clavicles to the brain. We just don't do anything with neurosurgery. But I felt like I wasn't giving up a set of patients by picking E and T, for example, if you picked urology, it's a little bit harder to serve women, but you can still do that. Or if you picked surgery, you were only dealing with children. Where I In E and T, I was dealing with everyone and people could come with me with a simple thing as like, oh, I have this cough and I can't get it to go away to, oh, I have stage four cancer and you're well equipped to deal with those things. The surgeries and E and T are just amazing and life changing. We can build someone a new jaw or do facial plastic surgery and do a face lift, its do sinus surgery to help with skull based surgery, things like that. And I felt like I wasn't really giving up any part of medicine by doing E and T. I felt like I was just sub specializing. Yeah, So that's from viewing your classmates, this thing people just figure out. Right. Like I think I've read like 10% of students end up doing what they think they're going to do. You figure it out, rotations, is that what the process was like for you? I think the thing that makes a big difference is mentorship. I was, again, very lucky, So I had this general surgeon who was a transplant surgeon who was an amazing mentor to me. But I could not see myself doing what he did. I was like, I need to be around my family and I can't work like this all the time. It's really cool what you do. I searched out different and felt that the E and T department was just more welcoming, believed in what I wanted for my career to look like, and felt like that was needed an ENT, and felt like I could contribute to the specialty. I think that that really impacts people's decisions way more than just what they're interested in. I think a lot of people who go into medical school have very broad interests and a lot of us can be pretty much anything. The people who and early on really have a huge impact on where you end up. I think that membership really has a big impact. But again, if you hate the OR it doesn't matter if your mentor is fantastic, you just hate it. It's the same thing if you can't be in clinic every day for the rest of your life, you try to figure that out. Yeah, that's great advice. Umr would like to hear from you. Please visit this episode. Show notes for how to connect and share your UMR journey. Now, back to Dr. Ali and Jen, as they talk about advice for students interested in pursuing medicine. The journey to medicine is long. We know that, right? And I think especially as undergrads, it feels like overwhelmingly long. Looking back your younger self, what advice do you think you would give yourself as you started this premed journey that started a Yeah. I would say that anything is possible. I think I've proved that to myself in the ten years it's taken me to get here now. I had a lot of self doubt and a lot of imposture syndrome all throughout my training. And I think at times, even as a newbie an ENT. But I think that with ample of time and really good work ethic and just like sometimes good mentors and luck, you can really get to where you want to be. I think persistence is something that is should not be underrated. For example, like I remember when I was considering applying to med school during my third year, going into my fourth year, and I just didn't have the M Cat scores. We had this conversation where it was like, should you do D 0 or should you do M D and things like that. I think that from that experience, I had learned that sometimes. And you said this to me where you were like, you just need more time. An extra year can make a big difference for you At that time I was like, no, I can't. I don't have an extra year in me. But a year is really nothing in the grand scheme of things and scheme of your goals and your careers. And if it takes you a year to get to where you want to go, then take the year just I think you had to have to be a little bit headstrong and persist but also like asking people for help. I think those two things have really helped me get a lot further than I had ever anticipated. Yeah, I'm so glad you brought I have very vivid memories. Conversation. You're like, I can't take more time. And then by the end of the appointment you were I'm going to take more time. Arrived at this moment, I think that decision of taking that gap year, that growth year, is something that a lot of students struggle with in their premed journey. And, you know, like ultimately you decided to take it. What do you think? That I'm totally coming out with my bias here. I'm a big fan of the extra year, right? Or maybe for some folks. What do you think for you that that extra year gave you the time to do? Yeah. I look fondly at that year. I loved that year. In that time I did research and still worked on my application, and I felt like I had a much stronger application from that experience. Something about like an extra year to be able to really sit down and really think about why are you doing this like. Really good job and live, you know, semi easier life. You know, at least for the next like ten years while I'm in training. If I had like picked something else and still be fulfilled. And I think that there are options out there. When I was a type of student who was very much like I only have this one focus and I'm only going that way. And I think the year really forced me to sit down and really think about is this like what I want to do? What is that going to mean for me in the future? I also in that time, like had my son and was like a mom for a year out at home. It was amazing. I loved that year when I see people with like really amazing skills, you meet really talented people in medicine. And some of my peers took 234 years to travel the world or get a master's in something else. And those things really come up later on when they're thinking about how to enrich their careers. There's a lot of people that I went to school with who did like narrative medicine and all these other things because they were writers and took time to foster that while not in school. I think the couple years in between undergrad and med school are really years to explore. Anything else that you want to do besides medicine? I think you come back to med school just like fresher and have a purpose. It makes those days a little bit easier. Definitely. Such beautiful advice. Yeah, I'm so glad you brought up your beautiful son who is in kindergarten now. Yeah. He's big. I'm always shocked, like oh wow, you know that word. Do those things, how does it feel balancing a life As a mom and as a very busy physician in training? I know what it is, life like for you. Life is busy. Um, I have a wonderful family who has really supported me in this entire process. When I was in medical school, like I could honestly, if I needed to drop everything and do whatever I needed to do for school, my family was ready to do that for me. So I'm really blessed to have them. And so they kind of made that experience easier. Now being in Rochester. That's what they do. You know, I'm like, okay, please help me, help me get through this. My family also, I lost my train of thought there. The thing I loved about being a mom in medical school was I felt like it gave me a little bit more of a purpose than maybe some of my peers and maybe that's just my bias. I felt like I connected with people a little bit better mainly because, for example, when I was on Peds, I knew what it meant to be those parents in that space. And I was like, I get it. This nervous parent and you're nervous because this is your kid and completely can bond with you. Might I have one of those? Exactly. And I was like, if I was in your shoes I would be even more disruptive. I think it just made me a better Dr. I think it still makes me a better Dr. going home and like knowing that someone is like benefiting from all the work that I've done, the life that he gets to have is very different from what I had. Even though I grew up very like my parents provided us with everything that we ever needed. But I think it's just still different. It just makes this process more enriching. Yeah, yeah. I love that reflection. Thank you. Of course. I hope that some of our listeners might be current UMR students and I'm just curious if you have any general advice for those especially that are looking at applying to med school, have this interest in medicine. You've already provided us with some really beautiful advice about finding your mentors, challenging yourself, and growing. Ally, is there any other advice you might have for those students? Yeah, I would say have fun. I think it's hard to beat someone or do better than someone who loves what they do. I enjoyed my time at Omar as like nerdy as that sounds, but like I don't know, I felt like I like thrived and blossomed there. So I think that people should just like challenge themselves but also like enjoy the process is the same thing from med school. I think it's possible for you to feel like everyone and everything is against you and everything is hard. But I think if you just take a step back and realize that you're living your dream, you get to go to college and you get to study interesting things and learn things. I think it just gives you a very different perspective and it makes the learning process a lot easier, makes the experience a lot more enjoyable. Like I love Omar and I loved med school. And just like it helps you keep going and you get a lot out of the experiences if you're enjoying it. Yeah. Yeah. Thank you to Dr. Ali and Jen for an illuminating conversation and thank you for listening to Beyond the Nest Mars alumni podcast. Beyond the Nest is produced by UMR Alumni Relations and edited by Marsha Saunders with Minnesota Podcasting. We'll be back next month with a special state at the campus episode featuring UMR Chancellor Lori Carroll and Rochester Student Association President Patricia Hernandez. Until then too, Telo