Internal Medicine

Aline Gottlieb, MD, PhD Aline Gottlieb, MD, PhD (4 Posts)

Resident Physician Columnist

Hillsboro Medical Center

Aline went to medical school at the University of Essen in Germany. She started training at the University Hospital Essen in Internal Medicine with the focus on GI/Hepatology. She then followed one of her former supervisors in 2017 to the University Hospital Magdeburg and continued her training for two years. In 2019, she started a two-year research fellowship at Johns Hopkins University with a scholarship by the German Research Foundation. During that time, she decided not to return to Germany and instead attempt to become a physician in the US. She has started her internal medicine residency this year at Hillsboro Medical Center in Oregon.

Surviving IM/G

I am an international medical graduate in internal medicine residency (IM/G), sharing my experiences with all of you. If you are an IMG, hopefully you can relate to some of the stories and feel encouraged, because we are not alone. If you are an American-based resident: I hope these stories help you better understand your IMG colleagues a bit better. And above all, I am hoping to hear from you as well: let's share knowledge, experiences, and pave a path for the many other IMGs seeking to fulfill their dreams in the United States.




What Are You Going to Do When You Grow Up? My Slither of Hope

Published by Aline Gottlieb, MD, PhD

It is very difficult to believe that I am already more than halfway done with residency at this point, and that it is time to figure out what I want to do after these three years are up. Once again, what’s surprising and different to me is the structure for training in the United States: having to apply at the end of year 2 for a fellowship that will start after year 3, seems so early, but I am learning to accept that these are the American ways.

Surviving Residency When Your Fiancé Has Cancer: Part 3

Published by Jordan Morrison-Nozik, DO

The second week of September was the epitome of emotional whiplash. Monday the 12th, we celebrated our one-year engagement anniversary in the ICU. We had gotten engaged in an apple orchard, so I brought in apple cider and cider donuts. She still wanted to keep fighting and didn’t want her doctors to give up on her. She was on four mcg/min of norepinephrine to keep her blood pressure up.

Surviving Residency When Your Fiancé Has Cancer: Part 2

Published by Jordan Morrison-Nozik, DO

I had just started my residency in Burlington, Vermont when she started having symptoms again. She was to receive her treatment in Rochester, New York, which meant we were apart most of the year. I had been planning to propose in October, but now all plans were out the window. Despite the fear that swelled inside, I made sure to propose before she started chemo, to show that I would be with her no matter what.

The U.S. Medical System as an IMG: My Path

Published by Aline Gottlieb, MD, PhD

In my last installment, I mentioned I would like to write about my process of getting into a residency program in the United States. As soon as I promised this, I remembered the number of steps involved, so please forgive me if I forget to mention something. The path has substantially changed since COVID and differs greatly by individual circumstance. What made the whole process so confusing was having to create multiple accounts and profiles for multiple websites; the next step was often unclear until I called the Educational Commission for Foreign Medical Graduates (ECFMG) and explicitly asked for instructions.

Surviving the First Month as an IMG Resident

Published by Aline Gottlieb, MD, PhD

Let’s start with a very brief introduction: Hello! My name is Aline, and I am an international medical graduate (IMG) from Germany. I used to work in Germany in internal medicine, where I have completed four out of five years of training. I would like to share my experiences, thoughts, and later also some of the processes and steps that got me here over the course of this new column.

Along the Road: A Perspective on Medical Training in a Pandemic

Published by Kaitlyn Dykes, MD

It feels odd to have family members in the hospital regularly again. My patient’s wife approaches cautiously; for a second I pretend not to see her. She looks like she wants to talk and I’m afraid she wants good news I can’t give, promises I can’t make, and time I don’t feel like I have. She wants time to tell me her loved one’s stories.

Early Palliative Care and End-of-Life Planning as a Primary Preventative Intervention During the COVID-19 Pandemic

Published by Amira Athanasios, MD

The novel coronavirus pandemic (COVID-19) has drastically increased the number of critically ill and dying patients presenting for hospitalized management of dyspnea, acute respiratory failure and other serious complications. The emergence and spread of SARS-CoV-2 has created unprecedented demands on all avenues of inpatient hospitalist medicine. One of the many services in high demand includes palliative care, with increased need for complex end of life planning.

Internalizing Medicine: Starting Intern Year in the Time of COVID

Published by Keanan McGonigle, MD, MPP

In my home city of Washington, D.C., citizens have taken the changes brought on by COVID-19 very seriously; social distancing, masking and frequent hand hygiene are now routine. These days, I am startled when I see the bottom half of someone’s face out in public. Our homes have become our sanctuaries. In the hospital, however, much of our work continues unabated. Orders are written, notes are signed, lab work is drawn, imaging is performed. Housestaff are on the front lines with nurses, respiratory therapists and patient care technicians taking care of the sickest patients day-in, day-out.

Facing the Consequences of the Pandemic as an Oncologist-in-Training

Published by Mariam Saad

For the first time in history, a pandemic has shut down the entire globe. COVID-19 has affected our lives in many ways, including significantly impacting health care services. Many people, sensing an unseen danger looming in the air, have become increasingly afraid to visit their primary care physicians, and we are now discovering the catastrophic consequences of this delay.

Mariam Saad (1 Posts)

Resident Physician Contributing Author

The National Cancer Institute of Egypt

A physician-scientist in the making. Graduated from Cairo University School of Medicine in Egypt and is a medical oncology resident physician at the NCI in Egypt. Former trainee at Harvard's affiliate; Brigham and Women's Hospital. Is an aspiring artist and believes that empathy is the main ingredient of humane and compassionate care.