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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

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.

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

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

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.

Reflections from the COVID Service

by Dr. Ritu Nahar, MD, internal medicine resident physician in Philadelphia, Pennsylvania, written for COVID-19: Inside the Global Epicenter: Personal Accounts from NYC Frontline Healthcare Providers by Krutika Parasar Raulkar, MD  Prior to starting the COVID service, I was eating and drinking fear and anxiety — there were wakeless nights and internet research, scrutinizing countless emails taking notes on the latest Jefferson COVID guidelines. I was alternating between feeling like a strong and resilient knight …

Physician, Activist — Does One Preclude the Other?

When do you leap into the unknown and venture into the uncomfortable? Is it after methodical deliberation or is it much more abrupt, emboldened by a critical decision? Perhaps it is a deep drive within you, one that propels you forward in a way in which you cannot look back.

Climate Change is Here: A Pediatrician’s Perspective on the Public Health Crisis

Softly and subtly, the rustling of the leaves quickens and a cool breeze sweeps across the town. A child rocks gently on a swing and a father stands in the bazaar bartering for the best value for vegetables for dinner. His wife is hospitalized with hemorrhagic dengue; shivering with fevers that rise and fall as do her blood counts.

Solitary Confinement and Health: Why It Matters in 2019

Over the last year, our collective minds have been captivated by stories about child and family separation, detainment of citizens and immigrants, and the quality of the health care within detention facilities. These stories have been jarring and traumatic, and have also awoken an important level of national consciousness about the nature of detention. What has not received as much coverage in recent discourse is the ongoing nature of solitary confinement in our justice system.

An Open Letter to New Interns, Residents and Fellows

I am very pleased to welcome you all to a new academic year at the esteemed institution at which you find yourself, perhaps somewhat unexpectedly, thanks to the Match. Late June is always somewhat bittersweet, but it is a simultaneously exciting time in the academic year.

Lara K. Ronan, MD Lara K. Ronan, MD (7 Posts)

Attending Physician Guest Writer

Geisel School of Medicine at Dartmouth


Dr. Ronan is an associate professor of neurology and medicine at the Geisel School of Medicine and is the program director of the Dartmouth-Hitchcock Neurology Residency.

Practical Wellness: Perspectives from a Program Director

A program director's perspectives on practical wellness in residency and how graduate medical education leadership can facilitate housestaff resiliency and self-advocacy.