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Alexandra Moschella, BSN Alexandra Moschella, BSN (1 Posts)

Contributing Writer

Alexandra Moschella began her nursing career at Brigham and Women’s Hospital before pursuing a career in pediatric nursing at UMass Memorial Medical Center. Her husband’s residency brought them to Ann Arbor, MI where she worked at C.S. Mott Children’s Hospital in the Pediatric Cardiothoracic ICU. She loves cooking, being outside and hanging with her family.




Thank a Resident Day

I did not learn in nursing school what and who is a resident physician. It was briefly mentioned that the attending was in charge with residents below them, and that was the beginning and the end of the discussion on residents. But at the end of my first year as a new nurse on a medical floor, I could recite the names of the internal medicine doctors I spent my days and nights mostly working …

Well Child Visit

Hello, come in, and welcome to peds clinic! My attention is on you for the next 20 minutes.   How have you been? What do you eat? Have you been having normal poops and pees?   What are your pronouns? Would you like to explain? Do you still go by your original birth name?   Do you exercise daily? Or play a sport? I believe all students should be allowed on the court.   I’ve …

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.

Punctuality Permits Presence

It’s only 7:15 a.m.? I can finish folding my clothes before I have to leave for clinic, I thought to myself. Though the day was young, I had already been quite productive — I started the laundry, made myself breakfast, picked up around my room, and even found time to journal briefly about the day before. Surely I could check one more thing off my to-do list.

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.

Aline Gottlieb, MD, PhD Aline Gottlieb, MD, PhD (3 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.