I have been studying Medicine for over 6 years now, am not a medical student no more but already a Resident Doctor doing my residency in Pediatrics.
The reason why I strongly desire to enter pediatric endocrinology fellowship is due to a new found interest in clinical and basic science research.
I have a rough draft that I started which may be of help:
I had a comfort level I admitted a patient named GA, a well known 18 year old non-compliant type 1 diabetic who had a history of frequent admissions to the pediatric ICU due to diabetic ketoacidosis. This patient was going from profoundly hyperglycemic after glucose correction, to morbidly hypoglycemic less than 2 hours later. There was much confusion among residents and staff regarding the lack of positive response to this patient's management plan. This confusion persisted until there were valid suspicions of surreptitious insulin use by the patient. Once this suspicion was validated by critical laboratory values, many reasons why this patient's clinical course was so protracted became quite clear.
This patient exposure played a significant role in developing my interest in pediatric endocrinology. From this patient, I was able to see many complications of long standing uncontrolled Type I DM, including diabetic induced gastroparesis, chronic yeast vaginitis, flash pulmonary edema, supraventricular tachycardia, and urinary retention, all in a single patient. What further peaked my interest was the pathophysiology behind the clinical picture. The more I read about Type I Diabetes, as well as Disorders of Growth and Sexual Development, the more I became drawn to the field.
Please kindly check thru my grammar if you are going to incorporate my rough draft in a more furnished one you are writing and please, I need it asap.