Tuesday, November 17, 2015

Fellowship Application

Since the Loewenstern--I have definitely been considering what to do this upcoming summer. I had also contemplated whether or not to take a gap year, spurring my interest in the Watson Fellowship. Below is my essay, as well as a preliminary project proposal. Ultimately, I did not go forward with my application, but have since sought other summer opportunities to learn more about Traditional Chinese Medicine (TCM), which I gained interest in while in China. I plan to apply to the Sichuan Provincial Scholarship to study TCM at the Chengdu University of TCM this summer. However, the application does not require any essays. 

Fellowship essay:
When explaining my love of cooking to others, my mother always said it was because foodies make the best chefs. I would simply laugh in agreement. From a young age, I was no stranger to the kitchen; in a household that among other things emphasized home cooking and healthy eating, the kitchen was a hub of activity before meals. At the time, I was always lifting the lids off the bubbling pots to peer inside and sneak a whiff. As I grew older, I graduated from being the occasional test-taster to a dishwasher and helper, and finally a full-fledged cook. I learned to balance flavors, colors, and textures to create meals that looked and tasted good. Most of all, I made sure that the meals were good in terms of nutrition. When it came to cooking, my personal mantra was ‘delicious and nutritious.’ Through cooking, I discovered a world of possibility.
As my culinary ability grew, so did my passion for medicine, inspired by my visits to my pediatrician as a child. Despite the painful vaccines and my subsequent bouts of crying, I remembered the sympathy and kindness of my physician as she directed my attention to the shiny new Looney Tunes Band-Aids covering my ‘boo-boos.’ I knew then that I wanted to one day care for and comfort others as my pediatrician had for me. Though naïve, this aspiration remained even as the frequency of visits to my pediatrician waned, matured by my shadowing experience. While I witnessed the easy rapport the pediatric cardiologist established with his patients and their parents, I also became acquainted with the complexities he faced, such as balancing quality of care with affordable costs for an uninsured patient. These challenges did not daunt me, but rather have heightened my passion for medicine.
This summer while in China volunteering with a NGO as a Loewenstern Fellow, I developed a morning routine of reading news from my NPR app while riding the subway to work. One morning, my entire outlook was transformed by a single headline: ‘A Dose Of Culinary Medicine Sends Med Students To The Kitchen.’ Perhaps just an interesting news flash to some, this was earth-shattering to me, as it was my first time learning of a direct junction between my two greatest passions, medicine and cooking. Up until then, I had never seriously considered the integration of cooking and medicine, only joking with friends and family that I would open a bakery if medical school did not work out. Now, my two worlds were colliding, but in the best way possible.
According to the Goldring Center for Culinary Medicine, culinary medicine ‘is the utilization of a unique combination of nutrition and culinary knowledge to assist patients in achieving and maintaining optimal health.’ Looking back, I had already unknowingly touched on various aspects of culinary medicine. My sophomore year, I became the food representative of my residential college Jones, responsible for serving as a liaison between the servery and the students. However, conversations with my fellow Jonesians soon revealed a lack of cooking experience, a major hindrance for those soon to be moving off campus, and off the meal plan. Seeing a chance to improve the situation through my position, I hosted a salad-making and tasting study break. Selecting an array of easily-prepared vegetarian- and omnivore-friendly salads, I hoped the event would help dispel the notion that cooking was hard. With a number of helping hands making the salads, and many more helping mouths eating them, the event was a success.
Not one to be complacent, I sought ways to broaden the scope of my efforts to all of Rice campus and perhaps even beyond. After being introduced to public health through my Global Health Technologies minor, I was eager to see how it fit in the context of medicine. This is what motivated me to co-lead a new Alternative Spring Break (ASB) trip to an urban farm in Fifth Ward, a prominent food desert in Houston with only one full-service grocery store in the entire five square mile area. Upon becoming aware of the jarring disparity between Rice, the fourth healthiest college, and the city to which it belonged, Houston--once dubbed “America’s Fattest City”--I was determined to explore the issue of food sustainability and food accessibility with fellow Rice students while also giving back to the Houston community through service. For me, the trip highlighted the complexities of addressing an individual’s, and by extension a community’s, lifestyle choices. When we offered to pick a salad mix for a lady who came by looking for something to eat, she merely said dismissively ‘I don’t eat salad.’ However, the produce became much more readily accepted by the community members when the leafy greens became the toppings for pizzas made fresh on the farm. These moments made me realize that availability does not equal accessibility. In my mind, this is where culinary medicine fits in.  While dietary habits are only one component of the many health determinants of wellbeing, it is still an important one. Rather than simply telling a patient to eat more fruits and vegetables, a physician should be able to personalize this advice to help the patient achieve it.
After reading and re-reading the NPR article, I eagerly researched available opportunities to study culinary medicine alongside the standard medical curriculum. Unfortunately, such training is sparse; as mentioned in the article, only about a fourth of US medical schools offer the 25 hours of nutrition training recommended by the National Academy of Science, much less a culinary medicine program. Although initially disappointing, the situation was ultimately an opportunity. Over a spicy dinner of hotpot with a staff member of the Rice Center for Civic Leadership and my Loewenstern peers, the conversation turned to the Watson Fellowship as she told us about it. Immediately interested, I began pondering what I would spend a year doing. Now, everything fell into place. As a Watson Fellow, I could not only learn culinary medicine, but also compare and contrast practices among different communities and countries. I also look forward to being able to share this with my fellow medical students, just as I already share my culinary skills with others. Through the Watson, I can finally integrate my two passions in order to better serve others. My mother says foodies make the best chefs, but perhaps they make the best physicians as well.   

Project proposal:
I have the Loewenstern Fellowship to thank for even envisioning this as an extension of my abroad experience. During my time in China, conversations would regularly touch upon the various dishes on the table and their respective ingredients—how they were well-suited for the time of year, or for a specific condition. These snippets of wisdom were not new to me, as I had heard them growing up. While I did not always believe everything I was told, there were some I deemed to have merit. Nevertheless, I have yet to probe the scientific basis of these claims. While in Anlong village, I was fascinated by the large, full-color posters in almost every household designating beneficial and detrimental food pairings, each with a brief justification. I would like to learn about this in a more structured setting by taking a 3 month course at the Chengdu University of Traditional Chinese Medicine. I would then take a step back out of the medicinal focus of food and go to France for 3 months to understand the cuisine there. I think there is much to be learned from a culture that maintains its traditional roots and fresh ingredients, a contrast from the American cuisine—which has no one ‘staple diet’ but is quite literally a global melting pot. More than just learning skills in the kitchen, I hope to also better understand the sociocultural structures that are inherent to France’s cuisine. For example, while in France with my family on vacation, I remember being especially impressed by the availability of fresh produce, which were extensions to ordinary corner stores. I hope to be able to identify concepts that can be applied to the States as well. I would then spend the next 3 months in India to continue the journey of culinary medicine. I would then study at the Kerala Ayurveda Academy to learn Ayurvedic cooking and understand the concept of food as medicine through this field. For my last 3 months, I would like to round out the experience with nutrition courses at the University of Surrey under the Department of Nutritional Sciences.  

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