I’m a graduate of Tulane Medicine.

While I love the attending position I ended up in, I def had aspirations in cardiology, that despite my best efforts, had no place to be nurtured and grow at Tulane.

So I thought.
Our cardiology program was volatile, lost many faculty, including Black and Indian faculty that had poured into me my first and second year, helped me write papers, etc. I lost their support for my fellowship application when they disappeared suddenly from Tulane.
Many of my classmates also aspiring to cardiology had similar issues gaining footing.

One call night, I happened to have the same call room that my white classmate used previously.

He left his workspace logged in from the previous night.
Just out of curiosity, I searched “cardiology”.

I sat back in shock as I saw countless emails from my program director, who I had begged for help in supporting my fellowship application, completely building an application for my white classmate.
My PD

-made a resident leadership position for my classmate in the Louisiana ACC (cardiology professional society)
-tirelessly promoted my classmate to fellowships
-fed him opportunities to add his name to to ongoing research projects
I was shocked because literally at the the same time, I had a completely different experience.

Despite being highly regarded from multiple members of the cardiology department, in order to get even my standard Program Director letter,
I had to submit an entire sheath of forms detailing how I sought out fellowship,

Which was moot because,

He made me write the letter myself.
Fellowship is all about who u know, not what u do.

It didnt matter that I had a first author paper (in Cell, no less) detailing the basic science of heart disease. I needed manpower, a voice on the phone, from residency leadership. That’s how this works.
What I got, instead, all I got instead, was a signature on a letter that I myself wrote.
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