What happened to this child is heartbreaking, and if medical negligence occurred, it must be thoroughly investigated. My thoughts and prayers are with the patient and her family.
However, using this tragedy to spread misinformation about a surgeon's training and to attack all international medical graduates (IMGs) is both dishonest and irresponsible.
The surgeon in question, Dr. Ashok Muralidaran, did not simply graduate from medical school in India and immediately begin operating on children in the United States. He completed:
• Surgical residency at Maimonides Medical Center in New York
• Thoracic Surgery fellowship at Yale University/Yale New Haven Hospital
• Pediatric & Congenital Cardiac Surgery fellowship at Stanford University
• American Board of Thoracic Surgery certification
• Additional subspecialty board certification in Congenital Cardiac Surgery
That's well over a decade of rigorous postgraduate training in some of the most respected institutions in the United States. Every step involved examinations, evaluations, credentialing, and oversight by American training and licensing bodies.
Equally misleading is the statement that a person needs only 40% to pass exam in India, which is an F in the U.S." Academic grading systems vary across countries and cannot be compared in such a simplistic manner. Moreover, physicians who train and practice in the United States must pass standardized licensing examinations, complete accredited residency and fellowship programs, and meet the same professional standards as every other physician.
If mistakes were made in this case, they should be investigated based on facts, evidence, and expert review, not race, nationality, or where someone attended medical school decades ago.
One tragic outcome does not invalidate an entire career, nor does it justify smearing the hundreds of thousands of international medical graduates who care for millions of Americans every day. Many of these physicians serve rural and underserved communities where healthcare access would otherwise be severely limited.
Don't use a family's tragedy to push an anti-immigrant agenda. Demand accountability where warranted, but do so with facts, not prejudice and misinformation.
How do the best get to be the VERY best at medicine?
One of the best advanced endoscopists in the world is my friend Robert Bechara.
And he has a few traits that I think allowed him to be elite at his performance.
In this Substack, I talk about some concepts of superexpertise, how it develops, attach it to theory, and describe learnable habits that the VERY best have developed:
https://t.co/aCV7okqU3l
First of a series.
A moment of pride! A co-first author in the best journal in medicine for a clinical trial that resulted in FDA approval in the USA and is changing how we treat acute myeloid leukemia #AMLsm. Congratulations to all the authors لحظة فخر! باحث أول مشارك في أفضل مجلة علمية في الطب لتجربة إكلينيكية أدت إلى موافقة إدارة الغذاء والدواء الأمريكية وتغير الطريقة التي نعالج بها اللوكيميا النخاعية الحادة.
Buscar nuevas oportunidades laborales en medio de la profunda crisis que atraviesa nuestro sistema de salud me ha estrellado de frente con una realidad incómoda y compleja. El panorama para los especialistas está tenaz. 🧵
عائلة جوارديولا هي السبب الحقيقي ورا رحيله عن مانشستر سيتي .. مش الضغط ولا النتايج.
الراجل ده عاش 8 سنين في إنجلترا وكأنه آلة.
ماكانش بيشتغل بس.. كان عايش في الملعب والتكتيك والاجتماعات.
النتيجة؟
انفصاله عن زوجته كان بسبب إنه "مش موجود أصلاً" في البيت.
رجعوا لبعض ، لكن الموضوع فضل معلق.
وبعدين والده.. الراجل عنده 94 سنة.
جوارديولا قالها بصراحة : عايز أقعد معاه الوقت اللي باقي.
وحتى أولاده.. كانوا بيظهروا معاه فقط في لحظات التتويج.
غير كده؟ تقريباً مش موجودين في حياته.
النهاردة جوارديولا قرر يقفل الصفحة مؤقتاً.
ما قالش هيرجع يدرب امتى ، وفي الغالب هياخد بريك طويل.. يرتاح ، يرجع لعائلته ، ويعيد ترتيب أولوياته قبل أي تحدي جديد.
الخلاصة اللي محدش بيتكلم فيها:
جوارديولا فاز بكل حاجة ممكنة.. بس خسران حاجات كتير في البيت.
دلوقتي اختار إنه يربح عيلته.أحياناً أكبر قرارات المدربين الكبار مش بتكون كروية..
بتكون إنسانية
The Spanish Journal of Gastroenterology @REEDigestivas_ is a Q1 open access journal with over 100 years of history, publishing high-quality research with no publication fees for authors.
☑️Rigorous peer review
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Contribute to the future of digestive diseases and share your research with the world.
Visit https://t.co/R4YyQ0Wkrm
#Gastroenterology #Hepatology #OpenAccess #MedicalResearch
The one thing no Qbank will tell you is: "This is a bad question; it' s kinda nit-picky, just designed to force you to think about a niche topic; don't stress to much if you got it wrong." That's why I made video explanations for the free 120. I think it helps to have context like this on questions you get wrong. https://t.co/9L7u4J5ipL
Nos publicaron. Gracias a todos los grupos que nos apoyaron en este artículo: Lema M, Lema C, Preciado B, Hoyos S, et al. Biliary tract carcinoma: real-world evidence in a developing country. Cureus. 2026 May 5. doi:10.7759/cureus.470313. - https://t.co/7HZ1zI0WOQ
As I approach the end of my internal medicine residency, days are flying, and I'd like to offer some advice to the incoming residents, hopefully, they can do better during the 3 years of their training.
1- Don't put yourself in comparison with the other residents in your program, everyone starts at a different level of training, and some residents have previous training in their home country. Only compete with yourself, and every day you should look at yourself in the mirror to find that you are better than yesterday.
2- Determine your future plan from the first day of residency. Fellowship or Hospitalist? If a fellowship, start contacting the professors to do research with them in this subspeciality. The time will pass very fast, and you need many publications to apply for the fellowship, especially if it's a competitive subspeciality, such as Cardiology or GI.
3- Always ask for help during your residency. That's the right time to do things under supervision. Reach out to your seniors to ask for things you don't know but first do your job and ask UpToDate or Open Evidence for any information you are missing.
4- Work on your documentation from the first day. Everyone is looking at what you are writing. Every piece of information you place in the medical history of the patients may help. But make sure that what you are writing is correct and not copied and pasted from someone else!
5- Every day is an opportunity to learn. So make sure you attending rounds, doing questions from MKSAP, Uworld, watching lectures from Medmastry, YouTube or any other resources you are trust.
6- Avoid causing problems with your seniors or coworkers as much as you can. Getting good evaluations from your seniors is very important for your future career. At the end of the day, you want to have a good work environment in your residency program.
7- Try to listen well to the main complaints of your patients. Don't depend blindly on someone's previous documentation. The whole plan may change from one single word.
8- During nights, the service is always busy. Try to prioritize which patient should be seen first and which one can wait till the morning.
9- The hand-offs are very important. Try to give a good sign-out to the night team, especially for your sick patients. Your patient's life for at least 12 hours will depend on what are you writing in the patient's hand-off. So make it clear and direct to the point.
10- The internal medicine residency is too tough. Try to enjoy every moment you are out of the hospital. Call your family, hang out with your friends, travel and see the beautiful world, and meet new people. As you grow academically, you should grow mentally and socially. Please don't forget to live!
Odio tener que buscar trabajo, odio rehacer y reinventar mi hoja de vida, odio ser ginecóloga en el presente de este país en el que no valoran nuestra profesión, sin ver que somos la base del aporte a la sociedad, odio lo que está pasando con la salud
De pre sión
"If you want something badly enough and stay consistent, it tends to happen."
We are excited to introduce Dr. Arashdeep Singh, a future Internal Medicine Resident at Allegheny General Hospital!
Dr. Arashdeep's path to the Match was one that was defined by self-reliance. As a first-generation physician navigating the U.S. healthcare system with no prior connections, he had to build his own roadmap from the ground up. His journey proves that while the road isn't always straightforward, persistence is the ultimate equalizer.
Beyond the wards, Dr. Arashdeep also finds his focus in the gym. For him, fitness is not just a hobby, but rather the fundamental bedrock of discipline that carried him through years of intense USMLE prep. He credits the consistency of his workouts as a major contributor to his academic success and mental clarity during the long hours of study.
Dr. Arashdeep's journey demonstrates that a first-generation physician can pave their own path through the USMLE landscape by leveraging the discipline found in everyday consistency and self-belief. We look forward to seeing the excellence and dedication he will bring to the Internal Medicine department at Allegheny General Hospital. Congratulations, Dr. Arashdeep Singh!
#ProjectIMG #Match2026 #InternalMedicine #AlleghenyGeneral #USMLEPrep