{"id":11769,"date":"2018-01-30T10:44:24","date_gmt":"2018-01-30T18:44:24","guid":{"rendered":"http:\/\/depts.washington.edu\/medex\/?p=11769"},"modified":"2018-01-30T10:44:24","modified_gmt":"2018-01-30T18:44:24","slug":"you-have-to-do-something-extraordinary","status":"publish","type":"post","link":"https:\/\/familymedicine.uw.edu\/test\/you-have-to-do-something-extraordinary\/","title":{"rendered":"You Have To Do Something Extraordinary"},"content":{"rendered":"<p><span class=\"dropcap\">O<\/span><strong><span style=\"font-size: 18pt\">lga Pavlova-Rios wants you to know<\/span><\/strong> that Dr. Philip Smith changed the course of her life.<\/p>\n<p>The story dates back to about five years ago when Olga, her husband and two children moved to the Lake Stevens, Washington area. Looking for a local physician, she Googled providers in her area and chose Dr. Smith randomly.<\/p>\n<p>\u201cI just wanted an experienced provider,\u201d she tells us.<\/p>\n<p>Olga brought her child to their first appointment with Dr. Smith at Marysville Family Medicine with Western Washington Medical Group. And what was her initial impression?<\/p>\n<p>\u201cHe was the first doctor in America who actually asked me as a parent about being a parent,\u201d she says. \u201cHe asked about my entire social history. He so impressed me with his kindness and care. Normally, I wouldn\u2019t tell anyone that I graduated from medical school because I was currently working as a pharmacy tech at Providence Hospital. I just didn\u2019t see the point in telling people that.\u201d<\/p>\n<p><iframe loading=\"lazy\" title=\"Olga Pavlova-Rios: MEDEX Seattle Class 50\" width=\"1020\" height=\"574\" src=\"https:\/\/www.youtube.com\/embed\/SXIt-s-SqNc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p><span class=\"dropcap\">O<\/span><strong><span style=\"font-size: 18pt\">riginally from Russia<\/span><\/strong>, Olga entered the North-Western State Medical University named after I.I. Mechnikov at age 16 and graduated at 22. That\u2019s six years in medical school plus postgraduate work in clinical pharmacology.<\/p>\n<p>That background detail did not escape Dr. Smith while conducting his new patient intake exam. Impressed, he told her, \u201cI\u2019m sure you can do more with your life. You need to find your place here in America as well.\u201d<\/p>\n<p>Dr. Smith told Olga about the MEDEX Northwest physician assistant program at the University of Washington. \u201cIt\u2019s very hard to get into, but I\u2019m sure you can try,\u201d he said, and left it at that.<\/p>\n<p>That same evening, Dr. Smith called Olga at home.<\/p>\n<p>\u201cListen, I\u2019m going to give you the phone number of my PA friend,\u201d Smith told her. \u201cYou need to go ahead and contact him.\u201d<\/p>\n<p>That friend turned out to be Al Ellsworth, a longtime MEDEX faculty lecturer and the first PharmD to go through the MEDEX PA program. Smith and Ellsworth were old mountaineering buddies. Ellsworth further advised Olga on applying to the MEDEX program.<\/p>\n<p>\u201cSo, that\u2019s how I came to know Dr. Smith,\u201d Olga concludes. \u201cCompassion is one of his biggest traits.\u201d<\/p>\n<div>[smartslider3 slider=150]<\/div>\n<p><span class=\"dropcap\">F<\/span><strong><span style=\"font-size: 18pt\">ast forward five years<\/span><\/strong> and Olga is now precepting under Dr. Philip Smith at Marysville Family Medicine as a MEDEX Northwest clinical year PA student. We followed her as she performed a medical exam on a patient under Dr. Smith\u2019s supervision.<\/p>\n<p>The irony is that, despite six years of medical education in her native Russian, Olga never got to practice as a medical provider.<\/p>\n<p>She grew up with her mother and grandmother in Penza, outside Moscow. Both of Olga\u2019s parents were doctors, so she was familiar with the medical environment.<\/p>\n<p>\u201cPenza is not a very big city, and everyone knew my mom,\u201d Olga says. \u201cIf she needed anything, there was always a person that she knows. When the holidays came, thankful patients would bring presents. That was normal for me. And in Russia, during the holiday times, oh my goodness. My mom would always bring something home from work. That\u2019s what I remember as a child.\u201d<\/p>\n<p>With the dissolution of the Soviet Union at the end of 1991, hard times visited Russia. Food was scarce. \u201cIt was a really hard transition for the country,\u201d Olga says. \u201cI don&#8217;t remember that much, but Russia right now is not like that anymore.\u201d<\/p>\n<p>Then came the time for family discussions about choosing the university path for Olga, and the ideas were contrasting. Her mother had some connections that might come into play. But it was her father, divorced and living in St. Petersburg, who appeared with the strongest opinions.<\/p>\n<p>\u201cHe said that in our family everyone was a doctor for generations. There was always a doctor. My sister didn&#8217;t choose this path, so he wanted me to be the doctor.\u201d<\/p>\n<p>And what did Olga want?<\/p>\n<p>\u201cI just wanted to have a dad,\u201d she quickly replies. \u201cThat was my only thing. As a child, you don&#8217;t understand divorce. Now as an adult, I can understand that sometimes relationships don\u2019t work out. But as a child, I just wanted to have a dad.\u201d<\/p>\n<p>This necessitated a move from Penza to St. Petersburg, the equivalent of a move from Marysville to New York City. \u201cI don\u2019t know how my mom let me go, but I went off to St. Petersburg. I was 16.\u201d<\/p>\n<p>Previously, Olga imagined that she would follow her sister into economics school. But when the call came from her father in May, he had scheduled her for an entrance exam with North-Western State Medical University in July.<\/p>\n<p>\u201cI was in no way ready,\u201d Olga reports. But once accepted into the University, from the very first moment, she loved medicine.<\/p>\n<p>\u201cIt was like I&#8217;d fallen in love,\u201d she says.<\/p>\n<p>Olga didn&#8217;t take any days off. \u201cI was studying all the time. People were partying and I just didn&#8217;t want to do that. I just fell in love with the learning and with medicine. We had great professors, professors that were participants in World War II. You know, 80-year-olds that had so much to offer besides medicine. I have such great memories of that university. I think it was the best time of my life.\u201d<\/p>\n<div>[smartslider3 slider=152]<\/div>\n<p><span class=\"dropcap\">A<\/span><strong><span style=\"font-size: 18pt\">fter six years of study<\/span><\/strong> she graduated at age 22 and went on to do a postgraduate course in pharmacology.<\/p>\n<p>\u201cI just wanted to learn more about medicine, and I always loved pharmacology,\u201d she says.<\/p>\n<p>That\u2019s when she met and fell in love with her American husband.<\/p>\n<p>\u201cI never met a man like my husband, who shared the same beliefs and was ready to be forever together. And at that point I thought, if I lose him, I will regret it my whole life. I always wanted to have a normal family without divorce.\u201d<\/p>\n<p>Olga\u2019s husband-to-be, Paul Rios, had left the US at age 16 to play soccer in Brazil on a youth professional team. He then tried his sports career in Italy, before deciding on a more stable career direction back in America.<\/p>\n<p>Of course, immigration to the US had a big impact on Olga\u2019s career credentials.<\/p>\n<p>In Russia, Olga was in the midst of her postgraduate pharmacological course. \u201cI did all the research for my dissertation, but I did not complete it in a sense of going through all committees, or writing it out fully,\u201d she explains. She was teaching students pharmacology and more, but there came to a point where she had to decide.<\/p>\n<p>\u201cYou know, I\u2019m 24, I meet my husband, fall in love, and think, \u2018I&#8217;ve done it here, I can do my career anywhere,\u2019 you know. Everyone warned me. No one back home agreed with what I was doing. But my mom didn\u2019t say anything against us. She\u2019s always very liberal, and said, \u2018You\u2019re happy, I\u2019m happy\u2019. But every other person told me not to do it, that I\u2019m making a big mistake, and would never be able to achieve anything like this overseas. Which was true.\u201d<\/p>\n<p>Olga and Paul got married in Italy, stayed there for a while, and then moved to be close to his parents in Oregon so he might begin studies at the Oregon Institute of Technology as a renewable energy engineer.<\/p>\n<p><span class=\"dropcap\">O<\/span><strong><span style=\"font-size: 18pt\">nce in the US<\/span><\/strong>, Olga worked at improving her English language skills and finding a job. She passed an exam for a pharmacy tech certificate, worked at a retail pharmacy for one year, then a weekend job at an in-patient pharmacy at a local hospital. She decided to go back to school and start again, from ground zero. At that point, Olga was thinking about pharmacist school, and started covering her prerequisites, mostly online. She took steps to transfer her Russian medical diploma, which was the full equivalent to MD.<\/p>\n<figure id=\"attachment_11783\" aria-describedby=\"caption-attachment-11783\" style=\"width: 400px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/depts.washington.edu\/medex\/wp-content\/uploads\/V1Pavlova-Rios.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11783\" src=\"https:\/\/depts.washington.edu\/medex\/wp-content\/uploads\/V1Pavlova-Rios-400x600.jpg\" alt=\"\" width=\"400\" height=\"600\" \/><\/a><figcaption id=\"caption-attachment-11783\" class=\"wp-caption-text\">Dr. Philip Smith and Olga Pavlova-Rios.<\/figcaption><\/figure>\n<p>Now living with her young family in the Marysville, Washington area, we pick up on Olga\u2019s story with her initial meeting with Dr. Phillip Smith.<\/p>\n<p>\u201cHe is the one who actually directed me,\u201d she says. \u201cI could attribute my career direction in America to him.\u201d<\/p>\n<p>The first time Olga applied to MEDEX Northwest, it was the final day of the application period in 2016. \u201cWell, I guess it was in June that I decided to apply and I had to pass all those tests and GRE and foreign proficiency test, TOEFL. So, I was waiting on my results.\u201d<\/p>\n<p>She did not get a call for an interview from MEDEX.<\/p>\n<p><span class=\"dropcap\">O<\/span><strong><span style=\"font-size: 18pt\">lga decided to apply again<\/span><\/strong> for the next incoming class cycle. \u201cI was pregnant when then I got scheduled for the interview right on my due date. I had to reschedule it for the next interview session which was two weeks after I gave birth. It was really hard for me to leave my baby for the whole day. But I was so motivated that after that third day, post-delivery, I was ready. I was just ready to go and do it.\u201d<\/p>\n<p>We often hear from current students how stressful the MEDEX group interview process was, and it was no different for Olga.<\/p>\n<p>\u201cI never thought that I would be selected,\u201d she says. \u201cI was so sleep-deprived and tired, and all the candidates were so outstanding, I thought it just won&#8217;t happen to me. I will never get in in this program.\u201d<\/p>\n<p><a href=\"https:\/\/depts.washington.edu\/medex\/wp-content\/uploads\/V3Pavlova-Rios.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-11785 size-thumbnail\" src=\"https:\/\/depts.washington.edu\/medex\/wp-content\/uploads\/V3Pavlova-Rios-167x250.jpg\" alt=\"\" width=\"167\" height=\"250\" \/><\/a>The interview was on a Thursday, and Olga came in to see Dr. Smith on the following Monday for a two-week checkup of the baby. That\u2019s when she received her acceptance call from the MEDEX office. \u201cI had turned my phone off, and then came out to see the Seattle MEDEX number. I couldn&#8217;t even believe it. And then I got a call back while I was driving home.\u201d<\/p>\n<p>Olga had to stop her car for fear of having an accident. She wept.<\/p>\n<p>\u201cI had told everyone in my family that I would never get into this program, that you have to do something so extraordinary to get in.\u201d<\/p>\n<p>We ask Olga why she believes that she was selected for MEDEX Seattle Class 50.<\/p>\n<p>\u201cI&#8217;m not sure,\u201d she replies. \u201cI still don&#8217;t know. I&#8217;ve heard there are lots of foreign medical graduates that are applying. In fact, they could fill the whole class with international medical graduates alone. I think that MEDEX really looks for diversity, and that is one of the points because I&#8217;m Russian.\u201d<\/p>\n<p>We wonder how Olga manages PA school and a family that includes three children.<\/p>\n<p>\u201cA strong support system,\u201d she says without hesitation. \u201cMy mom retired from Russia and she babysits with the kids. She does everything at home, and we home-school the kids as well. We use the <em>HomeLink<\/em> program so we choose some classes.\u201d The family also attends a Russian school on Saturdays where Olga teaches as well. Family members on her husbands side are very supportive as well, and do what they can to help.<\/p>\n<p>As a medical student back in Russia, Olga could devote 100% of her time to school. Right now, with her family, she\u2019s just aiming for balance.<\/p>\n<div>[smartslider3 slider=151]<\/div>\n<p><span class=\"dropcap\">N<\/span><strong><span style=\"font-size: 18pt\">ow in her second and final year<\/span><\/strong> at MEDEX, Olga has cultivated lasting friendships within her cohort of class 50. \u201cI think everyone in our class is a really great person, and everyone has their own story\u201d, she says. \u201cWe get along really well. People are really positive, which is great to be around. I&#8217;m really excited to see how everyone is going to do in the future.\u201d<\/p>\n<p>At the time we caught up with Olga Pavlova-Rios, she was in her 4-month family medicine preceptorship at Marysville Family Medicine with Western Washington Medical Group. Ahead were six one-month rotations that would expose her to a range of specialties. Graduation is scheduled for August of 2018.<\/p>\n<p>\u201cThis is only my first rotation so I&#8217;m really open to see what&#8217;s out there, to go through all the rotations and find the best fit for me,\u201d Olga says. \u201cThat&#8217;s the advice that we were given\u2014be really careful with the first job, find a really good supervising physician, not to burn out in the profession, and learn as much as we can.\u201d<\/p>\n<p>Olga remains indebted to Dr. Smith for all his efforts on her behalf. \u201cHe actually offered to have me on a rotation with him, which I gladly accepted because he is the best. As my preceptor, I understand how big of a burden it is on him because he spends a lot of time with me trying to explain everything. Like during every single lunch break, and at the end of the day, he always asks, \u2018Is there anything else we need to discuss? Do you have any other questions?\u2019 He spends a lot of time with me.\u201d<\/p>\n<p>Like Dr. Smith, we believe it\u2019s time well spent.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A native of Russia, Olga Pavlova-Rios went through six years of medical education at a prestigious medical academy in St. Petersburg before moving to the US for love. This meant starting over in a new country, with the MEDEX Northwest physician assistant training program as the entry point for an equivalent career.<\/p>\n","protected":false},"author":1,"featured_media":11771,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":["post-11769","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-experience"],"_links":{"self":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts\/11769","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/comments?post=11769"}],"version-history":[{"count":0,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/posts\/11769\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/media?parent=11769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/categories?post=11769"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/familymedicine.uw.edu\/test\/wp-json\/wp\/v2\/tags?post=11769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}