Nick Rademacher

Class of 2013

Why UMMS? I chose The University of Michigan Medical School initially because I thought this was the school that would provide the best education and support my extracurricular interest--allowing me the best chance to become the physician I hoped to be prior to enrolling in medical school.

   Nick and fellow participants in the SocMed course in Uganda

What is the most exciting thing happening at UMMS these days? From what I hear from the 1st and 2nd year students I think the Global Health and Disparities Path of Excellence is the most exciting thing happening at UMMS currently. 

When did you first develop an interest in global health? I developed an interest in global health as an undergraduate volunteering at a free clinic in Ypsilanti, MI.  During my time at this free clinic I began to realize how social inequality and health care disparities work together to decrease opportunities for people.  I realized that if this were true for people just outside of Ann Arbor, it was almost certainly true for other people around the globe and likely even more severe for those living in low and middle income countries.  As an aspiring health care provider I realized that I would not be satisfied with what I had contributed to society throughout my career unless I made an effort to care for vulnerable populations both domestically and abroad--in whatever form that may be.  

Recent global health experience: Uganda SocMed course during February 2013. (Read his summary here and view The Why Campaign video the course participants created here).

Residency match: Johns Hopkins 

Medical specialty area and why? Emergency Medicine. There is no escaping the damage that social inequality and health care disparities inflicts on vulnerable populations when you're in the emergency department. The ED is a place that many people without true access to healthcare come for primary care.  In addition, acute medical conditions preferentially select vulnerable populations; whether it be cardiovascular disease, diabetes, violence, infections, or mental health, those that society has neglected bear the brunt of disease burden.  Finally, EM provides a unique flexibility, both in terms of scheduling and skill set, for physicians concerned about vulnerable populations outside of the US.

When I say I want to help care for vulnerable populations outside of the US that this does not mean I intend to directly care for people abroad, with the exception of the possible acute disaster.  The majority of care is almost certainly done more effectively by people native to the area in need of assistance.  What I do think people in the US can contribute, however, is training for international health care providers that intend to return home and spread their knowledge, financial assistance through governmental agencies and public support for more equitable assistance from international organizations that the US has a lot of power in, like the World Bank, World Health Organization and International Monetary Fund.

Significant impacts along your personal path that led you to medicine or that molded your education/life choices? Both of my parents are very intelligent, unique thinkers.  Although neither went to college, they were always clear about the significance higher education would have for me to achieve my goals.  In addition to my parents I have been extremely lucky to stumble upon a wonderful set of mentors throughout my time at Michigan who have offered valuable guidance and opportunities.