Indian passport renewal Overseas

12 years ago while studying in MBBS I went by myself to get my passport renewed. I was naive, didn’t know what to expect but put in my best effort to carry all the documents to my appointment in Bangalore. For someone like me who has aced competitive exams, government paperwork seemed so easy. I am a legit law abiding citizen, I have my documents, I will be out before I know it. I was even early to my appointment.

Of course, as soon as I entered the passport building, the maze was dizzying. I felt lost immediately. even before I could gather my bearings, I was being hurried to go to an officer. Even before I could settle down, I had instructions hurled at me hurriedly as if I was slow. I was used to people being rude and dismissive because I was a child. I know I was of legal age to be myself so I mustered up the courage to tell the officer why I was there and showed all my documents who reviewed it and asked me to wait.

Within seconds I was back to the queue to wait for my turn. By then, my heart rate was up, anxiety was up and I felt lost. I was feeling unsafe and scared in this foreign office in my city. My brain was gathering evidence to understand what I had done wrong. No feedback of any kind except that I was slow and causing trouble as per their rude and dismissive tone.

I tried to calm myself and stay positive for the picture. Afterall this photo is going to be with me for 10 years. I tried to smile and was whisked to another officer. Given how i was being graduated to see yet another officer and not sent away, I was positive that things were going well and this mightmare will end soon. However, this person was disappointed for wasting her time and shaked her head and kept asking for documents. she was asking for a specific document that Ive never heard and got upset when i didnt produce anything. She sent me to her supervisor to figure this out.

I was applying for a tatkaal passport and I didnt have a specific document to prove why I was applying for this category. I had a trip planned with my family. We wanted to travel abroad to make this happen. I got emotional but nobody care. the form was missing.

I was so disappointed when I was sent out without a passport. i might have cried too – i dont recall but my experience with indian passport renewal has deep rooted PTSD.

I learned a lot during that experience. Unless there is a document proving every word on your application, it is almost as if I was lying or fake. Finally I was getting a glimpse into the government office world. I had just started studying at a government college so I connected the dots with the officer’s behavior, hurried atmosphere for no reason, unclear instructions. We were herded around like sheep in a barn vs as humans who have brains to understand basic instructions. I felt embarassed.

When I went back to Boston VFS for my passport renewal in the US several years later, my body remembered every slight that occured in the bangalore passport seva kendra. I reminded myself that I was an adult now living in the US with different experiences so far. The world has changed, grown and the technology has evolved and that my experience was going to be better. Unfortunately, the VFS online portal and indian embassy portal didnt instill much confidence. I sensed disappointment coming my way. I kept pushing every negative thought with a grateful one.

I was grateful that

  • i can afford to apply for passport renewal in the US
  • India offers passport renewal for NRIs in the US
  • i lived closed to a passport application office

I filled out the online passport renewal application. I couldnt upload a photograph. so frustrating.

Protein Powders

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Veggies with Raita Sauce

Veggies with Raita Sauce

Pick any veggie with lots of fiber along with the raita(yogurt sauce) loaded with protein for this amazing starter or base for another protein
Prep Time10 minutes
Cook Time30 minutes
Course: Appetizer, Main Course, Snack
Cuisine: Indian
Keyword: broccoli, cauliflower, chickpea, greek yogurt, indian, mint, raita, ricotta cheese
Author: Dr. Thanikonda

Equipment

  • Blender
  • Oven

Ingredients

  • lemon juice
  • cup cauliflower
  • cup broccoli
  • 3 cup greek yogurt
  • 1 cup ricotta cheese

Still working on the recipe… Incomplete version! Please return soon for an updated one

My USMLE Process (What really happened)

One of my dreams during MBBS(Bachelor of Medicine and Bachelor of Surgery) was to run away from all the craziness of the doctor world, and traveling served this purpose. To treat myself after my final year exams, I planned to go on a long Europe backpacking tour. However, my roller coaster ride began in the first few days of the final year of MBBS. My brother was interning in Prague and invited me to go along with him on a West Europe trip for two weeks. Although I was worried if I could pass the final year exam by going out for two weeks, I still was excited about the trip and agreed to go. After the tour, I had no other goal but to prepare for USMLE, and that is how my journey began!

I started researching clinical electives and found a few classmates interested in pursuing it during the holidays following final year exams. Since I had some issues with getting all the paperwork on time, I was able to fetch only a research elective at Johns Hopkins Hospital in Pulmonary and Critical Care dept.

February 2016 – April 2016 – Research elective

While I was doing my elective, my preceptor heard my plan for the future and suggested that I write my step 1 in the next six months and apply a year earlier. He is an American, and I wondered if he understood my Indian medical school situation. So I cross-checked with my senior, who me told that although it is risky to do, it is still doable. Quickly I had to change my gears and come up with a new plan.

I returned to India and joined my internship meanwhile, also preparing for step 1. Due to unexpected health issues, I was physically sick and pushed into a rehabilitation kind of situation after a month of returning to India. When I was in the hospital, I got my scheduling permit, and without thinking twice, I booked my exam date for September 14th, 2016.

September 14th, 2016, Step 1 Exam: – 242 score

With my step 1 score of 242, I was able to apply to only Mayo Clinic, Johns Hopkins Hospital, Harvard Medical School, Cleveland Clinic, and University of North Carolina Medical School for clinical electives for April – June 2017. Here again, I was late to apply because of delayed paperwork. Although I heard back positively only from three places, Harvard, Mayo Clinic(Rochester), and Hopkins for April, May, and June 2017 respectively, I considered myself extremely lucky.

April 2017:    Massachusetts General Hospital           PICU rotation

May 2017:     Mayo Clinic Rochester                             Pulmonary Medicine Inpatient Rotation

June 2017:    Johns Hopkins Hospital                           Pulmonary HTN & Lung transplant rotation

I had booked my step 2 CS date in July, and my center was in Philadelphia, PA. Since all my rotations were inpatient, I had good enough practice to improve my interpersonal and note typing skills. On the weekends, I practiced my ICE skills. With this background, I finished my 2CS and went back to India to give my step 2CK.

July 5th, 2017, Step 2 CS exam: – PASS

Since I wished to apply for the Match 2018, I had to complete my step 2 CK in the first week of August so that I could receive my exam score in time to apply. Hence, I had only a month to prepare. I did that as well and resumed my internship to complete my extension.

August 7th, 2017, Step 2 CK exam: – 243 score (that 1 point is crucial!)

While I was completing my extension, I gathered my letters of recommendation, finalized my personal statement, researched International Medical Graduate(IMG) friendly Internal medicine programs and applied for the Match. By the time I completed my Internship in November, I had most of my interviews in hand.

In Summary, my timeline was something like this:

Research elective – February 2016 to April 2016  

Step 1 Exam – September 2016 – 242

clinical electives – April to June 2017

Step 2 CS – July 2017

Step 2 CK – August 2017

Applied to 221 Internal medicine programs on September 15th

Had 9 interviews towards the end of November 2017

Mid-January 2018 – Done with interviews.

And the routine happened, on March 12th, opened my ‘Did I match?’ email to see

IMG_0845
Did I Match?

and on March 16th opened my ‘Where did I match?’ email to see

IMG_0871
Where Did I Match?

My USMLE Plan (What I had planned to do)

At the beginning of my MBBS(Bachelor of Medicine and Bachelor of Surgery) course, I was struggling with studying my portions, although I was spending more time than usual. Hence, when my friend introduced me to residency in the United States of America(USA), I thought that maybe I could try my luck in foreign lands. At the beginning of the second year, I familiarized myself with the United States Medical Licensing Exam(USMLE) exam format. Back then, I didn’t know what was in store for me. I wonder if I knew what it entailed, I would have bothered to go through the USMLE process. Although it was a complicated process, I guess I was lucky compared to many others.
Based on my MBBS exam experiences, I felt that I would be ready to prepare for step 1 only after completing my final year exam. So my plan for step 1 in May 2015 was something like this(yes, I had planned three years ahead of the Match):

Pass Final year MBBS: Jan 2016

Internship with 2 weeks of extension period: March 2016 to March 2017

Do 3 clinical electives: April 2017 to June 2017

Come back to India and prepare for step 1: July 2017 to December 2017

Step 1 Exam: end of December 2017 (total 6 months of prep)

Step 2 CK exam: in April 2018

Observerships: 2 of them in May and June 2018

Step 2 CS exam: in July 2018

Apply for the Match in September 2018

By this time I wanted to get 4 US letters of recommendation(LoRs) and keep my Educational Commission for Foreign Medical Graduates(ECFMG) certificate ready. Following this, I planned to begin preparation for step 3 during the interview season and give it in December 2018. This was similar to what my senior of four years did and what I had planned to do as well.

However, I followed a new and weird path and ended up getting matched to the University of Connecticut Internal medicine program and will be beginning residency soon in June 2018. How did I manage to do that?

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