Shuvekshya Regmi

• Took ownership of overnight hold-over cases each morning, gathering updated vitals, labs, and imaging to brief the resident team before rounds.
• Rounded with residents and attendings on Internal Medicine and Infectious Disease services, presenting concise patient histories and formulating assessments and management plans for new admissions and consults.
• Attended and actively participated in morning reports, daily noon conferences, and grand rounds to deepen clinical knowledge and sharpen diagnostic reasoning.
• Shadowed residents during admissions, cross-cover duties, and documentation, gaining first-hand insight into workflow, time management, and multidisciplinary collaboration within a U.S. residency program.
• Delivered an Evidence-Based Medicine presentation: “Efficacy of Diltiazem to Improve Coronary Vasomotor Dysfunction in ANOCA: The EDIT-CMD Randomized Trial,” translating current literature into bedside practice

Bon Secours Memorial Regional Medical Center, Richmond, VA

Department of Pulmonology and Critical Care

• Observed the management of critically ill patients under the supervision of Dr. Vikash Pathak, alongside a multidisciplinary team of attendings, fellows, residents, nurses, and allied health professionals.
• Closely followed daily ICU rounds, gaining insight into clinical decision-making, patient stabilization, and the management of multi-organ system failure.
• Witnessed real-time clinical reasoning in the diagnosis and treatment of conditions including shock, respiratory failure, sepsis, and electrolyte imbalances.
• Observed mechanical ventilation strategies, including initiation, adjustment, and weaning processes in intubated patients.
• Attended and learned from discussions on goals of care, code status, palliation, and end-of-life considerations with patients and families.
• Gained exposure to procedures such as central line placement, arterial line placement, and use of nasogastric devices through direct observation.

Virginia Commonwealth University (VCU) Medical Center, Richmond, VA
Department Of Neurology

• Observed management of complex neurocritical cases—including acute ischemic stroke, intracerebral hemorrhage, status epilepticus, and post-operative neurosurgical patients—during daily multidisciplinary rounds.
• Analyzed neuroimaging (CT, MRI, angiography) with attendings and residents; discussed evidence-based protocols for thrombolysis, mechanical thrombectomy, and neuroprotective strategies.
• Followed hemodynamic, intracranial-pressure, and ventilator management at the bedside, gaining insight into guideline-directed care for elevated ICP, targeted temperature management, and seizure prophylaxis.
• Witnessed leadership dynamics of a diverse care team (pharmacists, therapists, care coordinators, fellows, residents, and nurses), reinforcing the value of clear communication and role modeling—particularly impactful under a fellow IMG mentor.
• Participated in teaching moments, case debriefs, and family conferences, strengthening understanding of prognostication, goals-of-care discussions, and compassionate end-of-life decision-making in the Neuro-ICU setting.

• Completed a one-year rotating internship in Internal Medicine, Surgery, Pediatrics, and Obstetrics & Gynecology
• Conducted patient evaluations, history taking, physical exams, and daily follow-ups
• Assisted in procedures such as IV cannulation, catheterization, and wound care
• Prepared clinical documentation including admission notes, progress notes, and discharge summaries
• Participated in emergency care and initial patient stabilization under supervision