After she graduated from UCU Fleur de Graaf, class of 2003, was admitted to the SUMMA medical master's at Utrecht University. She then embarked on the long road to become a cardiologist. This February Fleur receives her doctorate degree from Leiden University.
Could you tell us what your research is about?
In our western society coronary artery disease, or atherosclerosis, is becoming an increasingly big problem. Early detection and treatment of coronary stenosis (narrowing of the coronary arteries which supply the heart muscle with blood) is of utmost importance to improve health and reduce mortality. Until recently the anatomic evaluation of coronary stenosis was only possible using invasive cardiac catheterization techniques. However, radiological advancements in the past decade have made non-invasive imaging of the heart possible.
The past four years I have studied a relatively new non-invasive cardiac imaging technique called multislice computed tomography (CT) in patients with chest pain presenting at the cardiology outpatient clinic or emergency room. My research has primarily focused on the diagnostic performance of one of the newest technologies in the field, 320-slice CT. With the introduction of this scanner, image acquisition of the entire heart in a single heart beat has become possible at a relatively low patient radiation dose. The second part of my dissertation has focused on the prognostic value of CT and its role in clinical management of patients with suspected coronary artery disease.
What are your plans for the future?
Last year I started my clinical training in Cardiology at Leiden University Medical Center (LUMC) and I am currently working at the department of Internal Medicine at Rijnland hospital. After finishing my clinical training in 2016 I am looking forward to working as a medical specialist, possibly combining teaching, research and patient care in an academic setting. My aspirations for the future also include healthcare policymaking and the development of public health awareness programs.
Do you feel UCU has contributed to your development as a doctor and researcher?
Looking back I realize UCU has been an important step in my development, not only as a doctor and researcher, but also in my personal development. Studying at UCU gave me the tools and space to broadly develop my aspirations and creativity as well as explore my academic and social ambitions. Where else would I have learned to ‘think outside of the box’? Last but not least, come to mind the people I have met during this period who have made a lasting and continuing difference in my life. I can truly say UCU has made all the difference.
What would you like to tell UCU students who are considering a career in medicine?
Working as a healthcare professional in any field of medicine is both fulfilling and challenging. Do not be discouraged by the long road of training ahead. Although the initial training period may be demanding, it is such a versatile field that anyone ‘with their heart in the right place’ will find plenty of opportunities for a rewarding and dynamic career.
