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We don’t really have a surname as North Indian’s.I’m from Chennai, Tamil Nadu (South India).I was totally ignorant about my community (caste), until I was asked for a community certificate from my school to appear in 10th matriculation board examinations in 2005.As every child in the country, I have also been taught thatfollowing untouchability, asking or talking about one’s caste and religion is a sin.In most of the parts in India, mostly we carry the caste as surname or family name.In Tamil nadu, we don’t carry a surname. We are often taught to write our name in a format ofMy Name - (a dot) - (a space) - Father’s name’s first letter.Example : Silambarasan. PTo avoid any discrepancies in filling application forms like Ration card, Aadhar Card, Passport, Pan card, Bank, Email ID and even social networking sites. My name got changed from Silambarasan. P to Silambarasan Paramashivam.Silambarasan is my name. Now it is so called as First name.Paramashivam is my father’s name. I took my father’s name as my surname.There is no magic or fashion in this -no caste revealing surname- policy. Everything done for a great reason.We tamilians also use to have surname based on our caste. The change came when Late. E V Ramasamy (Freedom fighter) has started the Self respect movement in 1926.The movement focussed on removing the caste revealing surnames, caste names in street names, restaurants and other places.The main motto of the self respect movement was to achieve the society where backward caste have equal human rights. As a result of this, Tamil Nadu got free from surnames.This is widely followed by Tamilians in India, Sri Lanka, Malaysia and Singapore.Although surname has been completely abolished here, I get upset when schools, colleges and universities ask for community certificate.Our Government and Educational officials should realise the importance of abolishing casteism which is still indirectly living in our society in different names.Freedom fighters like Late. E V Ramasamy has contributed their peers to abolish caste system in the country. But, still we are asked for community certificates in demand. Shame!Schools are the place where children should know about themselves and fly freely in this world. It should not be the place where children get to know about their caste and feel different with each other.A tribute to E V Ramasamy and other freedom fighters of India! A great salute and respect.Jai Hind.Ground notes : Self-Respect Movement - Wikipedia ; Periyar E. V. Ramasamy - WikipediaImage Source : Google.Bunny

Well, here’s a “three for one”…My friend received a “citation” from his HOA. Note that any notice from the HOA included a threat of fine and potential expulsion!Even in their “Happy Holidays” card! (“Please note, failure to remove holiday decorations by January 5th will result in a fine, and potentially expulsion from the community.”)The citation stated that, in the quarterly “walk-around” inspection, it was noted that his rear deck was a community eyesore, as it was faded and needed to be re-stained.My friend went to the next Association meeting to protest this citation.He conceded that the deck was faded, but pointed out that it was completely enclosed and concealed behind his TEN FOOT HIGH privacy fence, so it COULDN’T be a “community eyesore”, unless the community was standing on a ladder to invade his privacy!!He asked management just how they saw the deck, and they admitted to using a ladder!My friend stated that, if they wanted to press the issue with a fine, or start an eviction, he would be forced to respond by notifying the police, the real estate board, and the local news. The issue was dropped.During that meeting, another issue was raised - to protect the appearance of the community, there were rules regarding the exterior colors home owners were allowed to paint the siding, doors, windows, etc.If owners wanted to repaint their homes, they were required to submit an application to the HOA (with an application fee), stipulating the color, location of application, etc. and wait for a “certificate of change” to be issued.The issue under consideration was a homeowner who had had a small fire that scarred his steel front door. He had repainted the door in THE ORIGINAL COLOR, but he hadn’t said “Mother, may I” and paid the fee, so they wanted to fine him!The homeowner argued that1) he hadn’t changed the color, so he didn’t need them to approve the color they obviously had approved when the door was first painted, and2) they would have fined him IF HE HADN’T made the repair!This stupidity actually made it to a vote, but the homeowners showed some common sense (and self-concern, in case they became the next victim of this overreach) and voted it down.

If you are thinking about doing neurosurgery, the answer must come from within. There are two parts to your question, so I'll offer my thoughts in turn. I used to be a residency program director, so I feel comfortable answering.Neurosurgery has always been competitive. We make up about 0.7% of all physicians in America. One neurosurgeon can serve about 100,000 people. Therefore, the societal need for neurosurgeons is less than the number of people who would like to become neurosurgeons. I would disagree that neurosurgery is more competitive than ever. A number of new neurosurgery programs have opened in the last 10 years, creating more opportunities for training. The match rate for US senior medical students was 83% in 2014, but has been as low as 68%. Arguably, neurosurgery is less competitive now than it used to be. A number of specialties have become highly desirable: radiology, ophthalmology, anesthesia, dermatology, rad onc, etc. This is probably due to a more regular kind of life that you can have. Nonetheless, I think they have siphoned off some medical students who may have previously considered neurosurgery.Every applicant for neurosurgery has a unique story and set of skills that motivates him or her. You can write about those in your personal statement and talk about them in the interview. However, you have to be invited for an interview first. What factors go into a strong application resulting in an invitation to interview?1) Step 1: Board scores are helpful because they are somewhat predictive of success on the neurosurgery written board exam. You have to pass this exam in order to graduate and become board eligible. It is hard. Some programs use a firm cutoff score. Others look at the whole candidate picture. The mean has increased over the years. A score that was two standard deviations above the mean in 1996 would be one standard deviation above today. I don't know if the test is getting easier, or if sophomore medical students are getting better at taking the test. While board scores can help to rule out candidates, they don't necessarily push someone up the rank list. Good board scores are getting you interviewed, not matched.2) Grades: You have to do a good job during junior year. One or two B's are OK. Honors helps. Preclinical grades are somewhat important, but not a deal breaker, unless they are terrible. I never looked at undergraduate grades very seriously. You will obviously want to ace your neurosurgery rotations. Enthusiasm, a willingness to learn and finding ways to contribute counts for a lot.3) AOA: I think AOA status probably correlates with really good grades and good board scores, so there is some collinearity there. We weighted it lightly in ranking candidates.4) Letters: Neurosurgery is a very small community, so we like to hear that you are a good candidate from people we know. It's pretty important for the chair of your home department to endorse you with a letter, otherwise we're looking through your file asking, "Where's the letter from the chair?" Your writers don't have to be famous, and don't all have to be neurosurgeons. They do need to recommend you as a candidate. If you don't have a home department, then seek out an academic neurosurgeon to mentor you a bit.5) Aways: People do zillions of aways now. I think one or two is fine. You want to get a sense of what neurosurgery is like in other places, and it's kind of a peer review for your candidacy. Your home chairman wants to match people into neurosurgery. An away rotation is a neutral check on you. It's also a measure of how you integrate into unfamiliar places and teams. A chair letter from your away is helpful as well.6) Science: Personally, I don't think it's important to have neurosurgery publications. However, I found that a record of peer reviewed scientific inquiry indicates 1) a natural curiosity, 2) a commitment to the scientific method, and 3) an ability to develop a project to a certain waypoint. I've heard lots of neurosurgery applicants fret about "getting an abstract" within a month or two. That’s very annoying to me. Scientific curiosity has to come from within, preferably long before you realize it’s used as an input variable for residency. Publications show that you want to learn something, to describe something new about the universe, and can make a deliverable from that effort.A few words about the interview: Some programs do structured interviews now, but we didn't. We wanted to get a sense of the candidates for ourselves, then compare notes as we ranked them. You may be quizzed on stuff, but generally it's a measured conversation. I had nice comfy side chairs in my office, so I would immediately notice if people slouched, had a rumpled, unpressed appearance, spoke with many "ums" and "uhs" or used colloquial speech. You can imagine that we're very interested in attention to detail, right? We will ask you questions about your background. Be prepared with questions for us too. Show your interest in the program, unless you have concluded before the end of the day that you would rather not match than match into that program. There are a couple of programs that I didn't rank. If you have few interviews then you may not have that luxury.Why is neurosurgery so competitive when it's so hard? Well, why do people want to become special forces operators? I don't know, but it must be something that says, "This is my craft." You find a way to meet every challenge put before you. You accept personal suffering and fatigue because your patient who is dying needs that from you right at a particular moment, or even that you just want to assuage your own worry. Patients and society expect your best effort, and you have to deliver it. It really can make the difference between life and death. Anyway, neurosurgery is really cool, much like I imagine how raining down a bad day on bad guys who don't like us would be cool.In order to succeed, you have to see yourself not doing anything else in medicine. Otherwise, when you are having a crappy day, you will wish that you had done that something else. This wish is extremely difficult to eradicate if you were at all conflicted about choosing neurosurgery. We've all had that passing thought. I walked many times between the county hospital and the children's hospital, middle of January in the coldest part of the night, -10 degrees Fahrenheit. My paper thin lab coat immediately became cold, board hard, and scratched at my elbows. The thought creeps into your mind, "If I were doing dermatology, I wouldn't be here now." Fortunately for me that thought was self-limiting because 1) I was never very good at diagnosing rashes, and 2) neurosurgery was the only clear path for me, once I'd accepted the different kind of life that I was signing myself up for. If your drivers are external -- money, prestige, you want a yellow Lamborghini or an Aston Martin, your parents expect it, etc. -- you will fail. The failure rate from Navy SEAL school is 80%. While the US senior fail rate in the match is only 20%, many people who might have considered neurosurgery have rung the bell well before that point. If you match in neurosurgery it's considerable time, expense and effort to train you. You are not that easy to replace, so we want you to succeed, and we want to believe that we've picked the right people to train. Nonetheless, the post match attrition rate is still about 20%.To your "inhumane" comment, residency is much better now with the work hour rules. When I was an intern in the late 90s, there was one rotation where I spent a month on call every other night. This means wake up at 5, work all day, take call at night, a few hours sleep, sometimes none, work all day the next day, go home at 9PM. Go to sleep. Repeat x 15. This was my hell month, the closest I ever came to quitting. Such a month would not happen now, because the rules only permit 10 calls per month. That was just one month. Some people did that for a number of months as interns.To summarize, we look for evidence that residents will give their best effort in everything that they do, that they will not shrink from commitment to craft, to the people we serve, even if it's inconvenient. We want to know that they can attend to detail even when tired. We want people who we can trust for the duration of training, then can send out knowing that they will be a benefit to society, who we would trust with our own family.10/28/18 edited for clarity and flow