Revay Stewart and Ruffin Tchakounte met inside the Methodist emergency room. Tchakounte was in rotation as a fourth-year Des Moines University student. Sign up for our Newsletters "My class, we have three Black students out of 220, including myself," Tchakounte said. "And so I'm always delighted to see other people, Black people specifically, in medicine." Stewart was working as a scribe, not in medical school yet. Undergraduate degree debt was.