Supporting and Growing Independent Medicine

Dr. Svjetlana Dziko’s journey into medicine is one defined by determination, resilience, and a deep commitment to patient care—values that continue to guide her work today as an independent physician and OneHealth Nebraska ACO Board Member.

Born in a small town just outside of Sarajevo, Bosnia, Dr. Dziko spent her early childhood in a close-knit rural community before her family relocated to the city during her elementary school years. Adjusting to life in Sarajevo opened new opportunities, and it was there that her academic strengths began to shine. A strong student with a natural aptitude for science and mathematics, she quickly distinguished herself through both her intellect and her work ethic.

In Bosnia, the path to becoming a physician differs from that in the United States. There is no separate undergraduate degree requirement—students enter medical school directly after high school. Dr. Dziko embraced this rigorous path, gaining acceptance into medical school in Sarajevo, where she completed an intensive five-year program. The training was demanding, but her drive and passion for science helped her excel.

Following medical school, physicians in Bosnia are required to work as general practitioners for two years before entering residency. Dr. Dziko was assigned to a rural area, a stark contrast to the city life she had grown accustomed to. This experience proved to be both challenging and transformative. Working in a resource-limited setting broadened her perspective, strengthened her clinical skills, and deepened her appreciation for the diverse needs of patients in different communities.

She went on to pursue a residency in obstetrics and gynecology, splitting her four years of training between Sarajevo and a smaller town. This combination of urban and rural clinical experience provided a well-rounded foundation in patient care and further reinforced her adaptability and dedication.

It was during her early clinical years that she discovered her passion for obstetrics and gynecology. “That was it,” she recalls. She knew she had found her calling.

However, her career—and life—took a dramatic turn with the outbreak of war in Bosnia.

At the time, Dr. Dziko was on maternity leave with her youngest child when the conflict began in Sarajevo. She remained in the war zone for a year before escaping through a humanitarian program for mothers and children. Her husband was forced to stay behind for three years. With an 11-month-old son and a 6½-year-old daughter, Dr. Dziko fled to Germany as a refugee.

Starting over in a new country came with immense challenges. Initially, her family stayed with a host family before she secured her own housing. Determined to rebuild her life, she took a job as a nurse in a private clinic in Munich while learning German. Already fluent in multiple languages, she soon added German to her repertoire. Over the course of four and a half years in Germany, she adapted to a new culture and healthcare system—all while raising her young children under difficult circumstances.

Eventually, her husband was able to join the family, and together they began the process of immigrating to the United States. After a series of interviews, they were accepted in August 1997 and settled in Omaha, Nebraska, where a friend and a strong Bosnian community provided support.

Their transition to life in the U.S. brought new hurdles. Her children enrolled in school in the Westside School District, where dedicated ESL teachers played a critical role in their adjustment—especially for her son, who at the time spoke only German.

For Dr. Dziko, the question became how to continue her medical career in a new country with a new language. She enrolled in English classes at Metropolitan Community College and began the lengthy process of requalifying as a physician in the United States. “I basically went to medical school twice,” she says—first in 1982 and again beginning in 1998.

The journey was anything but easy. Medical terminology in a foreign language proved especially challenging; she recalls spending 30 minutes translating a single page. She studied relentlessly—often 14 to 16 hours a day—determined not to give up on her dream. While many immigrants at the time were encouraged to take factory jobs, Dr. Dziko remained steadfast. She wanted to be a doctor.

She successfully passed all required U.S. medical licensing exams in less than two years. One of the most difficult moments came during a clinical skills assessment in Philadelphia, where actors served as patients and evaluators observed through a glass panel. Despite finding the experience intimidating and one of the toughest exams of her life, she persevered.

Dr. Dziko went on to become the first foreign medical graduate accepted into a residency program in Nebraska, a remarkable achievement. She applied to programs in both Omaha and Lincoln and ultimately chose Lincoln for its strong OB/GYN training.

From 2001 to 2004, she completed her residency in Lincoln. During her second rotation, she met Dr. Steven Swanson, a mentor who would have a profound impact on her career. Early on, she assisted him in two back-to-back cesarean sections—observing the first and performing the second herself. The experience was both intense and affirming.

By her second year of residency, Dr. Dziko had secured a position working with Dr. Swanson. She valued the ability to practice both women’s health and primary care, even though it meant long days, often 14 hours or more, filled with surgeries, deliveries, and sleepless nights.

She credits both Dr. Swanson and Dr. James Maly as instrumental mentors who introduced her to the rewards of private practice. “They showed me the beauty of it,” she says. For Dr. Dziko, private practice offers something deeply meaningful: the opportunity to build close relationships with patients and to work not out of obligation, but out of passion.

In 2016, inspired by a conversation at a conference, she made the bold decision to open her own practice. After discussing the idea with her daughter, whom she asked to become her manager, she took the leap. With the full support of her mentors, Dr. Dziko successfully built her own practice from the ground up.

Throughout her clinical journey, Dr. Dziko demonstrated a commitment not only to excellence in medicine but also to understanding the human side of healthcare—meeting patients where they are and delivering compassionate, personalized care.

Today, as an ACO Board Member, Dr. Dziko brings not only clinical expertise, but also a remarkable life story that reflects resilience, courage, and an unshakable commitment to her calling. Her journey—from war-torn Bosnia to leading in healthcare in Nebraska—is a testament to what is possible through determination and purpose.

We are proud to recognize Dr. Dziko for her contributions and leadership, and we are grateful to have her as part of our OneHealth community.