Surgery and Healing in the Developing World - Dartmouth-Hitchcock

Surgery and Healing in the Developing World - Dartmouth-Hitchcock Surgery and Healing in the Developing World - Dartmouth-Hitchcock

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The Impact of a Volunteer Medical Mission 457 unusual settings; (2) A very intensive learning experience in another culture across language, economic, political barriers to health care access, in a profound orientation of their place in the world as health professionals in the context of global needs; (3) A medical and cultural adventure in a formative period in their career before the crushing obligations of time and intensity in post-graduate specialization and increasing domestic and financial commitments. The constraints toward wider participation in these highly valued experiences by a larger number of students included: (1) financial burden (remarked by nearly all, but by many as the single most insurmountable barrier); (2) lack of encouraging mentor or network of connections that might authorize and support a high value educational experience in unfamiliar settings; (3) fears of personal insecurity regarding health concerns or safety in unstable environments. In addressing these concerns, I have offered mentoring to all, and encouragement for most who are fit volunteers for such service on appropriate motivations; however the financial constraints are the ones that have most strained both student and faculty resourcefulness. I had previously assured each applicant who has sought eagerly to participate with two basic rules: (1) I will never provide them with the first dollar for their support, and after their good faith “best efforts” at collecting sponsorship, (2) money alone will not be the reason that they do not go. With the swelling number of applicants and growing number of participants, the mentoring and personal supervision are nearing their elastic limits, and the financial assurances have been exceeded. Many qualified applicants have been turned down on the basis of the inability to complete the minimal required financial costs of the travel. A basic scholarship for students competitively arranged for partial support of their travel expenses will make it possible for selected qualified applicants to experience this kind of medical school epiphany that I consider one of the most singularly valuable lessons of their entire medical careers. Appendix D Medical Relief Mission to the Dr/Haiti Personnel Glenn W. Geelhoed, M.D., Team Leader, the only Licensed Practitioner Huda Ayas, Office of International Medicine, Administrative Director Laurie Kates, GWUMC, rising senior medical student, first team captain Mike Williams, Howard University Junior Medical Student, previously in DR Duc Minh Vo, GWUMC, rising senior Medical Student, third team captain Lindsay Eisler, GWUMC, rising sophomore medical student Vesta Salehi, GWUMC, rising sophomore medical student Anisha Dua, GWUMC, rising sophomore medical student Siavash Foolidian, GWUMC, rising sophomore medical student Anthony Adelkun, GWU first year Med Student Bryan J. Schaaf, MPH student, former Peace Corps Volunteer Thumonde Sonbol Shahid-Salles, MPH student, Iranian-born and Spanish-speaking Martha Wood, MPH recent graduate, employed in NGO Neely Dahl, MPH student, anticipating Peace Corps appointment Suzie Zeiger, Haitian Creole translator and Spanish translator helper Zeb Whitaker, an EMT, active in Shenandoah Search and Rescue Adam Benzig, EMT, Paramedic, potential PA applicant Sarah Caton, GWUMC Microbiology Employee and premed student 45

45 458 Surgery and Healing in the Developing World Itinerary AA # 713 19 Jul Mon DCA—MIA 8:30 AM—10:59 AM AA# 783 19 Jul Mon MIA—SDQ 12:53 PM—3:09 PM Santo Domingo-Jimani—overland via Elias Pinas to Thumonde & Cange AA # 1908 30 Jul Fri PAP—MIA 2:45 PM—5:51 PM AA# 2258 30 Jul Fri MIA—DCA 8:03 PM—10:29 PM Appendix E Dear SL colleagues, At its annual meeting in June, the American Medical Association House of Delegates called for the introduction of “Service Learning in Medical Education” as a “key component” in medical schools’ curricula. The resolution asked that such experiences include “collaboration with a community partner to improve the health of the population.” After discussion, the resolution was expanded to include residency programs. Below is the final wording of Resolution 321 - Service Learning In Medical Education: RESOLVED, That our AMA support the concept of service learning as a key component in medical school and residency curricula; and be it further. RESOLVED, That these experiences include student and resident collaboration with a community partner to improve the health of the population. A team from the University of Missouri Kansas City School of Medicine, led by Community-Campus Partnerships for Health member Stuart Munro, authored the original resolution and submitted it to the Section on Medical Schools. (The team included Stuart Munro, Gary Pettett, Linda Johnson, Harry Jonas and the Dean, Betty Drees). Although AMA policy lacks the authority of policies adopted by the bodies that accredit medical schools and residency programs, they reflect a broad-based professional opinion and represent a significant endorsement of service-learning in medical education. To learn more about service-learning in medical education, please visit the Community-Campus Partnerships for Health website at http:// depts.washington.edu/ccph/servicelearningres.html Community-Campus Partnerships for Health is a nonprofit organization that promotes health through partnerships between communities and higher educational institutions. Check out our website at www.ccph.info Join us for our first-ever international conference being cosponsored by CCPH and The Network: Toward Unity for Health, October 6-10, 2004 in Atlanta, GA USA on Overcoming Health Disparities through Partnerships Appendix F Glenn-Thanks it was refreshing to read your two emails and get the feel of your excellent medical missions for medical students. It reminded me much of the dozen or so that Dan and I ran in remote valleys of Nepal 30 and 40 years ago with a summary report in what used to be called The American Journal of Medical Education ??? It is most rewarding and I used to say what you are saying that this is the most direct way of producing life changing in the careers of young health professionals. Keep it up. You asked my opinion of this draft and I will be blunt. It is great for true believers, but not yet sufficient to convince the skeptics. Perhaps most problematic is that it is much too long and repetitive, trying to drive in your main points. Those with doubts would never follow you through your very logical arguments. So could you cut the theory and concentrate on the positive real life change experiences

45<br />

458 <strong>Surgery</strong> <strong>and</strong> <strong>Heal<strong>in</strong>g</strong> <strong>in</strong> <strong>the</strong> Develop<strong>in</strong>g <strong>World</strong><br />

It<strong>in</strong>erary<br />

AA # 713 19 Jul Mon DCA—MIA 8:30 AM—10:59 AM<br />

AA# 783 19 Jul Mon MIA—SDQ 12:53 PM—3:09 PM<br />

Santo Dom<strong>in</strong>go-Jimani—overl<strong>and</strong> via Elias P<strong>in</strong>as to Thumonde & Cange<br />

AA # 1908 30 Jul Fri PAP—MIA 2:45 PM—5:51 PM<br />

AA# 2258 30 Jul Fri MIA—DCA 8:03 PM—10:29 PM<br />

Appendix E<br />

Dear SL colleagues,<br />

At its annual meet<strong>in</strong>g <strong>in</strong> June, <strong>the</strong> American Medical Association House of Delegates<br />

called for <strong>the</strong> <strong>in</strong>troduction of “Service Learn<strong>in</strong>g <strong>in</strong> Medical Education” as a<br />

“key component” <strong>in</strong> medical schools’ curricula. The resolution asked that such experiences<br />

<strong>in</strong>clude “collaboration with a community partner to improve <strong>the</strong> health of<br />

<strong>the</strong> population.” After discussion, <strong>the</strong> resolution was exp<strong>and</strong>ed to <strong>in</strong>clude residency<br />

programs. Below is <strong>the</strong> f<strong>in</strong>al word<strong>in</strong>g of Resolution 321 - Service Learn<strong>in</strong>g In Medical<br />

Education:<br />

RESOLVED, That our AMA support <strong>the</strong> concept of service learn<strong>in</strong>g as a key<br />

component <strong>in</strong> medical school <strong>and</strong> residency curricula; <strong>and</strong> be it fur<strong>the</strong>r.<br />

RESOLVED, That <strong>the</strong>se experiences <strong>in</strong>clude student <strong>and</strong> resident collaboration<br />

with a community partner to improve <strong>the</strong> health of <strong>the</strong> population.<br />

A team from <strong>the</strong> University of Missouri Kansas City School of Medic<strong>in</strong>e, led by<br />

Community-Campus Partnerships for Health member Stuart Munro, authored <strong>the</strong><br />

orig<strong>in</strong>al resolution <strong>and</strong> submitted it to <strong>the</strong> Section on Medical Schools. (The team<br />

<strong>in</strong>cluded Stuart Munro, Gary Pettett, L<strong>in</strong>da Johnson, Harry Jonas <strong>and</strong> <strong>the</strong> Dean,<br />

Betty Drees).<br />

Although AMA policy lacks <strong>the</strong> authority of policies adopted by <strong>the</strong> bodies that<br />

accredit medical schools <strong>and</strong> residency programs, <strong>the</strong>y reflect a broad-based professional<br />

op<strong>in</strong>ion <strong>and</strong> represent a significant endorsement of service-learn<strong>in</strong>g <strong>in</strong> medical<br />

education. To learn more about service-learn<strong>in</strong>g <strong>in</strong> medical education, please<br />

visit <strong>the</strong> Community-Campus Partnerships for Health website at http://<br />

depts.wash<strong>in</strong>gton.edu/ccph/servicelearn<strong>in</strong>gres.html Community-Campus Partnerships<br />

for Health is a nonprofit organization that promotes health through partnerships<br />

between communities <strong>and</strong> higher educational <strong>in</strong>stitutions. Check out our<br />

website at www.ccph.<strong>in</strong>fo Jo<strong>in</strong> us for our first-ever <strong>in</strong>ternational conference be<strong>in</strong>g<br />

cosponsored by CCPH <strong>and</strong> The Network: Toward Unity for Health, October 6-10,<br />

2004 <strong>in</strong> Atlanta, GA USA on Overcom<strong>in</strong>g Health Disparities through Partnerships<br />

Appendix F<br />

Glenn-Thanks it was refresh<strong>in</strong>g to read your two emails <strong>and</strong> get <strong>the</strong> feel of your<br />

excellent medical missions for medical students. It rem<strong>in</strong>ded me much of <strong>the</strong> dozen<br />

or so that Dan <strong>and</strong> I ran <strong>in</strong> remote valleys of Nepal 30 <strong>and</strong> 40 years ago with a<br />

summary report <strong>in</strong> what used to be called The American Journal of Medical Education<br />

??? It is most reward<strong>in</strong>g <strong>and</strong> I used to say what you are say<strong>in</strong>g that this is <strong>the</strong><br />

most direct way of produc<strong>in</strong>g life chang<strong>in</strong>g <strong>in</strong> <strong>the</strong> careers of young health professionals.<br />

Keep it up. You asked my op<strong>in</strong>ion of this draft <strong>and</strong> I will be blunt. It is great<br />

for true believers, but not yet sufficient to conv<strong>in</strong>ce <strong>the</strong> skeptics. Perhaps most problematic<br />

is that it is much too long <strong>and</strong> repetitive, try<strong>in</strong>g to drive <strong>in</strong> your ma<strong>in</strong> po<strong>in</strong>ts.<br />

Those with doubts would never follow you through your very logical arguments. So<br />

could you cut <strong>the</strong> <strong>the</strong>ory <strong>and</strong> concentrate on <strong>the</strong> positive real life change experiences

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