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DO - Ohio University College of Osteopathic Medicine

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lth<br />

eriences that<br />

<strong>of</strong> potential differences,” Horwitz says. “This is a good way<br />

to learn to interact with patients from different backgrounds<br />

within different health-care systems.”<br />

For example, students participating in the geriatric tutorial in<br />

Edinburgh <strong>of</strong>ten note how differently the United Kingdom<br />

rations care for its elderly. According to Ice, American doctors<br />

more <strong>of</strong>ten take extreme and intensive measures with elderly<br />

patients than do English doctors.<br />

Ice, herself, studied in the U.K. at the London <strong>University</strong><br />

while still a junior at Washington <strong>University</strong>. At the time, she<br />

majored in anthropology and worked in nursing homes on<br />

the side. Later, for her doctoral dissertation in gerontology at<br />

the <strong>University</strong> <strong>of</strong> Minnesota, Ice conducted research on the<br />

stress levels <strong>of</strong> U.S. nursing home populations.<br />

A few years after coming to OU-COM, Ice decided to diversify<br />

her research. “I was aware <strong>of</strong> the HIV epidemic in Africa<br />

and that many grandparents <strong>of</strong> orphans have unexpectedly<br />

become caregivers again,” she says. “I started thinking about<br />

the potential for stress there.”<br />

She headed to Kenya for the first time in 2002, to establish<br />

the Kenyan Grandparents Study, which examines how<br />

unanticipated childcare responsibilities affect the stress levels,<br />

nutrition and health <strong>of</strong> the elderly. What’s more, she fell in<br />

love with the place, and she’s returned every summer since<br />

with students in tow.<br />

“There are many situations in Kenya that will frustrate you or<br />

break your heart, but it’s amazing how much people appreciate<br />

the little things you do for them,” Ice says. “I always learn<br />

something new about myself and about Kenya. ... It’s neat<br />

to watch students go through the same process.”<br />

Even if students never return to the country where they studied<br />

or treat a tropical disease as physicians in the U.S., Ice believes<br />

international experience inspires better physicians.<br />

“Culture permeates everything,” she says. “We are an immigrant<br />

country, and immigrants arrive with their own attitudes, diseases<br />

and customs. It helps to be aware <strong>of</strong> all <strong>of</strong> those factors.”<br />

TODAY’S<br />

<strong>DO</strong><br />

Charles J. Cannon Edinburgh Geriatric Tutorial<br />

This clinical and educational program gives third-year medical<br />

students an opportunity to experience health care for the<br />

elderly in Scotland’s National Health Service.<br />

Deborah Meyer, Ph.D., director, 740.593.2266<br />

meyerd1@ohio.edu<br />

Community-Based Tropical Disease Research-Ecuador<br />

With a focus on Triatominae insects and mosquitoes in domestic,<br />

peridomestic and sylvatic habitats, this program seeks to<br />

reduce the spread <strong>of</strong> Chagas disease in Ecuador. Community<br />

education activities, including the production <strong>of</strong> educational<br />

tools to be used in the region, are also an important part <strong>of</strong><br />

this project.<br />

Mario Grijalva, Ph.D., director, 740.593.2192<br />

grijalva@ohio.edu<br />

Introduction to the Galapagos Islands Natural History<br />

This program provides an introduction to one <strong>of</strong> the most sensitive<br />

ecological habitats in the world. By visiting uninhabited<br />

and inhabited islands, students have a chance to compare and<br />

evaluate the impact <strong>of</strong> human activities on the island ecosystems<br />

and to discuss the struggle between economic development<br />

and conservation.<br />

Mario Grijalva, Ph.D., director, 740.593.2192<br />

grijalva@ohio.edu<br />

Tropical Disease Biology Workshop in Ecuador<br />

The objective <strong>of</strong> this multidisciplinary adventure is to gain a<br />

deeper understanding <strong>of</strong> the complex factors that play a role<br />

in the biology <strong>of</strong> tropical diseases.<br />

Mario Grijalva, Ph.D., director, 740.593.2192<br />

grijalva@ohio.edu<br />

Kenyan Grandparents Study<br />

This research project seeks to examine the effect that caregiving<br />

for orphaned children has on the health and wellbeing<br />

<strong>of</strong> Luo elders.<br />

Gillian Ice, Ph.D., M.P.H., director, 740.593.2128<br />

iceg@ohio.edu<br />

SHARE Kenya-<strong>Ohio</strong><br />

In this clinical program, students, faculty and clinicians deliver<br />

health care to residents in rural western Kenya.<br />

Christopher Simpson, D.O., M.A., director, 740.593.2257<br />

simpson@ohio.edu<br />

Village Mountain Mission<br />

This clinical program provides health care to the people <strong>of</strong><br />

Pueblo Nuevo, Dominican Republic. Identification <strong>of</strong> specific<br />

health conditions, for which there may be some immediate<br />

strategies, as well as those that require long-term strategies<br />

are an important part <strong>of</strong> this program.<br />

Roy Bontrager, M.D., director, 740.593.2207<br />

rbon@hocking.net<br />

<strong>Ohio</strong> <strong>University</strong> and CEDEINFA Partnership:<br />

Medical care for the “poorest <strong>of</strong> the poor” in San Salvador<br />

provides care for children and their families in collaboration<br />

with the Center for the Complete Development <strong>of</strong> Children and<br />

their Families.<br />

Eddith Dashiell, Ph.D., director, 740.593.2581<br />

dashiell@ohio.edu<br />

Clinical rotation in Ecuador<br />

This program provides students with an opportunity to rotate<br />

for four weeks in a variety <strong>of</strong> disciplines in select hospitals<br />

in Quito, Ecuador. Students will take orientation and training<br />

at Catholic <strong>University</strong> <strong>of</strong> Ecuador, receive classes in medical<br />

Spanish and conduct clinical rotations in the different services<br />

<strong>of</strong>fered by the participating hospitals.<br />

David Drozek, D.O., Ph.D., director, 740.593.2489<br />

drozek@oucom.ohiou.edu<br />

summer/fall 2007 19

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