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Stephen Winter, MD<br />
Robyn Scatena, MD<br />
Executive Director <strong>of</strong> PT Teaching Academy <strong>and</strong> Director <strong>of</strong> <strong>Nuvance</strong><br />
<strong>Health</strong> Global <strong>Health</strong> Program at Norwalk Hospital<br />
Three years ago we settled into the realization that there would be no<br />
quick ending to the p<strong>and</strong>emic. Our ability to execute one <strong>of</strong> the main<br />
functions <strong>of</strong> a Global <strong>Health</strong> program, to directly expose students,<br />
trainees <strong>and</strong> junior faculty to systems <strong>of</strong> care <strong>and</strong> cultures around<br />
the world, would be shut down completely for an undefined time,<br />
probably measured in years. We discussed plans to hibernate the<br />
program without closing it down, a process we feared could become<br />
permanent. To my surprise <strong>and</strong> delight, what followed on our website<br />
<strong>and</strong> journal, was a vibrant international exchange <strong>of</strong> challenges <strong>and</strong><br />
successes during the p<strong>and</strong>emic, revealing the resiliency <strong>and</strong> emotional<br />
<strong>and</strong> intellectual depth <strong>of</strong> our global partnership. This culminated<br />
with the United Nations sponsored symposium centered around the<br />
modern expressions <strong>of</strong> colonization <strong>and</strong> the need for those <strong>of</strong> us in the<br />
global north to confront this issue <strong>and</strong> develop interventions around<br />
decolonization. The frank, open <strong>and</strong> at times, painful call to arms was<br />
at a level <strong>of</strong> honesty that could only occur between trusting friends. It<br />
was a powerful shout out for change.<br />
As I prepare to return to Vietnam to help support the de-hibernation<br />
<strong>of</strong> our student <strong>and</strong> global scholars program, I hope that we remember<br />
the challenges raised during the p<strong>and</strong>emic <strong>and</strong> the urgency to act.<br />
The <strong>Nuvance</strong> Global <strong>Health</strong> Program is poised for very important<br />
growth in the next year. Before the COVID-19 p<strong>and</strong>emic, the many<br />
international relationships established allowed for international<br />
exchange <strong>of</strong> ideas <strong>and</strong> clinical practice. During the p<strong>and</strong>emic, our visits<br />
were put on hold but our conversations continued <strong>and</strong> flourished. As<br />
we resume international visits, we have the opportunity to build on<br />
these foundations. We will leverage our existing relationships <strong>and</strong><br />
capabilities to support continued scholarly collaboration across<br />
nations. An opportunity I am particularly excited about is connecting<br />
the <strong>Nuvance</strong> <strong>Health</strong> Patricia A. Tietjen, MD Teaching Academy with<br />
clinical educators at partner institutions. Our existing relationship<br />
with ChoRay Hospital <strong>and</strong> our developing relationship with the<br />
<strong>University</strong> <strong>of</strong> <strong>Medicine</strong> <strong>and</strong> Pharmacy’s Medical Center, both in Ho<br />
Chi Minh City, Vietnam, provide fertile grounds for this collaboration.<br />
Together with our global partners, we will engage in challenging work<br />
to advance both practice <strong>and</strong> scholarship around clinical education,<br />
generating new ideas <strong>and</strong> enhanced practices to benefit <strong>Nuvance</strong><br />
<strong>and</strong> partner institutions.<br />
14 ANNUAL REPORT <strong>2022</strong><br />
NUVANCE HEALTH AND THE UNIVERSITY OF VERMONT LARNER COLLEGE OF MEDICINE<br />
15