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<strong>May</strong> <strong>2023</strong> Volume 53<br />

NUVANCE HEALTH<br />

Global Health Program<br />

LARNER COLLEGE OF MEDICINE<br />

NUVANCE HEALTH AND THE UNIVERSITY OF VERMONT LARNER COLLEGE OF MEDICINE<br />

Global Health <strong>eMagazine</strong><br />

“Don’t write your name on sand, waves will wash it away.<br />

Don’t write your name in the sky, the wind may blow it away.<br />

Write your name in the hearts of people you come in touch with.<br />

That’s where it will stay.”<br />

Unknown<br />

Editor; Majid Sadigh, MD<br />

Contributing Editor; Mitra Sadigh<br />

Creative Director; Amanda Wallace<br />

Cover Photo; Rose Schwartz


OUR PEOPLE,<br />

OUR MISSION<br />

Highlights<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Written by Stephen Winter, MD<br />

Senior advisor at Nuvance Health Global Health Program<br />

The Impact of Our Program at Cho Ray<br />

Hospital, Ho Chi Minh, Vietnam<br />

When I was in Ho Chi Minh City, Vietnam working with<br />

our local partners to ensure the post pandemic restart<br />

of our exchange program operates as smoothly as<br />

possible. Being here again is really exciting. We have<br />

seen some amazing things that illustrate the impact<br />

of our program. Just a couple of examples. When I<br />

was last here, I taught the ICU staff a new procedure called prone positioning<br />

that we had started using at home to treat patients with severe lung injury. It is<br />

distinct in that it requires no special equipment or medications and is therefore<br />

something perfect to implement in a resource constrained setting. To my delight<br />

during rounds in the ICU this week I see that they have fully embraced this new<br />

technique and are using it regularly. Another great example is to see what<br />

has happened with our Global Scholars. They have consistently emerged in<br />

leadership positions throughout Cho Ray Hospital, taking on positions, such as<br />

vice chair of the intensive care programs at Cho Ray Hospital and University<br />

Hospital and the head of external relations and international relationships at<br />

Cho Ray Hospital. It is clear that we have either been incredibly successful at<br />

choosing some of the best doctors here as global scholars or that experiences<br />

during the time they spent in the United States altered the trajectory of their<br />

careers towards success. I think it may be a bit of both. These are just a couple<br />

of examples of the impact of the program in one site, and says nothing about<br />

our impact in Uganda, Zimbabwe, and beyond.<br />

I just spent a full day meeting with the dean and faculty at the University<br />

Medical Center close by Choray Hospital to investigate whether we can expand<br />

our footprint in Vietnam to include the University Hospital programs. At every<br />

step I was met by physicians who knew a lot about our program because of<br />

the experience of Choray. They consistently demonstrated a great deal of<br />

enthusiasm to be a part of our network. The bidirectional nature of our program,<br />

which brings their young faculty to America as our students come to Vietnam,<br />

has had a great impact, and is unique among most American-based global<br />

health programs.<br />

2<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

Written by Robyn Scatena, MD<br />

Executive Director, Patricia A. Tietjen, MD Teaching Academy<br />

Our Scholars Are Incredible<br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Dr. Stephen Winter and Dr. Robyn Scatena with leadership of University of Medicine and Pharmacy,<br />

Ho Chi Minh City, Vietnam<br />

Our scholars are incredible. They have maintained a community of practice with<br />

each other, considering themselves brothers and sisters despite often going<br />

months without seeing each other, as they work in different departments. Many<br />

have taken on new roles in their departments and in the hospital, and many were<br />

key leaders of clinical units during COVID. Here are some examples:<br />

Dr. Tho, ID, will replace the wonderful Dr. Lan Phuong as head of external relations.<br />

Dr. Dai, ICU, will rise to vice dean for critical care at UMP while maintaining his<br />

clinical practice at Cho Ray.<br />

Dr. Nam, pulmonary, is developing into the first ILD specialist at Cho Ray via<br />

online seminars and self-directed learning. He is also the associate lead for<br />

research at Cho Ray. He has collected data from the HCMC COVID experience<br />

and is looking to publish it—we got a sneak peak during our visit. He and Dr.<br />

Khoa are also working on a publication on the Cho Ray GH experience. They<br />

have already conducted a focus group and have coded the interviews.<br />

Drs. Tho, Nam, Dai and Huy (perhaps others as well) led clinical units during the<br />

HCMC COVID crisis. They set up a new hospital for all COVID patients and each<br />

3<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

were responsible for leading a unit-based interdisciplinary medical team. They<br />

are considered heroes by their peers.<br />

Dr. Tho was recognized in Vogue Asia as a promising young female leader,<br />

featured on their cover. She is in some ways uncomfortable with the fame so<br />

would not like us to further propagate the recognition, but it is worth mentioning.<br />

Dr. Than (rheumatologist) is a philanthropist as well as a clinician. She has set up<br />

a fund to help medical students continue their studies when financial concerns<br />

would otherwise force them to leave school. She frequently provides free care<br />

in her state-of-the-art medical office in her home to patients who cannot pay.<br />

This is not leadership per se, but demonstrates the incredible heart we see in so<br />

many of our scholars.<br />

Dr. Khoa is studying for his masters in health professions education at BU.<br />

The scholars were incredibly engaged in my Teaching Academy lecture on<br />

objective-driven teaching, and are formulating ways to use objectives to<br />

enhance their teaching for our visiting students. There is also interest from the<br />

scholars in continuing their learning about clinical education, interest in creating<br />

an educational series through the Teaching Academy – this will need to be coconstructed<br />

with a willing scholar, as above.<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Stephen Scholand (Arizona)<br />

4<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Written by<br />

Wendi Cuscina, BS, CPM, PACT<br />

Policy Governance Manager Manager, Global Health<br />

Program Administrative Coordinator – Quality Certified<br />

Project Management<br />

UNGA-78 Science Summit<br />

Nuvance Health Global Health Steering Committee and<br />

United Nations Science Summit Strategic Planning Meeting<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

On April 18,<strong>2023</strong>, the Nuvance Health Global Health Executive Steering Committee<br />

met with Declan Kirrane, Chairman and Managing Director, UNGA-78 Science<br />

Summit. Representing Nuvance Health Global Health during this zoom meeting<br />

was Wendi Cuscina, Robert Kalyesubula, Sabrina Kitaka, Mariah McNamara,<br />

Majid Sadigh, Mitra Sadigh, Vincent Setlhare, and Nelson Sewankambo.<br />

After roundtable introductions, Declan informed the group the direction of this<br />

year’s UNGA session, scheduled for September <strong>2023</strong>, will be focused on efforts<br />

to raise awareness of the UN SDGS (Sustainable Development Goals) and the<br />

challenges they are currently facing.<br />

Open dialogue and exchange of ideas included discussions around the<br />

cumbersome procedure for global health policymaking currently in effect, the<br />

delays from decision making to implementation, lack of reliable data collection<br />

from less developed nations, and regulations imposed on HIC in working<br />

collaboratively with global south nations. Additionally, engaging conversation<br />

took place regarding the need to break down barriers in licensure reciprocity and<br />

clinical experiences bi-directionally. Currently there exists a bias overshadowing<br />

medical science and health research for improved health delivery.<br />

The goal for UNGA-78 Science Summit is a multi-step plan – to raise awareness,<br />

influence decision and policy makers, improve data collection for the<br />

underrepresented nations, collaboration with the populations/groups that the<br />

policies will actually affect and finally communication.<br />

5<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Written by<br />

Wendi Cuscina, BS, CPM, PACT<br />

Policy Governance Manager Manager, Global Health Program Administrative<br />

Coordinator – Quality Certified Project Management<br />

Consortium of Universities for Global Health - CUGH <strong>2023</strong><br />

Global Health at a Crossroads<br />

Advocates for global health, representing sixty-five countries across the globe<br />

converged into Washington, DC to speak and further their knowledge on<br />

healthcare equity. The Consortium of Universities for Global Health (CUGH) held<br />

its annual meeting at the Washington Hilton April 14th – 16th.<br />

Pre-conference special events sessions began on Thursday April 13th. One of<br />

the most engaging and informative sessions I attended was “Breaking Down<br />

Barriers – Fostering Partnerships Between Academia and Policymakers.” This<br />

group of current and former members of Parliament, Senate and Congress<br />

opened dialogue, collaboration, and exchange of ideas to successfully achieve<br />

political impact in global health based on science backed recommendations.<br />

To guarantee equity, reciprocity, diversity and inclusivity, a multi-structural,<br />

multi-disciplinary approach must be implemented. All relationships are vital in<br />

collectively affecting global health – whether big or small, across the globe or<br />

across the neighborhood, whether through legal contract or simple handshake.<br />

Government, NGOs, private industry, faith-based institutions, medical and<br />

academia must form partnerships/alliances with like-minded ideals to achieve<br />

our goals. In general, public and political attention neglect to look at global<br />

health and preparedness. We need to make compelling statements that cannot<br />

be ignored – this way the things policymakers want to do may not be possible.<br />

Raising awareness of basic human rights is quintessential to establishing national<br />

and global health strength.<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Dr. Khoa Duong and Wendi Cuscina<br />

6<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

In my role as Manager and Administrator of Nuvance Health Policy Governance,<br />

I found the session “Closing the Gap: The Role of Mathematical Models in<br />

Global Infectious Disease Policy Setting” especially informative. Doctors and<br />

Fellows from Harvard, John Hopkins, Washington State and Nairobi Universities<br />

stressed the importance of factual data collection, embedding actual usage,<br />

experience, and collaboration with all group levels that the policy would affect<br />

to ensure effective change. Unfortunately, policy makers have historically made<br />

decisions for limited resource regions based on incomplete data and significant<br />

under representation of facts. This has produced policies that are ineffective or<br />

inappropriate to that region.<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Dr. Khoa Duong<br />

Dr. Khoa Duong, representing Nuvance<br />

Health, UVM and Cho Ray Hospital<br />

VietNam, had the privilege of a poster<br />

presentation at this year’s CUGH. The<br />

subject matter focused on faculty<br />

development, realized benefits and<br />

challenges, as well as the global health<br />

scholar experience. The culmination of<br />

his studies produced a result stating<br />

that the global health scholar gained<br />

greater medical education skills<br />

more than professional development<br />

skills. Future studies should explore<br />

how to further professional clinical<br />

development so that scholars can<br />

return to their home to sustain capacity<br />

building.<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Focusing on very current events, the Dobbs Decision was on prominent display<br />

at this year’s conference. Although too political and controversial to discuss<br />

in this forum, it should be known that the implementation of this process has<br />

categorized the US as 1 in 4 countries that have moved backwards in advancing<br />

human reproduction rights and gender equality. The world looks to the US for<br />

leadership and direction.<br />

In conclusion, the true advancement of effective global public health must<br />

embrace alliances, collaboration and change on legal, political, medical<br />

and educational levels. International Human Rights Laws as outlined in The<br />

Geneva Consensus are considered legitimate standards, regardless of whether<br />

governments want to acknowledge them. Society must hold decision makers/<br />

policy makers, and governments accountable for all human health across the<br />

globe.<br />

7<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

INTERVIEW WITH<br />

Jeffrey Anderson<br />

Sr. Coordinator - Northeast<br />

AUC School of Medicine<br />

Global Health Elective: International<br />

Opportunities for Clinical Students<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Several years ago, AUC’s parent company, Adtalem Global Education, entered<br />

into a partnership with Nuvance Health to offer a Global Health elective to<br />

clinical students. Through that collaboration, many AUC students have gone to<br />

a variety of different countries to experience medical care in a new environment.<br />

The opportunity has been described as eye-opening and life-changing, and<br />

one that influences students well into their careers as physicians.<br />

With the <strong>2023</strong> elective dates underway, we sat down with Jeffrey Anderson,<br />

senior clinical coordinator, to learn more about the Nuvance Health Global<br />

Health Program and how students can apply.<br />

Traveling to a new country and entering a new culture is exciting but it can also<br />

be challenging. Nuvance Health provides comprehensive support to students<br />

both ahead of and during their travel to create a smooth transition. Before your<br />

elective, the Nuvance Health Global Health Program will provide education and<br />

training on issues typically encountered during your elective—things like prevalent<br />

tropical diseases, practical dilemmas, ethical issues and safety guidelines. They<br />

will also hold pre-departure orientation sessions to review the elective goals,<br />

curriculum, travel arrangements and site requirements.<br />

During the elective, you will meet with your clinical supervisor weekly to discuss<br />

different patient encounters and experiences. Some sites, including in the<br />

Dominican Republic and two of the sites in Uganda (Mulago and St. Stephen’s<br />

Hospitals) have a homestay model, which allows students to live and interact<br />

with their supervisor on a daily basis. You will also be required to keep a journal<br />

throughout your clerkship as a way of processing different events in the hospital<br />

and the community. This reflective writing helps students chronicle their journey<br />

and think deeply about their impact on an area and that area’s impact on them.<br />

Link to the Interview:<br />

Global Health Elective at the Adtalem Newsletters<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

8


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Reflections<br />

Reflections on My Rotation at Danbury<br />

Hospital ICU<br />

Written by Du Quoc Minh Quan, MD<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

As an observer in the Critical Care unit, I had the<br />

opportunity to participate in daily rounding and other<br />

activities of internal medicine residents, where I gained<br />

invaluable knowledge and experiences. In addition,<br />

over two months, I worked closely with attending<br />

physicians and residents, observing their work and<br />

actively discussing patient care plans.<br />

This experience has given me a deep appreciation for the challenges faced<br />

by healthcare systems in low and middle-income countries. In addition, it has<br />

allowed me to develop critical thinking skills that will be invaluable in my future<br />

career. I was particularly impressed by the dedication and commitment of the<br />

Nuvance Health team, who worked tirelessly to provide high-quality care and<br />

improve health outcomes in the communities we served. Thank you for allowing<br />

me to participate in this program and supporting me throughout this life changing<br />

experience.<br />

Here are some of my observations:<br />

The way one attending physician works with residents here has a significant<br />

advantage compared to our practice. One resident prepares each patient’s<br />

care plan, and the team will discuss it thoroughly. The physician makes the final<br />

decision, uniting all the group’s opinions. It keeps the plan in the right direction<br />

so everyone can easily follow the patient.<br />

Most of my new knowledge and insight come from the daily rounding. Under<br />

the physician’s supervision, we identify the patient’s problems and outline the<br />

plan for each. We go through the physiologic aspect, pathological changes,<br />

fundamentals of management, and current treatment guidelines. We actively<br />

discuss the advantages and disadvantages of different approaches.<br />

I summarized many learning points every day and found them extremely useful<br />

for my practice. It helped me revise what I know, what I lack, and what needs to<br />

be learned.<br />

To have a clinical pharmacist in the ICU is the next exciting thing here. We<br />

don’t have this position at my hospital. Having a pharmacist watching for the<br />

medication prescribed, warning for interaction, and adjusting dosage in some<br />

conditions is extremely helpful to ICU doctors. It will be challenging, but I will<br />

convince my hospital’s head doctor for this role in each ICU department.<br />

9<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

With Dr. Eric Jimenez and residents<br />

Currently, internal medicine residents will have 2-4 weeks in ICU. They practice<br />

in various departments but are not so advanced in critical care. As a graduate<br />

resident in critical care, I’m glad to help whenever the residents have a problem,<br />

especially with mechanical ventilation. We have conducted plenty of discussions<br />

and learned from each other a lot.<br />

Communication with a patient’s family is of paramount importance in critical<br />

care. When a loved one is admitted to the ICU, it is a stressful and emotional time<br />

for the family, who often feel helpless and overwhelmed. Communication with a<br />

patient’s family is of paramount importance in critical care. When a loved one is<br />

admitted to the ICU, it is a stressful and emotional time for the family, who often<br />

feel helpless and overwhelmed.<br />

Danbury hospital ICU is well set up for a meeting with the family. Here they have<br />

both open and private rooms for meetings and allow the family to be in the room<br />

with the patient. Doctors spend a lot of time talking with the family, helping them<br />

to be on board with the patient, encouraging them, and sharing sympathy. This<br />

can help to build trust and confidence in the healthcare team, and ensure that<br />

the patient’s family feels supported throughout their loved one’s critical care.<br />

10<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

My Rotation in Cardiology at Danbury<br />

Hospital<br />

Written by Luis Castillo, MD from Heart<br />

Institute in Santo Domingo<br />

I felt welcomed and supported by everyone during<br />

my time at Danbury Hospital. Upon my arrival I was<br />

welcomed by Wendi Cuscina, the manager of the<br />

global health program, who showed me around<br />

the hospital, my accommodations and introduced<br />

me to Dr. Robert Jarrett, an exceptional person and mentor. He designed an<br />

educational curriculum based on my objectives of coming to Danbury Hospital.<br />

Over the course of my time at Danbury, I participated in educational activities in<br />

the department of cardiology including bedside rounding, and regularly attended<br />

clinics, rounds and sessions with the medical residents. I learned how to treat<br />

each patient holistically and establish a good relationship with patients’ friends<br />

and family. Unfortunately I did not have access to medical records and could not<br />

follow up on patients. I also noticed that the diversity of diseases is more in the<br />

Dominican Republic. For instance, we see many patients with rheumatic fever<br />

and rheumatic valvular diseases in the Heart Institute in Santo Domingo.<br />

Delightfully I noticed that delivery of care is similar between patients whether or<br />

not they have health insurance at Danbury Hospital. I wish that the situation was<br />

the same for uninsured patients in the Dominican Republic.<br />

I am very grateful for the opportunity provided. For me, this rotation was so<br />

beneficial.<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Crane (Rose Schwartz)<br />

11<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

The Heart and Soul of the Ugandan Youth Astound Me<br />

Written by Arezou Nazary<br />

PGY3 resident, CIFC Health Primary Care Internal Medicine Residency Program<br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

From left to right: Arezou Nazary, Asima Mian, Alla Jusufi in St Francis hospital, Naggalama, Uganda<br />

But there’s also the flip side where I’m in profound awe of how these physicians<br />

think on their feet and are so incredibly innovative in an OR! In America, our<br />

surgeons are crazy about having their OR be perfect to their standards and<br />

packed with every little thing down to a T be exactly what they want, the Ortho<br />

doctor here not only was patient and waited two hours for the OR room/things<br />

to get going, but then when gloves or supplies are not to his liking and literally<br />

suction/tools during surgery not working properly he just comes up with things<br />

on the spot. It’s absolutely brilliant to see, and he does it all with such an amazing<br />

attitude and smile and energy with an enthusiasm to teach!<br />

The experience is wonderful, as mentioned we have scrubbed in and assisted<br />

on C-sections, calcaneal repairs, intramedullary tibial rod surgeries, and hip<br />

surgeries, that’s in addition to all the gen med cases.<br />

I took care of a girl this week with Sickle Cell Crisis with Acute Chest Syndrome.<br />

She was more worried about missing the school physics examination because<br />

she wants to be an engineer or doctor when she grows older. The heart and soul<br />

of the Ugandan youth astound me. Their resilience is aspiring. When we walk<br />

around, they are always smiling, saying hello, so extremely pleasant and kind.<br />

Which of course is why Alla, Asima and I are creating the Go Fund Me account to<br />

help the school off the palliative route. The youth of this country are special to<br />

us and we hope others see it too.<br />

The three of us definitely love Uganda.<br />

12<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Uganda is amazing!<br />

Written by Asima Mian<br />

PGY3 resident, CIFC Health Primary Care Internal Medicine<br />

Residency Program<br />

We went to visit a primary school with very limited<br />

resources in a small rural community. It was a humbling<br />

experience to be with children who were so happy<br />

and joyful despite not having the bare minimum needs in a school. After seeing<br />

that school and the hardships those children are going through to obtain an<br />

education, Alla, Arezou and I decided to raise funds to help the school out. We<br />

then went to Mulago Hospital in Kampala, had a hospital tour on Thursday and<br />

then joined the ID rounds Friday morning. I saw 4 patients with cryptococcal<br />

meningitis, 1 patient with toxoplasmosis and 1 patient with TB meningitis all in<br />

the setting of IRIS in HIV. These are diseases I do not routinely come across and<br />

seeing them being managed was a very educational experience. The teaching<br />

rounds in Mulago were excellent, we spent 3 hours rounding at the bedside with<br />

medical students and residents on these 6 patients. The rounds were informative<br />

and educational.<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Majid Sadigh (Wedding Dance)<br />

13<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

My Eyes Are Open to the Small Wins in<br />

Medicine<br />

Written by<br />

Georgina A Todd MD Candidate | Class of <strong>2023</strong><br />

Ross University School of Medicine<br />

Being back in the hospital on rotations has made the<br />

return from Zimbabwe very real. I feel this overwhelming<br />

guilt using single use items in the hospital. Each<br />

patient that has contact precautions the entire team,<br />

attendings, residents and students, nurses, resp tech<br />

gown up in our disposable gowns and mask walk into the room look at the<br />

patient and walk out and throw it all in the trash. Juxtaposed with the clinic at<br />

Pari hospital where all the patients that were to be seen that day laid on the<br />

same washable sheet covering the exam table unless it was noticeably soiled<br />

with blood or other fluid. Prior to this experience I never thought twice about<br />

the wastefulness of single use items in our healthcare system; but throughout my<br />

elective I found myself only going into patient rooms if I had to in order to not<br />

waste resources.<br />

I also think I’m appreciating the little things more. I had a patient who spent an<br />

entire week in the ICU, his family and friends never left his side. If one person<br />

left another came to be with him, they worked in shifts even if he was sleeping<br />

someone was always there. Which was just so refreshing to see after being at<br />

Pari where visitors were only allowed during certain hours and patients spent<br />

most of the day alone, or trying to reach family members on a cell phone just to<br />

hear a familiar voice. Patients aren’t alone here; they have company fellowship<br />

and friends which has such a great impact on their health and recovery. It’s<br />

also nice that patients don’t have to die alone and family members don’t show<br />

up in visiting hours just to find that their relative is no longer with them. This<br />

experience has opened my eyes to the small wins in medicine that I have often<br />

missed, and has unlocked a new passion for global health that I didn’t know I<br />

had. I will be forever grateful.<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Click here to visit the Nuvance Health Global Health Program<br />

COVID-19 Resource Center<br />

14


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art To Remind Us<br />

of Who We Can Be<br />

Co-Editors:<br />

Mitra Sadigh<br />

and<br />

Elina Mukhametshina, MD<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

During times of confusion, tribulation, grief, uncertainty, and despair, the arts<br />

enliven us by reintegrating the disjointed pieces of ourselves and replenishing<br />

them with clarity and hope. The arts remind us of our individual and collective<br />

potential to grow, evolve, and transform. They remind us of what and who we can<br />

be and what we can create. In this new section, we bring you works of art that<br />

have moved and inspired us. We encourage you to also share works that have<br />

inspired you.<br />

This month we are highlighting the art work of Kent Monkman.<br />

ABOUT THE ARTIST<br />

Kent Monkman<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Kent Monkman’s Shame and Prejudice: A Story of Resilience takes you on a<br />

journey through Canada’s history.<br />

15<br />

Art continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

The artist’s gender fluid, time-traveling alter-ego, Miss Chief Eagle Testickle,<br />

narrates the story through the lens of Indigenous resilience, from New France<br />

and Confederation, to the harsh urban environment of Winnipeg’s North End and<br />

contemporary life on the reserve.<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Created as a response to Canada 150, this nationally touring exhibition features<br />

nearly 80 pieces, including Monkman’s own paintings, installations and sculptures,<br />

in dialogue with historical artifacts loaned from museums and private collections<br />

across Canada.<br />

Shame and Prejudice: A Story of Resilience<br />

Link to the Interview and Video<br />

Kent Monkman<br />

16<br />

Art continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Here Are 40 Of The Most Striking Photographs, As Selected By<br />

All About Photo Magazine Awards <strong>2023</strong>: “The Mind’s Eye”<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

All About Photo is delighted to announce this year’s winners of All About<br />

Photo Awards <strong>2023</strong> - The Mind’s Eye, recognizing the best single images from<br />

photographers around the world.<br />

Visionary photographers from around the world, both professional and amateur,<br />

shared their unique perspectives and competed for international recognition as<br />

the next Photographer of the Year, $10,000 in cash prizes, and publication in the<br />

printed magazine ‘’Special Edition All About Photo Awards <strong>2023</strong>’’.<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Here Are 40 Of The Most Striking Photographs, As Selected By All About Photo<br />

Magazine Awards <strong>2023</strong>: “The Mind’s Eye”<br />

Art continued on next page >><br />

17


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Friends<br />

Elton John<br />

Lyrics<br />

I hope the day will be a lighter highway<br />

For friends are found on every road<br />

Can you ever think of any better way<br />

For the lost and weary travelers to go?<br />

Making friends for the world to see<br />

Let the people know you got what you need<br />

With a friend at hand you will see the light<br />

If your friends are there then every thing’s alright<br />

It seems to me a crime that we should age<br />

These fragile times should never slip us by<br />

A time you never can or shall erase<br />

As friends together watch their childhood fly<br />

Making friends for the world to see<br />

Let the people know you got what you need<br />

With a friend at hand you will see the light<br />

If your friends are there then every thing’s alright<br />

Making friends for the world to see<br />

Let the people know you got what you need<br />

With a friend at hand you will see the light<br />

If your friends are there then every thing’s alright<br />

Link to the Video<br />

Friends; Elton John<br />

Link to the Lyrics<br />

Friends<br />

18


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

Reports from the Fields<br />

From Vietnam<br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

The warmth and hospitality here is extraordinary.<br />

I can easily say that medical students’ experience has been extremely well<br />

organized, they are consistently matched with English-speaking mentors and<br />

they feel accepted and engaged in the things that they have done. We could<br />

find no area where they had complaints or unhappiness. I think much of this is<br />

due to the excellent organization and preparation from the training unit.<br />

I was impressed at the quality of education, environment and enthusiasm of<br />

the supervising doctors who are UMP professors (not all wards have UMP staff).<br />

Contrasting to my Danbury inpatient pediatric experience when I was a student<br />

I was overwhelmed and impressed at the sheer number of cases, procedures<br />

and learning opportunities for those interested in pediatrics. The wards I think<br />

which would be the best for the students would be infectious PICU, hematology,<br />

nephrology and neurology/pulmonary. Discussing with Professor Nguyen I also<br />

asked him about timing the cohorts and it is possible that we time some two/four<br />

week rotations with the Vietnamese students in a way that they could meet a<br />

new group every two weeks or move with the same cohort of maybe 20 students.<br />

Joanna Moore<br />

19<br />

Reports continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

There is a significant interest in developing some kind of cultural program for the<br />

students. We have agreed that one strategy might be to pair our students with<br />

local Vietnamese medical students who are their peers in age and experience.<br />

Vietnamese students would get an opportunity to learn about American culture<br />

and practice English, with the expectation that they would become friendly<br />

mentors to the students with respect to Vietnamese culture, home life and social<br />

mores. We thought the students might get together at least once a week to go<br />

marketing, visit a historical site, meet families, and other kinds of activities that<br />

would evolve as the program evolved. There are still issues to be sorted out,<br />

such as how to recruit local students and pair them with our students, but there<br />

is significant interest in building a program that meets the goals that you have<br />

outlined.<br />

Stephen Winter<br />

It was such a pleasure to welcome the team from Nuvance Health to visit our<br />

Faculty of Medicine at UMP last week.<br />

We have discussed several issues regarding<br />

• The mutual understanding to create an exchange program for medical<br />

students of Nuvance Health to have placement with the OB / GYN and<br />

Pediatric departments.<br />

• The possibility of receiving UMP medical students sometime in 2024<br />

• The possibility to send fellows from UMP to teaching academy of Nuvance<br />

Health on interprofessional education and other program<br />

Duong Le<br />

International Relations Office<br />

Faculty of Medicine<br />

University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

20


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Global Local<br />

Health Disparities within our Borders<br />

Section Editor: Ritesh Vidhun<br />

Strength of the Smartphone: Mobile<br />

Application for Improving Palliative Care<br />

Article Analysis<br />

Written by Ritesh Vidhun<br />

Pain medicine and palliative care are essential in<br />

21st century healthcare. It is viewed as an ethical<br />

responsibility that World Health Organization (WHO)<br />

member states must uphold. There are severe<br />

inequalities among countries in the Global North and Global South leading many<br />

providers and policymakers to come up with interventions that address the need.<br />

One such strategy is described in the piece by Harding et al., published in the<br />

Journal of Pain and Symptom Management in 2021. These researchers focused<br />

on designing and evaluating a mobile application (app) aimed at improving<br />

overall palliative care. They chose three sites for their program: The Institute of<br />

Palliative Care in Calicut, India; Hospice Africa Uganda in Kampala, Uganda;<br />

and Island Hospice and Healthcare in Harare, Zimbabwe. These locations were<br />

selected based on a specific set of criteria, ranging from access to the internet<br />

to a multidisciplinary healthcare approach. The study was divided into a series<br />

of objectives: “(1) Mobile Phone Application Codesign, (2) Application Usage, (3)<br />

Stakeholder Views, and (4) Proposed Refinements.”<br />

Prior to executing and evaluating their intervention, the development team worked<br />

in conjunction with local palliative care providers from family and professional<br />

settings in all three sites. They ensured that the essential features were included<br />

with a heavy focus on strong data collection, minimizing app content, and timely<br />

uploads to ensure efficient care. After the app was developed the researchers<br />

provided participants at each site with Android cell phones with the program<br />

already downloaded. Each site was composed of 25 community caregivers<br />

and 25 family caregivers who used the app once a week for six weeks. Prior to<br />

collecting data on patient care, the providers filled out a baseline questionnaire<br />

to build the data foundation. As information was acquired about patients, it<br />

was uploaded to a local computer and Excel file for later analysis. During this<br />

process some challenges came up, mostly related to accessibility. In several<br />

cases caregivers did not have strong internet connection or access to sim cards<br />

leading to delays in data upload and therefore, slower real-time patient notes.<br />

After the six weeks, researchers interviewed different providers using semistructured<br />

questionnaires. They prioritized discussions on app content, benefits,<br />

struggles, format, and usage. The data was then transcribed and coded with<br />

the main results outlined.<br />

21<br />

Global Local continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

The main evaluation tool was qualitative interviews and caregiver feedback<br />

broken down by objective. For all participants, despite some challenges a<br />

beneficial outcome was experienced indicating that the presence of the app<br />

was an overall good. There were specific improvements mentioned in the paper,<br />

such as shortening the symptom burden section or visually categorizing scores,<br />

to improve user friendliness. In terms of usage, main feedback surrounded privacy<br />

concerns with sensitive patient data. The large portion of the coded data<br />

relates to Objectives (3) and (4) with five main codes generated: “Advantages<br />

to using the app, disadvantages, influence of daily clinical and organizational<br />

practice, learning to use the app, and suggested improvements to the app.”<br />

The researchers noted that experiences were mentioned the most from the<br />

interviews to indicate the overall evaluation of the intervention. This study noted<br />

some limitations surrounding application in different settings but emphasized<br />

the need for expansion due to the initial overall benefits.<br />

It is clear that technology can have powerful effects in even resource-limited<br />

settings and these results underscore the need for increased development and<br />

implementation of outside-the-box interventions to address health disparities.<br />

If interested, please read through the piece cited below.<br />

Reference:<br />

Harding, R., Carrasco, J. M., Serrano-Pons, J., Lemaire, J., Namisango, E., Luyirika,<br />

E., Immanuel, T., Paleri, A. K., Mathews, L., Chifamba, D., Mupaza, L., Martínez, C. L.,<br />

Zirimenya, L., Bouësseau, M.-C., & Krakauer, E. L. (2021). Design and Evaluation of<br />

a Novel Mobile Phone Application to Improve Palliative Home-Care in Resource-<br />

Limited Settings. Journal of Pain and Symptom Management, 62(1), 1–9. https://<br />

doi.org/10.1016/j.jpainsymman.2020.09.045<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Proud Mom (Rose Schwartz)<br />

22


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Hispanic/Latinx Voices;<br />

Stories from our Community<br />

Section Editor: Elvis Novas<br />

Written by Elvis Novas<br />

Advisor for the Dominican Community Center and<br />

member of the Board of Directors of Housatonic Habitat<br />

for Humanity, Danbury, CT<br />

“I am very grateful for the privilege of being selected<br />

as editor for the column “Hispanic/Latinx Voices:<br />

Stories from our Community ‘’ of the Global Health<br />

<strong>eMagazine</strong>.”<br />

My desire for a better community has been the guide to introduce me to<br />

community work, specifically in the Hispanic/Latinx community. This experience<br />

has allowed me to see and treat people in our community with great human and<br />

professional values; men and women who just need a platform to share their<br />

stories and amplify the voices of others.<br />

Our vision for the column “Hispanic/Latinx Voices: Stories From Our Community”<br />

is based on the interest of making our people, culture, values, and points of view<br />

known and at the same time motivate our audience to be more interested in our<br />

community.<br />

With this, we seek greater visibility for our community, the opportunity for our<br />

people to expose their talents and abilities to communicate and for others to<br />

know our true stories. I encourage you to follow us each month as we feature<br />

inspiring stories from our Hispanic/Latinx community in the city of Danbury,<br />

Connecticut. Please feel free to send me your ideas or thoughts at enovas@<br />

gmail.com.<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

23<br />

Latinx continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Husky for Immigrants<br />

Written by Najely Clavijo<br />

Najely Clavijo is a 22-year-old undocumented<br />

and unafraid community organizer and Immigrant<br />

Rights Advocate with CT Students for a Dream.<br />

She was born in Ecuador and raised in Spain.<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

She came to the US when she was 13 years old and graduated from Danbury<br />

High School in 2018, she now attends Naugatuck Valley Community College<br />

where she studies computer science.<br />

She worked closely since 2015 with the Afford to Dream Campaign, a campaign<br />

now turned into law in 2018 that provides financial aid to undocumented<br />

students in the state of CT, now she is working on the current campaign, Husky<br />

for Immigrants, a campaign that is fighting to open access to healthcare to<br />

immigrant families. Her current role as the Danbury Organizer allows her to help<br />

in the current campaigns while building youth leadership in Danbury.<br />

CT Students for a Dream, alongside the HUSKY for Immigrants Coalition that is<br />

composed of immigrants’ rights community organizers, health care advocacy<br />

organizers, community leaders, healthcare providers, faith leaders, unions fighting<br />

for access to health care and health coverage for CT’s immigrant population.<br />

In Connecticut, undocumented immigrants are unable to access healthcare<br />

coverage. They can’t buy into AccessHealth CT, are not eligible for Medicaid or<br />

Medicare, and private insurance companies are either too expensive or outright<br />

reject applications from undocumented individuals.<br />

Without health care coverage, many individuals delay seeking care until their<br />

condition requires emergency department visits or hospitalizations. Chronic<br />

health issues that could be easily managed or treated, such as diabetes and<br />

heart disease, develop into more serious and expensive conditions.<br />

Last year, over 400 health care providers signed on to a letter in support of<br />

expanding eligibility for HUSKY, Connecticut’s Medicaid program, to include<br />

undocumented members of our community. The CT legislature passed a bill in<br />

response which provides HUSKY care to all children ages 0-12, regardless of<br />

immigration status, and pregnant people for prenatal and postpartum care.<br />

A recent study concluded that passing legislation to expand CT’s HUSKY<br />

Health program to all CT residents would have substantial benefits to the<br />

state, reducing the insured rate in undocumented immigrants from 57% to 39%,<br />

reducing uncompensated care costs for Connecticut’s hospitals by $63 million,<br />

and reducing CT Emergency Medicaid costs (approximately $15 million in 2021).<br />

24<br />

Latinx continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

This <strong>2023</strong> legislative session, we ask healthcare providers, and the community to<br />

urge our lawmakers to support a state budget that funds an expansion of HUSKY<br />

eligibility to immigrants up to age 26, regardless of immigration status, the fight<br />

is not done until we get access for all immigrants in CT.<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

25


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Section Editor:<br />

Nursing Division<br />

Catherine G Winkler, PhD, MPH, APRN-BC<br />

Director of the Nuvance Health Global Health Program Nursing Division<br />

Strengthening Healthcare Systems<br />

Written by<br />

Catherine G Winkler, PhD, MPH, APRN-BC<br />

Director of the Nuvance Health Global Health<br />

Program Nursing Division<br />

Strong healthcare systems are needed for all people to achieve timely access<br />

to quality healthcare to promote, restore and maintain health. Improving<br />

healthcare systems In the USA as well as on a global level requires administrators<br />

and healthcare leaders to take a hard look at the delivery of care, the cost of<br />

care, the timeliness of care and “the caring” in healthcare.<br />

After the pandemic, change has been necessary on behalf of all healthcare<br />

providers in the delivery of care, the content of care and the timeliness of that<br />

care. Front line providers needed to don extra gear, change protocols, use<br />

resources differently and reprioritize their work with staff levels low and with care<br />

complicated by isolation and uncertainty.<br />

Patients and their families also needed to make ongoing changes since the<br />

pandemic by making careful decisions about if they should seek care, when<br />

to seek care, how to seek care, and from what source in what venue would<br />

accessing this care be possible.<br />

Healthcare systems and administrators have changed too – but it requires more<br />

effort because they need to recognize problems and develop strategies, quick<br />

responses, and activities to allow providers to do their work effectively, and to<br />

sustain positive changes now through the next pandemic or crisis. Healthcare<br />

organizations and their leaders need to meet the needs of their staff and the<br />

patients that they provide healthcare to every day.<br />

Delivery of care needs to be available and timely. Often with large healthcare<br />

systems that span across a state or states that have set themselves up with<br />

service lines designed to manage expensive disease states such as orthopedics,<br />

or cardiovascular care - lose sight of what services their communities need that<br />

may be lost leaders financially but are vital to the local people such as pediatric<br />

services or primary care. A shift should happen to review the community needs<br />

and then a plan about how to access it. Does it make sense to have telemedicine<br />

visits, clinic, or home visits? Then once decided, look beyond the hired call service<br />

that may pick up the call in 30 seconds but still struggles to get a patient seen<br />

within a month. Community connectivity is needed to ensure that in addition to<br />

26<br />

Nursing continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

service lines that rapid response, urgent care, emergency care, and primary care<br />

are offered and accessible locally. Where is the care in healthcare?<br />

Care needs to be cost-effective but should also be safe and convenient for the<br />

patient that needs an outpatient procedure. Perhaps a cholecystectomy can<br />

be done same day, but in thinking about the secondary consequences of that<br />

surgery and the issues with urinary retention or symptom management – does it<br />

seem like a good idea to have the 75 year old patient need to follow up on Friday<br />

evening after the procedure in the ED as their only course of action available to<br />

have a urinary catheter placed or ongoing nausea treated? This happens often,<br />

and patients bear the burden of an ED visit with the associated health risk and<br />

cost. Where is the care in healthcare?<br />

Patients who are 10 minutes before going into surgery should not have to find<br />

their credit card in their clothes that have already been placed in the pre-op<br />

locker to pay an out-of-pocket expense to the hospital before they are wheeled<br />

into the OR. Perhaps this could have been considered the week before so that<br />

the frightened patient is not further troubled. After that the same restructuring<br />

of finances would make sense without asking the parents of a sick child going in<br />

at 5 in the morning for an invasive procedure to also pay for the estimated cost<br />

of care. Where is the care in healthcare?<br />

Communication and transparency need to be either reinstated or developed<br />

post pandemic. With the primary care physician replaced in the hospital<br />

setting by hospitalist and intensivist along with specialist- skilled nursing facility<br />

physicians - then without timely communication and perfect electronic medical<br />

records that are secure and available-important information is lost, gaps in care<br />

occur and patients and the families suffer the consequences. A phone call or an<br />

in-person visit is best and should be done in addition to information provided in<br />

a patient portal. Some patients have 5-10 portals they need to manage and still<br />

data is missing or lost. Access to care and coordination of that care needs to be<br />

done across platforms and locations. Where is the care in healthcare?<br />

Environment of care needs to be upgraded with more privacy, that’s accessible<br />

space to meet the needs of a child, a person who uses a wheelchair, or a person<br />

with blindness or a hearing deficit and with resources and clean areas available<br />

to promote a patient’s independence, confidence, safety, and health while<br />

enabling front line healthcare providers to do their work.<br />

Healthcare administrators need to support the advancement of science with<br />

time for providers to conduct research, review literature and consult with<br />

colleagues. The interconnectedness of the world requires administrators and<br />

leaders to strengthen partnerships with colleagues across the world, as well<br />

as down the street and around the corner to improve public policy, encourage<br />

advocacy, and work on screening, health promotion and disease prevention.<br />

There are major changes in patterns and trajectories of health, disease, and<br />

aging and to improve and sustain change, healthcare leaders must adapt now<br />

to the changing world to ensure that the care is reinstated in healthcare and<br />

that it is sustainable.<br />

27


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Women’s Health Education<br />

Section Editor: Sarah Cordisco, RN<br />

Staff Nurse at the University of Vermont<br />

Female Genital Cutting; Part 2<br />

Written by Lauren Coritt<br />

MD Candidate Class of <strong>2023</strong> Larner College of Medicine<br />

lauren.coritt@med.uvm.edu<br />

Only through collaboration can we work towards ending harmful traditional<br />

practices.<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

The language providers use is important. For example, FCG is also referred to<br />

as female genital mutilation (FGM), a term that some consider inflammatory<br />

and stigmatizing and creates resistance from the community because they feel<br />

their culture if being vilified. In a survey of 432 Somali migrants over 87% of them<br />

reported being subjected to hurtful comments regarding FGM during a healthcare<br />

visit. This is unacceptable. As healthcare providers it is our job to provide an<br />

open and judgment free environment where patients feel comfortable disclosing<br />

their health concerns. Any act, whether deliberate or not, that impedes this goal<br />

is a disservice to our patients.<br />

Cultural humility is an invaluable trait to have when working with diverse patient<br />

populations. A lot is going on in the exam room; the patient is an amalgamation<br />

of generations of race, class, ethnicity, cultural norms, and patterns of family<br />

origin. A culturally humble provider must be able to assess their own culture, race,<br />

28<br />

Women’s Health continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

ethnicity, gender, and class in relation to the patient and assess how their own<br />

background contributes to their biases. Providers should focus on acceptance<br />

of a diverse range of health beliefs, be knowledgeable of their culture of the<br />

population they are treating and practice respectful engagement. So how do we<br />

have a conversation with a patient about traditional practices while respecting<br />

their culture but also operating within the ethical and legal mandates of our<br />

practice?<br />

In Canada the Sexuality Education Research Center (SERC) began the Ourselves,<br />

Our Daughters project to promote harm reduction for sexual and reproductive<br />

health issues. Their first goal was to understand the community’s view on<br />

FCG. Community members were interviewed either in gender-segregated<br />

focus groups or as individuals. Thematic analysis of the data was conducted<br />

and presented to the groups before another round of analysis was performed<br />

with incorporation of community feedback. Researchers learned that often<br />

women were not knowledgeable about the long-term impacts of FGC, they<br />

often thought complications were due to an evil spirit or a curse rather than<br />

consequences of the procedure. The SERC then developed special training<br />

materials for the community to educate them about the anatomy/physiology<br />

of female internal organs and topics relevant to women’s reproductive health.<br />

Women reacted by expressing regret over their past decisions, while others had<br />

been aware of anti-FGC campaigns, and others did not view FCG as harmful.<br />

Based on the results of their research SERC providers underwent briefings that<br />

helped them to lose the us v. them, freedom v. oppression dichotomies; providers<br />

began to think about traditional practices on a continuum which ultimately<br />

allowed providers to build trust with their patients. In Switzerland community<br />

providers partnered with professional and amateur actors to create plays about<br />

the harms of certain traditional practices. The purpose of the play was to raise<br />

public awareness without accusation or judgment and foster discussion after<br />

the play was performed.<br />

These examples show us a path to how to have these difficult conversations.<br />

The first step is acknowledgement. Providers need to acknowledge and validate<br />

patient experiences and learn to listen to the patient with an open and nonjudgmental<br />

ear. Physicians who participated in formal global health programs<br />

during residency felt they were more prepared to treat refugees and immigrants<br />

with non-Western health beliefs. They reported improved clinical practice<br />

behaviors such as use of a medical interpreter instead of a family member and<br />

were more likely to follow the best practice guidelines for treating immigrant/<br />

refugee population and were more open to asking about alternative medicine/<br />

cultural practices.<br />

Culture and tradition often hold significant weight in the community. For<br />

change to occur it must be negotiated at the community level. Many cultures<br />

are hierarchical so providers could consider working with community leaders<br />

to begin to change attitudes toward harmful traditional practices. The path of<br />

change lies with our ability to hold open and honest discussions. Community<br />

members must feel heard and not feel judged. Only through collaboration can<br />

we work towards ending harmful traditional practices.<br />

29


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Our Beautiful Planet<br />

Section Editor:<br />

Dilyara F. Nurkhametova, MD, PhD<br />

Director of Nuvance Health Global Health Electives Program<br />

for AUC/RUSM<br />

This new column exhibits the beauties of our planet earth<br />

and our everyday destructive actions against it. We are<br />

witnessing Earth undergoing a profound transformation.<br />

In this recently launched section, we appreciate the gems<br />

of our planet while raising awareness of climate change.<br />

We invite our global health community to share photos,<br />

videos, inspirational resources, and stories. We want to<br />

hear from you how climate change affects people and<br />

health in your part of the world.<br />

Global governance for pandemic prevention and the wildlife trade<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

In this viewpoint Gallo-Cajio et. al. (<strong>2023</strong>) discuss the need for the explicit<br />

institutional arrangement about zoonotic spillover prevention focusing on<br />

improving coordination across four policy domains, including public health,<br />

biodiversity conservation, food security, and trade.<br />

Read the full text here<br />

30<br />

Planet continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Policy on climate change and health<br />

The Standing Committee of European Doctors (CPME), representing national<br />

medical associations across Europe, released Policy on climate change and<br />

health. In this policy they introduce measures to reduce the carbon footprint of<br />

the healthcare sector and how to make it more sustainable without compromising<br />

patient safety or care.<br />

Upcoming events<br />

Integrating Public and Ecosystem Health Systems to Foster Resilience:<br />

Identifying Research to Bridge the Knowledge-To-Action Gap<br />

Date TBD in <strong>May</strong> (virtual)<br />

This webinar will discuss key messages and perspectives on how to advance<br />

policy and practice based on the proceedings of a National Academies workshop<br />

focused on integrating public and ecosystem health to foster resilience and<br />

bridging the knowledge-to-action gap.<br />

Register via this link<br />

MSCL Colloquium: Constructive Climate Communication from the Audience<br />

Perspective: Promises, Challenges, and Pitfalls<br />

Date: <strong>May</strong> 16, <strong>2023</strong> (virtual)<br />

Prof. Dr. Imke Hoppe will discuss the concept of ‘solution-based journalism’ for<br />

the field of climate communication with a perspective on audiences and will<br />

discuss potentials and limitations of the approach.<br />

Read more about the event here, register here<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Click here to visit the<br />

Nuvance Health Global<br />

Health Program<br />

COVID-19 Resource Center<br />

31<br />

Planet continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Big Picture. Natural World Photography<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Three polar bears searching for any meat that hasn’t yet been picked over<br />

by the other scavengers of the high Arctic.<br />

By 2019 Big Picture Wildlife Finalist Daniel Dietrich @danieldietrichphoto<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

“Midnight Oil,” 2019 Big Picture Art of Nature finalist Mac Stone @macstonephoto<br />

32<br />

Planet continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

2019 Big Picture Aquatic Life Finalist Florian Ledoux @florian_ledoux_photographer<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Two scientists wearing reflective<br />

protective gear collect samples<br />

of liquid lava on the Cumbre<br />

Vieja volcano in Spain. It’s so hot<br />

here that flashlights won’t work.<br />

By Arturo Rodríguez<br />

@arturorguezdotcom<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Check out BigPicture<br />

on Instagram @<br />

bigpicturecomp<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

33


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Article of<br />

the Month<br />

A Cree Artist Redraws HistoryWith humor and fantasy, Kent<br />

Monkman disrupts clichés of Native victimhood at the Met.<br />

Highlights<br />

By Holland Cotter<br />

New York Times; Dec. 19, 2019<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Kent Monkman’s painting “Welcoming the Newcomers” in the Great Hall of the Metropolitan Museum<br />

of Art. Credit; Aaron Wynia for The New York Times<br />

Coonskin caps for Christmas! I was a kid in mid-20th-century America. The<br />

biggest cultural event I can remember from early childhood was Walt Disney’s<br />

gigantic popular “Davy Crockett: Indian Fighter” on TV. The first installment of a<br />

serial, which debuted on Dec. 15, 1954, it was basically about the exploits of a<br />

Tennessee backwoods gun-for-hire, and promoted nostalgia for the days when<br />

the Wild West was “won” from indigenous peoples. A verse of the theme song,<br />

which was everywhere on the radio, went:<br />

Andy Jackson is our gen’ral’s name<br />

His reg’lar soldiers we’ll put to shame<br />

Them redskin varmints us Volunteers’ll tame<br />

‘Cause we got the guns with the surefire aim<br />

Davy, Davy Crockett, the champion of us all!<br />

Andy Jackson was, of course, Andrew Jackson, seventh president of the United<br />

States, whose 1830 signing of the Indian Removal Act led to the Trail of Tears, and<br />

34<br />

Article continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

whose portrait now hangs, at the request of the 45th and sitting president, in the<br />

Oval Office of the White House.<br />

All this came back to mind when I saw “The Great Hall Commission: Kent<br />

Monkman, mistikosiwak (Wooden Boat People)” at the Metropolitan Museum of<br />

Art. The second in a continuing series of contemporary works sponsored by the<br />

Met, it consists of two monumental new paintings by the Canadian artist Kent<br />

Monkman, installed on either side of the museum’s main entrance in the soaring<br />

Great Hall.<br />

The paintings are pretty stupendous. Each measuring almost 11 feet by 22<br />

feet, they are multi-figured narratives, inspired by a Euro-American tradition<br />

of history painting but entirely present-tense in theme and tone. And both are<br />

unmistakably polemical, suggesting that with this and other commissions —<br />

an earlier one, sculptures by the Kenyan-born artist Wangechi Mutu, is still in<br />

place on the museum’s Fifth Avenue facade — certain winds of change could be<br />

blowing through the Met’s art-temple precincts.<br />

Mr. Monkman, 54, is one of Canada’s best-known contemporary artists, and<br />

one who has stirred controversy on his home ground. Of mixed Cree and Irish<br />

heritage, he has made the violence done under European occupation, to North<br />

America’s first peoples, a central subject of his work.<br />

Link to the Article<br />

A Cree Artist Redraws History With humor and fantasy, Kent Monkman disrupts<br />

clichés of Native victimhood at the Met.<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

35


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Among the Letters<br />

I received my copies of the GH Annual Report and wanted to let you know how<br />

pleased I am with the finished product! The layout is pleasing, and the stories<br />

are compelling. I was so happy to see photos of students with whom I’ve worked<br />

from both schools, and it adds a level of personal accomplishment for me being<br />

able to play a small part in their professional journeys.<br />

I appreciate it<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

All my best,<br />

Jeff<br />

Jeffrey B. Anderson<br />

Regional Clinical Coordinator, Northeast<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Global Health Academy (Majid Sadigh)<br />

36


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Congratulations<br />

To Dr. Du Quoc Minh Quan<br />

“The 21st Youth Science & Technology Conference for Medicine ‘’ was held on<br />

Nov. 2-4, 2022 at HaNoi Medical University.<br />

Dr. Quân, one of the global health scholars from Cho Ray Hospital in Vietnam,<br />

was awarded the 2nd prize for his research topic “Left ventricular overload in<br />

patients supported with venoarterial extracorporeal membrane oxygenation” -<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Click here to visit the Nuvance<br />

Health Global Health Program<br />

COVID-19 Resource Center<br />

37<br />

Congratulations continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

Congratulations to Swapnil Parve for successfully defending his Ph.D.<br />

thesis titled “Hemodynamic and Cardiometabolic Relationship in Young Patients”.<br />

The dissertation council voted unanimously (20-0) in favor of awarding Swapnil<br />

Parve Ph.D. in Cardiology.<br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Saadi Hospital Shiraz, Iran (1978)<br />

38


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

From CUGH<br />

Photo News<br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Dr. Andrea Green, Dr. Amalia Kane, Dr. Katie<br />

Wells<br />

Dr. Nakanjako, Dr. Khoa, Wendi Cuscina, and<br />

Derrick Abila<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Dr. Nakanjako<br />

Dr. Khoa Duong<br />

39


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Calendar of Events<br />

Nuvance Health<br />

April 01: CIFC residents, Dr Arezou Nazary and Dr Asima Mian started their GH<br />

elective in Naggalama, Uganda<br />

April 01-02: Finalized the global health diaries with Mitra Sadigh and Amanda<br />

Wallace<br />

April 01-02: Finalized the global health <strong>eMagazine</strong> with Mitra Sadigh and<br />

Amanda Walace<br />

April 03: Meeting with Wendi Cuscina, the manager of the global health program,<br />

to review the program of the Second Annual Nuvance Health Global Health Day<br />

April 03: Talking to Dr. Robert Jarrett in respect to a new resident coming from<br />

Dominican Republic to Danbury Hospital for cardiology rotation<br />

April 03: Academic Service Line Meeting<br />

April 03: Meeting with Dr. Dilyara Nurkhametova, the assistant director of the<br />

global health program to review multiple agenda<br />

April 03: Meeting with the manager of the Ethan Allen Hotel in preparation of the<br />

second annual global health conference<br />

April 03: Debriefing meeting with Wendi Cuscian, the manager of the global<br />

health program<br />

April 03: Meeting with Dr. Bulat Ziganshin to discuss his role in the global health<br />

day and future responsibilities at Nuvance Health<br />

April 04: Meeting with Wendi Cuscian, the manager of the global health program<br />

to discuss the itinerary of the global health day in early June<br />

April 04: Meeting with a professional photographer to recruit for the global<br />

health day<br />

April 04: Ruggles Research Institute Fifth Year Anniversary Luncheon<br />

April 05: Meeting with Dr. Elina Mukhametshina and Dr. Mariah McNamra, the<br />

associate director of the global health program at UVMLCOM to discuss the<br />

content, topics, speakers, and facilitators of the educational program on<br />

Monday June 05.<br />

April 05: Meeting with Mrs. and Dr. Jarrett, the president and the founder of<br />

the Heart Around the World and Dr. Dereck Deleon, the CAO to discuss the<br />

engagement of this NGO with NIH in Armenia<br />

April 05: Meeting with Dr. Rama Vidhun, the pathology department residency<br />

40<br />

Calendar continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

program director at Danbury Hospital to learn about the possibility of hosting a<br />

scholar for a rotation in pathology department<br />

April 05: Meeting with Dr. Shalote R. Chipamaunga Bamu, a faculty of medical<br />

education at Zimbabwe University, to discuss her participation at the second<br />

global health day<br />

April 05: Meeting with Wendi Cuscina to discuss logistics of the global health<br />

day<br />

April 05: Dr Mariah McNamara and Dr Elina Mukhametshina met to discuss Global<br />

Health Day planning<br />

April 06: Meeting with the CME leadership to learn about possibility of making<br />

the global health lecture series and the global health conferences accredited<br />

by CME<br />

April 07-08: Finalized the global health diaries with Mitra Sadigh and Amanda<br />

Wallace<br />

April 10: Meeting with Dr. Stephen Scholand to learn about his recent travel to<br />

Thailand<br />

April 10: UVMLCOM Global health leadership meeting<br />

April 10: Meeting with Dr. Bulat Ziganshin to discuss his future plans<br />

April 10: Meeting with Dr. Dilyara Nurkhametova to discuss plans for the global<br />

health day<br />

April 11: Meeting with Dr. Elina Mukhametshina to discuss the content of the<br />

educational program on June 5th, the second day of the second annual global<br />

health conference<br />

April 11: Meeting with Dr. Stephen Winter to learn about his experience in Vietnam<br />

and other agenda<br />

April 11: CIFC resident, Dr. Alla Jusufi completed her GH elective in Naggalama,<br />

Uganda<br />

April 12: Meeting with Dr. Christopher lehrach, chief physician officer at Nuvance<br />

Health to discuss structure and content of the global health program<br />

April 13: Meeting with Andrea Rynn, the director of public relation to discuss the<br />

global health day in early June<br />

April 13: Meeting with one of the 3rd year medical students from UVM interested<br />

in global health<br />

April 13: Meeting with the coordinator of UVMLCOM to discuss the date of the<br />

next global health bridge<br />

April 14: Dr Mariah McNamara and Dr Elina Mukhametshina met to discuss Global<br />

Health Day planning<br />

41<br />

Calendar continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

April 15: Meeting with one of the global health academy faculty to discuss his<br />

level of involvement as a volunteer in the academy.<br />

April 16-17: Finalized the global health diaries with Mitra Sadigh and Amanda<br />

Wallace<br />

April 18: Lecture on Ebola Virus Diseases at SHU<br />

April 18: The Nuvance Health Global Health Executive Steering Committee met<br />

with Declan Kirrane, Chairman and Managing Director, UNGA-78 Science Summit<br />

April 20: Meeting with Dr. Dereck DeLeon, CAO and Wendi Cuscina, the manager<br />

of the global health program to discuss the partnership with NIH, Armenia<br />

April 20: Lecture on Ebola Virus Diseases at SHU<br />

April 21: INEC meeting; Discussion around fundraising and the 2nd global health<br />

conference<br />

April 21: Meeting with Dr. Robyn Scatena to discuss recruitment of an academic<br />

director for the global health academy and structure and function of the Global<br />

Health Academy Executive Committee<br />

April 23-24: Finalized the global health diaries with Mitra Sadigh and Amanda<br />

Wallace<br />

April 24: Weekly debriefing meeting with Wendi Cuscina<br />

April 24: Meeting with Dr. Asghar Rastegar to discuss the future of the global<br />

health at Nuvance Health<br />

April 24: Weekly debriefing meeting with Dr. Dilyara Nurkhametova, the assistant<br />

director of the global health program<br />

April 24: Meeting with Dr. Majd Soudan, the chief resident of psychiatry<br />

department at Nuvance Health and Dr. Elina Mukhametshina to discuss global<br />

mental health elective<br />

April 24: Monthly Academic Service Line Meeting<br />

April 25: Meeting with the members of compliance office<br />

April 26: Discussion of summer students and other participants in global health<br />

elective with Reverend Samuel Luboga<br />

April 26: Preparation session to a meeting with Catalyst magazine photographer<br />

with one of the members of the NVH foundation<br />

April 26: Meeting with Elvis Novas to discuss the future direction of the global<br />

health program in partnership with Latinx community<br />

42<br />

Calendar continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

April 27: Meeting with Dr. Oltikar to discuss the infrastructure of the global health<br />

academy<br />

April 27: Meeting with Dean Karen Daley to discuss Dingle’s project<br />

April 28: Meeting with Dilyara Nurkhametova to discuss the global health<br />

conference<br />

April 28: Meeting with Elina Mukhametshina to discuss her participation in global<br />

health conference<br />

April 28: Discussion of summer students and other participants in global health<br />

elective in Thailand with Dr. Stephen Scholand<br />

April 29: Meeting with a medical resident from Kenya interested in global health<br />

April 29- 30: Finalized the global health diaries and <strong>eMagazine</strong> with Mitra Sadigh<br />

and Amanda Wallace<br />

UVMLCOM<br />

April 06: Dilyara Nurkhametova met with Audree Frey to go over grading process<br />

in UVM platforms<br />

April 10: Global Health Leadership Team meeting<br />

April 18: Meeting with UVM student to discuss upcoming GH elective<br />

April 24: First GH pre-departure session for UVMLCOM MS1 students in preparation<br />

for summer GH electives<br />

April 24: Global Health Leadership Team meeting<br />

AUC/RUSM<br />

April 3: Touch base meeting with Dr Elina Mukhametshina<br />

April 3: Two AUC/RUSM students started their GH elective in Mulago hospital,<br />

Kampala, Uganda<br />

April 12: Touch base meeting with Dr Elina Mukhametshina<br />

April 12: Meeting with Svanjita Berry, Salwa Sadiq Ali, Amanda Herrera to discuss<br />

reflections project<br />

April 19: Touch base meeting with Dr Elina Mukhametshina, AUC/RUSM GH<br />

electives, GH Day discussion<br />

April 20: Meeting with Dr Elina Mukhametshina to work on the application<br />

package for AUC/RUSM medical schools for the year 2024<br />

April 26: Touch base meeting with Dr Elina Mukhametshina<br />

43


OUR PEOPLE,<br />

OUR MISSION<br />

Resources<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>May</strong> <strong>2023</strong><br />

Highlights<br />

Reflections<br />

Art to Remind Us of<br />

Who We Can Be<br />

Reports from the Fields<br />

Global Local<br />

Hispanic and Latinx<br />

Communities<br />

Nursing Division<br />

Women’s Health<br />

Our Beautifuil Planet<br />

Article of the Month<br />

Among the Letters<br />

Congratulations<br />

Photo News<br />

Calendar<br />

Resources<br />

Previous Issues of<br />

the <strong>eMagazine</strong><br />

Yale Medicine 2008<br />

Photos and Reflections 2021<br />

Global Health & the Arts<br />

Nuvance Health and UVMLCOM Global<br />

Health Website<br />

COVID-19 Resource Center<br />

Nuvance Health and UVMLCOM Annual<br />

Report 2020<br />

AUC/RUSM Annual Reports<br />

Cases and Reflections from Mulago<br />

Climb for a Cause 2018<br />

Climb for a Cause 2019<br />

Ebola: Sequences on Light and Dark<br />

Global Health Annual Reports<br />

Global Health Conference 2019 Photos<br />

Global Health Conference 2019 Videos<br />

Global Health Conference 2019 Book<br />

Global Health Diaries and Newsletters<br />

2017-2018<br />

Global Health Diaries and <strong>eMagazine</strong>s<br />

2018-2019<br />

Global Health <strong>eMagazine</strong>s 2020-2021<br />

Global Health Diaries 2020-2021<br />

Global Health Reflections & Photos 2017<br />

and 2018<br />

Global Health Reflections & Photos 2019<br />

Ethical Dilemmas book<br />

Global Health at WCHN Facebook<br />

Ho Chi Minh City and Cho Ray Hospital<br />

The Homestay Model of Global Health<br />

Program video<br />

Kasensero Uganda<br />

Nuvance/MakCHS Global Health<br />

Information Center Booklet<br />

Paraiso and the PAP Hospital<br />

Photographs from Uganda, by<br />

photojournalist Tyler Sizemore<br />

Presentations By Global Health Scholars<br />

Previous issues of the Global Health<br />

<strong>eMagazine</strong><br />

Program Partners<br />

Publications<br />

Site Specific Information<br />

Tropical Medicine Booklets (101, and<br />

202)<br />

Tropical Medicine Spanish 101<br />

Tropical Medicine Courses<br />

The World of Global Health book<br />

The World of Global Health Video<br />

Words of Encouragement<br />

UVM Larner College of Medicine Blog<br />

Participant Guide in Global Health,<br />

Thailand<br />

Cho Ray International Student Handbook<br />

DRC Facing a New Normal<br />

Coronavirus 2019 Important clinical<br />

considerations for Patients & Health<br />

care Providers<br />

Interviews<br />

A Connecticut Doctor in Africa, by<br />

journalist Mackenzie Riggs<br />

Majid Sadigh, MD Interview Regarding<br />

Ebola in Liberia (Video)<br />

My Heart Burns: Three Words Form a<br />

Memoir (Video)<br />

Two UVM Docs Combat Ebola in Liberia<br />

(Article)<br />

44

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