eMagazine May 2023
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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 />
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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 />
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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 />
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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 />
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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 />
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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 />
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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 />
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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 />
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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 />
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Calendar<br />
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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 />
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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 />
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Previous Issues of<br />
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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 />
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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 />
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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 />
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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 />
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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 />
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Calendar<br />
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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 />
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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 />
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Click here to visit the<br />
Nuvance Health Global<br />
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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 />
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“Midnight Oil,” 2019 Big Picture Art of Nature finalist Mac Stone @macstonephoto<br />
32<br />
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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 />
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Check out BigPicture<br />
on Instagram @<br />
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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 />
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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 />
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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 />
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Women’s Health<br />
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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 />
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Calendar<br />
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Click here to visit the Nuvance<br />
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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 />
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Calendar<br />
Resources<br />
Previous Issues of<br />
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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