eMagazine June 2023
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>June</strong> <strong>2023</strong> Volume 54<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 />
Editor; Majid Sadigh, MD<br />
Contributing Editor; Mitra Sadigh<br />
Creative Director; Amanda Wallace<br />
Cover: Angel (Hakimov)
OUR PEOPLE,<br />
OUR MISSION<br />
Perspective<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Bringing Back Justice to Underserved Communities<br />
From the Editor; Majid Sadigh, MD<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
“There could be no justice without fair opportunities for all. Justice<br />
demands the protection of those fair opportunities.”<br />
-John Rawls<br />
Something that has amazed me is that when I interview medical students, faculty, and residents, I<br />
ask them “why do you go to another country for a GH elective?”, they say they are going to help.<br />
My reply is, “you are going to go to help yourself.” The concept of ‘help’ in this respect is wrong.<br />
We need to substitute sympathy with justice. How can we teach our participants to see the roots<br />
of injustice in the GH setting? To identify those who have played a major role in bringing inequity<br />
and injustice to communities? How can we return justice to those communities? How can we teach<br />
people to be the voice of justice? How can we diffuse that philosophy among ourselves and our<br />
students? Many of our students are passionate and have come to medical school with empathy.<br />
They are brilliant and willing to be by the side of marginalized people in returning justice where it<br />
has been taken. Human rights activism should be the core of medical education.<br />
Our students today have the potential to be a strong voice of the under-voiced by appropriate<br />
inspiration and education. How can we teach our students and faculty to replace the concept of<br />
“helping” with “bringing back justice”? How to teach students from HIC when they come to LMIC<br />
that they are there not to help but to participate; to learn, not to teach?<br />
Resources<br />
2
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Global Health Academy<br />
Written by Wendi Cuscina, BS, CPM, PACT<br />
Manager, Global Health Program<br />
Manager/Administrator, Policy Governance<br />
KYRUUS Administrator<br />
Perhaps 15-20 years ago, the idea of global health was a mere blip<br />
on the radar, a distraction in someone’s thought process. In 2012,<br />
at what was then Danbury Hospital, global health was a seed<br />
planted by Dr. Majid Sadigh. His vision, melded together with the<br />
encouragement and cultivating skills of Dr. Murphy, and Foundational<br />
support led by Grace Linhard, the Global Health Program today, is a living, fluid movement. It<br />
is not defined by one person, but rather the continuous engagement of brilliant minds and<br />
herculean efforts across the globe collaborating for one common goal – health equity for all.<br />
Nuvance Health Global Health Program is applauded and well respected for its mission, nonpartisan<br />
affiliations and organizational structure. It has become the standard industry model to<br />
emulate.<br />
High ranking universities, such as Harvard, Duke, Johns Hopkins, UPenn, Yale, Tufts, Georgetown<br />
et al, in over 42 countries now offer a global health elective to medical students. 43% have<br />
reported this course as compulsory. Global Health is no longer an afterthought. It is vital, it is<br />
dynamic and in the forefront of health education throughout the world.<br />
The Nuvance Health Global Health Program is celebrating and embracing this evolution during<br />
our upcoming Annual Global Health Conference in early <strong>June</strong> and the opening of the Majid<br />
Sadigh Global Health Academy. More details to follow in the <strong>June</strong> and July issues of <strong>eMagazine</strong>.<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Parvin Sadigh (Iran)<br />
Calendar of Events<br />
Resources<br />
3<br />
Highlights continued on next page >>
OUR PEOPLE,<br />
OUR MISSION<br />
Highlights<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Tributes to Dr. Michael Simms at St. Mary Hospital<br />
Dr. Sadigh attended a ceremony to pay tribute to Dr. Simms, a close friend and colleague at St.<br />
Mary Hospital.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Dr. Raeissi, the chairperson of the<br />
department of medicine, opening<br />
remarks<br />
Dr. Simms closing remarks<br />
Phoro News<br />
From Left to Right; Dr. Buller, Dr. Raeissi, Dr. Simms, Dr. Sadigh, Dr. Aronin, Dr. Demayo, and Dr. Podell<br />
Calendar of Events<br />
Resources<br />
4<br />
Highlights continued on next page >>
OUR PEOPLE,<br />
OUR MISSION<br />
The Ecuadorian Civic Center (ECC) Soccer<br />
Tournament <strong>2023</strong><br />
ECC Soccer <strong>2023</strong>: The Godmothers of Sports Teams<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><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 />
Perspective<br />
“On Sunday, May 7, the opening ceremony of the XXVII Soccer Championship SUMMER <strong>2023</strong> of<br />
the Danbury Ecuadorian Civic Center (CCE) was held at Roger’s Park in Danbury, CT. It was a<br />
wonderful event, where dozens of players gathered with their respective godmothers, as well<br />
as local and state authorities such as Danbury Mayor Dean Esposito; CT State Senator, Julie<br />
Kushner; CT State Representative Farley Santos, and community leaders such as Roberto Alves,<br />
and Wilson Hernández. Also present as special guests were Javier Cintron from NUVANCE-Global<br />
Health, Elvis Novas and Jason Nova from the Dominican Community Center, among others. This<br />
event was masterfully organized by the excellent CCE team led by its President Mr. Leonardo<br />
Córdova and Vice President Mrs. Maria Lema. Congratulations!”<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Click here to visit the Nuvance<br />
Health Global Health Program<br />
COVID-19 Resource Center<br />
5<br />
Highlights continued on next page >>
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
Danbury Hospital Department of Medicine Grand Rounds- A Global Health<br />
Grand Rounds<br />
On Wednesday, May 17, <strong>2023</strong> at 8:00 AM - 9:00 AM, Dr. Stephen Scholand was the speaker of<br />
the Department of Medicine Grand Rounds - Global Health.<br />
The topic was “Meningitis without Borders - Confronting a Menacing Disease.”<br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Please see the link below to the presentation<br />
https://www.youtube.com/embed/tcccvAuBqww<br />
Calendar of Events<br />
Resources<br />
6
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Thank you Philista<br />
Written by Arezou Nazary<br />
Our Global Health experience would not be remotely as special<br />
or memorable without a very special young lady named Philista.<br />
Philista is the young woman who helped guide our stay at<br />
Naggalama hospital in Uganda. She runs the guest house for all<br />
visitors who pass by. Anything we wanted to learn, see, do, eat,<br />
Philista was there to help make it a reality. Everyday was a new<br />
excursion with her.<br />
Philista’s voracious appetite to explore and learn new things was infectious and made our<br />
exploration of Uganda one hilarious roller coaster ride we cherish. She didn’t know how to swim<br />
yet took the leap to go rafting on the Nile with us! Weekly grocery runs became mini concerts as<br />
we played music and sang on the back of boda bodas (motorcycles) under the african sky. She<br />
protected and guided us as we made our shopping trips for the Go Fund Me project, making<br />
sure her muzungus got value for their buck.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
When we felt weak from a long day in OR or wards, she would have our favorite snacks and<br />
foods ready. When we were sad over the patient we lost and tears streamed down our faces,<br />
she somehow knew exactly what to say to make us start laughing.<br />
After countless hours of getting to know just<br />
each other’s worlds, hopes and dreams, we<br />
knew without a doubt Philista is meant to travel<br />
and explore the world. She opened up about<br />
her dreams, one of which is to continue her<br />
education and finish college majoring in Tourism.<br />
Philista is now taking the steps to sign up and<br />
continue her education which ultimately would<br />
allow her to apply for her dream job, an airline<br />
stewardess, and make her dreams of seeing the<br />
world a reality. In our last week, we started the<br />
process of making sure Philista got her passport<br />
and it is indeed in the works!<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
7
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Philista educated us about Uganda and helped us navigate our way, but what Philista doesn’t<br />
know is that she taught us beyond that. She showed that no matter where in the world you<br />
come from, whatever you’ve experienced, the differences dissipate and the similarities in spirit<br />
and love predominate. And without a doubt, we would go back to Naggalama, just to visit our<br />
sister, Philista.<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Kent Falls, Kent CT (Olwen Gurry)<br />
8
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Reflections<br />
Reflecting on My Global Health Journey During<br />
Medical School<br />
Written by Jett Choquette, MD, Class <strong>2023</strong><br />
Near graduation (May 21, <strong>2023</strong>) from the Larner College of<br />
Medicine at Vermont University, I find myself reflecting on the<br />
role global health played throughout my medical school career.<br />
Soon I will start a new adventure, internal medicine residency<br />
at Virginia Commonwealth University (VCU) in Richmond, VA. As<br />
I reflect on the large role global health has played in my life so<br />
far, I’m also curious how it will continue to be part of my training<br />
at VCU.<br />
I started medical school knowing I wanted to be part of global health, but I was still formulating<br />
what that meant to me. I’d been a community health volunteer in the Peace Corps in Paraguay<br />
prior to starting medical school. From my time in the Peace Corps, I knew several things: I<br />
wanted to be based in the US, I believed in equal partnership, and (when I worked abroad) I<br />
ultimately hoped to develop a long-term relationship with one community to which I’d return<br />
over the years.<br />
The Nuvance/LCOM Global Health Program welcomed me as I started my first year of medical<br />
school. I was set to go to the Dominican Republic (DR) the summer after my first year of medical<br />
school, something I couldn’t have been more excited about. I couldn’t wait to see what global<br />
health from the medicine perspective was like as the Peace Corps had already given me a<br />
glimpse of global health from the public health perspective. Then COVID came and everything<br />
changed.<br />
My trip to the DR was canceled. Further no one, new or seasoned, in global health could<br />
travel easily as the COVID pandemic raged. The leaders in global health around me, who had<br />
previously looked abroad, looked inward to their local communities as they could no longer<br />
travel. Was it possible to address global health on a local level?<br />
I helped with flu clinics for migrant workers in Vermont. I took part in early discussions and<br />
projects of the UVMMC Emergency Department Diversity, Equity, and Inclusion Committee as<br />
part of the New American Subcommittee. I helped develop longitudinal global health curriculum<br />
to be included as part of the LCOM regular curriculum. I found a community in the Global<br />
Health Program, but still hadn’t found a project that blended my love of health and Spanish in<br />
the way I hoped.<br />
I moved to Connecticut for my clinical years of training (years three and four of medical school),<br />
as a member of the LCOM Connecticut campus <strong>2023</strong> class cohort. Dr. Sadigh connected me<br />
with Elvis Novas, a leader of the Dominican Community Center (DCC) in Danbury, CT. The DCC<br />
is a non-profit that seeks to empower the Dominican community and other Hispanic/Latinx/<br />
Latino communities in the Danbury, CT area. Working together over the past two years, the<br />
DCC and I built a partnership between the Latinx community and the Global Health Program.<br />
As part of this partnership, we designed projects to promote health literacy.<br />
I was grateful for the kind welcome and dedication of the DCC members as our partnership<br />
blossomed. Earlier this spring, a new third year medical student took over my role as the<br />
Community Liaison from the Global Health Program to the DCC, as my graduation was looming.<br />
The DCC is currently planning a summer youth leadership academy that will include a health<br />
literacy component.<br />
Despite the unexpected twist the COVID pandemic caused in my global health journey, I<br />
ultimately found my medical school global health home in Danbury, CT working with the DCC.<br />
The opportunity to collaborate with an important population within the community where I was<br />
training as a medical student resonated with me as especially important. I was glad that the<br />
Global Health Program was prioritizing local global health efforts.<br />
9
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
The importance of empowering Latinx people within the Danbury, CT healthcare system became<br />
more evident the more time I spent in the clinic and hospital. Nuvance serves many Spanish<br />
and Brazil-Portuguese speaking patients. Danbury, CT has a diverse medical community with<br />
many doctors, nurses, and other healthcare professionals who are native Spanish or Portuguese<br />
speakers – yet the challenges of communication across cultures and languages remains for<br />
many healthcare professionals (including myself) where Spanish and/or Portuguese are second<br />
languages. The challenge of using phone interpreters can delay care. It can cause confusion.<br />
Partnering with the local community, such as the DCC, gives the Global Health Program an<br />
opportunity to address the challenge of providing healthcare locally to people from all around<br />
the world.<br />
Partnerships like the DCC-Global Health Program allow our local health system to better learn<br />
from and involve local communities in health care improvement. It allows us to open a channel of<br />
communication where the exchange of ideas can flow both ways and the end goal of improving<br />
health for all becomes a mission that both the health system and the community own. I’ve been<br />
honored to take part in the development of the DCC-Global Health Program partnership. And<br />
while I’m no longer the medical student on the ground helping the DCC, I remain connected<br />
to the DCC community. I can’t wait to see how our Danbury community continues to grow and<br />
evolve in the future.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Majid Sadigh<br />
10
OUR PEOPLE,<br />
OUR MISSION<br />
Week 2 and 3 Reflections<br />
Written by Asima Mian, PGY3 resident<br />
CIFC Health Primary Care Internal Medicine Residency Program<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
It has been quite busy the past few weeks with finishing up work<br />
at the hospital and coordinating all the donation items for the<br />
school. There is an ortho camp doing pro bono hip and knee<br />
arthroplasties for the past 10 days. I scrubbed into several ortho<br />
procedures to help out, covered the gen med ward and anywhere<br />
else I could be helpful. At the end of week 1 we went on an African<br />
Safari which was incredible! I spent time on the maternity ward<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Alla Jusufi, Asima Mian, and Arezou Nazary at St Francis<br />
hospital, Naggalama<br />
Arezou Nazary, Asima Mian, and Alla Jusufi in Naggalama<br />
Nursing Division<br />
Women’s Health Education<br />
Asima Mian at local market, Uganda<br />
From left to right: Arezou Nazary, Asima Mian, Simon Otin, and Alla Jusufi<br />
in St Francis hospital, Naggalama, Uganda<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
and maternal ultrasound. I learned that rather than cost of care, cultural practices and medical<br />
myths are what deter people from seeking health care. Many pregnant women did not seek<br />
any prenatal care due to cultural beliefs and myths. They fear that the ultrasound would harm<br />
the fetus. They also had personal fears of knowing their HIV status and would rather not know<br />
their status and would therefore not get tested. Most of the cultural beliefs occur in the village<br />
tribes. It was a challenge to educate these women given their strong personal and cultural<br />
beliefs however some women were very interested in learning about prenatal care.<br />
Near the end of week 3 was the end of Ramadan and Eid. We attended Eid prayer at the local<br />
Mosque then traveled to Kampala for the weekend. Eid is a public holiday here and celebrated<br />
for 3 days. It was so fascinating to see the entire country celebrate Eid which is a Muslim<br />
holiday in a non-Muslim country. One thing I have noticed is that there is a wide acceptance of<br />
different religions and the freedom to practice religion in peace without oppression. Everyone<br />
is very accommodating and welcoming towards each other’s faith. It is very heartwarming to<br />
see such kindness towards each other in this regard. When visiting Kampala, we went to the<br />
royal palace and parliament and learned about the history of Uganda’s independence. It took<br />
years of civil unrest and conflict before achieving a state of freedom of religion and peace.<br />
11
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Arezou Nazary and Asima Mian, Uganda<br />
Asima Mian, Sr Jane Frances, and Arezou Nazary at St<br />
Francis hospital, Naggalama<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Rose Schwartz<br />
12
OUR PEOPLE,<br />
OUR MISSION<br />
Week 1 in Vietnam Reflection<br />
Written by Olivia Warren<br />
American University of the Caribbean School of Medicine, Class of <strong>2023</strong><br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
I am sitting in my hotel room, with the window open, hearing<br />
the birds chirp, smelling the air and seeing the hospital from<br />
my window. My first week in Saigon has been fascinating and<br />
overwhelming at the same time. The city moves at a very quick<br />
pace, with a constant fluid movement of people going from one<br />
place to another. The unceasing of cars, scooters and people<br />
on-the-go is something that is unusual for me. I grew up in a<br />
quiet town in Orlando, where the streets and shops are closed and quiet after a certain hour;<br />
this is most definitely a shift in pace. I am handling it well though being that I have always<br />
been appreciative to see how other cultures exist in their respective countries. I think the most<br />
interesting thing I have seen thus far is how authentic Vietnam is. The people, the food and how<br />
people live here is very different. For example, I commonly see how families eat together and<br />
all eat the same meal during lunches and dinners. Common dishes include noodles, rice and<br />
vegetables, which has been a large adjustment for me as well. Eating together as a family has<br />
made me appreciate the dinners I have at home with my own family members.<br />
My time in the hospital has been eye-opening as well. I was in the emergency department<br />
the first two weeks and from day one I experienced shock in how different healthcare here<br />
is compared to America. Providers here are very resourceful. For example, witnessing nurses<br />
drawing blood they utilize a rubber glove as a tourniquet versus the usual tourniquet used in<br />
the U.S. I found that to be an absorbing moment for me. Patients who come to the ER are sick<br />
or commonly, victims of a bad motor scooter accident. Often patients are in critical condition,<br />
but the resources are not always available to provide them with care.<br />
The providers here utilize what they have in a<br />
multidimensional way, and I think that is something<br />
that I will carry with me for the rest of my medical<br />
career.<br />
I am grateful for my first week here. I am learning<br />
a lot in the hospital and witnessing so much! It has<br />
been humbling thus far and excited for the weeks<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
ChoRay hospital, Emergency Department<br />
Olivia Warren, AUC MS4<br />
13
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Currently the global health program is hosting 4 global health scholars at Danbury and<br />
Norwalk Hospitals. Dr Trinh Ngoc Thanh, a cardiologist from Cho Ray Hospital in Vietnam, Dr<br />
Gabriel Polanco, a cardiology fellow from the Heart Institute in Dominican Republic , Shushanik<br />
Isahakyan, the Head of the International Cooperation Department at the National Institute of<br />
Health in Armenia, and Dr Pham Le Anh Nguyen, a pulmonologist and critical care specialist<br />
from Cho Ray Hospital in Vietnam.<br />
We are welcoming them to Nuvance Health.<br />
Welcome<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Global Health scholars (from left to right): Dr Trinh Ngoc Thanh (Vietnam), Dr Gabriel Polanco (DR), Shushanik<br />
Isahakyan (Armenia), and Dr Pham Le Anh Nguyen (Vietnam)<br />
Shushanik Isahakyan<br />
The Director of Nuvance Health Global Health Program at<br />
National Institute of Health in Armenia<br />
Shushanik Isahakyan is the Head of the International<br />
Cooperation Department at the National Institute of<br />
Health in Armenia.<br />
She will be spending 3 weeks (May 21 to <strong>June</strong> 9) with the<br />
global health team at Danbury Hospital.<br />
On May 22, <strong>2023</strong>, Shushanik Isahakyan - the Head of the<br />
International Cooperation Department at the National<br />
Institute of Health in Armenia arrived in Danbury for an<br />
official visit to the Nuvance Health Global Health Program.<br />
Shushanik has been instrumental in driving positive change in the healthcare sector through her<br />
involvement in local and international projects. During her time here, Shushanik visited Danbury<br />
and Norwalk hospitals, Global Health Academy, Sacred Heart University, and met with the<br />
leadership team to get acquainted with the structure and key elements of our program.<br />
On <strong>June</strong> 5-6, Shushanik, along with Dr. Alexander Bazarchyan - Director of National Institute of<br />
Health of Armenia, will attend the Second Global Health Conference. These visits are part of<br />
our evolving collaboration with the National Institute of Health of Armenia in efforts to establish<br />
a new program site.<br />
We welcome Shushanik to the Nuvance Health Global Health Program and look forward to our<br />
fruitful collaboration with the National Institute of Health of Armenia!<br />
14
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Gabriel Polanco, MD<br />
Heart Institute in Santo Domingo, Dominican Republic<br />
Dr Gabriel Polanco arrived in Danbury Hospital on May 8th<br />
for one month training in the Cardiology department under<br />
the supervision of Dr Robert Jarrett.<br />
“I am thrilled to come to Danbury hospital to experience<br />
the way you people deal with cardiology patients and see<br />
what I can learn and apply back home in DR. And of course<br />
tell you about our experiences and ways of doing things<br />
in DR, especially when it comes to the Latin American<br />
patient.”<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Trinh Ngoc Thanh , MD<br />
Cardiologist, Cho Ray Hospital, Vietnam<br />
Dr Trinh Ngoc Thanh is a Cardiologist from Cho Ray hospital,<br />
he arrived in Danbury hospital on May 22 for two months<br />
of clinical rotation at Cardiology Department under the<br />
supervision of Dr Robert Jarrett.<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Pham Le Anh Nguyen , MD<br />
ICU Doctor, Cho Ray Hospital, Vietnam<br />
Dr Pham Le Anh Nguyen is an ICU doctor from Cho Ray<br />
hospital. Dr Pham was nominated as a Nair Scholar and<br />
arrived in Norwalk hospital on April 10th for two months of<br />
clinical rotation in Pulmonary and Critical Care Medicine<br />
under the supervision of Dr Robyn Scatena.<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Click here to visit the Nuvance<br />
Health Global Health Program<br />
COVID-19 Resource Center<br />
15
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Global Local<br />
Section Editor: Ritesh Vidhun<br />
Merge & Acquire: The Modern-Day Business of<br />
Running a Hospital<br />
Written by Ritesh Vidhun<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hospitals in America have gone through significant changes<br />
over the past few decades. The 21st century brought a wave<br />
of advanced technology and treatments along with a wave<br />
of steadily increasing costs. Many providers across the United<br />
States have relied on smaller high-cost populations but as the<br />
industry moves toward value-based payments, many institutions are looking to merge with<br />
larger groups in order to avoid financial struggles. This leads to larger organizations being able<br />
to control a greater share of the market while having more influence over costs. The increased<br />
number of hospital mergers and acquisitions has an overall negative impact on healthcare in<br />
the U.S. due to lower competition and higher prices.<br />
The Increase in Hospital Mergers and Market Consolidation: Currently, the top 10 health<br />
systems in the United States, which include names such as HCA Healthcare, Ascension, and<br />
Trinity Health, control around 24% of the market.1 This staggering number has only been growing<br />
over the last decade, with increased hospital mergers & acquisitions (M&As) across the nation.<br />
There were a total of 92 M&A deals in 2019, slightly higher than the 90 in 2018 and lower than the<br />
117 in 2017.2 In 2020, challenges brought about by the pandemic attributed to a lower number<br />
deals at 79.<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
What Factors Have Led to This Trend? When examining the increased levels of hospital mergers<br />
and acquisitions in the U.S., understanding the principle roots of the trend are important in<br />
navigating the complexity of the topic. One of the primary reasons for the growth of M&A<br />
deals can be attributed to the shift toward value-based payment reform. Many providers,<br />
particularly smaller ones, seek to join larger systems in order to reduce the burden of financial<br />
risk. Additionally, merging helps smaller hospitals gain access to more advanced technology,<br />
increased standardization, further coordination, and better financial support. Utilization has<br />
also been generally declining over recent years, especially during the pandemic. With lower<br />
levels of health care spending by the American population, many providers face significant<br />
challenges in maintaining their revenue and profits. After all, running a hospital in the U.S.<br />
requires some level of business strategy and executives are looking for more ways to stay afloat<br />
in this challenging economy.<br />
Although publicly, hospital groups state<br />
that the main motivations for mergers<br />
and acquisitions are to improve quality<br />
and access for patients, there are a<br />
series of financial gains that must be<br />
explored. Especially in smaller urban or<br />
suburban communities, when multiple<br />
hospitals combine, insurers are less<br />
likely to exclude one from the network<br />
despite greater prices or lower quality.3<br />
16
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
This gives less prominent hospitals an opportunity to increase their utilization and revenue. The<br />
growth in these mergers and acquisitions has significant impacts on the health care market<br />
and patient experience as well.<br />
What are Some of the Drawbacks? There is one main concern that health economists and<br />
experts have alluded to: higher costs and less access. In most industries, when a handful of<br />
groups or companies control a significant portion of the market, it typically leads to them being<br />
able to better determine prices due to the reduced competition. Many hospital executives<br />
believe this is not true for healthcare, including Dr. Kenneth Davis M.D., President and Chief<br />
Executive Officer of Mount Sinai Health System in New York City stating, “the fear that mergers<br />
curtail competition, leading to higher prices for medical care, reflects an old way of thinking.<br />
Thanks to cataclysmic changes in the delivery of health care, hospital mergers now offer the<br />
potential for higher quality and more efficiency.4” These arguments are not always applicable,<br />
as multiple studies conducted across the nation have found that the increase in market<br />
consolidation over the last decade have, in fact, led to somewhat higher costs for patients due<br />
to less competitive markets.5 Organizations are able to bring more weight into negotiations with<br />
insurance companies, leading to more expensive contracts and consequently higher premiums<br />
for members. This is a very nuanced subject, but in general, research shows that M&A deals do<br />
not always lead to patient benefits.<br />
But Don’t Larger Groups Lead to Higher Quality? Arguments in favor of increased mergers<br />
and acquisitions often cite greater quality of services and access to advanced treatments.<br />
This can certainly apply to smaller hospitals in difficult financial situations, however it does<br />
not necessarily apply to the wide majority of deals. A study published in the New England<br />
Journal of Medicine examined data on M&As from 2007 to 2016 while comparing a variety of<br />
quality measures to determine composite scores.6 It concluded that “hospital acquisition by<br />
another hospital or hospital system was associated with modestly worse patient experiences<br />
and no significant changes in readmission or mortality rates.” In general, M&A transactions do<br />
not lead to significant improvements in the quality of health care that patients receive, and in<br />
many cases may actually lead to lower quality. In addition to increased costs, these findings<br />
emphasize the dangers of this steadily growing trend.<br />
The Impact of COVID-19 & Looking Ahead: Prior to 2020, the number of hospital mergers was<br />
on an increasing trajectory. However, the COVID-19 pandemic has had a variety of implications<br />
that led to fewer M&A deals last year, from decreased utilization of services to massive drops in<br />
health care revenue.7 These factors have decreased incentives while increasing risks for health<br />
groups to pursue merger and acquisition deals.<br />
Although there was stunted growth on market consolidation during the pandemic, the trend<br />
continued afterward. This is apparent right here in Connecticut with the expansion of Yale<br />
New Haven Health into greater Waterbury. The number of independently owned hospitals has<br />
gone from 23 in 2000 to 6 this year.8 Although the effects are still unclear, there is a cause<br />
for concern especially in rural communities (as discussed in previous editions). If we seek to<br />
minimize these challenges and increase access to high quality services in this country, a series of<br />
important questions must be answered: Can the government restrict M&As in order to promote<br />
competition in the healthcare market? Should there be a limit to the size that hospital groups<br />
are able to grow? If public health insurance grows in the U.S. what effects will this have, if any,<br />
on the current trend of M&As?<br />
This trend will continue to have serious implications over the coming years, and is something<br />
that needs to be addressed if we seek to make healthcare more equitable and accessible for<br />
all.<br />
References:<br />
1. https://www2.deloitte.com/us/en/insights/industry/health-care/hospital-mergersacquisition-trends.html<br />
2. https://www.kaufmanhall.com/insights/research-report/2020-mergers-acquisitionsreview-covid-19-catalyst-transformation<br />
3. https://californiahealthline.org/news/sutter-health-class-action-lawsuit-hospitalconsolidation-medical-prices-health-care-costs/<br />
4. https://www.wsj.com/articles/kenneth-l-davis-hospital-mergers-can-lower-costs-andimprove-medical-care-1410823048<br />
5. https://academic.oup.com/qje/article/134/1/51/5090426?login=true<br />
6. https://www.nejm.org/doi/full/10.1056/NEJMsa1901383#article_citing_articles<br />
7. https://www.healthsystemtracker.org/chart-collection/how-have-healthcare-utilizationand-spending-changed-so-far-during-the-coronavirus-pandemic/#item-covidcostsuse_<br />
marchupdate_1<br />
8. https://ctmirror.org/2022/05/08/as-hospital-systems-grow-consolidate-rural-patientsct-lose-services-labor-delivery-intensive-care/<br />
Contact: ritesh.vidhun@tufts.edu<br />
17
OUR PEOPLE,<br />
OUR MISSION<br />
Hispanic/Latinx Voices; Stories<br />
from our Community<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Section Editor: Elvis Novas<br />
Written by Elvis Novas<br />
Advisor for the Dominican Community Center and member of the Board of<br />
Directors of Housatonic Habitat for Humanity, Danbury, CT<br />
“I am very grateful for the privilege of being selected as editor for<br />
the column “Hispanic/Latinx Voices: Stories from our Community ‘’<br />
of the Global Health <strong>eMagazine</strong>.”<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
My desire for a better community has been the guide to introduce me to community work,<br />
specifically in the Hispanic/Latinx community. This experience has allowed me to see and treat<br />
people in our community with great human and professional values; men and women who just<br />
need a platform to share their stories and amplify the voices of others.<br />
Our vision for the column “Hispanic/Latinx Voices: Stories From Our Community” is based on the<br />
interest of making our people, culture, values, and points of view known and at the same time<br />
motivate our audience to be more interested in our community.<br />
With this, we seek greater visibility for our community, the opportunity for our people to expose<br />
their talents and abilities to communicate and for others to know our true stories. I encourage<br />
you to follow us each month as we feature inspiring stories from our Hispanic/Latinx community<br />
in the city of Danbury, Connecticut. Please feel free to send me your ideas or thoughts at<br />
enovas@gmail.com.<br />
On this occasion we are pleased to have a great article from Denisse Rodas, a 21-year-old<br />
nursing student who graduated in May <strong>2023</strong> from Western Connecticut State University with her<br />
Bachelor of Science. She will start her nursing career in the Med-Surg floor unit and Danbury<br />
Hospital. She was also part of the Latinx Panel last year.<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Rose Schwartz<br />
18
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Denisse Rodas is a 21-year-old nursing student who graduated<br />
in May <strong>2023</strong> from Western Connecticut State University with her<br />
Bachelor of Science. She was born and raised in Ecuador, and at<br />
the age of 13 years old, she migrated to the land of opportunities.<br />
She started her path to achieving the American Dream as an<br />
undocumented student and encountered various challenges,<br />
as many scholarships, financial aid, and jobs were not available<br />
due to her immigration status. After eight years of commitment<br />
to learning a new language and adapting to a new country,<br />
those barriers have not stopped her from pursuing her dream of<br />
becoming a successful nurse. During her journey in nursing school,<br />
she participated in various extracurricular activities, including<br />
her role as a secretary in the Student Nurses Association, a peer<br />
nursing tutor, and a Blood Drive Ambassador with the Red Cross. She is a Kathwari Honors<br />
Program Scholar, a Henry Barnard Award recipient, and was inducted into the Sigma Theta Tau<br />
International Honors Society of Nursing, Kappa Alpha Chapter.<br />
Due to the barriers, she has valued the importance of participating in leadership opportunities<br />
to advocate for the undocumented community. Being an undocumented student brought her<br />
closer to Connecticut Students for a Dream, a youth-led organization that fights for the rights<br />
of undocumented families and students. As an active member for more than five years, her<br />
community service work has focused on doing school presentations and leading membership<br />
meetings and events that have benefited the Latino and Hispanic communities by raising<br />
awareness about issues affecting the immigrant community. She became the College Access<br />
Program Fellow and supported undocumented students’ transition from high school to college.<br />
She tutored senior high school students and helped them understand the basics of college<br />
and apply for college, scholarships, and financial aid. She was part of the “Afford to Dream<br />
Campaign,” which allowed undocumented students across CT to be eligible for the AACTUS,<br />
which is the application designed specifically for undocumented students to apply for financial<br />
aid.<br />
As a nursing major, serving the community has given her purpose, and even though she is no<br />
longer an undocumented student, she continues to advocate for undocumented families and<br />
students desiring to achieve higher education. Currently, she is preparing to take the NCLEX and<br />
is enthusiastic to begin her nursing career in the Med-Surg floor unit and Danbury Hospital. She<br />
desires to advance her career by applying to graduate school to become a nurse practitioner<br />
and move forward to work towards an EdD in nursing education. As a future nurse, she hopes<br />
to be compassionate and empathetic and is dedicated to treating everyone with respect and<br />
providing high-quality care. She desires to make a difference regarding gender, social class,<br />
immigration status, and ethnic background. Lastly, being a first-generation Latina student has<br />
allowed her to honor her roots and celebrate her Ecuadorian culture and inspired her to support<br />
undocumented students and families across CT.<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Majid Sadigh<br />
19
OUR PEOPLE,<br />
OUR MISSION<br />
The Voice of<br />
Ugandan Students<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Section Editor: Joshua Matusuko<br />
COLONISATION AND DECOLONISATION OF GLOBAL<br />
HEALTH CURRICULUM AMONG MEDICAL SCHOOLS IN<br />
UGANDA<br />
Written by Joshua Matusuko<br />
Medical student at MaKCHS<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Colonization continues to have a long-term significant impact on<br />
health systems, global health education, and healthcare practices in<br />
many countries that were colonies not long ago, including Uganda.<br />
Of the many influences that colonialism continues to have in healthcare, a colonial mindset<br />
among medical students and health workers in low and middle-income countries (LMICs)<br />
stands out to be the most significant to date. This issue makes it challenging to find long- and<br />
short-term solutions to the continued home health problems and inequalities that still plague<br />
many communities, despite possessing richness in numerous other resources. New physicians<br />
are often ill-equipped to address the true causes of health disparities, which are deeply rooted<br />
in historical, social, and political contexts. The current global health education curriculum<br />
in Ugandan medical schools fails to adequately discuss issues related to colonization and<br />
decolonization, which are crucial for understanding these health disparities. As a result, medical<br />
students in Uganda lack the knowledge and skills necessary to critically analyze the impact of<br />
colonialism on healthcare, to recognize its ongoing effects, and to work towards decolonizing<br />
medical practices. Additionally, they lack the skills to effectively navigate the complexities of<br />
global health, perpetuating the inequities in the healthcare system stemming from the gap in<br />
their medical curriculum.<br />
While numerous efforts have been made to decolonize global health education and improve<br />
health outcomes, there remains a colonial mentality among most of medical students in Uganda<br />
and in other LMICs—so even if advocates push for structural changes and power balances, by<br />
not tackling the core issue, which is mentality and mindset, we risk wasting most of our efforts.<br />
There is still a significant knowledge gap in global health curricula regarding colonization and<br />
decolonization in Ugandan medical schools, making it necessary to introduce this education at<br />
MakCHS and other institutions. Closing the knowledge gap will help fight the colonial mindset<br />
and ensure that more healthcare professionals are empowered to address the long-standing<br />
legacies of colonialism, improving the health of all.<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Click here to visit the<br />
Nuvance Health Global<br />
Health Program<br />
COVID-19 Resource<br />
Center<br />
Resources<br />
20
OUR PEOPLE,<br />
OUR MISSION<br />
Global Mental Health<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Co-Editors:<br />
Krista Buckley, MD<br />
and<br />
Elina Mukhametshina, MD<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global mental health is a growing field of Global Health that seeks to address the burden of<br />
mental illness. Mental illness affects people of all ages, genders, and cultures and is a significant<br />
contributor to the global burden of disease. When it comes to mental health, all countries can<br />
be thought of as developing countries. Vast inequities exist in the distribution of and access to<br />
mental health resources, not only between but also within countries.<br />
Global mental health aims to promote the prevention, treatment, and management of mental<br />
illness worldwide while also addressing the social and cultural factors that contribute to mental<br />
health disparities.<br />
The Global Mental Health column endeavors to shed light on the inequalities surrounding mental<br />
health and shares inspiring narratives of mental health advocates from around the globe.<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Sherwood Island, Westport, CT (Julie Robinson)<br />
21
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Written by Svanjita Berry, RUSM, MS4<br />
Global Health Elective alumni (February <strong>2023</strong>)<br />
Following are two short stories inspired by my global health<br />
experience in India. I was fascinated by the role that religion<br />
played in both instances. It made me reflect on how each one<br />
of us formulate our own realities based on where we are born,<br />
what we see, what we learn, and what we feel throughout the<br />
course of our lives. Our personalities and behaviors are simply a<br />
manifestation of those individual realities interplaying with our<br />
neurobiology.<br />
“Lakshmi”- The Hindu goddess of abundance<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Golden threads weaved into her bright red<br />
saree. The saree is draping over her torso and<br />
wrapping over her head covering most of her<br />
face, though one could still see the bright red<br />
‘bindi’ (dot on the forehead) underneath. Her<br />
hands adorned with glass bangles embellished<br />
with tiny rhinestones. Her palms and feet were<br />
painted with ‘alta’ (red dye). As she walked into<br />
the room, her anklets made the most beautiful<br />
clinking sounds. Heads turned in awe as she<br />
made her way through, till she saw an empty<br />
bed and very gracefully sat down with one leg<br />
crossed and the other leg hanging down. Her<br />
hands quickly transitioned into ‘mudras’ (hand<br />
gestures) while she moved her gaze across the<br />
room. “I am Lakshmi” she said. “Tell me more,”<br />
replied the psychiatry intern, while the other<br />
patients continued to stare.<br />
The mortal who married a god<br />
“Lakshmi and Saraswathi (Hindu Goddess of Wisdom)<br />
are trying to ruin my life” said the patient pointing<br />
at her sister and her nurse. “They are jealous of my<br />
marriage with Shiva (Hindu god of destruction and<br />
transformation). “In 1996, I heard Shiva singing Tu Hi<br />
Re.. (a popular love song in the 90s). Since then, we<br />
have been lovers. He would come to me in different<br />
ways, sometimes through my brother’s friend Yogesh<br />
(another name for Shiva). I have never seen him, but<br />
I can hear his voice and feel him. I have attained<br />
supreme pleasure during intercourse with him. I can<br />
feel his ling (penis) penetrating and rubbing against<br />
my yoni (vagina). We have 2 kids together - Ganesh<br />
and Mayur (actual names of Shiva and Gauri’s sons<br />
in Hindu mythology). He guides me on how to live<br />
my life. He protects me from my neighbors and my<br />
sister who are trying to poison me. All the other gods<br />
have tried to kill me before. Vishnu (Hindu god of<br />
preservation) shot poisoned arrows at me and sent<br />
his snakes to fill me with their venom. I could feel the snakes crawl on my skin and the arrows<br />
hurt so bad that I couldn’t move for days. They also tried to slit my throat and I lost my voice for<br />
months. But my Shiva saved me and gave me back my voice. I am Gauri, his wife, and through<br />
him I have the power to destroy the world if I want to.”<br />
How many delusions are too many delusions? I asked myself after this 2-hour-long detailed<br />
patient interview in central rural India. My back had started to hurt from sitting on a tiny metal<br />
stool placed next to the patient bed, but the behavioral health enthusiast in me had refused to<br />
leave. My single sheet of paper was overflowing with my notes and observations. Her medical<br />
22
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
1 2<br />
charts revealed that in the last<br />
27 years, her positive symptoms<br />
had never responded to any<br />
psychiatric medications, despite<br />
adequate trials with Clozapine<br />
and ECT. How could a case be this<br />
complex? How could the patient’s<br />
developmental and social history<br />
shape her psychiatric illness to<br />
this extent? Were the delusions<br />
the basis of her hallucinations<br />
or did the hallucinations fuel<br />
the delusions? Had her longstanding<br />
delusions become fixed<br />
memories? I had an endless list<br />
of questions that needed to be<br />
addressed. I knew this case was<br />
going to be the highlight of my<br />
clinical experience in India.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
3<br />
Phoro News<br />
Calendar of Events<br />
Photos from the psychiatry wards<br />
1.Entrance. First door on the left is for the outpatient clinic (see photo 3). Further down the hallway on the left are the<br />
inpatient wards (see photo 2).<br />
Resources<br />
23
OUR PEOPLE,<br />
OUR MISSION<br />
Art To Remind Us<br />
of Who We Can Be<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Co-Editors:<br />
Mitra Sadigh<br />
and<br />
Elina Mukhametshina, MD<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
During times of confusion, tribulation, grief, uncertainty, and despair, the arts enliven us by<br />
reintegrating the disjointed pieces of ourselves and replenishing them with clarity and hope.<br />
The arts remind us of our individual and collective potential to grow, evolve, and transform. They<br />
remind us of what and who we can be and what we can create. In this new section, we bring<br />
you works of art that have moved and inspired us. We encourage you to also share works that<br />
have inspired you.<br />
This month we are highlighting one of the Latinx artists from Danbury.<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Jacqueline Cabrera<br />
Jacqueline is a Dominican-American, abstract artist who has always<br />
been fascinated by the beauty of nature and people. She studied<br />
sociology at Baruch College in New York City, but as she pursued her<br />
degree, she realized that there was more to life than just theory. She<br />
had always been artistically inclined, but she felt like she couldn’t<br />
create the same kind of work as others.<br />
In 2018 she moved to Danbury where she was able to reconnect to<br />
nature just as she did when she was a child growing up in a Campo<br />
in the Dominican Republic. Reconnecting to nature allowed her to<br />
connect more to herself and understand herself in a more profound<br />
way. It was while walking through the East branch reservoir in Brewster<br />
that she realized, after years spent away from art, how important it is<br />
to express herself in her preferred styles. Jackie incorporates natural<br />
elements such as rocks, feathers, sand and soil into her paintings.<br />
Nowadays, she creates canvas pieces that are both beautiful and thought-provoking. Jackie<br />
believes in the power of art to make the world a better place. Jackie’s goal is to inspire others<br />
to find beauty in their own unique way of seeing the world—and we can’t wait to see what she<br />
comes up with next!<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Jacqueline Cabrera<br />
24
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Ms. Saldana is in the center. Pictured here with her four children)<br />
Jacqueline Saldana<br />
Ms. Saldana is a Dominican born artist<br />
whose work has been featured in<br />
galleries in both New York City and New<br />
Hampshire. She started painting at the<br />
age of 5 when she was in bed recovering<br />
from Polio and has never stopped since.<br />
Jacqueline moved to the United States<br />
in 1996. Her mother and sister had<br />
migrated years earlier allowing her to<br />
acquire a US visa as soon as her mother<br />
became an American citizen.<br />
She is the mother of four children who<br />
now have grown up and are living their<br />
own lives here in the United States.<br />
She says that one of her greatest joys<br />
has been to help her children come<br />
to this country, where they can find<br />
opportunity and happiness. She is<br />
now grandmother to 5 adorable little<br />
children who adore her.<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
When asked what inspires her, she says it’s her family, nature and its beauty. Her paintings are<br />
always inspired by these things and reflect a love for life itself through her lens. She incorporates<br />
many landscapes, shades and colors to always give her paintings a sense of the Dominican<br />
Republic, preferably some kind of body of water.<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Jacqueline Saldana<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Litchfield Hills, Ct,(Olwen Gurry)<br />
25
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Our Beautiful Planet<br />
Section Editor:<br />
Dilyara F. Nurkhametova, MD, PhD<br />
Director of Nuvance Health Global Health Electives Program for AUC/RUSM<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
This new column exhibits the beauties of our planet earth and our<br />
everyday destructive actions against it. We are witnessing Earth<br />
undergoing a profound transformation. In this recently launched<br />
section, we appreciate the gems of our planet while raising awareness<br />
of climate change. We invite our global health community to share<br />
photos, videos, inspirational resources, and stories. We want to hear<br />
from you how climate change affects people and health in your part of<br />
the world.<br />
Preserving forests means culture change<br />
EDITORIAL| VOLUME 7, ISSUE 5, E346, MAY <strong>2023</strong>; The Lancet Planetary Health; DOI:https://doi.<br />
org/10.1016/S2542-5196(23)00085-2<br />
In this Editorial authors discuss the existing challenges for forest preservation, highlight the role<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
This Photo by Unknown Author is licensed under CC BY<br />
of planetary health researches “in understanding, quantifying, and communicating the value<br />
of intact, biodiverse forest for human health and wellbeing”. The authors highlight the need<br />
for “a wider cultural shift toward recognizing the full value of intact forests and other natural<br />
ecosystems; this will be hard won, but is vital if we are to stop undermining our own wellbeing.”<br />
Read the full text here<br />
26
OUR PEOPLE,<br />
OUR MISSION<br />
Upcoming events and Webinars<br />
<strong>June</strong> 6, <strong>2023</strong>, 8:30 AM – 5:00 PM (virtual or in-person)<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
5th Annual Clinical Climate Change CME Conference: Clinical Care for Workers in the Climate<br />
Crisis<br />
Register via this link<br />
<strong>June</strong> 13-15, <strong>2023</strong> (virtual)<br />
Global Community Health Annual Workshop<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
The third edition of the Global Community Health Annual Workshop will take place from 13 till<br />
15 <strong>June</strong> <strong>2023</strong>. The overall workshop theme is “Sustainable community health: practice-based<br />
solutions for today’s challenges”. The theme will be explored via three sub-themes, one for<br />
each workshop day: Food security, Mental health, and Environmental health. Organizers are<br />
the UNESCO Chair Global Health & Education, University of Clermont Auvergne, University of<br />
Huddersfield, International Union for Health Promotion and Education (IUHPE)and EHESP School<br />
of Public Health.<br />
Read more about the event here, register here<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
An Onlooker Witnesses the Annular Solar Eclipse as the Sun Sets on May 20, 2012. Photo by Colleen Pinski (Peyton,<br />
CO). Photographed in Albuquerque, NM, May 2012.<br />
Resources<br />
27
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
“Guardians of the Giraffes” by Ami Vitale. Photo Story<br />
Winner (one of six images). BigPicture Natural World<br />
Photography<br />
“Snack Attack” by Gunther De Bruyne. Human/Nature<br />
Finalist. BigPicture Natural World Photography<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
“A River Gone Awry” by Juan Jesús González Ahumada.<br />
Art of Nature Winner. BigPicture Natural World<br />
Photography<br />
“Berg Buffet” by Greg Lecouer. Aquatic Life Winner.<br />
BigPicture Natural World Photography<br />
Article of the Month<br />
“Speed and Strategy” by Yi Liu. Terrestrial Wildlife Winner. BigPicture Natural World Photography<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
BigPicture Natural World Photography Competition: Website | Facebook | Instagram<br />
Calendar of Events<br />
Resources<br />
28
OUR PEOPLE,<br />
OUR MISSION<br />
Innovation and Technology<br />
in Global Health<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Section Editor: Swapnil Parve, MD<br />
Written by Swapnil Parve, MD<br />
Director of International Affairs at the NH/<br />
UVMLCOM Global Health Program<br />
Sal Khan believes that artificial intelligence (AI) has the potential to<br />
transform education for the better. “We’re at the cusp of using AI for<br />
probably the biggest positive transformation that education has ever<br />
seen,” he said in his <strong>2023</strong> TED talk.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Sal Khan’s <strong>2023</strong> TED Talk: AI in the classroom can transform education<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Litchfield Hills, Ct,(Olwen Gurry)<br />
29
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Nursing Division<br />
A Note from the Editor:<br />
Catherine G Winkler, PhD, MPH, APRN-BC<br />
Director of the Nuvance Health Global Health Program<br />
Nursing Division<br />
Strengthening Healthcare Systems<br />
Strong healthcare systems are needed for all people to<br />
achieve timely access to quality healthcare to promote,<br />
restore and maintain health. Improving healthcare systems<br />
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<br />
care, the cost of care, the timeliness of care and “the caring”<br />
in healthcare.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
After the pandemic, change has been necessary on behalf of all healthcare providers in the<br />
delivery of care, the content of care and the timeliness of that care. Front line providers needed<br />
to don extra gear, change protocols, use resources differently and reprioritize their work with<br />
staff levels low and with care complicated by isolation and uncertainty.<br />
Patients and their families also needed to make ongoing changes since the pandemic by<br />
making careful decisions about whether they should seek care, when to seek care, how to seek<br />
care, and from what source in what venue would accessing this care be possible.<br />
Healthcare systems and administrators have changed too – but it requires more effort because<br />
they need to recognize problems and develop strategies, quick responses, and activities to<br />
allow providers to do their work effectively, and to sustain positive changes now through the<br />
next pandemic or crisis. Healthcare organizations and their leaders need to meet the needs of<br />
their staff and the patients that they provide healthcare to every day.<br />
Delivery of care needs to be available and timely. Often with large healthcare systems that<br />
span across a state or states that have set themselves up with service lines designed to<br />
manage expensive disease states such as orthopedics or cardiovascular care - lose sight of<br />
what services their communities need that may be lost leaders financially but are vital to the<br />
local people such as pediatric services or primary care. A shift should happen to review the<br />
community needs and then formulate a plan about how to access it. Does it make sense to<br />
have telemedicine visits, clinic, or home visits? Then once decided, look beyond the hired call<br />
service that may pick up the call in 30 seconds but still struggles to get a patient seen within<br />
a month. Community connectivity is needed to ensure that in addition to service lines, rapid<br />
response, urgent care, emergency care, and primary care are offered and accessible locally.<br />
Where is the care in healthcare?<br />
Care needs to be cost-effective but should also be safe and convenient for the patient that<br />
needs an outpatient procedure. Perhaps a cholecystectomy can be done same day, but in<br />
thinking about the secondary consequences of that surgery and the issues with urinary retention<br />
or symptom management – does it seem like a good idea to have the 75 year old patient need<br />
to follow up on Friday evening after the procedure in the ED as their only course of action<br />
available to 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 cost. Where is<br />
the care in healthcare?<br />
Patients who are 10 minutes before going into surgery should not have to find their credit card<br />
in their clothes that have already been placed in the pre-op locker to pay an out-of-pocket<br />
expense to the hospital before they are wheeled into the OR. Perhaps this could have been<br />
considered the week before so that the frightened patient is not further troubled. After that<br />
the same restructuring of finances would make sense without asking the parents of a sick child<br />
going in at 5 in the morning for an invasive procedure to also pay for the estimated cost of care.<br />
Where is the care in healthcare?<br />
30
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Communication and transparency need to be either reinstated or developed post pandemic.<br />
With the primary care physician replaced in the hospital setting by hospitalist and intensivist<br />
along with snfist - then without timely communication and perfect electronic medical records<br />
that are secure and available-important information is lost, gaps in care occur and patients<br />
and the families suffer the consequences. A phone call or an in-person visit is best and should<br />
be done in addition to information provided in a patient portal. Some patients have 5-10 portals<br />
they need to manage and still data is missing or lost. Access to care and coordination of that<br />
care needs to be 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 space to meet<br />
the needs of a child, a person who uses a wheelchair, or a person with blindness or a hearing<br />
deficit and with resources and clean areas available to promote a patient’s independence,<br />
confidence, safety, and health while enabling front line healthcare providers to do their work.<br />
Healthcare administrators need to support the advancement of science with time for providers<br />
to conduct research, review literature and consult with colleagues. The interconnectedness<br />
of the world requires administrators and leaders to strengthen partnerships with colleagues<br />
across the world, as well as down the street and around the corner to improve public policy,<br />
encourage advocacy, and work on screening, health promotion and disease prevention. There<br />
are major changes in patterns and trajectories of health, disease, and aging and to improve<br />
and sustain change, healthcare leaders must adapt now to the changing world to ensure that<br />
the care is reinstated in healthcare and that it is sustainable.<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Comments<br />
Written by Mary Kincart, MS, RN<br />
Dr. Winkler has provided a candid and comprehensive look at the<br />
challenges in healthcare we face as a nation and worldwide. The<br />
work to restore healthcare systems has been greatly impacted<br />
socially, emotionally, physically, and financially by the Covid<br />
pandemic. In many ways healthcare has experienced great<br />
setbacks and in other ways we have learned to be nimbler, more<br />
resilient, and more innovative.<br />
Treatment of chronic illnesses and preventative health measures<br />
were suspended during the acute phase of the pandemic, leading to a backlog of unaddressed<br />
healthcare needs by many. In addition, the nation is experiencing a significant influx of migrants<br />
from other countries, placing an even greater strain on an already vulnerable system, and<br />
greatly impacting access to care.<br />
The loss of healthcare providers and staff, from illness and/or burnout, as well as the massive<br />
financial impacts on hospitals, practices and healthcare facilities, compel healthcare leaders<br />
to address these challenges in new and innovative ways. The past several years have forced<br />
us to think differently about how we deliver healthcare. Specialists such as Intensivists and<br />
Critical Care Nurses provided virtual guidance to ICUs to support care to a greater number<br />
of patients. Virtual visits became the “norm” for addressing the needs of patients with chronic<br />
illnesses as well as those that needed non acute medical attention. Pop-up mobile testing<br />
and vaccine stations were implemented. These are only a few examples of the capabilities<br />
of healthcare leaders that will prove to be invaluable as we work towards strengthening our<br />
Healthcare Systems in the future.<br />
In a recent publication by Forbes contributor Bernard Marr, Dec 6, 2022, Mr. Marr provides<br />
an overview of trends that are addressing some of the challenges described in Dr. Winkler’s<br />
article. Mr. Marr describes the many uses of artificial intelligence in healthcare delivery. He gives<br />
examples such as remote surgery, virtual hospital wards, virtual homecare and the building of<br />
online communities linked to specific health conditions that can provide information, education,<br />
and support. The public has already integrated the use of wearable medical devices to monitor<br />
health and track sleep patterns, activity, vitals signs, blood pressure, and EKGs to aid in the<br />
management of chronic medical conditions.<br />
Financial recovery also requires resiliency and innovation. Administrators and Leaders must<br />
support the optimization of private and Medicare/Medicaid value-based care models without<br />
further burdening the frontline providers and staff. Embracing the opportunities made available<br />
through technology and artificial intelligence affords our healthcare systems the ability to move<br />
forward and gain advances in healthcare.<br />
31
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Women’s Health Education<br />
Section Editor: Sarah Cordisco, RN<br />
Staff Nurse at the University of Vermont<br />
Cesarean Sections<br />
Written by Sarah Cordisco, RN<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Across the globe, the maternal mortality rate is decreasing, yet remains extremely high. In<br />
2020, about 287,000 women died during and after pregnancy and childbirth (WHO), most of<br />
which could have been prevented. An analysis published in The Lancet, found that maternal<br />
deaths in LMIC are 100x higher than those in high income countries, and a 1/3rd of all babies<br />
in some regions do not survive cesarean section. The use of cesarean sections has continued<br />
to rise globally and now they account for more than 1 in 5 childbirths (or 21% of all births). By<br />
2030, this number is expected to reach nearly a third or 29% of all births (WHO, 2021). In LMIC<br />
countries, about 8% of women give birth via cesarean section, which indicates a lack of access<br />
to this type of surgery compared to MHIC countries where rates are as high as 43% of all births.<br />
Maternal death rates may be high in LMIC where the cesarean section rate is low due to lack of<br />
access to resources and care, and lack of surgical intervention in a timely manner.<br />
Cesarean sections are often lifesaving procedures when vaginal delivery would pose great<br />
risks, but it is important that health care systems are doing these operations appropriately and<br />
safely with the proper post-op care; as well as, having the proper indications for this procedure.<br />
Cesarean sections are typically indicated during labor dystocia, abnormal or intermediate fetal<br />
heart rate tracing, fetal malpresentation, multiple gestation or suspected fetal macrosomia<br />
(Safe Prevention of the Primary Cesarean Delivery, 2014.). Some women may also choose to<br />
have a cesarean section due to their own medical history (such as thrombocytopenia), having<br />
previous traumatic births, or in cases where a vaginal birth is unwanted.<br />
While this procedure may be elective or emergent, it is important for women to understand<br />
the risks and benefits, as well as, the outcomes, specifically in the realm of maternal and<br />
natal deaths. In LMIC the risk of death while undergoing a cesarean section was 7.6 per 1000<br />
procedures, the highest burden being in Sub-Saharan Africa. The overall rate of stillbirths in<br />
babies born via C-section was about 56 per 1000, with the highest rates in sub-Saharan African<br />
(82.5/1000). The risk of infant death (stillbirths<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
or deaths within the first week of life) is about 84 per 1000 C-sections, with the highest rates<br />
in the Middle East and North Africa (Study, 2019). Women undergoing emergency C-sections<br />
are also twice as likely to die compared to those who had elected to have a C-section, and<br />
this risk increased 12x when the surgery was performed during the second stage of labor.<br />
Similarly, the risk of neonatal deaths increased 5x with emergency C-sections compared to<br />
32
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
elective and 10x when the procedure happened during the second stage of labor, compared<br />
to the first. About a third of all maternal deaths associated with a cesarean section occur due<br />
to postpartum hemorrhage (32%), pre-eclampsia (19%), sepsis (22%) and anesthesia-related<br />
causes (14%) (Study, 2019).<br />
Through the research on the outcomes of this procedure, the gaps in resources, skill and<br />
knowledge about C-sections are seen and highlight the need for more training and education.<br />
There is a high need for interventions and implementation strategies to be put in place to ensure<br />
that this life saving procedure is done correctly and has the appropriate health outcomes.<br />
References<br />
Caesarean section rates continue to rise, amid growing inequalities in access. (n.d.). Retrieved<br />
April 24, <strong>2023</strong>, from https://www.who.int/news/item/16-06-2021-caesarean-section-ratescontinue-to-rise-amid-growing-inequalities-in-access<br />
Maternal mortality. (n.d.). Retrieved April 24, <strong>2023</strong>, from https://www.who.int/news room/factsheets/detail/maternal-mortality<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Study: Maternal deaths from cesarean sections far higher in low and middle-income countries.<br />
(2019, March 29). News-Medical.Net. https://www.newsmedical.net/news/20190329/Study-<br />
Maternal-deaths-from-cesarean-sections-farhigher-in-low-and-middle-income-countries.aspx<br />
Study: Maternal deaths from cesarean sections far higher in low and middle-income countries.<br />
(2019, March 29). News-Medical.Net. https://www.news-medical.net/news/20190329/Study-<br />
Maternal-deaths-from-cesarean-sections-far-higher-in-low-and-middle-income-countries.<br />
aspx<br />
Safe Prevention of the Primary Cesarean Delivery. (2014). Retrieved April 24, <strong>2023</strong>, from https://<br />
www.acog.org/en/clinical/clinical-guidance/obstetric-careconsensus/articles/2014/03/safeprevention-of-the-primary-cesarean-delivery<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Nantucket (Michelle Connor)<br />
Resources<br />
33
OUR PEOPLE,<br />
OUR MISSION<br />
Hello everyone,<br />
Among the Letters<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
We are writing to express our sincerest gratitude for your generous donation to our recent<br />
fundraiser for the small school in Uganda with a big name “Legacy”. Thanks to your kindness and<br />
generosity, we were able to raise a total of $4250, which allowed us to purchase the following:<br />
1. Playground including swing set, spinner and multifunctional unit along with soccer balls<br />
2. Desks<br />
3. Backpack for each kid which included a pencil storage unit, stack of 10 notebooks, 10<br />
pencils, a crayon set, a coloring pencil set, sharpness, erasers, and colored pens.<br />
4. Crocs for each kid<br />
5. Candy goodie bags<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
6. Textbooks for teachers per grade level<br />
7. White chalk and colored chalk for each classroom along with erasers<br />
8. Mini library encompassing atlas, dictionary and fun reading books.<br />
Your contribution has made a significant difference in the lives of these children and their<br />
community. They now have access to the basic necessities that they need to succeed in school,<br />
which will help them build a brighter future. We are incredibly grateful for your support in making<br />
this possible. We are excited to let you know that we have recently released a video that<br />
showcases the impact of your donation. The video shows the children at “Legacy” using the<br />
school supplies and playing on the new playground. It is truly heartwarming to see the joy and<br />
gratitude on their faces. You can view the video on our YouTube channel at https://youtu.be/<br />
rcwqMy83_w0. We hope that you will take the time to watch it and see the impact that your<br />
donation has made. Once again, thank you so much for your support. We could not have done<br />
this without your generosity and kindness.<br />
Sincerely, Asima, Alla and Arezou,<br />
PGY-3 residents at Connecticut Institute For Communities<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
34
OUR PEOPLE,<br />
OUR MISSION<br />
Announcements<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
The Second Global Health Conference<br />
Welcome<br />
Dear colleagues and friends of the Global Health Program,<br />
It is with great pleasure that we invite you to the Second Annual Nuvance Health/UVMLCOM<br />
Global Health Conference, which will be held from <strong>June</strong> 4th through <strong>June</strong> 6th, <strong>2023</strong>. We hope<br />
to create a thoughtful educational platform for the exchange of information and ideas, with<br />
networking and reflection, on our decade long journey together. Our hope is to build stronger<br />
partnerships and friendships with the goal of improving patient care through enhancement of<br />
medical education.<br />
On behalf of the Global Health Team,<br />
The Directors of the Second Global Health Conference<br />
Majid Sadigh, MD,<br />
Director of Global Health Nuvance Health/ UVMLCOM, Christian J. Trefz Family, Endowed Chair in Global<br />
Health at Nuvance Health<br />
Mariah McNamara, MD<br />
Associate Director of Global Health Nuvance Health/ UVMLCOM<br />
Link to the program and registration<br />
Home | The Second Global He (globalhealthday<strong>2023</strong>.com)<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
35
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Article of the Month<br />
Addressing the issue of a depleting health workforce in subSaharan<br />
Africa<br />
Lancet, May 20, <strong>2023</strong><br />
Naomi Chinyere Chikezie, Deborah Oluwaseun Shomuyiwa, Ebere Angela Okoli, Ifebuche Maureen Onah,<br />
Oluwaseun Omolade Adekoya, *Greatman Adiela Owhor, Adeniyi Ayinde Abdulwahab<br />
Health-care workers have a crucial role in improving health outcomes, and their migration<br />
has harmed the quality of health services in sub-Saharan Africa. The region has 25% of global<br />
diseases,1 and only 3% of health workers globally, highlighting a severe shortage of skilled<br />
professionals to tackle high rates of mortality. The main reasons for migration are poor working<br />
conditions, low remuneration, and a scarcity of career development opportunities. Insecurity<br />
and high crime rates also contribute to migration in countries such as South Africa.1, 2<br />
A study done in South Africa showed that the main reasons health professionals migrated were<br />
corruption, personal and family safety, poor infrastructure, and their children’s future.3 To address<br />
this issue, the retention of health-care workers should be prioritised in the national planning<br />
process. Incentive packages, better work environments, team training, and opportunities for<br />
career advancement can improve job satisfaction and develop positive work attitudes.<br />
Harnessing technology can also benefit health-care systems by facilitating patient education,<br />
providing seamless access to medical records, and reducing the workload of health-care<br />
professionals.4 Improving community health workers’ programmes will help to enhance service<br />
delivery.5 Creating a balance of duties so that professionals’ activities match their qualifications<br />
can improve working conditions in health systems.<br />
A global survey from the Organisation for Economic Co-operation and Development found that<br />
79% of nurses and 76% of doctors were carrying out processes for which they were overqualified.6<br />
Restructuring service delivery processes to minimise tasks and optimise disease management<br />
and service delivery is integral to addressing this issue. The mobilisation of preventive healthcare<br />
approaches in health systems can also work in the long term to reduce the workload of<br />
health-care professionals, reduce emergency rates, and prevent complications.<br />
Overall, the depletion of the health workforce in sub-Saharan Africa is a crucial issue. Retention<br />
of health-care workers depends on the creation of supportive environments that enhance<br />
service delivery, work culture, and systems to improve population health outcomes. Improving<br />
the health delivery landscape in sub-Saharan Africa is essential to retain the health workforce<br />
and reduce migration. Policy development is required to promote retention, provide technology<br />
to optimise service delivery, improve work packages, and revamp health care; ultimately,<br />
enhancing preventive care can stall the depletion of the health workforce and improve the<br />
quality of care.<br />
Women’s Health Education<br />
Among the Letters<br />
Addressing the issue of depleting health workforce in Sub Saharan Africa<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Click here to visit the Nuvance<br />
Health Global Health Program<br />
COVID-19 Resource Center<br />
36
OUR PEOPLE,<br />
OUR MISSION<br />
Video of the Month<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
We went to visit a primary school with very limited resources in a small rural community. It was<br />
a humbling experience to be with children who were so happy and joyful despite not having<br />
the bare minimum needs in a school. After seeing that school and the hardships those children<br />
are going through to obtain an education, Alla, Arezou and I decided to raise funds to help the<br />
school out.<br />
Link to the video:<br />
To watch the video, please visit https://www.youtube.com/watch?v=ZE6j3agnkZE.<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Another example of the beauty and blessings the GH program brings to the world, fueled by<br />
caring and generous hearts.<br />
SK<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
This is such a beautiful and powerful story.<br />
It is so moving to see the joy in those who are receiving the gift but also in the young narrator/<br />
benefactor who said “this is the happiest day of my life”.<br />
God bless all of them for their love of fellow man.<br />
JM<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Such a beautiful video capturing the pure joy and happiness of children and even adults, upon<br />
their receiving such a gift. Glorious smiles that warm the heart. Thank you for sharing.<br />
PA<br />
37<br />
Nursing continued on next page >>
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
Written by Stephen Scholand, MD<br />
Congratulations<br />
Congratulations to our dear Dr. Khoa, on his graduation with a Masters in Health Professions<br />
Education from Boston University.<br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Accompanying Dr. Khoa are Stanley Kowalski III<br />
and Truong Nguyen, medical technologist - who<br />
fully supported Dr. Khoa in Boston.<br />
We proudly celebrated the graduation of Dr. Khoa, our esteemed Nuvance Global Health<br />
scholar and now faculty, on May 18, <strong>2023</strong>. It was a perfect day – and absolutely wonderful to<br />
share in his successes along with other graduates from Boston University. The occasion filled us<br />
with pride and anticipation for the future of healthcare in Vietnam.<br />
Dr. Khoa trained at Vietnam’s prestigious University of Medicine and Pharmacy at Ho Chi Minh<br />
City. He has consistently amazed us with his exceptional dedication and pursuit of excellence.<br />
He has a genuine passion for health education that is exemplified by his active involvement in<br />
our Nuvance Global Health program. He ultimately envisions promoting educational reforms<br />
and advancements in Vietnam, particularly for vulnerable populations.<br />
Dr. Khoa’s successful completion of his Masters in Health Professions Education showcases his<br />
remarkable intellect and unwavering commitment to advancing medical education. We eagerly<br />
anticipate the transformative changes and invaluable contributions he will continue to make in<br />
the field of Global Health.<br />
Congratulations Dr. Khoa!<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
To Julia Nyamururu, BSc<br />
The new coordinator of the global health program at<br />
University of Zimbabwe faculty of Medicine and Health<br />
Sciences<br />
Julia Nyamururu works at the University of Zimbabwe<br />
under the Faculty of Medicine and Health Sciences in<br />
the Electives Office as Office Manager since 2008 up to<br />
date. She is a holder of a BSc Psychology from Women’s<br />
University in Africa. She is a passionate young lady, selfmotivated<br />
and a goal getter.<br />
38
OUR PEOPLE,<br />
OUR MISSION<br />
Photo News<br />
Global Health<br />
<strong>eMagazine</strong><br />
ECC Soccer <strong>2023</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
ECC Soccer <strong>2023</strong>: from left: Roberto Alves (Community<br />
Leader, Mayoral Candidate for Dems party in Danbury)<br />
and Javier Rincon, a UVM medical student.<br />
ECC Soccer <strong>2023</strong>: Javier Rincon, Elvis Novas, Wilson<br />
Hernandez and Leonardo Cordova (President of<br />
Ecuadorian Civic Center) with his grandson<br />
ECC Soccer <strong>2023</strong>: from left: Elvis Novas, CT State Senator<br />
Julie Kushner, Wilson Hernandez (Community Leader and<br />
former President of the Ecuadorian Civic Center), Roberto<br />
Alves, Javier Rincon and CT State Rep. Farley Santos<br />
ECC Soccer <strong>2023</strong>: from left: Danbury Mayor Dean<br />
Esposito, Miss Sports <strong>2023</strong> and Najely Clavijo (Miss<br />
Sympathy)<br />
Calendar of Events<br />
Resources<br />
ECC Soccer <strong>2023</strong>: Master of Ceremony Eva Aveiga (CEO<br />
of Miss Danbury CT), Leonardo Cordova and CT State<br />
Senator Julie Kushner<br />
ECC Soccer <strong>2023</strong>: The participating teams<br />
39
OUR PEOPLE,<br />
OUR MISSION<br />
Graduation of Dr. Khoa<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Global Health Scholars<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
From left to right: Dr Trinh Ngoc Thanh (Vietnam),<br />
Shushanik Isahakyan (Armenia), Dr Pham Le Anh Nguyen<br />
(Vietnam), Dr Gabriel Polanco (DR)<br />
GH Scholars in front of the GH Academy building: Dr Trinh<br />
Ngoc Thanh (Vietnam), Shushanik Isahakyan (Armenia), Dr<br />
Gabriel Polanco (DR), Dr Pham Le Anh Nguyen (Vietnam)<br />
GH Scholars in Danbury<br />
40
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Scholars with Beth West, the director of PT Teaching Academy<br />
Shushanik Isahakyan and Dr. Karen Daley in<br />
simulation lab at Sacred Heart University<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Ireland (Lana Wallace)<br />
41
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Nuvance Health<br />
Calendar of Events<br />
May 1: Finalized the global health diaries with Mitra Sadigh and Amanda Wallace<br />
May 1: Finalized the global health <strong>eMagazine</strong> with Mitra Sadigh and Amanda Wallace<br />
May 1: Meeting with educational leadership to learn about the future direction of global health<br />
partnership with the UVMLCOM<br />
May 1: Meeting with Grace Linhard, the Chief Development Officer at NVH, to discuss the<br />
structure and function of the global health academy executive committee<br />
May 1: Meeting with Dilyara Nurkhametova and Elina Mukhametshina to discuss the content of<br />
the 2nd Global Health Conference<br />
May 1: Meeting with Wendi Cuscina to discuss the logistics of the Global Health Conference<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
May 2: Meeting with Professor Christina Gunther, the director of the global health program<br />
at SHU to discuss further collaboration between global health programs between these two<br />
institutions<br />
May 2: Meeting with one of Yale college students interested in global health<br />
May 3: Meeting with the global health conference logistic team<br />
May 3: Meeting with Wendi Cuscina to discuss the statuses of international guests travel to the<br />
USA to attend the global health conference<br />
May 3: Debriefing session with Dr. Joanna Moore, the pulmonary fellow at Norwalk Hospital to<br />
discuss her observation from Vietnam and her involvement in global health program<br />
May 4: Meeting with Dr. Mark Kulaga, DIO at Nuvance Health, to discuss future direction of<br />
partnership with UVMLCOM<br />
May 5: Meeting with Elina Mukhametshina to learn about her potential visit to the USA and<br />
follow up on the content of the global health conference<br />
May 7-8: Finalized the global health diaries with Mitra Sadigh and Amanda Wallace<br />
May 8: Global Health Monthly Meeting with CAO, Dr. Dereck DeLeon<br />
May 8: Introducing the Global Health Program to the nursing staff at VBMC<br />
May 9: Meeting with the educational leadership to discuss the future of the global health<br />
partnership with UVMLCOM<br />
May 9: UVMLCOM Global Health Leadership Team meeting<br />
May 9: Meeting with Dr. Dereck DeLeon, DIO, and the legal office to discuss Dr. Bulat Ziganshin’s<br />
contract as the new director for the global health program<br />
May 10: Global Health Conference preparation meeting with the logistic team<br />
May 10: Global Health Conference preparation meeting with Wendi Cuscina, the manager of<br />
the program<br />
May 11: Meeting with Dr. John Murphy, the president and the CEO of the Nuvance Health to<br />
discuss the future directions for the global health academy<br />
May 11: Meeting with Beth West, the director of PT Teaching Academy to discuss the future<br />
collaboration between global health academy and PT teaching Academy<br />
May 15: Meeting with the NVH global health leadership to discuss the content and logistics of<br />
the itinerary for the coordinator of the global health program in Armenia.<br />
42
OUR PEOPLE,<br />
OUR MISSION<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
May 15: Meeting with Dr. Rudy Ruggles to discuss the panel on global mental health during the<br />
global health conference.<br />
May 15: Meeting with Dr. Andrea Green and Beth West to discuss potential projects between the<br />
NVH global health program and UNIBE in Dominican Republic<br />
May 16: Review of the quarterly goals with CAO<br />
May 17: The Global Health Medical Grand Rounds at Danbury Hospital<br />
May 17: Debriefing zoom meeting with recently returned residents from Naggalama, Uganda<br />
May 17: Debriefing zoom meeting with Dilyara Nurkhametova to finalize the travel of 3 psychiatry<br />
residents from Nuvance Health to Uganda<br />
May 17: Zoom meeting with Dr. Bulat Ziganshin in preparation for the second global health<br />
conference, <strong>June</strong> 4-6<br />
May 17: GH pre-departure session for UVMLCOM MS1 students in preparation for summer GH<br />
electives<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
May 18: Zoom meeting with Susan Byekwaso, the coordinator of the international office at MakCHS<br />
to discuss the A/V studio and the second global health conference<br />
May 18: Zoom meeting with Wendi Cuscina and Dr. Dereck DeLeon, CAO, to finalize the recruitment<br />
of a faculty for the global health program<br />
May 18: Meeting with Elina Mukhametshina to finalize the itinerary for the coordinator of the global<br />
health program in Armenia<br />
May 18: In person meeting with John Leopold, the director of Simulation lab to discuss collaborative<br />
work with UNIBE to design of modules addressing the challenges of participants of global health<br />
elective<br />
May 19: A tribute to Dr. Simms at St. Mary Hospital<br />
May 19: Finalizing the research project in Dingle with Dean and Catherine Winkler<br />
May 18-20: Finalized the website of the Second Global Health Conference with Amanda Wallace<br />
May 20- 21: Finalized the global health diaries with Mitra Sadigh and Amanda Wallace<br />
May 21: Discussion around the second global health conference with Dr. Stephen Scholand<br />
May 22: Orientation session; coordinator of the global health program in Armenia, with Wendi<br />
Cuscina<br />
May 22: Orientation session; coordinator of the global health program in Armenia, with Dr. Bemen<br />
Habashi, Yale Faculty in Waterbury Hospital<br />
May 22: Global Health Leadership Team meeting<br />
May 23: The first day of the Global Health Course for the global health scholars at Nuvance Health<br />
May 24: Visiting Norwalk Hospital to explore potentials for collaboration with NIH and identify<br />
overlap interests between the PT Teaching Academy and the Global Health Academy<br />
May 25: Visiting SHU to explore potentials for collaboration with NIH in Armenia<br />
May 26: Discussion of the content of the global health conference with Dr. Stephen Scholand<br />
May 27: Zoom meeting with one of the global health faculty in London<br />
May 28-29: Finalized the global health diaries with Mitra Sadigh and Amanda Wallace<br />
May 29: Finalized poster presentations, excerpts from reflections, and selected photos for<br />
exhibitions and slideshow with Dilyara Nurkhametova, the assistant director of the global health<br />
program<br />
43<br />
Calendar continued on next page >>
OUR PEOPLE,<br />
OUR MISSION<br />
May 30: The Second day of the Global Health Course for the global health scholars at Nuvance<br />
Health<br />
May 28-31: Finalized the <strong>June</strong> issue of <strong>eMagazine</strong> with the global health leadership and<br />
Amanda Wallace<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
AUC/RUSM<br />
May 2: Touch base meeting with Dr Elina Mukhametshina<br />
May 3: Meeting with Dr Elina Mukhametshina to work on the GHE application package<br />
May 5: CIFC residents completed their GHE in Uganda<br />
May 8: Orientation meeting with two AUC/RUSM students in preparation for GHE in Vietnam in<br />
<strong>June</strong><br />
May 10: Touch base meeting with Dr Elina Mukhametshina<br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
May 11: Meeting with Susan Byekwaso international coordinator at MakCHS<br />
May 15: two AUC students started their GHE in ChoRay hospital, Vietnam<br />
May 16: Orientation meeting with two AUC students in preparation for GHE in DR<br />
May 22: Meeting with Dr Elina Mukhametshina to review Shushanik Isahakyan visit itinerary<br />
May 23: Meeting with Dr Elina Mukhametshina<br />
May 23: Meeting with Jeffrey Andreson to discuss application process for 2024 AUC/RUSM<br />
Global Health Electives<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Butterfly (Rose Schwartz)<br />
44
OUR PEOPLE,<br />
OUR MISSION<br />
RESOURCES<br />
Global Health<br />
<strong>eMagazine</strong><br />
<strong>June</strong> <strong>2023</strong><br />
Perspective<br />
Global Health Academy<br />
Highlights<br />
Reflections<br />
Welcome<br />
Global Local<br />
Hispanic and Latinx Communities<br />
Voices of Ugandan Students<br />
Global Health Mental Health<br />
Art to Rwmind Us of Who We Can Be<br />
Our Beautiful Planet<br />
Innovation and Technology<br />
Nursing Division<br />
Women’s Health Education<br />
Among the Letters<br />
Announcements<br />
Article of the Month<br />
Video of the Month<br />
Congratulations<br />
Phoro News<br />
Calendar of Events<br />
Resources<br />
Photos and Reflections 2021<br />
Global Health & the Arts<br />
Nuvance Health and UVMLCOM Global Health<br />
Website<br />
COVID-19 Resource Center<br />
Nuvance Health and UVMLCOM Annual Report 2020<br />
AUC/RUSM Annual Report 2018<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 />
Ebola: Two Doctors Respond to the 2014 Ebola<br />
Epidemic in Liberia: A Personal Account<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 2015-2016<br />
Global Health Diaries and Newsletters 2016-2017<br />
Global Health Diaries and Newsletters 2017-2018<br />
Global Health Diaries and <strong>eMagazine</strong>s 2018-2019<br />
Global Health <strong>eMagazine</strong>s 2020-2021<br />
Global Health Diaries 2020-2021<br />
Global Health Reflections and Photos 2017 and 2018<br />
Global Health Reflections and Photos 2019<br />
Ethical Dilemmas book<br />
Global Health Program Website<br />
Global Health at WCHN Facebook<br />
Ho Chi Minh City and Cho Ray Hospital<br />
The Homestay Model of Global Health Program video<br />
Interviews<br />
A Connecticut Doctor in Africa, by journalist Mackenzie<br />
Riggs<br />
Majid Sadigh, MD Interview Regarding Ebola in Liberia<br />
(Video)<br />
My Heart Burns: Three Words Form a Memoir (Video)<br />
Two UVM Docs Combat Ebola in Liberia (Article)<br />
Kasensero Uganda<br />
Katanga video<br />
Nuvance/MakCHS Global Health Information Center<br />
Booklet<br />
Paraiso and the PAP Hospital<br />
Photographs from Uganda, by photojournalist Tyler<br />
Sizemore<br />
Presentations By Global Health Scholars<br />
Previous issues of the Global Health <strong>eMagazine</strong><br />
Program Partners<br />
Publications<br />
Site Specific Information<br />
Tropical Medicine Booklets (101, and 202)<br />
Tropical Medicine Spanish 101<br />
Tropical Medicine Modules<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, Thailand<br />
Cho Ray International Student Handbook<br />
DRC Facing a New Normal<br />
Photos and Reflections 2019<br />
Coronavirus 2019 Important clinical considerations for<br />
Patients & Health care Providers<br />
45