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Global Health

Faculty members in the Department of Anesthesiology and Perioperative Medicine have been co leading Global Medical Missions in developing countries for a number of years. Currently there are three missions that the department sponsors: Honduras, Haiti and Liberia, West Africa. Anesthesiology Residents in our department have recently been approved to participate as part of the training program and their experiences have been overwhelmingly positive.

Global Mission members travel to developing countries to assist with medical and surgical care as well as with education of local health care professionals. Participants practice anesthesiology in conditions with limited resources and supplies. In addition, numerous opportunities to teach present themselves as local health professionals are enthusiastic about learning. Additionally, Global Mission experiences provide cultural enrichment and personal growth that are not generally available in mainstream training.

Anesthesiology Residents are encouraged to contact Drs. Joshi and Foley if this activity is of interest.

Application & Selection Process

- Interested applicants will submit to Anesthesia Residency Coordinator: Cassie Tortorici
          - One page letter highlighting motivation for seeking global health experience
          - Current CV
- Application requirements: good academic standing, professional conduct and demonstrated commitment to service and leadership, application to available scholarships
         - Participation cannot be during CA-1 year or the last 3 months of CA-3 year (ABA policy)

At the completion of their elective, residents are required to write a brief report discussing their experience and complete an evaluation of the elective. GH faculty will complete an evaluation of the resident on MedHub.

GME documents

  1. GME checklist form 
  2. Away Elective Authorization Form
  3. GME Outside Electives Policy
  4. UMMS Pre-Travel Checklist

Mission Trips      

               

Port-au-Prince, Haiti (March 2019)
- 1 week Teaching & Clinical Experience
- Preoperative clinics, clinical experience in operating room, and MD/RN/Medical Students Teaching sessions
See more picture here!

               

Roatan, Honduras (May 2019)
- 1 week Teaching & Clinical Experience
- Preoperative clinics, clinical experience in operating room, and MD/RN/Medical Students Teaching sessions
See more pictures here!

                                          

Monrovia, Liberia (September 2018) 
- 2 week Teaching & Clinical Experience, Morning rounds, Grand Rounds presentation
- Structured curriculum in key areas including but not limited to: trauma, airway management, fluid resuscitation, management of shock
Liberian visa  & HEARTT volunteer forms required
See more pictures here!

Here is what former global health participants have said about their experiences: 

The Society for Education in Anesthesia - Health Volunteer Overseas (SEA/HVO) Traveling Fellowship Rotation- Blantyre, Malawi 

"As a SEA-HVO fellow, I had the opportunity to teach and mentor Anesthesia Clinical Officers (ACOs) during their 18-month anesthesia training course at Queen Elizabeth Central Hospital. Daily activities consisted of morning report on overnight cases and daytime case presentations/discussions. This was followed by time in the operating rooms for intra-operative teaching and observation of a wide range of surgical pathologies and anesthetic techniques performed within the realities and constraints of a resource-scarce environment.  During the afternoons, I lectured for 2 hours on Neuroanesthesia, Pharmacology, and also provided workshops on airway evaluation & management, ACLS, and intra-operative events assessment & treatment. At the end of my 4 week session, I was able to participate in the ACOs’ midterm evaluation by submitting exam questions and holding interactive jeopardy-style review sessions with the students (shout out to Dr. Cosar!). This experience taught me that while the role of Resident-as-Teacher is a daunting task requiring effective teaching methods and much advanced preparation, it also served as a real motivator for personal, clinical and professional growth as I found myself fully dedicated and invested in my students' success. This realization fueled my desire to pursue an academic career to continue growing as a learner and teacher, especially as it pertains to global health, education and research." 
-Jude Divers, Resident

For more information on the travel fellowship, click here!
Here are some pictures of Jude's time in Malawi!

UMMS Honduras Rescue Mission

"Traveling to Honduras with the Trauma Rescue Mission to Roatan was my third medical mission trip but first as an anesthesia provider. I volunteered to go with Drs. Foley, Joshi and Torres because I wanted to learn how to provide anesthesia care with limited and outdated resources. Discussing best practice guidelines and resource limitations with the anesthesia providers at Public Hospital of Roatan provided a great learning experience for both teams. Strategizing pain management options for patients with large abdominal incisions and limited medications provided an interesting challenge. Overall, the trip was rewarding and motivated me to become more involved in global health initiatives. My hope is that I will be able to help residents experience the joy of caring for men and women with no resources on international mission trips like my trip to Roatan." 
-Brian Alexander, Resident  

"I have been involved in a surgical trip to Honduras for the past five years. For a week in May, we provide preoperative assessments, perioperative care, and education to an underserved public hospital in Honduras. Initially, my role was as a Registered Nurse (RN), but this year I had the privilege to attend as a Student Registered Nurse Anesthetist (SRNA)." 
-Karen Valdes, CRNA (See more here!)

 Our trip was to JFK Hospital, in Monrovia, Liberia, with the HEARTT association. We were in the country for 2 weeks and in the hospital every day except Sunday; we came to work. During our time at JFK, we performed 105 anesthetics on patients ranging from 5-day-old’s to 85-year-olds. Procedures ranged from thyroidectomies to herniorrhaphies to lump and bump removals as well as some odds and ends such as esophageal dilations on a pair of 3-year-olds who had drank lye and developed esophageal stricture. Facility conditions were much less than we are accustomed to in the United States; we had to contend with power outages multiple times a day, lack of gas analyzing equipment, reuse of all equipment and less than reliable anesthesia machines. We were fortunate enough to have local CRNA students, so I was able to take a junior attending role and do a lot of teaching. Not only did I come away with a sense of accomplishment from helping those less fortunate, but I also gained much more confidence as an anesthesiologist. My trip to Monrovia was something I will never forget and hope to continue on future trips as global health outreach was what first piqued my interest in medicine. I highly recommend it to anybody looking for a trip that will expand your skills and confidence as well as be good for the soul.”Michael Lucente, Resident

Additional documents

Online Resources