Ethical Challenges in GH Education: Robert Einterz


Published on

Creating Equitable Institutional Relationships

Published in: Health & Medicine, Education
  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Ethical Challenges in GH Education: Robert Einterz

  1. 1. Creating Equitable Institutional Partnerships <ul><li>Robert Einterz, MD </li></ul><ul><li>Indiana University School of Medicine </li></ul>
  2. 2. Guiding Principles <ul><li>All individuals have a right to essential primary care </li></ul><ul><li>Capable health systems require strong institutions and leaders </li></ul><ul><li>Partnerships must be at an institutional level </li></ul><ul><li>Counterpart relationships based on mutual trust and respect are fundamental building blocks of institutional partnership </li></ul><ul><li>“ Lead with Care” i.e., as we foster the tripartite academic mission, focus on creating health service delivery systems that host research and training missions </li></ul><ul><li>Aim for mutual benefit, but Indiana U must share “ownership” of Kenya’s problems and be accountable for finding solutions </li></ul><ul><li>Bidirectional exchange benefits both institutions </li></ul><ul><li>Long-term presence, long-term institutional commitment </li></ul>
  3. 3. ASANTE Consortium <ul><li>Indiana University </li></ul><ul><li>Brown University </li></ul><ul><li>University of Utah </li></ul><ul><li>University of Toronto </li></ul><ul><li>Duke University </li></ul><ul><li>George Washington University </li></ul><ul><li>Lehigh Valley Health System </li></ul><ul><li>Portland Providence Medical Center </li></ul>
  4. 4. AMPATH A cademic M odel P roviding A ccess T o H ealthcare <ul><li>An organizational construct consisting of Moi University, Moi Teaching and Referral Hospital, and the ASANTE consortium that aims to deliver essential primary care services, control HIV, and mitigate the social and economic consequences of HIV/AIDS </li></ul>
  5. 5. AMPATH Faculty and Staff Members On-Site in Eldoret in 09-10 <ul><li>>1200 Kenya faculty members and staff </li></ul><ul><li>Joe Mamlin MD, Internist, IU, 100% time in Kenya </li></ul><ul><li>John Sidle MD, Internist/Pediatrician, IU, 100% </li></ul><ul><li>Matt Strother MD, Oncologist, IU, 100% </li></ul><ul><li>Marisa Holubar MD, Pediatrician, IU, 100% </li></ul><ul><li>Paula Braitstein PhD, Epidemiologist, IU, 100% </li></ul><ul><li>Rachel Vreeman MD, Pediatrician, IU, up to 50% </li></ul><ul><li>Kara Wools-Kaloustian MD, Internist/infectious diseases, IU, 30% </li></ul><ul><li>Jill Helphinstine MD, Pediatrician, IU, 15% </li></ul><ul><li>Sonak Pastakia PharmD, Pharmacist, Purdue U, 100% </li></ul><ul><li>Pamela Obura PhD, Horticulturalist, Purdue U, 100% </li></ul><ul><li>Wendy O'Meara PhD, Public Health, George Washington University, 100% </li></ul><ul><li>David Caloia and Rachel Spitzer MD, Ob/Gyn, U of Toronto, together 50% </li></ul><ul><li>Jerry Bloomfield MD, Cardiology, Duke University, 100% </li></ul><ul><li>Sierra Washington MD, OB/Gyn, IU, 100% </li></ul><ul><li>Karin Lane MPH, co-leads pMTCT, IU, 100% </li></ul><ul><li>Elizabeth Chester MSW, co-leads OVC, IU, 100% </li></ul><ul><li>Naiomi Lundman MBA, co-leads FPI, IU, 100% </li></ul>
  6. 6. Health Indicators and Outcomes <ul><li>40,000 pregnant women screened for HIV </li></ul><ul><li>3,361 HIV infected pregnant women enrolled into pMTCT </li></ul><ul><li>>110,000 other persons screened for HIV </li></ul><ul><li>30,000 food insecure persons fed weekly </li></ul><ul><li>10 tons food grown weekly on AMPATH farms </li></ul><ul><li>4615 orphans and vulnerable children served </li></ul><ul><li>Home counseling and testing successfully demonstrated in Turbo and Kosirai (pop 160,000) </li></ul><ul><li>Riley Mother and Baby Hospital completed </li></ul><ul><li>ASANTE docs provided services in Medicine, Pediatrics, Anesthesia, Surgery, Orthopedics, ENT, Ob/Gyn, Pathology </li></ul>
  7. 7. Cumulative Patients Enrolled: Nov ’01 – Feb ‘09
  8. 8. Cumulative Patient Visits: Nov ’01 – Feb ‘09
  9. 10. Research Awards to the IU Kenya and AMPATH Research Programs 1998-2009 Year Awarded Total = $27,480,561
  10. 11. Americans hosted in Eldoret in 2008-9 by Moi U, Moi Teaching and Referral Hospital, and IU House <ul><li>31 IU medical students </li></ul><ul><li>15 IU residents </li></ul><ul><li>61 IU faculty members </li></ul><ul><li>20 PU PharmD students </li></ul><ul><li>20 ASANTE medical students </li></ul><ul><li>16 ASANTE residents </li></ul><ul><li>45 ASANTE faculty members </li></ul><ul><li>175 other visitors </li></ul>
  11. 12. Kenyans hosted by Indiana in 2008-9 <ul><li>4 students for 2 months (12 students were hosted by the other ASANTE partners) </li></ul><ul><li>2 medicine registrars for 6 months </li></ul><ul><li>3 pediatrics registrars for 6 months </li></ul><ul><li>4 faculty members </li></ul>