GH Cirriculum: Richard Quint


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Support of a New Paradigm of Medical Education: MEDICC’s Mentoring Programf or US Students Studying Medicine in Cuba

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  • GH Cirriculum: Richard Quint

    1. 1. Mentoring Program for US Students at the Latin American School of Medicine Diane Appelbaum, RN, MS Richard Quint, MD, MPH Global Health Education Consortium Seattle, Washington April 4, 2009
    2. 2. Bodenheimer T. N Engl J Med 2006;355:861-864 Family Medicine Residency Positions Filled by U.S. Medical School Graduates
    3. 3. Federal HRSA Title VII Health Professions Program Funding -64.7% $11.9 $33.6 Centers of Excellence (COE) -53.5% $41.3 $88.8 Primary Care -88.9% $4.0 $35.6 Health Careers Opportunity Program (HCOP) % Change FY 2006 ($million) FY 2005 ($million) Program
    4. 4. Cost of Iraq War to US $275 million per day
    5. 5. Latin American Medical School (ELAM) <ul><li>26 countries </li></ul><ul><li>10,000 students </li></ul><ul><li>101 ethnic groups </li></ul><ul><li>51% women </li></ul>
    6. 6. US Students and the Latin American School of Medicine (ELAM)
    7. 7. MEDICC Mission <ul><li>Enhance cooperation among US, Cuban, and global health communities aimed at better outcomes </li></ul>
    8. 8. ELAM Mentors Program <ul><li>Establish US network of mentors </li></ul><ul><li>Mentoring through ELAM’s six years </li></ul><ul><li>Summer employment, externships, </li></ul><ul><li>clinical observerships </li></ul><ul><li>4. USMLE preparations </li></ul><ul><li>5. ELAM student-US physician </li></ul><ul><li>networking </li></ul><ul><li>6. US healthcare system </li></ul><ul><li>background & history </li></ul><ul><li>7. Residency applications </li></ul><ul><li>8. Follow graduates’ careers </li></ul>
    9. 9. 2007 ELAM Graduates
    10. 10. FIN
    11. 11. From Emergency Response to Sustainability Hundreds of Cuban health professionals sent to Central America and Haiti in the wake of Hurricanes Georges and Mitch 1998:
    12. 12. Confronting the Real Disaster Human Resources for Health <ul><li>Training local health personnel, including midwives and health promoters </li></ul><ul><li>Establishing 9 medical and 2 nursing schools in other countries </li></ul><ul><li>Latin American Medical School will train 100,000 doctors in the next 10 years </li></ul>
    13. 13. Cuba’s Internationalism Lessons From the Cuban Experience Diane Appelbaum, RN, MS,FNP US Director, MEDICC Wing Wu, MD ELAM Graduate
    14. 14. Different from Previous Scholarships: Aiming for Sustainability <ul><li>Student selection: poor, indigenous, marginalized </li></ul><ul><li>Bridging program </li></ul><ul><li>Training geared to country of origin </li></ul><ul><li>Looking for commitment to underserved </li></ul><ul><li>Eventually replace Cuban doctors </li></ul><ul><li> in-country </li></ul>
    15. 15. Don Bernardo and grandson Waldino Amubri, Talamanca Costa Rica
    16. 16. Jose Luis Vargas Rojas age 10
    17. 18. Applying Lessons from the Cuban Experience <ul><li>Responds to stated needs; bilateral government accords </li></ul><ul><li>Quick response, without complicated formulations </li></ul><ul><li>Bolster public health infrastructure </li></ul><ul><li>Aid to poorest most remote regions </li></ul>
    18. 19. International Cooperation 2006 - 28,664 Cuban health professionals serve in all these countries. Region Countries Africa 32 Americas 36 Europe 9 Asia/Mideast 14 TOTAL 91
    19. 20. Benefits Largest Possible Population Cuba operates at an institutional, government level, which tends to benefit large populations. Example: Operacion Milagro 25 countries eye surgeries
    20. 21. Response To Acute Disaster 1960 - 2000 1960 Chile Earthquake, 5,000 dead Medical team 1970 Peru Earthquake, 60,000 dead Medical team, 6 rural hospitals, 106,000 blood donations 1972 Nicaragua Earthquake, 5,000 dead Medical team, food, medicines 1974 Honduras Hurricane Fifi, 2,000 dead Medical team 1990 Soviet Union Chernobyl disaster program 17,733 children treated in Cuba through October, 2004 Date Brazil Radiation poisoning 52 patients treated in Cuba 1998 Central America Hurricane Mitch, 30,000 dead and disappeared Medical teams 1998 Haiti Hurricane Georges Medical team 1999 Venezuela Torrential rains, mudslides, 9,000 dead Medical team 2000 El Salvador Dengue epidemic, 10,000 cases over 16 wks. Medical team, advisors and equipment