How to Find and How to Find and Select Select an International an International Medical Elective Medical Elective Stephen A. Stephen A. Huffman, MD Huffman, MD
Mar 31, 2015
How to Find and How to Find and Select Select
an Internationalan InternationalMedical ElectiveMedical Elective
Stephen A. Huffman, Stephen A. Huffman, MDMD
Steve Huffman, MDSteve Huffman, MD
862 Buckeye Court862 Buckeye Court
Tipp City, Ohio 45371Tipp City, Ohio 45371
Email: Email: [email protected]@hotmail.com
Phone (937) 667-1877Phone (937) 667-1877
Places I have Places I have practiced:practiced:
San Juan Medical Clinic, Dominican San Juan Medical Clinic, Dominican RepublicRepublic
Spanishtown Hospital, JamaicaSpanishtown Hospital, Jamaica Regency RainbowRegency Rainbow, Regency Cruise , Regency Cruise
Line, Inside Passage, Alaska/CanadaLine, Inside Passage, Alaska/Canada St. Jude’s Hospital, St. Lucia, West St. Jude’s Hospital, St. Lucia, West
IndiesIndies Tully Hospital, Queensland, AustraliaTully Hospital, Queensland, Australia
Places I have Places I have practiced:practiced:
Chubu Hospital, Okinawa, Japan, Chubu Hospital, Okinawa, Japan, Visiting ProfessorVisiting Professor
Gov. Juan F. Luis Hospital, St. Gov. Juan F. Luis Hospital, St. Croix, US Virgin IslandCroix, US Virgin Island
St. Elizabeth/ St. Martin de Porre St. Elizabeth/ St. Martin de Porre Hospital, Cameron AfricaHospital, Cameron Africa
King Edward VII Memorial King Edward VII Memorial Hospital, Hamilton, BermudaHospital, Hamilton, Bermuda
Places I have Places I have practiced:practiced:
University of Guadalaraja School of University of Guadalaraja School of Medicine - Visiting Professor Medicine - Visiting Professor
Cat Cay Island, Bahamas Private Cat Cay Island, Bahamas Private Island PhysicianIsland Physician
Where to next:Where to next: Roy L. Schneider Hospital – St. Roy L. Schneider Hospital – St.
ThomasThomas St. George’s Medical School, St. George’s Medical School,
GrenadaGrenada
Questions to AnswerQuestions to Answer
Who?Who?How?How?When?When?
Why?Why?What?What?Where?Where?
Who/When?Who/When?
Residents/StudentsResidents/Students– First yearFirst year– Second YearSecond Year– Third YearThird Year– Fourth YearFourth Year– ResidentResident
What is the Big ‘M’ What is the Big ‘M’ Today?Today?
MissionMission
Money Money
MeMe
Why?Why?
Prepare for service Prepare for service after Medical after Medical School/ResidencySchool/Residency
EducationalEducational Service to othersService to others EvangelisticEvangelistic Change of life styleChange of life style AdventureAdventure Find one’s selfFind one’s self See the worldSee the world
Why?Why?
Great Experience – Great Experience – no Residents or no Residents or other medical other medical studentsstudents
Tropical MedicineTropical Medicine Different Different
presentations of presentations of disease statesdisease states
Different medical Different medical environment/cultureenvironment/culture
Web SitesWeb Sites
www.cfhi.orgwww.cfhi.org– Child Family Health InternationalChild Family Health International
www.imva.orgwww.imva.org– International Medical Volunteer AssociationInternational Medical Volunteer Association
www.amsa.orgwww.amsa.org– American Medical Student AssociationAmerican Medical Student Association
www.ifmsa.org www.ifmsa-usa.orgwww.ifmsa.org www.ifmsa-usa.org– International Federation of Medical Student International Federation of Medical Student
AssociationsAssociations www.ihmec.orgwww.ihmec.org
– International Health Medical Education ConsortiumInternational Health Medical Education Consortium www.who.intwww.who.int
– World Health OrganizationWorld Health Organization
Web SitesWeb Sites
www.medicstravel.co.ukwww.medicstravel.co.uk– Medics TravelMedics Travel
www.ifmsa-usa.orgwww.ifmsa-usa.org– International Federation of Medical Students International Federation of Medical Students
AssociationAssociation www.vanterventures.comwww.vanterventures.com
– Disney Cruise Ship PhysicianDisney Cruise Ship Physician www.astmh.orgwww.astmh.org
– American Society of Tropical Medicine and HygieneAmerican Society of Tropical Medicine and Hygiene www. Family.mcw.edu/belizewww. Family.mcw.edu/belize
– University of Wisconsin- Department of Family PracticeUniversity of Wisconsin- Department of Family Practice www.uchsc.edu/internationalwww.uchsc.edu/international
– University of Colorado School of MedicineUniversity of Colorado School of Medicine
Where?Where?
Third WorldThird World Under-served areasUnder-served areas Caribbean/Latin Caribbean/Latin
AmericaAmerica Africa, Eastern EuropeAfrica, Eastern Europe Cruise Ship/ Resort Cruise Ship/ Resort
MedicineMedicine Public Health ServicePublic Health Service Indian Health Service Indian Health Service
Twenty years from now Twenty years from now you will be more you will be more
disappointed by the disappointed by the things you didn’t do things you didn’t do than by the ones you than by the ones you did. So, throw off the did. So, throw off the
bowlines, sail away from bowlines, sail away from the safe harbor, catch the safe harbor, catch
the trade winds in your the trade winds in your sails.sails.
Mark TwainMark Twain
International Health in International Health in the Developing World: the Developing World:
Clinical and Community CareClinical and Community Care
University of Arizona summer courseUniversity of Arizona summer course
2 weeks every summer, optional 2 2 weeks every summer, optional 2 weeks abroadweeks abroad
Contact:Contact: The University of Arizona, College of MedicineThe University of Arizona, College of Medicine
Dept. of Family and Community MedicineDept. of Family and Community Medicine
PO Box 245052 PO Box 245052
Tucson, AZ 85724Tucson, AZ 85724
www.globalhealth.arizona.eduwww.globalhealth.arizona.edu
What?What?
Primary Care Primary Care SurgicalSurgical ResearchResearch
Elective CreditElective Credit
Research what Research what department will give you department will give you credit for your experience credit for your experience at your schoolat your school
RequirementsRequirements– GoalsGoals– ObjectiveObjective– ResearchResearch– Case StudiesCase Studies– Written ReportWritten Report– PresentationPresentation
Additional ReadingAdditional Reading
Jesus, MD A Doctor Examines the Jesus, MD A Doctor Examines the Great PhysicianGreat Physician; by David ; by David Stevens, 2001Stevens, 2001
JAMA, JAMA, August 7, 2002, Vol 288, August 7, 2002, Vol 288, No. 5 pages 559-565No. 5 pages 559-565
Where There is No DoctorWhere There is No Doctor; by Dr. ; by Dr. David Werner, 1992David Werner, 1992
FundingFunding
www.amsa.org/resource/amsarc/ www.amsa.org/resource/amsarc/ creative/creative.cfmcreative/creative.cfm
www.depts.washington.edu/ihgwww.depts.washington.edu/ihg www.map.orgwww.map.org Local churchLocal church Medical School OrganizationsMedical School Organizations School LoansSchool Loans
What? Things to What? Things to ConsiderConsider Credit from Medical Credit from Medical
School/ResidencySchool/Residency VisaVisa Travel PlansTravel Plans Immunizations/Malaria prophylacticImmunizations/Malaria prophylactic Personal/Family Safety/Political Personal/Family Safety/Political
SituationSituation
What? Things to What? Things to ConsiderConsider
AccommodationsAccommodations Cost/Fund RaisingCost/Fund Raising LanguageLanguage Duty/Duty/
ResponsibilityResponsibility CommunicationsCommunications InsuranceInsurance Experience of Experience of
Others Others
Unique RequirementsUnique Requirements
Singapore - record temperatureSingapore - record temperature Bermuda – nose culture for MSRSABermuda – nose culture for MSRSA South Africa – Student Visa $250USSouth Africa – Student Visa $250US Jamaica – Gov. Employee – Jamaica – Gov. Employee –
PreceptorPreceptor Australia - ImmunizationsAustralia - Immunizations
International International Residency ProgramsResidency Programs
Family PracticeFamily Practice– University of CincinnatiUniversity of Cincinnati– Case Western Reserve/University Case Western Reserve/University
HospitalsHospitals– Marshall University School of MedicineMarshall University School of Medicine– University of ArizonaUniversity of Arizona– Baylor College of MedicineBaylor College of Medicine– St. Joseph’s Family Prac. Residency, South St. Joseph’s Family Prac. Residency, South
Bend, IndianaBend, Indiana
International International Residency ProgramsResidency Programs
Emergency MedicineEmergency Medicine– Brown UniversityBrown University– John Hopkins UniversityJohn Hopkins University– Loma Linda UniversityLoma Linda University– University of Illinois at ChicagoUniversity of Illinois at Chicago– Medical College of GeorgiaMedical College of Georgia
International International Residency ProgramsResidency Programs
Internal MedicineInternal Medicine– Brown UniversityBrown University– Case Western Reserve UniversityCase Western Reserve University– Duke UniversityDuke University– Indiana UniversityIndiana University– Yale Internal Medicine/Primary Care Yale Internal Medicine/Primary Care
MedicineMedicine– Tulane UniversityTulane University
International International Residency ProgramsResidency Programs
PediatricsPediatrics– Case Western Case Western
Reserve Reserve UniversityUniversity
It is good plan, every It is good plan, every now and then, to go now and then, to go
away and have a little away and have a little relaxation; for when relaxation; for when you come back to you come back to
work your judgment work your judgment will be surer; since to will be surer; since to remain constantly at remain constantly at work will cause you work will cause you to lose the power of to lose the power of
judgment.judgment.Leonardo da Leonardo da VinciVinci
International Medical International Medical Opportunity Time Opportunity Time SheetSheet One to three year One to three year
before departurebefore departure– Letters of inquire for Letters of inquire for
need or current program need or current program in place to area, in place to area, country, or organization country, or organization you are interested inyou are interested in
– Identify and engage Identify and engage funding sourcesfunding sources
– Identify available time Identify available time and durationand duration
International Medical International Medical Opportunity Time Opportunity Time
SheetSheet 8 months before departure8 months before departure
– Learn about medical needs, specific Learn about medical needs, specific disease processesdisease processes
– Identify and start to collect needed Identify and start to collect needed medical and pharmaceutical suppliesmedical and pharmaceutical supplies
– Clearance for customs by host for Clearance for customs by host for suppliessupplies
– Apply for CME/CUEApply for CME/CUE– Approval from appropriate person at Approval from appropriate person at
the medical schoolthe medical school
International Medical International Medical Opportunity Time Opportunity Time
SheetSheet 6 months before 6 months before
departuredeparture– Identify housing, food Identify housing, food
services, and travel services, and travel arrangementsarrangements
– Immunizations Immunizations including HBV, HAV, including HBV, HAV, Tetanus, MMR, Polio, Tetanus, MMR, Polio, country specificcountry specific
– Passport and Visa Passport and Visa applicationapplication
International Medical International Medical Opportunity Time Opportunity Time
SheetSheet 3 months before 3 months before
departuredeparture– FundraiserFundraiser– Language skillsLanguage skills– Contingency plan Contingency plan
for last minute for last minute changeschanges
– Identify specific Identify specific role, daily role, daily scheduleschedule
International Medical International Medical Opportunity Time Opportunity Time
SheetSheet 2 weeks before 2 weeks before
departuredeparture– Confirm all travel Confirm all travel
plans, plans, accommodations, in accommodations, in country travelcountry travel
– Final packingFinal packing– Give family/friends Give family/friends
communication communication informationinformation
– Start malaria Start malaria prophylactic if neededprophylactic if needed
International Medical International Medical Opportunity Time Opportunity Time
SheetSheet One month after returnOne month after return
– Confirm all necessary requirements for Confirm all necessary requirements for creditcredit
– Write thank you and follow up letters to your Write thank you and follow up letters to your hosthost
– Thank you letter and a note outlining your Thank you letter and a note outlining your trip to the medical school and to everyone trip to the medical school and to everyone that donated supplies, money, or assisted in that donated supplies, money, or assisted in any wayany way
– Start making plan for next tripStart making plan for next trip
QuestionsQuestions
Steve Huffman, MDSteve Huffman, MD
862 Buckeye Court862 Buckeye Court
Tipp City, Ohio 45371Tipp City, Ohio 45371
Ph. 937-667-1877Ph. 937-667-1877
Email: [email protected]: [email protected]
To purchase the bookTo purchase the book
“How to Find and Select an “How to Find and Select an International Medical International Medical
Elective”Elective”
Send $17.50Send $17.50made out to Steve Huffmanmade out to Steve Huffman
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Book Elective Book Elective 862 Buckeye Court862 Buckeye Court
Tipp City, Ohio 45371Tipp City, Ohio 45371