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Global Health The CMU College of Medicine

Global Health The CMU College of Medicine. Why global health in the curriculum?. U.S. trains physicians from around the world U.S. students in other countries Students in U.S. from other countries Sharing of knowledge – health is global Expectations of accrediting agencies.

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Global Health The CMU College of Medicine

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  1. Global Health The CMU College of Medicine

  2. Why global health in the curriculum? • U.S. trains physicians from around the world • U.S. students in other countries • Students in U.S. from other countries • Sharing of knowledge – health is global • Expectations of accrediting agencies

  3. Why Global Health Curriculum • The world is accessible – people travel and so do vectors…West Nile, HIV, SARS, Avian flu, etc. • Numbers of immigrants living in the U.S./MI • Increasing global connectivity – make medical education and information available! • Ability to share data and what is happening elsewhere… • Ability to share experience, educate one-another • Ability to share expertise (Telemedicine) • Ability to share technology – reducing suffering and disease burden • Population health success: small pox, polio, yellow fever, with opportunities: malaria, Guinea worm, trachoma, diarrhea, rheumatic heart disease…

  4. We are not all the same • Our physicians and other health care professionals must be able to take into consideration: • Genomics • Environment • Exposure, sanitation, nutrition • Culture • Health practices • Life styles • Ability to advocate for global access to medications and technology…

  5. Central Michigan? • Resident physicians in Saginaw • Saudi Arabian resident physicians • Saudi Arabian students in MI • Asante Consortium

  6. Global health in the curriculum is a no-brainer

  7. IU Kenya Program • “Share the Journey - Share the Knowledge” • Graduates should excel at both the science and “heart”of medicine • Partnership with the sub-Saharan medical schools promotes responsible citizenship and health for the human family • Fosters integrity, service to others, and intellectual growth • All participants emerge from the program as changed persons, enriched with these core values

  8. ASANTE Consortium Mission • To advance health care, medical professional training, and personal growth through a partnership between a consortium of US academic institutions and medical schools in the developing countries of sub-Saharan Africa

  9. U.S. Role (how collaboration can work) • Attending-Resident-Student teams to Moi University Hospital • Moi students to US for clinical rotations • Faculty development for Moi • Development of residencies at Moi • Community health research • Medication availability • Technology availability (x-ray, c-t, u/s, etc.) • Gates Foundation grant to support HIV treatment

  10. Patient with TB lymphadenopathy (rare in US)

  11. Rheumatic Heart Dz with biventricular CHF – rare in US

  12. HIV disease is common

  13. Clinical skills training – benefit to US • Importance of H&P – especially with: • Unavailability of technology • Unaffordable technology • Treatment decisions / clinical judgment • We forget the value of clinical assessment in application of our technology and the importance of touch in the therapy/outcomes of our patients

  14. Modern day view box!

  15. Neonatal unit – made possible

  16. Chemistry lab personnel (training, jobs)

  17. Chemistry lab equipment (one person’s treasure)

  18. Hematology laboratory

  19. Microbiology laboratory

  20. Construction of new operating rooms (open)

  21. Generator room and fuel

  22. Patient laundry facilities – one of the services!

  23. Patient examination room

  24. Patient waiting area at clinic site

  25. Onsite clinic laboratory

  26. Radiology services are available

  27. Onsite water purification facility

  28. Medical records…

  29. Medication Availability Pharmacy services at clinic site

  30. Approximately 80-100 medications available

  31. Community Health Programs • Public Health Studies / Education • Nutrition • STD/AIDS • Family Planning • Drinking water • Accessibility of health care (cost)

  32. Government programs on AIDS and immunization

  33. Birth control is a cultural issue in Kenya

  34. Patient education on nutrition

  35. Patient, payment, or friend?

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