International Career Paths and Research: Taking a Year Off

1. International Career PathsandResearch: Taking a Year Off Alan Rosenbaum

2. International Career Paths • Taking A Year Off • Student Status • Timing • Reasons • Funding Options

3. International Career Paths

4. International Career Paths • Research • Research • Research • Research • Research

5. International Career Paths • Int’l Organizations • Public Health • Research • Education • Clinical

6. International Career Paths • Research • -Research Dollars • -Academic Medicine • -Home or Abroad • Peds • ID • OBGYN

7. International Career Paths • Clinical • MSF (France) • Missions • Long(er)-Term • Emergency (Italy)

8. International Career Paths • When are you not useful? • A: Medical Student • B: Intern • C: Resident • D: All of the above • Clinical • MSF (France) • Missions • Long(er)-Term • Emergency (Italy)

9. International Career Paths • When are you not useful? • A: Medical Student • B: Intern • C: Resident • D: All of the above • Clinical • MSF (France) • Missions • Long(er)-Term • Emergency (Italy)

10. International Career Paths • Education • Clinicians • Students • Educators

11. International Career Paths • Public Health • Ministries of Health • USgov/DHHS • GH Policy Think Tanks

12. International Career Paths • Int’l Organizations • Specialty Groups • UN • WHO

13. International Career Paths • Taking A Year Off • Student Status

14. International Career Paths • Taking A Year Off • Student Status • How to get it • What it means

15. International Career Paths • Taking A Year Off • Student Status • Loan repayment • Grace Period (6month) • Why do we care? • What it means • Residency Application Explanation

16. International Career Paths • Taking A Year Off • Student Status • Definition: An approved leave of absence in which you are doing something productive for your degree • What it means • Functional def’n: School has to tell the US gov that you deserve to have student status

17. International Career Paths • Taking A Year Off • Student Status • How to get it • Degree Program • “Winning funding from a nationally competitive award that provides enough funding for the time you are on your LOA”

18. International Career Paths • Taking A Year Off • Reasons

19. International Career Paths • Taking A Year Off • Reasons • Internship • Clinical • Degree • Research • Personal

20. International Career Paths • Taking A Year Off • Reasons • Internship • Clinical • Volunteer websites, professional organization (link) • PAHO/WHO (link)

21. International Career Paths • Taking A Year Off • Timing

22. International Career Paths • Taking A Year Off • After 1st Year • Timing • After 2nd Year • May-May • After 3rd Year • Aug-Aug

23. International Career Paths • Taking A Year Off • Timing • -Publishing • -Career changes • -When will you want a break • -Forget coursework • -Step 1/2 • -Acting Internships • -Applying for match • -Debt Burden • -Particular Project

24. International Career Paths • Taking A Year Off • Funding Options

25. International Career Paths • Taking A Year Off • Location • Funding Options • Amount/Time • Prestige • Project

26. NIH • (Global Health Program for Fellows and Scholars or Global Health Equity Scholars) • -Operated by a few universities • -Apply for a project • Fulbright • -Student Program vs undergrads • -Anywhere • -Differences in competitiveness • -Any research topic • Boren • -Primarily language program • -Must have plan to learn language • -Generally no Spanish/French • Fogarty • (now Fulbright-Fogarty) • -Apply to be in the program and project • (Used to be Match) • -Infectious Disease • -Mostly basic science • Specialty Groups? • National Medical Societies? • Departmental Funding? • Mentor Funding? • Summer Funding?? • Partial Funding?? • Doris Duke • -Only East Africa (Tanzania, Kenya) • -3 students per year

27. Links: • 1) PAHO/WHO Link: http://new.paho.org/hq/index.php?option=com_content&view=article&id=1489&Itemid=4245&lang=en • 2) Damien House (Leprosy Clinic): http://www.thedamienhouse.org/contact.html • 3) Volunteer Compiling Website:http://www.planetgapyear.com • Funding: • 1) NIH: http://www.fic.nih.gov/Programs/Pages/scholars-fellows-global-health.aspx • 2) Fulbright-Fogarty: http://us.fulbrightonline.org/fulbright-fogarty-fellowships-in-public-health • Fulbright: http://us.fulbrightonline.org/fulbright-us-student-program • Boren: http://www.borenawards.org/boren_fellowship • Doris Duke: https://www.globalhealth.duke.edu/education-and-training/medical/doris-duke

28. International Clinical ExperiencePediatric Neurosurgery In Kijabe, Kenya June 2013 ZoyaVoronovich MS-4,University of Pittsburgh September 12th, 2013

29. Four keys to having a good experience: Have low expectations Be flexible Have a sense of humor Be patient

30. Neurosurgery in Kenya Africa: • 1 billion people • 1,200 neurosurgeons • 142 in sub-Saharan Africa • 10-12 peds neurosurgeons Kenya: • 38 million people • 16 neurosurgeons • 4 are outside of Nairobi • 2 of which are in Kijabe Neurosurgical Training: • Started in 2006 • 23 trainees • 6 year training program

31. AIC Kijabe Hospital • 280 bed general hospital • 5 bed ICU • Owned by Africa Inland Church • “Health care to God’s glory” Bethany Kids • Hosted at AIC KijabeHospital • 2 operating rooms • 50 beds • New 85 bed facility under construction • Dozens of mobile clinic dates per year • Pediatric surgery and neurosurgery training and rotations

32. The Team Long-timers: A. Leland Albright, MD Humphrey Okechi, MD Susan Ferson, NP Veronicah, CO Nursing teams Moms Short-timers: Sylvia Shitsama, MD Martin Situma, MD Kimberly Foster, MD Liana Beni-Adani, MD

33. Operations 2011 Cases: • 1,328 total operations • 410 shunt operations • 131 endoscopic third ventriculostomies • 253 operations for spina bifida • 69 operations for brain tumors My Cases: • 27 cases • 9 shunt operations • 6 operations for spina bifida • 6 I&D/wound revisions • 4 craniotomies for tumors • 1 craniotomy for tuberculoma • 1 endoscopic third ventriculostomy/ choroid plexus coagulation

34. Getting There • Allow plenty of time for planning • Traveling through a mission organization? • Passport and visas • Airline tickets • Housing • Immunizations and prophylaxis • Expect that things may not be set in stone • Funding • Talk to people who have previous experience with: • Country and culture • Geography, including weather • Work site • Team • Find ways you can help • Medical supplies you can bring • Equipment you can help transport • Fundraising

35. Time Off

36. Acknowledgements • A. Leland Albright, MD • Susan Ferson, NP • Peter J. Veldkamp, MD • Kimberly Foster, MD • Elizabeth Tyler-Kabara, MD PhD • Kenneth Clark, MD • My family • University of Pittsburgh Medical Alumni Association • Global Links Donors to BKKH: • Allison Berndtson, MD • Susy Kohout, PhD • Kai Larsen, PhD • Judy Lozano • Kaarin Michaelsen, PhD • Anna Vavilova • Valentina Vavilova, PhD • Alexander Voronovich, PhD • Anonymous donors

37. Questions? Thank You!