How to Find and Select an International Medical Elective

1. How to Find and Select an InternationalMedical Elective Stephen A. Huffman, MD

2. Steve Huffman, MD 862 Buckeye Court Tipp City, Ohio 45371 Email: shuffman39@hotmail.com Phone (937) 667-1877

3. Places I have practiced: • San Juan Medical Clinic, Dominican Republic • Spanishtown Hospital, Jamaica • Regency Rainbow, Regency Cruise Line, Inside Passage, Alaska/Canada • St. Jude’s Hospital, St. Lucia, West Indies • Tully Hospital, Queensland, Australia

4. Places I have practiced: • Chubu Hospital, Okinawa, Japan, Visiting Professor • Gov. Juan F. Luis Hospital, St. Croix, US Virgin Island • St. Elizabeth/ St. Martin de Porre Hospital, Cameron Africa • King Edward VII Memorial Hospital, Hamilton, Bermuda

5. Places I have practiced: • University of Guadalaraja School of Medicine - Visiting Professor • Cat Cay Island, Bahamas Private Island Physician Where to next: • Roy L. Schneider Hospital – St. Thomas • St. George’s Medical School, Grenada

6. Who? How? When? Why? What? Where? Questions to Answer

7. Who/When? • Residents/Students • First year • Second Year • Third Year • Fourth Year • Resident

8. What is the Big ‘M’ Today? Mission Money Me

9. Why? • Prepare for service after Medical School/Residency • Educational • Service to others • Evangelistic • Change of life style • Adventure • Find one’s self • See the world

10. Why? • Great Experience – no Residents or other medical students • Tropical Medicine • Different presentations of disease states • Different medical environment/culture

11. Web Sites • www.cfhi.org • Child Family Health International • www.imva.org • International Medical Volunteer Association • www.amsa.org • American Medical Student Association • www.ifmsa.org www.ifmsa-usa.org • International Federation of Medical Student Associations • www.ihmec.org • International Health Medical Education Consortium • www.who.int • World Health Organization

12. Web Sites • www.medicstravel.co.uk • Medics Travel • www.ifmsa-usa.org • International Federation of Medical Students Association • www.vanterventures.com • Disney Cruise Ship Physician • www.astmh.org • American Society of Tropical Medicine and Hygiene • www. Family.mcw.edu/belize • University of Wisconsin- Department of Family Practice • www.uchsc.edu/international • University of Colorado School of Medicine

13. Where? • Third World • Under-served areas • Caribbean/Latin America • Africa, Eastern Europe • Cruise Ship/ Resort Medicine • Public Health Service • Indian Health Service

14. Twenty years from now you will be more disappointed by the things you didn’t do than by the ones you did. So, throw off the bowlines, sail away from the safe harbor, catch the trade winds in your sails. Mark Twain

15. International Health in the Developing World: Clinical and Community Care University of Arizona summer course 2 weeks every summer, optional 2 weeks abroad Contact: The University of Arizona, College of Medicine Dept. of Family and Community Medicine PO Box 245052 Tucson, AZ 85724 www.globalhealth.arizona.edu

16. What? • Primary Care • Surgical • Research

17. Elective Credit • Research what department will give you credit for your experience at your school • Requirements • Goals • Objective • Research • Case Studies • Written Report • Presentation

18. Additional Reading • Jesus, MD A Doctor Examines the Great Physician; by David Stevens, 2001 • JAMA, August 7, 2002, Vol 288, No. 5 pages 559-565 • Where There is No Doctor; by Dr. David Werner, 1992

19. Funding • www.amsa.org/resource/amsarc/ creative/creative.cfm • www.depts.washington.edu/ihg • www.map.org • Local church • Medical School Organizations • School Loans

20. What? Things to Consider • Credit from Medical School/Residency • Visa • Travel Plans • Immunizations/Malaria prophylactic • Personal/Family Safety/Political Situation

21. What? Things to Consider • Accommodations • Cost/Fund Raising • Language • Duty/Responsibility • Communications • Insurance • Experience of Others

22. Unique Requirements • Singapore - record temperature • Bermuda – nose culture for MSRSA • South Africa – Student Visa $250US • Jamaica – Gov. Employee – Preceptor • Australia - Immunizations

23. International Residency Programs • Family Practice • University of Cincinnati • Case Western Reserve/University Hospitals • Marshall University School of Medicine • University of Arizona • Baylor College of Medicine • St. Joseph’s Family Prac. Residency, South Bend, Indiana

24. International Residency Programs • Emergency Medicine • Brown University • John Hopkins University • Loma Linda University • University of Illinois at Chicago • Medical College of Georgia

25. International Residency Programs • Internal Medicine • Brown University • Case Western Reserve University • Duke University • Indiana University • Yale Internal Medicine/Primary Care Medicine • Tulane University

26. International Residency Programs • Pediatrics • Case Western Reserve University

27. It is good plan, every now and then, to go away and have a little relaxation; for when you come back to work your judgment will be surer; since to remain constantly at work will cause you to lose the power of judgment. Leonardo da Vinci

28. International Medical Opportunity Time Sheet • One to three year before departure • Letters of inquire for need or current program in place to area, country, or organization you are interested in • Identify and engage funding sources • Identify available time and duration

29. International Medical Opportunity Time Sheet • 8 months before departure • Learn about medical needs, specific disease processes • Identify and start to collect needed medical and pharmaceutical supplies • Clearance for customs by host for supplies • Apply for CME/CUE • Approval from appropriate person at the medical school

30. International Medical Opportunity Time Sheet • 6 months before departure • Identify housing, food services, and travel arrangements • Immunizations including HBV, HAV, Tetanus, MMR, Polio, country specific • Passport and Visa application

31. International Medical Opportunity Time Sheet • 3 months before departure • Fundraiser • Language skills • Contingency plan for last minute changes • Identify specific role, daily schedule

32. International Medical Opportunity Time Sheet • 2 weeks before departure • Confirm all travel plans, accommodations, in country travel • Final packing • Give family/friends communication information • Start malaria prophylactic if needed

33. International Medical Opportunity Time Sheet • One month after return • Confirm all necessary requirements for credit • Write thank you and follow up letters to your host • Thank you letter and a note outlining your trip to the medical school and to everyone that donated supplies, money, or assisted in any way • Start making plan for next trip

34. Questions Steve Huffman, MD 862 Buckeye Court Tipp City, Ohio 45371 Ph. 937-667-1877 Email: shuffman39@hotmail.com

35. To purchase the book“How to Find and Select an International Medical Elective”Send $17.50made out to Steve Huffman($15. + 2.50 for Postage and Handling)Book Elective 862 Buckeye CourtTipp City, Ohio 45371