RWJMS Office of Global Health

1. RWJMS Office of Global Health Javier I Escobar, MD Associate Dean for Global Health Professor of Psychiatry and Family Medicine, RWJMS January 20th , 2015

2. How Students Benefit from Global Health Experiences? • Knowledge of Other Health Care Systems. • Interaction with other Cultures. • Practice/Master other Languages (e.g., Medical Spanish, Medical Mandarin) • Learn to provide culturally sensitive care to the diverse populations in the US/Canada, including domestic underserved populations (e.g., New Brunswick Latino immigrants) • Sharpen physical examination skills, understanding of cost-constrained care, and importance of public health. • These experiences improve the ability for future physicians to advocate for the needs of the most underserved patient populations in the world. They stimulate enthusiasm for medical careers that focus on the health needs of developing countries.

3. RWJMS Students’ Interest in Global Health In the past 5 years, 221 students have done global health rotations

4. COUNTRIES VISITED BY UMDNJ STUDENTS IN 2008-2014 GUATEMALA COLOMBIA DOMINICAN REPUBLIC MYANMAR COSTA RICA ARGENTINA JAPAN SPAIN BOLIVIA NIGERIA MEXICO GHANA AUSTRALIA CHINA ECUADOR TIBET TANZANIA SWITZERLAND INDIA ARGENTINA NEPAL PERU ZAMBIA BANGLADESH SOUTH AFRICA

5. International Rotation Sites at a Glance South America: ECUADOR --Universidad San Francisco de Quito (USFQ) ARGENTINA --Universidad Nacional de la Plata --Salta and San Salvador de Jujuy --Universidad Austral, Buenos Aires (under development)

6. South America (continued) COLOMBIA • Universidad del Valle, Cali Colombia. • CES Medical School, Medellin, Colombia PERU -- “A Promise To Peru" Rural Program, a Collaboration with Stony Brook School of Medicine, Sacred Valley, Peru. --Universidad Peruana Cayetano Heredia (UPCH), Lima, Peru.

7. Central America: COSTA RICA --IHCAI- International Health Central American Institute DOMINICAN REPUBLIC --InstitutoDominicano para el Desarrollo Integral (IDDI) (Under Development)

8. Central America (continued) MEXICO Rutgers’ Culture and Community Health Program in Oaxaca Brief Description of Program: • Course in Medical Spanish • Community service projects • Will stay with local families; meals included • Travel dates are usually in the month of June

9. Africa • GHANA • KNUST-Kwame Nkrumah University of Science and Technology in Kumasi • International Health Care Volunteers, Inc. (IHCV) 2.UGANDA • A GLOBAL HEALTH EXPERIENCE IN UGANDA 3.MAURITUS • University of Technology of Mauritius

10. Europe AUSTRIA --Summer Clinical Rotation program at The Medical University of Graz. SPAIN --HOSPITAL MIGUEL SERVET AND UNIVERSITY OF ZARAGOZA SCHOOL OF MEDICINE, ZARAGOZA.

11. Europe (continued) IRELAND University of Limerick’s Graduate Entry Medical School Brief Description of Program: --4 weeks of Elective time per calendar year. --Applications must be received 6 months prior to the start of the elective. --Electives will only be accepted from Mid-May to late July.

12. ASIA: TAIWAN China Medical University, Taichung, Taiwan National Cheng Kung University College of Medicine, Tainan, Taiwan National Taiwan University, Taipei, Taiwan Tzu Chi University, Hualien, Taiwan Veterans General Hospital, Taipei, Taiwan

13. ASIA: PEOPLE’S REPUBLIC OF CHINA • Jiao Tong University Medical School, Shanghai • Zhongshan Hospital, Shanghai • Zhongshan City Hospital, Zhongshan • Shanghai Medical College of Fu Dan University, Shanghai, Jiansu Province • Shenyang China Medical University, ShenYang, Liaoning Province

14. ASIA: INDIA • Meenakshi Mission Hospital & Research Centre (MMHRC) Madurai • B.J. Wadia Children's Hospital, Mumbai • Sitapur Eye Hospital/King Georges Medical College, Sitapur/Lucknow • Himalayan Health Exchange ,Spiti Valley •  SAMADHAN – A Non-Governmental Agency in Delhi, INDIA

15. ASIA Cont.… Bangladesh --Smile Bangladesh Missions (March or October) Nepal --The Maharajgunj Medical Campus under the Tribhuvan University, Institute of Medicine (IOM).

16. Some Program Highlight • As you can see we have many exciting rotation sites. It is not feasible to describe all the programs today . So,we will be providing brief introduction of the following programs: • Himalayan Health Exchange • Taiwan Program • International Health Central American Institute-Costa Rica • Universidad San Francisco de Quito (USFQ)-Ecuador

17. Himalayan Health Exchange • Available sites: Dharamsala, Pangi, Spiti Valley, Kargiakh, inner Himalayas • Spiti Valley- most common destination among all the sites • Duration: 20-28days trip • Schedule : Spiti Valley , June 20 - July 10, 2015 • For more information contact E-mail: info@himalayanhealth.com • Website: http://www.himalayanhealth.com/index.shtml

18. Taiwan Program-in Brief • Four weeks program – Combined western and eastern medicine2 weeks at China Medical University1 week at Tzu Chi University,1 week at National Taiwan University First year students: non-credit elective, The summer between the first and second year, individual student Fourth year student elective: spring semester,  Block #10 or #11, after Match date, group of students, and lead by Dr. Lin

19. International Health Central American Institute-Costa Rica • Intensive 4 Week Medical Spanish Course • Emphasis on Tropical Medicine • Stay with local Costa Rican family - meals and room are provided • Primarily classroom-based; utilize simulated patient-physician interactions

20. Universidad San Francisco de Quito (USFQ)-Ecuador • First year medical students can apply for a summer program June/July • For Third and Fourth medical students, rotations are available in -Infectious Disease and Tropical Medicine, Maternal and Child Health, Environmental and Occupational Diseases, as well as Internal Med, General Surgery and Pediatrics. • Students can stay with host families in the area at a cost of $17 per day 

21. Programs with Medical Spanish • CES Medical School, Medellin, Colombia • Universidad San Francisco de Quito (ECUADOR) • IHCAI- International Health Central American Institute (COSTA RICA) • Department of Health, Salta and San Salvador de Jujuy (Argentina) • Universidad Peruana Cayetano Heredia, Lima (Peru) • Rutgers’ Culture and Community Health Program in Oaxaca, Mexico

22. Programs with Medical Mandarin • Programs in TAIWAN, REPUBLIC OF CHINA • Programs PEOPLE'S REPUBLIC OF CHINA

23. STUDENT COMMENTS http://rwjms.umdnj.edu/global_health/ihig/experiences.html • “Wonderful experience. I definitely have plans to go back for a global health rotation during my fourth year of school to continue with the experiences that I begun in the summer”. • “I feel that a moment that best summarizes my global health rotation was having had the opportunity to deliver a baby; This was a life changing, intense and humbling experience” • “On the whole, we were exposed to experiences that would not be possible in the United States” • “This was such a great clinical experience. I learned how to use an otoscope to look in a patient’s ear, practiced how to palpate for abdominal pain, how to figure out if an infection is viral or bacterial by looking at the back of the throat with a penlight and tongue depressor” • “I am now able to appreciate the differences in healthcare between US and another country as well as understand the major public health concerns.” • “It made me appreciate the power of a good history and physical exam, without the aid of labs or fancy diagnostics. It also gave me an appreciation for public health and nutrition programs!” • “This experience was truly amazing, not only does it change your outlook on healthcare but it changes your outlook on life.”

24. Global Health Fair • The annual Global Health Fair is held in the month of December. • Students get the opportunity to share their global health experiences. • Last year we had 70 posters displayed at the Global Health Fair.

25. RWJMS-Office of Global Health Location: 125 Paterson Street, Clinical Academic Building, Room# 7038, New Brunswick, NJ 08901 Website(includes detailed program information, to do list , travel tips, etc.) http://rwjms.rutgers.edu/global_health/travel/programs/index.html Contact :rozaricm@rwjms.rutgers.edu

26. Questions?