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Medical Students and Their Role In International Health center doc


Medical+Students+and+Their+Role+In+International+Health%0d%0aNIKHIL+PAI%2c+Class+of+2007%0d%0aMcMaster+School+of+Medicine+Central+Canada+Student+Representative%2c+Physicians+for+Global+Survival%0d%0a%0d%0aAVITA+SOOKNANAN%2c+Class+of+2008%0d%0aMcMaster+School+of+Medicine+International+Health+Liaison%2c+Canadian+Federation+of+Medical+Students%0d%0a%0d%0a%0cAGENDA%0d%0a1.+To+describe+international+health+initiatives+by+McMaster+medical+students+and+the+Canadian+Federation+of+Medical+Students.+To+determine+the+reasons+for+which+it+is+important+for+medical+students+to+pursue+international+health+issues.+To+learn+about+international+health+electives+that+provide+opportunities+for+students+to+become+aware+of+differences+in+health+care+delivery.%0d%0a%0d%0a2.%0d%0a%0d%0a3.%0d%0a%0d%0a%0cWHO+ARE+WE...%0d%0aStudent+Physicians+for+Global+Survival%0d%0a%e2%80%a2+International+organization+dedicated+to+promoting+global+health+*awareness*+%e2%80%a2+Also+known+as%3a+MedAct+(UK)%2c+IPPNW+%5bInternational+Physicians+for+Prevention+of+Nuclear+War%5d+(USA)+%e2%80%a2+Provides+network+for+students%2c+residents%2c+physicians+to+exchange+resources%2c+dialogue%2c+and+information+on+endemic+health+issues+%e2%80%a2+CANADA+%5bstudent%2c+adult%3b+east%2c+west%2c+central%5d+%ef%83%a0+INTERNATIONAL+%5bFinland%2c+India%2c+UK%2c+USA%2c+etc.%5d+%e2%80%a2+Particularly+active+group+of+physicians+in+Hamilton%2c+ON+%ef%83%a0+great+role-models+for+young+students!%0d%0a%0d%0a%0cWHO+ARE+WE...%0d%0aInternational+Programs+and+Partnerships%0d%0a%e2%80%a2+Initiative+of+Canadian+Federation+of+Medical+Students+%e2%80%a2+International+Health+Liaison+at+all+English+medical+schools%2c+and+also+IFMSA-Quebec+%e2%80%a2+National+Officers+(NOs)%3a+1Exchange%2c+2Human+Rights+and+Peace%2c+3Public+Health%ef%83%a0+Vice+President+and+NOs+attend+International+Federation+of+Medical+Students+Association+meetings%0d%0a%0d%0a%0cHOW+WE+WORK+TOGETHER+TOWARD+ONE+GOAL...%0d%0a%e2%80%a2+Coordinating+these+groups+has+allowed%3a%0d%0a%e2%80%93+Broader+networks+for+making+partnerships+with+others+%e2%80%93+More+helping+hands+to+run+more+projects+(particularly+useful+for+busy+medical+student!)%0d%0a%0d%0a%e2%80%a2+The+representatives+at+McMaster+work+as+a+common+International+Health+Committee+(consisting+of+members+of+the+medical+class)+to+run%3a%0d%0a%e2%80%93+awareness+events+(for+medical+students%2c+and+the+university+at+large)+%e2%80%93+plan+global+health+education+%e2%80%93+assist+with+international+electives%0d%0a%0d%0a%0cWHAT+WE+DO...%0d%0aAwareness%2fFundraising+Events+on+Global+Health+1.+2.+3.+4.+5.+6.+Speakers+Series+Pakistan+Earthquake+Relief+World+Aids+Day%2fGive+A+Day+Campaign+Make+Poverty+History+Campaign+Journal+Clubs+Documentary+Screenings%0d%0a%0d%0a%0cWHAT+WE+DO...%0d%0aGlobal+Health+Education%0d%0a1.+2.+Implementing+Global+Health+into+the+Family+Medicine+clerkship+curriculum+at+McMaster+Implementing+principles+of+community+as+well+as+global+health+in+the+pre-clerkship+curriculum+(as+part+of+the+Professional+Competencies+area+of+learning)+Working+at+the+National+Level+to+share+and+develop+resources+to+be+used+across+medical+schools+(ie.+Peace+Through+Health+e-learning+module)%0d%0a%0d%0a3.%0d%0a%0d%0a%0cWHAT+WE+DO...%0d%0aInternational+Electives+%e2%80%a2+Create+hand-book+with+feedback+from+upper+year+students+about+international+electives+%e2%80%a2+Discussion+evening%3b+also+had+students+understand+the+ethics+of+doing+overseas+electives+%e2%80%a2+Pre-departure+training+in+the+form+of+a+manual%0d%0a%0d%0a%0cWHAT+WE+DO...%0d%0aServices%0d%0a%e2%80%a2+ESL+Translation+service+%e2%80%a2+Immigrant+%2f+Refugee+local+health+service+information+pamphlet+%e2%80%a2+etc%3f+Please+add+if+you+can+think+of+any%e2%80%a6%0d%0a%0d%0a%0cWHAT+WE+DO...%0d%0aPlan+and+Attend+Conferences%0d%0a1.+2.+3.+Canadian+Conference+on+International+Health+International+Federation+of+Medical+Students+Association+Meeting+Planned+the+International+Women+and+Children%e2%80%99s+Health+Conference%0d%0a%0d%0a%0cWHY+ARE+WE+DOING+THIS%3f%0d%0a%e2%80%a2+Moral%0d%0a%e2%80%93+Students+come+to+medicine+wanting+to+%e2%80%9cHelp+People!%e2%80%9d+%e2%80%93+While+individuals+in+need+of+help+exist+everywhere%2c+we+must+be+aware+of+the+extent+of+%e2%80%9ceverywhere%e2%80%9d%0d%0a%0d%0a%e2%80%a2+Professional%0d%0a%e2%80%93+Medical+professionals+are+in+a+unique+position+to%3a+1provide+essential+aid%2c+2show+neutrality+in+their+commentary+on+conflict%2c+3have+their+voices+heard+and+their+opinions+viewed+as+%e2%80%9cauthoritative%e2%80%9d+%e2%80%93+This+role+demands+a+basic+understanding+of+the+issues%0d%0a%0d%0a%e2%80%a2+Skill+Development%0d%0a%e2%80%93+Patient+health+is+determined+by+more+than+just+biological+disease+%e2%80%93+An+understanding+of+the+many+determinants+of+health+allow+us+to+do+our+jobs+better+and+appreciate+the+necessary+treatments+that+don%e2%80%99t+fit+on+an+Rx%2f+pad%0d%0a%0d%0a%0cWHY+ARE+WE+DOING+THIS%3f%0d%0a%e2%80%a2+There+are+equally+important+broader+reasons+for+why+health+professionals+should+take+notice%0d%0a%0d%0a%0cWHY+ARE+WE+DOING+THIS%3f%0d%0a%0d%0aKey+HEALTH+Recommendations+in+the+MDGs%e2%80%a6%0d%0amobilize+needed+resources+for+health+in+poor+countries.%0d%0a%0d%0astrengthen+health+systems+and+ensure+they+are+equitable.+ensure+health+is+prioritized+within+overall+development+%26+economic+policies.+improve+the+quality+of+health+data.%0d%0a%0d%0adevelop+health+strategies+that+respond+to+evolving+needs+of+a+country.%0d%0a%0d%0a%0cWHY+MEDICAL+%2f+HEALTH+PROFESSIONAL+STUDENTS%3f%0d%0aToward+the+Achievement+of+CanMeds%3a%0d%0a%0d%0a%0cEXAMPLES+OF+ELECTIVES%0d%0aWorld+Health+Organization%0d%0a%e2%80%a2+6-week+placement+in+the+Department+of+Reproductive+Health+and+Research+%e2%80%a2+Responsible+for%3a%0d%0a%e2%80%93+literature+search+regarding%3a+young+migrant+workers+and+sexual%2freproductive+health%2c+emergency+obstetric+care+and+health+care+reform.+%e2%80%93+Updated+family+planning+website+from+the+perspective+of+a+health+care+provider+%e2%80%93+Assisted+with+finding+materials+to+implement+family+planning+curriculum+in+African+medical+schools.%0d%0a%0d%0a%0cEXAMPLES+OF+ELECTIVES%0d%0aWorld+Health+Organization%0d%0a%e2%80%a2+6-week+placement+in+the+Department+of+Reproductive+Health+and+Research+%e2%80%a2+Worked+with+2+teams%3a+Family+Planning+and+Technical+Cooperation+with+Countries+(Asia)+%e2%80%a2+Responsible+for%3a%0d%0a%e2%80%93+literature+search+regarding%3a+young+migrant+workers+and+sexual%2freproductive+health%2c+emergency+obstetric+care+and+health+care+reform.+%e2%80%93+Updated+family+planning+website+from+the+perspective+of+a+health+care+provider+%e2%80%93+Assisted+with+finding+materials+to+implement+family+planning+curriculum+in+African+medical+schools.%0d%0a%0d%0a%0cLearning%0d%0a%e2%80%a2+Social+determinants+of+health+(ie.+Poverty%2c+malnutrition%2c+accessibility%2c+culture)+%e2%80%a2+Working+in+a+multidisciplinary+team%2c+and+with+individuals+from+around+the+globe+(communication+barriers%2c+cultural+differences)+%e2%80%a2+Role+of+public+health+within+medicine%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aWorld+Health+Organization%2c+Geneva%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aView+of+Swiss+Alps%0d%0a%0d%0a%0cMeeting+to+discuss+advances+in+Family+Planning+with+delegates+from+China%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aUnited+Nations%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aWHO+LOUNGE%0d%0a%0d%0a%0cEXAMPLES+OF+ELECTIVES%0d%0aEast+Africa+(ZAMBIA%2c+KENYA)%0d%0a%e2%80%a2+8-week+elective+in+large+publicly+funded+hospitals+%e2%80%a2+Worked+in+ER%2c+Pediatric%2c+and+Medicine+wards+%e2%80%a2+Witnessed+the+realities+of%3a%0d%0a%e2%80%93+The+effects+of+a+two-tier+system+on+poor+countries+%e2%80%93+Maintaining+resiliency+in+an+environment+of+endless+struggles%2c+few+success+stories%2c+and+impossible+salaries+%e2%80%93+The+paradox+of+HIV%2fAIDS+treatment+strategies%2c+amidst+disregard+for+broader+determinants+of+health+%e2%80%93+Corruption+and+stigma+as+the+two+most+vexatious+forces+in+the+pursuit+of+development+(of+any+kind)%0d%0a%0d%0a%e2%80%a2+More+questions%2c+deeper+understanding%2c+better+sense+of+priorities%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aLivingstone+General+Hospital%0d%0a%0d%0aLivingstone%2c+ZAMBIA%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%e2%80%a2+2yo+boy+comes+in+with+respiratory+distress%2c+admitted+to+ICU+for+observation%3b+suddenly+acutely+decompensates+two+days+into+stay%2c+breath+sounds+diminished+right+side+%e2%80%a2+Pneumothorax+considered+%e2%80%a2+Radiology+dept.+not+answering+phone+%e2%80%a2+We+walk+from+ward+to+General+Hospital+to+find+a+surgeon+%e2%80%a2+Surgeon+comes+back%3b+child+is+pinned+down+and+pleural+tap+done+without+anesthetic+%e2%80%a2+No+improvement%2c+%e2%80%9cwatch+%26+wait%e2%80%9d+until+next+morning+when+radiology+should+arrive+%e2%80%a2+By+afternoon%2c+mother+holding+bundled+blanket+under+her+arm%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0aMy+response%3a%0d%0aAnger+%e2%80%93+%e2%80%9capathy%2c%e2%80%9d+%e2%80%9cdisregard%2c%e2%80%9d+%e2%80%9cdisinterest%e2%80%9d+%ef%82%a7+One+pediatrician+for+the+entire+hospital+(on+twoyear+contract+from+Poland%3b+major+communication+problems)+%ef%82%a7+Some+nursing+staff+have+not+been+paid+for+%3e1+year.+Average+salary+is+%24100%2fmonth.+%ef%82%a7+Your+patients+with+chronic+illnesses+will+probably+die+from+poor+sanitation%2c+unclean+drinking+water%2c+and+inadequate+shelter.+Is+apathy+inevitable%3f%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%0d%0aMonthly+Village+Clinic%0d%0a%0d%0aoutside+Nairobi%2c+KENYA%0d%0a%0d%0a%0cSome+pictures%e2%80%a6%0d%0a%e2%80%a2+We+are+taught+patient-centred+care+in+medical+school+%e2%80%a2+In+some+institutions%2c+patient-centred+care+is+direct+proportion+to+the+patient%e2%80%99s+perceived+%e2%80%9cimportance%e2%80%9d%0d%0a%e2%80%93+Most+public+health+care+physicians+had+a+very+callous+regard+towards+their+patients%0d%0a%0d%0a%e2%80%a2+A+great+deal+of+%e2%80%9cconscience%e2%80%9d+comes+from+the+consequences+of+not+exercising+it%0d%0a%e2%80%93+Legal+responsibility+to+care+and+show+caring+keeps+our+health+care+providers+centred+enough%0d%0a%e2%80%a2+In+a+system+where+no+patient+has+enough+money%2c+or+power+to+sue+a+physician%2c+and+the+power+differential+is+so+great%2c+such+imprinted+values+of+medical+education+are+quickly+forgotten%0d%0a%0d%0a%0cIN+SUMMARY+%e2%80%a6+Our+Goals%0d%0a%e2%80%a2+Increasing+knowledge+and+awareness+about+global+health+through%3a+lecture+series%2fseminar+electives%2c+global+health+in+medical+school+curriculum+(both+didactic+and+experiential)+%e2%80%a2+Committing+to+providing+opportunities+for+students+to+complete+overseas+electives+%e2%80%a2+Thinking+globally%2c+acting+locally+%ef%83%a0+emphasizing+Canada%e2%80%99s+local+health+concerns%2c+and+how+as+health+professionals%2c+it+is+our+duty+to+pay+attention+to+both%0d%0a%0d%0a%0cGROUP+ACTIVITY%0d%0aQUESTION+%231+Ethics+of+Aid+%7e+The+Medical+Elective%0d%0a-+What+are+reasonable+objectives+for+medical+students+going+abroad+on+international+health+electives%3f+-+What+type+of+pre-elective+training+should+students+undergo%3f+-+Do+these+initiatives+do+more+to+clarify+misconceptions+and+stereotypes+of+%e2%80%9cdeveloping+world%e2%80%9d+medicine%2c+or+promote+them%3f+-+Does+an+emphasis+on+international+medical+aid+miss+the+point%3f+Should+we+be+sending+money%2c+or+personnel%3f+-+What+other+ethical+issues+exist+surrounding+international+health+care+aid+at+the+medical+student+level%3f%0d%0a%0d%0a%0cGROUP+ACTIVITY%0d%0aQUESTION+%232+The+Medical+Researcher+-+How+do+we+encourage+medical+students+to+devote+more+attention+towards+global+research+priorities%3f+-+What+is+a+reasonable+balance+between+research+priorities+of+high-income+countries%2c+and+those+of+low+and+middle-income+countries%3f+-+Should+we+be+pushing+Canadian+medical+students+to+adopt+more+internationally-minded+research+interests%3f%0d%0a-+Given+the+many+unmet+needs+right+here+in+Canada%2c+are+we+just+encouraging+a+%e2%80%9cbrain+drain%e2%80%9d+we+should+really+be+trying+to+curb%3f%0d%0a%0d%0a%0cDEBRIEFING%0d%0aQUESTION+%233+Doctor+as+%e2%80%9cHealth+Advocate%3f%e2%80%9d+-+How+can+we+encourage+medical+students+to+understand+the+broader+determinants+of+health%3f+-+Are+we+doing+enough+to+develop+the+skills+to+make+students+%e2%80%9chealth+advocates%3f%e2%80%9d+(public+speaking%2c+lobbying%2c+editorial+writing%2c+interviewing)+-+Are+we+teaching+medical+students+how+to+fix+these+%e2%80%9cbroader+determinants%e2%80%9d+for+their+patients%3f+-+Is+it+too+far+removed+from+a+doctor%e2%80%99s+scope+of+practice+to+expect+them+to+be+public+health+practitioners+as+well%3f%0d%0a%0d%0a%0c
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