<P>tulane.edu/som TULANE | MEDICINE FALL 2013 21 mentoring and global track certi?cation. Reimer says undergraduate and medical school experiences in El Salvador and Guatemala opened her eyes to the lives and challenges of disadvantaged individuals in developing countries. But it was a clinical research project she conducted in Bolivia that con?rmed her desire to forge a career in global health, particularly in Central America and South America. She is especially interested in infectious diseases and says the RIGHT program will allow her to continue her research in that area. Ultimately, she says, she and her husband, a pediatric resident at Childrens Hospital, are open to the idea of spending several years in another country if the opportunity presents itself. The experiences that I had in Bolivia provided the culmination of what I have been most interested in and most excited about during my years of medical training, Reimer says. And I hope that this interest in global health will continue to play a role in my career in the future. Purpura is equally committed to a career in international medicine, having gotten his ?rst exposure to the developing world while working for a nonpro?t group building artesian wells and providing sanitation and hygiene education. The RIGHT program will provide me with the mentorship, motivation and international experience to turn my dream of international medical work into a reality, Purpura says. I dont know where I will be going yet, but I am very excited to work with excellent mentors with extensive experience in global health, he says. Theyve taught me how to work with established infrastructures, understand different modes of healthcare delivery and provide sustainable care as a visiting American physician. These are invaluable skills, and are essential for physicians to understand before they practice abroad. Like Niyogi, Van Sickels and McLellan had life-changing overseas experiences. With McLellan as his mentor, Van Sickels spent time in the cholera ward at the Albert Schweitzer Hospital in Haiti. Id never seen a disease like cholera, which has the potential to take a patient from healthy to the brink of death within just a few hours, Van Sickels says. Patients often traveled long distances by foot to seek care. When they recovered, they had to travel back, in the heat, after having a profoundly dehydrating disease. This never ceased to impress me. McLellans global health experience runs the gamut, from Jamaica and Rwanda to Egypt and Thailand. Working in resource- poor countries enabled her to learn about the complexities of providing medical care to underserved populations. Her ?rst encounter occurred in 1982 in Haiti, where as an anthropology undergraduate at Princeton University she conducted a study on beliefs about diet during lactation. I spent three months there interviewing lots of people—from the most illiterate and destitute to the major players in the ministry of health, she says. Because of my anthropology background, I was very attuned to how the medical and public health system can fail if the culture of the people served is not understood. That experience led her to pursue a masters in public health from the University of California–Berkeley before enrolling in Tulane University Medical School. As a medical student, she returned to Haiti and traveled to Africa, mostly to do public health work. By the time she ?rst went to the developing world to work as a clinician in 2001, she had already learned what could go wrong when to work with one of our many faculty members at their international site. Program co-founder Van Sickels says that kind of passion is essential to succeed in the global health community, though graduates of the RIGHT program dont necessarily have to move to a resource-poor country to practice medicine. The United States has its own healthcare challenges, he says, and can certainly use the experience and knowledge of physicians who have worked in other cultures. They could come back and work with lower-income people in their own communities, says Van Sickels, an assistant professor of clinical medicine with expertise in infectious disease and travel and tropical medicine. I think physicians are looked well upon if they have had global health experiences. The next level: life-changing Despite Tulanes strong history in global health, program organizers say RIGHT takes those experiences to another level— offering a formal, Graduate Medical Education-sponsored training program for residents to help shape their approaches and experiences in global health. We wanted to provide a mentored opportunity for our Tulane trainees to have a global health experience—more than just a chance to go do medical tourism in the Third World, McLellan says. Van Sickels agrees, crediting his own training at Tulane with preparing him for stints in developing countries. I was fortunate to meet and continue Id never seen a disease like cholera, which has the potential to take a patient from healthy to the brink of death within just a few hours. — Dr. Nicholas Van Sickels </p> <UL><LI><a href="http://www.mzines.net/publication/297/wqtaigylu/1/1/">Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/2/2/">Inside-Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/3/3/">Page-3</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/4/4/">Page-4</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/5/5/">Page-5</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/6/6/">Page-6</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/7/7/">Page-7</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/8/8/">Page-8</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/9/9/">Page-9</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/10/10/">Page-10</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/11/11/">Page-11</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/12/12/">Page-12</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/13/13/">Page-13</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/14/14/">Page-14</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/15/15/">Page-15</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/16/16/">Page-16</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/17/17/">Page-17</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/18/18/">Page-18</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/19/19/">Page-19</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/20/20/">Page-20</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/21/21/">Page-21</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/22/22/">Page-22</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/23/23/">Page-23</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/24/24/">Page-24</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/25/25/">Page-25</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/26/26/">Page-26</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/27/27/">Page-27</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/28/28/">Page-28</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/29/29/">Page-29</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/30/30/">Page-30</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/31/31/">Page-31</a></LI> <LI><a href="http://www.mzines.net/publication/297/wqtaigylu/32/32/">Back-Cover</a></LI> <LI><a href="http://www.mzines.net/publications/297/x/sitemap.xml" target="_blank">site map</a></LI> </UL>

 

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