<P>22 TULANE | MEDICINE FALL 2013 tulane.edu/som well-meaning medical care providers have no understanding of the culture. Its because of the attitude that any medical care they bring must be of bene?t, even if they know nothing about the local diseases, culture or pre-existing medical system, she says. The fact is that many well-intentioned medical visits to resource-poor areas are detrimental to the existing structure and sometimes disastrous for speci?c patients. On the other hand, visiting medical personnel can provide excellent support if they work within the appropriate context. Preparing for success on the ground Those are some of the lessons that residents will learn before they ever set foot on foreign ground. Seminar topics include the global burden of disease, use of health indicators, social justice, and maternal and child health. Theres even training on how to stay healthy during global rotations. RIGHT participants have to complete training in global health concepts before they go anywhere, McLellan says, and will hopefully go with the attitude that they are there to learn, as much as to practice. To come up with the Tulane program, McLellan and her colleagues worked in their spare time to survey students and research similar programs at Stanford, Yale and the University of Minnesota. Eighteen people applied in the ?rst year. As the program founders combed through the applications, they knew exactly which type of student they were looking for. We want them to come with an interest in learning about the interrelatedness of health here in the states and overseas and about what the consequences are, both good and bad, of putting in the time as a Western person in a resource-poor country, McLellan says. We want people who realize that there is something like that to be learned. We want their overseas experience to give them a lot more than some fun stories to tell when they get back. Photos provided by Dr. Anjali Niyogi, Dr. Nicholas Van Sickels and Dr. Derek Pipers family. Dr. Derek Piper loved New Orleans. He loved the food, the music and the culture. But more than anything, he loved Tulane University and Tulane University School of Medicine, which inspired him to travel to Central America to tackle global health issues. After he died in 2006 from a brain tumor, his family and friends began the Piper Fellowship and now RIGHT (Resident Initiative in Global Health at Tulane), two programs that help cover expenses for residents with that same fervor. Its a way to honor Dereks spirit of doing tropical medicine, says Scott Piper, Dereks brother. That was extremely rewarding to him. Though always adventurous—he was a mountain climber and a sailor—Derek discovered the global health ?eld by chance, learning about an opportunity in Central America from a bulletin board posting at the medical school. He signed up for it, and in a nutshell, it was transformational for him, Scott says. With very little money and little instruction, he would show up at a clinic that was obviously open only when someone like him would show up. Derek would wander into towns in Guatemala and Honduras, open a clinic and ?nd people lined up for medical care. He was massively blown away by the experience, Scott says. He felt like he was truly helping people who really needed it. Derek, a native of Miami, graduated from medical school in 1999 and began his internship at the University of Illinois Medical School. He set his sights on practicing medicine with Doctors Without Borders, a nonpro?t that provides emergency medical care in more than 60 countries. When he got sick, he was in Bolivia learning Spanish, Scott says. Dereks illness was brief, and he died at age 36. Derek would look at the RIGHT program as being very similar to the kinds of advantages that were given to him, he says. Its something that will allow residents to really expand their horizons, which will shape what they do thereafter. To support the Piper Fellowship or the Resident Initiative in Global Health at Tulane contact Dave Kinahan at 504-314-7635 or kinahan@tulane.edu. GIFTS AT WORK INSPIRING OTHERS TO DO RIGHT Sharing the adventurous — and caring — spirit of Dr. Derek Piper BROAD HORIZONS Adventure-seeker, Dr. Derek Piper inspired Tulanes new RIGHT program.</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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