Partner Training Sites

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The Global Health Pathway has a total of 13 training sites.

North America

Menominee, Wisconsin

For Medicine Pediatric residents
A resident will work at the Menominee Tribal Clinic in Wisconsin and do new admissions, round in the hospital, and go to clinic. You will have call once/wk where you take admissions and round, etc. Because of Wisconsin licensing rules, not really able to put in any orders on your own, but you just put them in for co-sign as if you are a medical student. According to Eric Bomberg, "It was a great experience and learned a ton while being there...even got to help deliver a few babies, took call once a week, had weekends off to explore, etc. They put you up in a house across the street from the hospital with anything you need (meals, internet, cable TV, laundry, etc)...you share the house with anyone else who might be up there doing rotations."

Overview Slides

Site Director

Dr. Cindy Howard
drcindy@umn.edu

Southern Minnesota

For Internal Medicine residents
Residents have the opportunity to participate in a one-month specialized didactic, self-study and faculty supervised mobile health clinical experience elective caring for migrant and seasonal farmworkers in Southern Minnesota. The elective will offer experiential learning through the delivery of healthcare for migrant farmworkers including site visits to workplaces including farms and factories, clinical work with partner organizations in mobile medical units, and a self-study curriculum featuring readings, videos, and an online certificate program. During the elective, residents will learn about how to treat non-communicable and infectious diseases, as well as occupational hazards in this unique population. The resident will also work on a scholarly project identifying barriers to healthcare delivery and resource challenges for this population with the goal of presenting their work on a regional and/or national level.

Site Director

Dr. Jonathan Kirsch
kirsch@umn.edu

Port-au-Prince, Haiti

For Internal Medicine and Pediatric residents
SocMed and Physicians for Haiti offer a 3 wk course in Port-au-Prince, Haiti focused on the connection between tropical medicine and social medicine. A resident would rotate at a PIH hospital for 1 month prior to the 3 wk SocMed Course. This course includes field visits, films, presentations, discussions, and bedside teaching. Participants will have a role learning and teaching, exploring the influences of disease pathology and social and cultural factors on the experience of an illness. A resident participates in all activities as teaching staff.

Read about the course on the SocMed website

Overview Slides

Site Director

Dr. Mike Westerhaus
west0591@umn.edu

Central America

San Jose, Costa Rica

For Internal Medicine residents
Residents have a range of locations, from a small community hospital to primary care clinics in underserved areas in the capitol's suburbs. Residents can participate in primary care clinic rotations in general medicine and primary care. A combined clinical rotation-Medical Spanish Course is offered through an agreement with a Medical Spanish Institution. It is highly recommended for those interested in improving their medical communication skills with Spanish-speaking patients. There is active research ongoing at UCIME in Tropical Medicine. Costa Rica's health system is socialized and universal and fairly advanced. There are multiple problems as in any other socialized medical system, but the health indexes are at the level of developed countries.

Overview Slides

Site Director

Dr. Hernando Gonzalez
hernando.gonzalez@hcmed.org

Africa

Arusha, Tanzania

For Internal Medicine and Pediatric residents
Residents visit 2 hospitals (Arusha Lutheran Medical Center and Selian Lutheran Hospital), where they participate in clinical work. Both hospitals are completely Tanzanian run. Visiting UMN residents will be part of a team that will include trainees of varying levels and practicing physicians in Tanzania. UMN residents are never expected to be providing patient care independently. We believe fully in collaborative learning, and the UMN resident will be expected to participate in discussion on rounds to learn how Tanzanians treat common tropical and non-tropical diseases.

Overview Slides

Site Director

Dr. Mike Rhodes
rhod0075@umn.edu 

Ilula, Tanzania

For Internal Medicine residents
Residents visit Ilula Lutheran Hospital participating clinically in inpatient wards, maternal child health, outpatient department, and HIV clinic) and participate in outreach to remote villages (maternal child health and HIV clinics. Residents will also participate in an annual medical conference in Ilula. There will be Minnesota faculty onsite at all times.

Overview Slides

Site Director

Dr. Randy Hurley
randy.w.hurley@healthpartners.com

Gulu, Uganda

For Internal Medicine and Pediatric residents
SocMed and St. Mary's Hospital Lacor offer a 4 wk course in Gulu, Uganda exploring the connection between clinic medicine and social medicine. The structure includes field visits, discussions, presentations, theater, and bedside teaching in hospital wards. This course helps to foster critical analysis of interventions, build a health advocacy skill set, and facilitate development of a clinical perspective that considers the influence of social and cultural factors on experience of an illness. In the past, field trips have included a Ugandan NGO dedicated to the HIV/AIDS epidemic, USAID-funded initiative focused on ID, rural community health center, and a prison. A resident participates in all activities of this course, as teaching staff.

Read about the course on the SocMed website

Overview Slides

Site Director

Dr. Mike Westerhaus
west0591@umn.edu

Kampala, Uganda

Research Rotation in Kampala (For Internal Medicine residents)
Adjunctive Sertraline for the Treatment of HIV-Associated Cryptococcal Meningitis (ASTRO-CM) (For Internal Medicine residents)

Cryptococcus is the leading cause of meningitis in Sub-Saharan Africa, causing 20-25% of AIDs-related mortality. This rotation involves clinical research regarding HIV-related meningitis (cryptococcal, TB, viral) and whether sertraline has antifungal efficacy for treatment of cryptococcal meningitis. Residents work at the Infectious Disease Institute, an urban outpatient HIV clinic, as well as the urban Mulago National Tertiary Referral Hospital in Kampala, Uganda. Residents will be integrated into the clinical research team, taking care of patients with HIV and meningitis on the ID ward.

Overview Slides

Site Director

Dr. Dave Boulware
boulw001@umn.edu

Asia

Bangalore, India

For Internal Medicine residents
Residents visit St. John’s National Academy of Health Sciences (rural and urban). This is a full-fledged health sciences center, with highly specialized experiences available in all fields. There will be faculty oversight by very good local attendants. Residents may experience a great transcultural experience in a resource-limited setting with a high volume of patients.

Overview Slides

Site Director

Dr. Kumar Belani
belan001@umn.edu

Nepal

For Internal Medicine residents
A resident would work at the Life Line Hospital (100->300 beds) in Damak City, Jhapa, which has an ED, outpatient department, inpatient wards, radiology, laboratory, and an ambulance service. A resident would be able to learn how to manage complex health conditions with limited resources, work with the International Organization for Migration to learn about the pre-departure health screening process of Bhutanese Refugees, and participate in community outreach programs in clinical health screening, immunization, and maternal health care. A resident would gain first hand experience of managing medical and surgical emergencies.

Overview Slides

Site Director

Dr. Sharma Chhabilall
chhabilall.t.sharma@healthpartners.com

Chiang Mai, Thailand

For Internal Medicine residents
Residents visit Chiang Mai University (CMU), the largest medical school in northern Thailand and the most comprehensive hospital in the region. This hospital serves a diverse population, including Thai, Burmese, Thai Yai, Chinese, English, and Hill tribe patients. The Department of Internal Medicine has 11 subspecialties (divisions): cardiology, dermatology, endocrinology, gastroenterology, hematology, infectious disease, nephrology, neurology, oncology, pulmonology, and rheumatology. There are 244 beds in the wards, with 50 full-time staff, 25 fellows, and 73 residents. At CMU, residents can participate in inpatient rounds, ICU/CCU, outpatient clinic, lab rounds, morning report, and journal club. Residents may also visit the Vector Borne Disease Center, MacKean Rehabilitation Center, and refugee camps along the Myanmar border.

Overview Slides

Site Director

Dr. Pat Walker
patricia.f.walker@healthpartners.com

Vientiane, Laos

For Internal Medicine and Pediatric residents
Residents work with HealthFrontiers Residency Program in 3 hospitals in Vientiane, participating in clinical work and with a focus on education. Residents would have the opportunity to improve personal teaching skills working with trainees in the HealthFrontiers established IM residency programs while being introduced to tropical diseases. The medical system is a classic system, with central, provincial, district, and village-level services. Facilities are typical for a low-resource country, with fair availability of meds and imaging in Vientiane (although all expenses are out-of-pocket).

Overview Slides

Site Director

Dr. Christine Johns
christine.l.johns@healthpartners.com

Multiple Locations

International Organization for Migration

Resident selects location

For Internal Medicine residents
During this international rotation, a resident will be working with the International Organization for Migration (IOM). A country will be selected based on the resident's interests and connections with various IOM bureaus at that time. Countries with IOM bureaus that would be willing to host a resident include: Uganda, Malaysia, Thailand, Nepal, Jordan, and Geneva.

This rotation includes clinical work with IOM panel physicians screening refugees prior to migration to the US. The resident will work with the IOM Chief Medical Officer, other panel IOM physicians, nurses, ancillary staff (radiologist, lab tech, logistics, interpreters). There will likely be opportunities for visits to resettlement camps, work with the The Office of the United Nations High Commissioner for Refugees (UNHCR), and visit clinics/hospitals in the area. There is not generally a possibility for research experience, but academic projects are encouraged and the resident will be encouraged to teach.

Overview Slides

Site Director

Dr. Bill Stauffer
stauf005@umn.edu