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Launching Your International Healthcare Career Nicholas Comninellis, MD, MPH President, Institute for International Medicine www.inmed.us Presentation Objectives At the completion of this presentation, participants will be able to more


  1. Launching Your International Healthcare Career Nicholas Comninellis, MD, MPH President, Institute for International Medicine www.inmed.us

  2. Presentation Objectives At the completion of this presentation, participants will be able to more effectively:  Incorporate the principles of good decision making  Understand the multiple modalities of healthcare service toward forgotten people  Reach wise personal decisions leading regarding professional commitments

  3. Launching Into International Healthcare: It’s Not Just Academic Somolia, 1993

  4. Launching Into International Healthcare It’s Not Just Academic Myanmar (Burma) Cyclone 2008

  5. Launching Into International Healthcare It’s Not Just Academic Angolan Civil War, 1961-2004

  6. Launching Into International Healthcare It’s Not Just Academic Forgotten People Among Us

  7. My Entrance Into International Medicine In high school I read his exemplary account of courage and compassion. “I want to do the same!” was my heartfelt conviction.

  8. Two Weeks As A Junior Medical Student Maternity Hospital in Port-au-Prince Haiti

  9. Two Months As A Senior Medical Student Clinica Evangelica Morava, Honduras

  10. Two Months As A Resident Physician Galmi Hospital in Niger & Burkina Faso

  11. One Year As An Attending Physician Shanghai Charity Hospital

  12. Two Years As An Attending Physician Kalukembe Hospital, Angola, southern Africa

  13. Who Is The Most Influential Person In Healthcare Toward Forgotten People? Albert Schweitzer? 1940-50s Paul Farmer? Tom Dooley? 1980-90s 1960-70s

  14. “We want to follow their example and help, too!” Record Interest Among Healthcare Professionals & Students

  15. “We know the world’s in need…”

  16. “But, We Have Questions”

  17. “Questions like…”

  18. Big Decisions Regarding Healthcare Toward Forgotten People  Professional specialty  Service modality  Community to serve  Sending organization  Language learning  Time commitment

  19. “In the battle of life we are bombarded with invitations, solicitations, advertisements, and apparent commitments. We are inundated on all sides by forces that clamor for our time, talents, money, influence, wisdom. We fight this battle by making decisions!”

  20. Decision Making Is A Skill Time and discipline are necessary to develop it!

  21. Essential Decision-Making Skills  Pray for wisdom  List the options  Weight the pros & cons  Get recommendations  No Hurry

  22. List The Options  Record all options, answers, or alternatives that come to mind  Invite friends to brain storm with you  Solutions often come to us after we eliminate preconceived notions, and imagine the formerly inconceivable.

  23. Weigh The Pros Weight The Cons  Spencer Johnson, author of The One Minute Manager : “Our poor decisions were based on illusions we believed at the time, and our better decisions on realities we recognized in time.”

  24. Where In The World?

  25. Location Pros & Cons 1=bad 3=good Ghana Ethiopia Angola Yemen China Language difficulty 2 3 2 1 1  New Opportunity 1 3 3 1 1  Inner peace 1 1 3 1 2  School for kids 1 1 1 1 2  Political stability 3 1 2 2 2  Potential student work 1 3 2 1 3  Potential for impact 1 3 3 1 3  TOTAL 10 15 15 7 14 

  26. Get Recommendations  Ask your parents, friends, professors  Ask those who’ve made similar decisions  Proverbs 15:22: “Plans fail for lack of counsel, but with many advisers they succeed.”

  27. No Hurry!  “The urgent is seldom important & the important seldom urgent” - U.S. President Dwight D. Eisenhower  “The plans of the diligent lead to profit as surely as haste leads to poverty” - Proverbs 21:5

  28. Become A Skilled Decision Maker!

  29. Obstacles Ahead! Launching Into International Healthcare Is Not So Easy

  30. What Are These Obstacles?

  31. Disease ARE Different Cerebral Malaria In Honduras

  32. Medical Resources ARE Minimal 24 Drug Pharmacy In Angola

  33. Cultural Context IS Challenging In China, traditional people are encouraged to donate blood, but few are willing, believing that blood contains one’s “life force,” and that to have their blood removed is therefore a death-defying event.

  34. Leadership Skills ARE Deficient Many health problems can’t be solved one person at a time. They demand community- wide action.

  35. Big Decisions Regarding Healthcare Toward Forgotten People  Professional specialty  Service modality  Community to serve  Sending organization  Language learning  Time commitment

  36. Decisions About Your Health Profession Specialty How Should You Go About Choosing A Field?

  37. Decisions About Your Health Profession Specialty  Choose the field that most interests you!  Misconceptions about primary care  Important role for narrow specialists

  38. Special Opportunities For Pharmacists  Development of disease management protocols  Research into greatly needed diagnostics and therapeutics  Local pharmaceutical production and procurement  Therapeutic safety monitoring

  39. Special Opportunities For Nurses  Disease prevention  Health education  Maternal-child health care  Health profession education  Community development  Patient education  Disease management

  40. Special Opportunities For Physical Therapists  Innumerable hidden disabilities  Unrecognized rehab potential  Promise of reintegration  Virtuous profession  Exemplary role modeling

  41. “What About Training In Public Health?”

  42. “What About Training In Tropical Medicine?”

  43. “Equipping healthcare professionals & students to serve the forgotten”

  44. Exploring Medical Missions Conference

  45. International Public Health Intensive Course Disease prevention and community development. Offered each winter, summer and fall.

  46. International Medicine & Public Health Intensive Hybrid Course Managing the diseases of poverty in low-resource settings. Offered each winter, summer and fall.

  47. Courses On Topics Of • International Public Health • Diseases Of Poverty • Cross-Cultural Competency • Health Leadership • Disaster Medicine Management • International HIV Medicine

  48. INMED’s Core Learning Resource

  49. Supervised Service Learning in Medicine and Public Health  Africa  Asia  Angola  Bangladesh  Cameroon  China  Ethiopia  India  Ghana  Macau  China  Pakistan  Kenya  Philippines  South Africa  Papua New Guinea  Tanzania  Uganda Kudjip Nazarene Hospital Papua New Guinea  Zambia

  50. Supervised Service Learning in Medicine and Public Health  Americas  Dominican Rep  Ecuador  Guatemala  Haiti  Honduras  USA  Middle East  Jordan Clinica Evangelica Morava  United Arab Emirates Honduras

  51. 1:1 Supervised Mentorships

  52. Esteemed Credentials

  53. Esteemed Credentials

  54. Decisions About Your Service Modality  Primary patient care  Teaching  Research  Administration & leadership  Public health initiatives  Combinations of these

  55. Especially Consider Teaching Opportunities!

  56. Decisions About A Community To Serve How Should You Go About Selecting A Particular Community?

  57. Decisions About A Community To Serve Potential selection criteria:  Health needs of the people  Opportunities to assist  Language & culture  Previous experience  Political stability  Your organization’s presence  Passion for the people!

  58. Location Pros & Cons 1=bad 3=good Ghana Ethiopia Angola Yemen China Language difficulty 2 3 2 1 1  New opportunity 1 3 3 1 1  Inner peace 1 1 3 1 2  School for kids 1 1 1 1 2  Political stability 3 1 2 2 2  Potential student work 1 3 2 1 3  Potential for impact 1 3 3 1 3  TOTAL 10 15 15 7 14 

  59. Decisions About Your Sending Organization What Sort Of Sending Organizations Can You Select From?

  60. Decisions About Your Sending Organization Types of organizations in international health:  NGO  Faith-based NGO  Educational Institution  US Government  National Government  For-profit corporation

  61. Decisions About Your Sending Organization What Should You Look For In A Sending Organization?

  62. Decisions About Your Sending Organization Potential selection criteria:  Reputation  National connections  Financial resources  Philosophical agreement  Personality compatibility  Logistical support  Passion for the national people!

  63. Decisions About Language Learning An enormous commitment, guided by:  Existing language skills  Passion for a people group  Available learning resources  Nothing to do with high school language success

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