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BWH/MGH Emergency Medicine Resident studies point of care Ultrasounds in Columbia

Alister Martin, a second year resident in the Harvard Affiliated Emergency Medicine program, traveled to Columbia with a  Partners Center of Expertise Global Health grant.

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He had three goals upon arrival:
1) doing shifts in the emergency department at a local hospital here,
2) executing our research project on the utilization of point of care ultrasound with the goal of investigating potential behavioral economics interventions to increase its use among emergency department residents, and
3) taking full immersion Spanish classes.

How would he fit that into four short weeks?

Read the answers in the  Partners Center of Expertise in Global and Humanitarian Health Blog,

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Partners Center of Expertise Global Health Symposium: residents focus on global career paths

Anne Rigg, Partners Graduate Medical Education
Jennifer Goldsmith, BWH Division of Global Health Equity

The Partners Centers of Expertise for residents and fellows offer enrichment opportunities in the areas of Global and Humanitarian Health, Quality and Safety, Medical Education, and Health Policy and Management.  Established in 2009, the Center of Expertise in Global and Humanitarian Health offers travel grants and monthly faculty-led dinner sessions focused on global health topics and career development.  On November 12, 2016 the Center of Expertise in Global and Humanitarian Health hosted its inaugural Global Health Symposium.GH symposium 2016_3

Drs. Geren Stone, Mrak Siedner and Serena Koenig on the Global Health Research Careers Panel

The Global Health Symposium was developed by Drs. Joe Rhatigan and Geren Stone.  Dr. Rhatigan serves as Associate Chief of Global Health Equity at BWH and Residency Director of the BWH Howard and Doris Hiatt Residency in Global Health Equity.  Dr. Stone is the Director of the Global Medicine Program at the Massachusetts General Hospital and actingMGH co-leader of this COE.  Dr. Rhatigan was enthusiastic about the full day program for trainees. “The range of experience in global health at Partners is exceptional.  Creating a unified day where trainees could interact with these leaders and one another seemed like a terrific and effective way to draw from the strengths of our community.”

Continue reading “Partners Center of Expertise Global Health Symposium: residents focus on global career paths”

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BWH Haiti Administrative Fellowship Fosters Pharmacy Quality Improvement at Hopital Universitaire de Mirebalais

Jennifer Goldsmith
Director of Administration, Division of Global Health Equity
3 November 2016

Read more about Samahel’s work and collaboration with BWH in Pharmacy Today.

Although I have visited the Hôpital Universitaire Mirebalais (HUM) in Haiti before, my latest trip there marked the first time I received a behind-the-scenes look at its pharmacy. The impact that access to prescription drugs has on the lives of the hospital’s patients cannot be understated and it is made possible by the significant effort put into organizing medications and treatments, which is key to the pharmacy’s efficiency. Inventory management and supply chain are highly specialized operations distinct from the biochemical side of pharmacy work.

I was in the Mirebalais pharmacy in my role as fellowship director for the Walton Global Health Administration Fellowship, which was established in 2014 in BWH’s Division of Global Health Equity. Several generous BWH donors envisioned a program that would build on the existing bonds between BWH, Partners In Health (PIH) and PIH’s Haiti-based organization Zanmi LaSante (ZL). Through the fellowship, ZL administration and leadership would build skills to match the needs of a new 300-bed teaching hospital that was built in the aftermath of the devastating 2010 earthquake. To date, six fellows have participated in the program; among them is Samahel Joseph, director of Pharmacies at HUM.

Continue reading “BWH Haiti Administrative Fellowship Fosters Pharmacy Quality Improvement at Hopital Universitaire de Mirebalais”

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BWH Continues as partner in building provider capacity and health equity in Rwanda

From BWH Bulletin 8/26/16 by Jessica Zimmerman
16_08-pf_im_hrh Traumatized by years of civil war and a devastating act of genocide in the early 1990s, Rwanda used to be a place where hope was in short supply.

Over time, however, the country came back stronger than ever—investing in education, infrastructure and regional trade—and Rwanda’s economy enjoyed one of the largest growth rates in the world last year. Still, one critical resource remained scarce: health care.

In 2010, the World Health Organization reported that Rwanda had one of the lowest rates of physicians per capita in the world. A country of nearly 11 million people, Rwanda was home to about 600 physicians at that time. Most were concentrated in large cities like Kigali, leaving rural areas underserved, especially in terms of specialists. Continue reading “BWH Continues as partner in building provider capacity and health equity in Rwanda”

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Emergency Medicine Fellows Assist Refugees in Greece

From BWH Bulletin 9/22/16 by Kim Hooper

For BWH International Emergency Medicine fellow Nirma D. Bustamante, MD, having the opportunity to travel to Greece to care for refugees is an experience she will always cherish.

Front row, second from left: Nirma Bustamante with other volunteers at a refugee camp in northern Greece.

“I had the privilege of caring for, and most importantly, getting to know the most incredible human beings,” said Bustamante, of the Division International Emergency Medicine and Humanitarian Programs in the Department of Emergency Medicine at BWH, which prepares leaders in global health and humanitarian response.

Earlier this month, Bustamante spent more than two weeks at a refugee camp in northern Greece, along with volunteers from Team Rubicon, which recruits, trains and deploys U.S. military veterans and health professionals to aid in disaster-response operations around the world. Bustamante provided primary and urgent care to Syrian and Iraqi refugees, developed care plans and helped patients access specialty care in the local community.

Continue reading “Emergency Medicine Fellows Assist Refugees in Greece”

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BWH physician serves as anesthesiology faculty in Rwanda

Building capacity in specialty care is key to BWH partnership with Human Resources for Health Rwanda
From BWH Bulletin 8/25/16 by Jessica Zimmerman

Training residents in anesthesiology is not only about teaching them the medicine behind the specialty, says Jill Lanahan, MD, of the BWH Department of Anesthesiology, Perioperative and Pain Medicine. It’s also about sharing a passion for the profession to inspire them to join the field.

Lanahan has done exactly that at the Brigham since March 2014, and for the next year she will share that same expertise and enthusiasm for anesthesiology with the next g16_08_25_jill_Lanahaneneration of physicians in Rwanda as part of the Human Resources for Health (HRH) Program, a collaborative, seven-year project between the Rwandan government, BWH, Harvard Medical School and more than 20 other academic institutions in the U.S. The program recently began its fifth year.

Lanahan—who relocated with her family to the Rwandan capital, Kigali, on Aug. 2—will spend one day each week doing didactic training with her new crop of residents. The other four days will consist of clinical training in the operating room. During her year-long position, she will offer three months of training in cardiac anesthesia, her primary area of clinical interest. Continue reading “BWH physician serves as anesthesiology faculty in Rwanda”

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Operation Walk Boston Volunteers Go the Extra Mile

Kara Burge (center), a staff nurse in Orthopaedic Surgery, with two Operation Walk Boston patients
Kara Burge (center), a staff nurse in Orthopaedic Surgery, with two Operation Walk Boston patients

A year had passed since a young man came to the clinic with severe joint disease in his hips that left him unable to stand up straight, his torso pitched forward about 45 degrees as he steadied himself on a crutch.

But thanks in part to a group of volunteer clinicians from the Brigham, he was now running laps up and down a hallway at a hospital in the Dominican Republic, where he had received bilateral hip-joint replacement surgery through Operation Walk Boston—an orthopedic medical mission founded by Thomas S. Thornhill, MD, former chair of the BWH Department of Orthopaedic Surgery.

The program partners with Hospital General de la Plaza de la Salud in Santo Domingo to perform hip- and knee-joint replacements for patients who can’t afford the procedures. It completed its ninth mission in April. Continue reading “Operation Walk Boston Volunteers Go the Extra Mile”

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Emergency Medicine Bedside Ultrasound Training in Kigali, Rwanda

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Kristin Dwyer outside of CHUK Hospital

In this blog post from the Partners Center of Expertise in Global and Humanitarian Health, Kristin Dwyer, MD, MPH, a BWH fellow in Emergency Ultrasound, writes about working with emergency medicine residents for her rotation at University Central Hospital of Kigali (CHUK) in Rwanda.

“As I wrap up my time here, I must say I found it to be a valuable experience,” she writes. “While it is difficult to effect change in a short amount of time, I think having smaller goals is useful. I am not necessarily going to get patients to come to the hospital earlier in their disease course, but I can arm physicians there with ultrasound skills to more accurately diagnosis them when they arrive looking for help.” Read more.

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BWH/BWFH Physicians Teach Minimally Invasive Techniques for Gynecological Surgery in Senegal

Jon Einarsson (left) and James Greenberg (right) pose with a surgeon from Senegal.
Jon Einarsson (left) and James Greenberg (right) pose with a surgeon from Senegal.

Senegal has long been one of the most stable democracies in Africa. However, compared to the United States, physicians there lack many resources. Recently, a team of Brigham physicians traveled to the country’s capital city of Dakar to teach a course in collaboration with the African Center of Excellence for Mother and Child at Cheikh Anta Diop University (also known as the University of Dakar) on minimally invasive techniques for gynecological surgery. Through a series of lectures and live surgeries, physicians taught these techniques, helping the local physicians understand how they might perform them safely with their limited resources.

Brigham and Women’s Faulkner Hospital’s Chief of Gynecology James Greenberg, MD, and Director of the Division of Minimally Invasive Gynecologic Surgery at Brigham and Women’s Hospital and BWFH surgeon Jon Einarsson, MD, were among the group of physicians conducting the week-long course organized by Senegal native and Associate Obstetrician Gynecologist at BWH Khady Diouf, MD. Continue reading “BWH/BWFH Physicians Teach Minimally Invasive Techniques for Gynecological Surgery in Senegal”

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The Zika Virus in Haiti

Dr. Louise Ivers

Many questions remain about Zika and its current impact on the Haitian population. Until more answers surface, BWH and Partners In Health(PIH) staff strive to find the best solutions for women, men, and children who may be adversely affected by the virus.

Louise Ivers, MD, MPH, of the BWH Division of Global Health Equity and senior health and policy advisor for PIH, answers questions about the mosquito’s resiliency, efforts to control it in Haiti and how PIH is working to prevent Zika infections and treat those who might be suffering from complications.

Read the Q&A on the PIH blog.