Best Practices in Short Term Best Practices in Short Term Medical MissionsMedical Missions

Ron Brown, M.A.Ron Brown, M.A.Associate DirectorAssociate Director

GHOGHOCMDA CMDA

Nov. 12, 2010Nov. 12, 2010

Presentation OutlinePresentation Outline Philosophy of MinistryPhilosophy of Ministry Partnership with Local Host MinistryPartnership with Local Host Ministry Preparing and RecruitingPreparing and Recruiting Local Host ResponsibilityLocal Host Responsibility Arrival and Clinic WeekArrival and Clinic Week Extracurricular ActivitiesExtracurricular Activities Leave Taking/ Farewell/ Re-EntryLeave Taking/ Farewell/ Re-Entry

Philosophy of MinistryPhilosophy of Ministry PurposePurpose

Use short-term medical missions for a long-term Use short-term medical missions for a long-term impactimpact

Host Ministry / Patients / ParticipantsHost Ministry / Patients / Participants Local Church is PriorityLocal Church is Priority

GoalsGoals Use medical / dental clinics to open doors for Use medical / dental clinics to open doors for

evangelism and discipleshipevangelism and discipleship Matt 28: 19 “Go and make Matt 28: 19 “Go and make disciplesdisciples of all of all

nations…”nations…”

Philosophy of Ministry Cont’dPhilosophy of Ministry Cont’d Servant AttitudeServant Attitude

Use Jesus model of being a servantUse Jesus model of being a servant Came to serve, not be servedCame to serve, not be served Washed feet!!!Washed feet!!!

Be a learnerBe a learner Learn and apply principles of Biblical Learn and apply principles of Biblical

humility, cross cultural sensitivity humility, cross cultural sensitivity Serve to empower local church / local Serve to empower local church / local

ministriesministries

Partnership with Local Host Partnership with Local Host MinistryMinistry

Pastor (s)Pastor (s)

MissionaryMissionary

Para Church GroupPara Church Group

Local Physicians, Dentists, Nurses, etc.Local Physicians, Dentists, Nurses, etc.

Partnership Cont’dPartnership Cont’d Keys:Keys:

Going to serve them vs. * Dependency Going to serve them vs. * Dependency IssuesIssues

Going to help them plant, grow and Going to help them plant, grow and strengthen their local churchstrengthen their local church

Often requires an initial site visit to prepare Often requires an initial site visit to prepare for successful outreach with minimal for successful outreach with minimal surprisessurprises

Preparing and RecruitingPreparing and Recruiting Spiritual and Cross Cultural PreparationSpiritual and Cross Cultural Preparation

Books, Articles, Web pagesBooks, Articles, Web pages Team CompositionTeam Composition

Team Leadership: Medical/ Dental/ Spiritual Team Leadership: Medical/ Dental/ Spiritual DirectorsDirectors

Team of 20 = 4-6 providers, 1-2 dentists, dental Team of 20 = 4-6 providers, 1-2 dentists, dental hygienist/ assistant, 1-2 pharmacist, 3-4 RNs, PT, hygienist/ assistant, 1-2 pharmacist, 3-4 RNs, PT, 3+ logistics3+ logistics

Nationals compliment team in registration, Nationals compliment team in registration, logistics, crowd control, counseling/ evangelism, logistics, crowd control, counseling/ evangelism, drinks & meals, travel, discipleship & follow updrinks & meals, travel, discipleship & follow up

Preparing and Recruiting Cont’d Preparing and Recruiting Cont’d BudgetBudget

TravelTravel In-Country ExpensesIn-Country Expenses Formulary, Supplies, Gifts, etc.Formulary, Supplies, Gifts, etc.

Fund RaisingFund Raising LetterLetter Family and FriendsFamily and Friends Local ChurchLocal Church Civic GroupsCivic Groups

Preparing and Recruiting Cont’dPreparing and Recruiting Cont’d Formulary Formulary (Medical Director, Pharmacist)(Medical Director, Pharmacist) EquipmentEquipment

Triage, Lab and suppliesTriage, Lab and supplies DentalDental

ExtractionsExtractions Restorative - more equipment intensiveRestorative - more equipment intensive

Community Health Materials, Wheel chairs, Community Health Materials, Wheel chairs, etc.etc.

Readers, SunglassesReaders, Sunglasses

Local Host ResponsibilitiesLocal Host Responsibilities Strategic Purpose for Medical ClinicsStrategic Purpose for Medical Clinics

Why are we going to this place at this time?Why are we going to this place at this time? What are long term goals and purposeWhat are long term goals and purpose

Registration of Docs + In-CountryRegistration of Docs + In-Country Customs and ImmigrationCustoms and Immigration

Be Proactive, Know what is needed!!!Be Proactive, Know what is needed!!! Mexico, Nicaragua, China, IndiaMexico, Nicaragua, China, India

* Security Concerns* Security Concerns

Local Host Responsibilities Cont’dLocal Host Responsibilities Cont’d

Interpreters: Key Players!!!Interpreters: Key Players!!! Promote Volunteerism, Kingdom MindsetPromote Volunteerism, Kingdom Mindset

Evangelism, Counseling, Discipleship / Evangelism, Counseling, Discipleship / Follow-upFollow-up Promotion of Clinic Week (s)Promotion of Clinic Week (s) Logistics of Travel, Lodging, Meals, Logistics of Travel, Lodging, Meals,

Water, etc.Water, etc.

* Security ** Security *

Areas of Concern for YouAreas of Concern for You Open or Closed / Limited access Open or Closed / Limited access

countrycountry Police, Public Security Bureau, etc. Police, Public Security Bureau, etc. Vehicle Safety and AccidentsVehicle Safety and Accidents Buddy SystemBuddy System

Security Cont’dSecurity Cont’d Insurance Insurance

Adams and Associates Adams and Associates www.aaintl.com Red 24 Red 24 http://srvb.red24.info/nonmembers/

Orientation for: Crisis Management PlanOrientation for: Crisis Management Plan Hostage Situations, War, Natural DisastersHostage Situations, War, Natural Disasters Governmental Action , Governmental Coup Governmental Action , Governmental Coup Events that create negative public attention Events that create negative public attention Terrorist action or threat Terrorist action or threat Multiple deaths , Kidnapping, Criminal Multiple deaths , Kidnapping, Criminal

ActionsActions

Arrival and Clinic WeekArrival and Clinic Week(Adapt to Open or Closed Country)(Adapt to Open or Closed Country)

Orientation with Team Leader & Medical Orientation with Team Leader & Medical DirectorDirector Local Pastors Local Pastors Local PhysiciansLocal Physicians

Set up Medical ClinicSet up Medical Clinic Set up Dental ClinicSet up Dental Clinic Set up Pharmacy/ Pre-packing medsSet up Pharmacy/ Pre-packing meds

Clinic LayoutClinic Layout School is Ideal / Complex with central gateSchool is Ideal / Complex with central gate Church with classroomsChurch with classrooms Registration by local team membersRegistration by local team members Counseling / Evangelism or @ end of clinicCounseling / Evangelism or @ end of clinic

Local pastors decideLocal pastors decide Local believers to leadLocal believers to lead

TriageTriage ConsultsConsults PharmacyPharmacy

Maximize Filter, Flow, Patient Maximize Filter, Flow, Patient considerationconsideration

Outside waiting area / Gate Keeper!!!Outside waiting area / Gate Keeper!!! Filter to Registration areaFilter to Registration area Quiet area for counseling/ evangelismQuiet area for counseling/ evangelism TriageTriage Organize Consults by special needsOrganize Consults by special needs

GYN/ PEDS/ Portable Ultrasound/ etc.GYN/ PEDS/ Portable Ultrasound/ etc. Basics meds @ each consultBasics meds @ each consult

Analgesics, vitamins, anti-parasite Analgesics, vitamins, anti-parasite Pharmacy placement near exitPharmacy placement near exit

Clinic FunctionClinic Function Other clinics / Com. Health training/ Other clinics / Com. Health training/

Reading and Sun Glasses, othersReading and Sun Glasses, others Counseling area (Evangelism/ Counseling area (Evangelism/

Discipleship)Discipleship) Maximize Patient FlowMaximize Patient Flow Local church participation/ Local Local church participation/ Local

Health Care Professionals PartnershipHealth Care Professionals Partnership

Team Spiritual DevelopmentTeam Spiritual Development(Spiritual Director)(Spiritual Director)

Team Devotions AM/ PMTeam Devotions AM/ PM Volunteers to lead AMVolunteers to lead AM

Music WorshipMusic Worship Another share their testimonyAnother share their testimony

Team Pastor for PM/ deeper Bible StudyTeam Pastor for PM/ deeper Bible Study Early AM optional accountability groupsEarly AM optional accountability groups

Men and Women Men and Women Evening Debriefing/ Grand RoundsEvening Debriefing/ Grand Rounds

Coordinate with Team Leader, Medical Dir and Coordinate with Team Leader, Medical Dir and Spiritual DirSpiritual Dir

God SightingsGod Sightings

Extracurricular ActivitiesExtracurricular Activities Focus on serving local pastors and communityFocus on serving local pastors and community Children’s Program / Mini VBSChildren’s Program / Mini VBS Pastor’s Conference/ TrainingPastor’s Conference/ Training

Great way to engage the local pastors, local Great way to engage the local pastors, local ministries dedicated to pastor training, discipleshipministries dedicated to pastor training, discipleship

GO International GO International www.gointernational.org Downline Ministries Downline Ministries www.downlineministries.com

Music/ Drama (Best done by local hosts)Music/ Drama (Best done by local hosts) Crusade for Christ (locally directed) Crusade for Christ (locally directed)

Leave Taking/ Farewell/ Re-EntryLeave Taking/ Farewell/ Re-Entry

Final Fellowship Dinner with local partnersFinal Fellowship Dinner with local partners Recognition of Local Pastors, Hosts, SpousesRecognition of Local Pastors, Hosts, Spouses Appropriate gifts, Special Thank You!!!Appropriate gifts, Special Thank You!!!

In-Country follow upIn-Country follow up Discipleship/ Medical/ Dental/ SurgicalDiscipleship/ Medical/ Dental/ Surgical

Final Debriefing evening (weekend) with teamFinal Debriefing evening (weekend) with team Re-Entry Booklet/ DevotionalRe-Entry Booklet/ Devotional

Review Re-Entry issues, team help each otherReview Re-Entry issues, team help each other Face to Face, phone, email, etc. Face to Face, phone, email, etc.

AccountabilityAccountability TeamTeam FamilyFamily Home ChurchHome Church Acts 1:8 Jerusalem, Judea, Samaria, Acts 1:8 Jerusalem, Judea, Samaria,

UttermostUttermost Church Mission’s CommitteeChurch Mission’s Committee Local Outreaches / Inner City/ Un- and Under- Local Outreaches / Inner City/ Un- and Under-

insured clinics, Native Indian communitiesinsured clinics, Native Indian communities

Taking it to the Next LevelTaking it to the Next Level Saline Solution Conference/ DVD Set by CMDASaline Solution Conference/ DVD Set by CMDA

Impact on your own practice Impact on your own practice Spanish versionSpanish version Multiply efforts in community, state, professional Multiply efforts in community, state, professional

associations, etc.associations, etc.

Perspectives Course on the World Christian Perspectives Course on the World Christian MovementMovement 15 week class on the Biblical, Historical, Cultural and 15 week class on the Biblical, Historical, Cultural and

Strategic PerspectiveStrategic Perspective

Taking it to Next Level Cont’dTaking it to Next Level Cont’d WARNING!!! Focus on Completing the WARNING!!! Focus on Completing the

Great Commission…Great Commission… This could lead to Full-Time Medical This could lead to Full-Time Medical

Mission CallMission Call Tim Peklo, Tom Boeve, Mark and Mona, Tim Peklo, Tom Boeve, Mark and Mona,

Tom Hoak, Rachel Middleton, Tom Tom Hoak, Rachel Middleton, Tom Bonifield, Dan Johnson, to name a few Bonifield, Dan Johnson, to name a few families and individuals in recent years…families and individuals in recent years…

Taking it to Next Level Cont’dTaking it to Next Level Cont’d Remember why we do thisRemember why we do this It’s not about usIt’s not about us IT’S ALL ABOUT HIMIT’S ALL ABOUT HIM

““No Reserve”No Reserve” ““No Retreat”No Retreat” ““No Regrets”No Regrets”

Life and Death of Life and Death of William BordenWilliam Borden

ResourcesResources Site Visit Form / GHOSite Visit Form / GHO Mission Survival KitMission Survival Kit

David Stevens, MD/ Gene Rudd, MD David Stevens, MD/ Gene Rudd, MD CMDA BookstoreCMDA Bookstore

CHE Community Health Evangelism CHE Community Health Evangelism (Education)(Education)

www.LifeWind.org www.LifeWind.org

Resources Cont’dResources Cont’d Community Health MaterialsCommunity Health Materials

www.hepfdc.infowww.hepfdc.info Ripe for Harvest Ripe for Harvest / / Coming HomeComing Home: A Deeper : A Deeper

Roots Publication Roots Publication www.DeeperRoots.comwww.DeeperRoots.com

Chorus Booklet GHOChorus Booklet GHO Saline Solution CMDA www.cmda.orgSaline Solution CMDA www.cmda.org

Resources Cont’dResources Cont’d Perspectives CoursePerspectives Course

www.perspectives.orgwww.perspectives.org * * Dependency IssuesDependency Issues Glenn Schwartz Glenn Schwartz

www.wmausa.orgwww.wmausa.org World Wide LabWorld Wide Lab

www.wwlab.org www.wwlab.org Dental Handbook for Short-Term Mission TripsDental Handbook for Short-Term Mission Trips

Jack Shuler, DDS, FAGD Nardos J. ShulerJack Shuler, DDS, FAGD Nardos J. Shuler World Dental ReliefWorld Dental Relief

www.dentalrelief.comwww.dentalrelief.com

Resources Cont’dResources Cont’d Fund Raising Letter Sample GHOFund Raising Letter Sample GHO Formulary Sample GHOFormulary Sample GHO

H. Bruce Carr H. Bruce Carr www.helpingoverseasdirectory.org www.helpingoverseasdirectory.org Praxis Meds Praxis Meds http://praxiswss.ateam.com http://praxiswss.ateam.com IDA IDA http://www.idafoundation.org http://www.idafoundation.org

Evangecube Evangecube www.e3resources.org www.e3resources.org

Readers from Sharkeyes L.A., CAReaders from Sharkeyes L.A., CA www.sharkeyes.com $.67 a pairwww.sharkeyes.com $.67 a pair

Resources Cont’dResources Cont’d Books for Spiritual PreparationBooks for Spiritual Preparation

Jesus MDJesus MD / David Stevens, MD CMDA / David Stevens, MD CMDA bookstorebookstore

Miracle at TenwekMiracle at Tenwek / The Life of Dr. Ernie / The Life of Dr. Ernie Steury by Gregg Lewis CMDA bookstoreSteury by Gregg Lewis CMDA bookstore

HumilityHumility C J MaHanney C J MaHanney Pursuit of GodPursuit of God A W Tozer A W Tozer Biographies of Hudson Taylor, William Biographies of Hudson Taylor, William

Carey, Cameron Townsend, othersCarey, Cameron Townsend, others