Global Health Residency Pathway

Are You Interested In?• Improving healthcare to immi-

grants,refugeesandtravelers.• Developing a clinical or aca-

demiccareeringlobalhealth.• Expanding your understanding

of under-representeddiseases.• Increasing competenceof care

inamulticulturalsociety.• Pursuingacareerinunderservedcommunities.• Building local, national and international community

collaborations.Eligibility:• YoumustbeacurrentUniversityof MinnesotaInternalMedi-

cineorMed-PedsinternorresidenttobeeligibleforthePathwayprogram.

Other Program OpportunitiesResidents are strongly encouraged to participate in any of thefollowing:• Complete2monthGlobalHealthCoursetaughtannuallyduring

JulyandAugust.• Participate in a continuity clinic elective with an emphasis on

servingimmigrantpatients.• Complete1-2monthsinternationalelectiverotation(twomonths

required for ASTMH certification).• Complete an academic project or scholarly activity related to

globalhealth (required for all residents taking an internationalelective).

• Take the ASTMH examination leading to Certification of Knowl-edgeinClinicalTropicalMedicineandTravelers’Health(requirestakingtheentireGlobalHealthCourseandtwomonthsof inter-national experience). See www.astmh.orgformoreinformation.

Benefits of the Global Health Pathway to Residents• International rotations includinga richeducationalexperience,

facilitationof researchprojects,andopportunitiestocontributetothehealthof developingcountries.

• Priority scheduling for international rotations and continuityclinicsthatserveimmigrantpopulations.

• Participationincollaborationsatinternationalsitesthatarefor-mally affiliated with the Global Health Pathway.

• PriorityenrollmentintotheGlobalHealthCourse.• Astipendforinternationaltravelorglobalhealthresearchproject

uponcompletionof theproject.Additionally,competitiveschol-arshipsmaybeavailable.

• An opportunity to connect with a faculty mentor with careerinterestsinglobalhealth.

• Careerguidanceandassistance for residents interested inpur-suing,eitherpartiallyorfully,internationalworkintheirfuturecareerplans.

For more information on Pathway opportunities or to inquire about the application process, please contact the Program Coordinator, Holly Heisler, hjh@umn.edu or 612-625-3268.

Thailand—Minnesota Connection The University of MinnesotaDepartment of Medicine andChiang Mai University (CMU) in Chiang Mai, Thailand havea ten year relationship that hasbeen strengthened in the pastcouple years. This year, theGlobalHealthPathwayisproudto host their second CMU del-egate, Dr. Parichat Pimsarn,a 2nd year ID fellow. Last yearDr. Kajohnsak Noppakun led the way as the first CMU delegate toparticipateintheannualGlobalHealthCourseasaspeakerandparticipant.Kitsada Wudhikarn,aninterninInternalMedicine,isanotherrepresentativeof thelong-standingtiestoChiangMaiUni-versity.JoiningtheUniversityof MinnesotaInternalMedicineresi-dencyfromChiangMaiUniversitythisyearareDr. Leenhapong Navaravong, inhisG2year,andDr. Kitsada Wudhikarn,whofinished his internal medicine training in Thailand, and is now a G1 attheUniversityof Minnesota.

2007 Global Health Course The 2nd Annual Global HealthCourse: Clinical Tropical,Migrant and Travel Medicine,was another successful educa-tionalopportunity for residents,practicing providers, and nursepractitioners from around theworld working in global health,either locally or internationally.Over 60 participants took partin this intensive certificate prep course.FormoreinformationontheUMNGlobalHealthCourse,seewww.globalhealth.umn.edu.

Global Health Pathway E-NewsVolume 1, Issue 3 Summer 2007

Leenhapong Navaravong, Parichat Pimsarn, & Kitsada Wudhikarn

Bill Stauffer and 2007 Global Health Course participants in the lab.

Donations—Global Health Pathway Residency Program & Global Health CourseDonations to the Global Health Pathway or Course can be directed to the Erwin Ravdin Memorial Fund for Global Health (Fund #1166) at the address below. Much needed donations will be used to promote exchange of residents and faculty between the University of Minnesota and our international affiliate sites. Any amount is welcome!

Minnesota Medical Foundation200 Oak Street SE, Suite 300

Minneapolis, MN 55455-2030Phone: 612-625-1440 or 800-922-1663

Bill Stauffer Returning to Arusha, Tanzania Overthepast fewyears, theUniversity of MinnesotaGlobal Health Pathway hasbeen building a strong rela-tionship with the Selian Lu-theran Hospital in Arusha,Tanzania. This fall, Bill Stauffer will take anotherpositive step forward whenheandhisfamilymovetoTanzaniainSeptember,wheretheywillremain until May of 2008. Nestled at the base of Mount Meru,Arushaisacityof approximately750,000locatedinnorthwesternTanzania.SelianLutheranHospitalisoneof thelargerhospitalsinthe Arusha area, having about 100 beds on the medicine, pediat-rics,surgery,andOB-Gynwards.Here,StaufferwillhelpTanzaniadesign its bird flu surveillance and control program. “The mandate is to set up avian flu surveillance and to make sure that avian flu does notcometoAmericathroughBurundirefugeeswhoarecurrentlybeing resettled to the United States,” he explains. “The world has shrunk very quickly,” says Stauffer. “Someone can board a plane in Manaus,Brazil,intheheartof theAmazon,safariinTanzaniainthemorning,andbyeveningbestandinginacrowdedairportinEuropeorNorthAmerica.That individualwillhavehadbeenexposedtoa couple hundred people within the first 24 hours of travel.” With growing concern of bird flu, Tanzania is fortunate to have someone withBill’sexpertise.Hopefully,histravelsandencountersinTanza-niawillopennewdoorsforUniversityphysiciansandresidentstocontinueworkingonthisandotherimportantglobalhealthissues.

Tanzania Resident Rotation Report

A Day in the Life of a Resident in ArushaBy Maren Egger HiltonAtypicaldaybeginswithchapelaround7:30,followedbymorningreport, at which all of the new admissions, critical patients, anddeaths from the previous night are discussed. Three days a weekmorningreportisfollowedbyx-rayroundswiththeradiologist,andthe restof themorning—theheartof theday—is takenupwithbedside rounds. On a typical day, the group of people roundingmight include a Tanzanian MD and clinical officer (who functions at the level of a physician’s assistant, in the role of a resident), a visitingforeignMD,andanyvisitingmedicalstudentsandresidents.Roundsareateameffort,withaheavyemphasisonphysicaldiag-nosis.Learning to relyonaphysical exam,withonlyvery limitedlaboratory and radiology studies available, is a challenge.Youwillbecomefamiliarwiththepresentationof malaria,advancedAIDS,andahostof other infectiousdiseases,aswellasallof theusualinternalmedicine issues,oftenpresenting in extremely late stages.Roundsareconductedinamixof MaasaiandSwahili,andtranslatedintoEnglish,whichisspokenbyallof theTanzanianstaff.Clinicoccursseveralafternoonsaweek:generalinternalmedicine,pediat-rics,andanti-retroviral.You’llalsohavesomeafternoonstopursueaprojectorspecialinterest,andyou’remorethanwelcometospendadayorweekonaserviceotherthanmedicine

Global Health Course Alumni Updates Mohamed Ali-Eltom was accepted into the Internal MedicineresidencyprogramandbeganhisinternyearearlierthissummeratHoward University Hospital in Washington DC. Jen Halverson finished her last year of pediatric residency in June. Since then, Jen has been moonlighting at Minneapolis Children’sHospital.InSeptember,shewillbegin9monthsof volunteeringat

St.Damien’sChildren’shospitalinPortauPrince,Haiti.Brett Hendel-Paterson finished residency in internal medicine and pediatrics inDecemberandstartedhis chief residency in internalmedicineatRegionsHospital thisyear.Brettworksoneeveningaweekat theHealthPartnersCenter for InternationalHealthdoingpreandpost-travelcounseling.Adam Hovermancompletedthesecondhalf of theGlobalHealthCourse this year as well as started the masters of public healthprogramat theUniversityof MinnesotaSchoolof PublicHealth.Hewillbechief residentnextyearandthenplansonworkingfortheYakima Valley Farm Worker’s clinic in a year. Colleen Kniffiniscurrentlyatthebeginningof fourthyearandamapplyingforresidency.Inadditiontostudying,Colleenalsoworkedon a research project with Dr. Stephen Swanson, on the associa-tionbetweeneosinophiliaandintestinalhelminthinfectioninnewlyarrivedrefugeestoMinnesota.SheislookingforwardtoworkingwithDr.MarkJacobsonnextspringatSelianLutheranHospitalinTanzania.Meghan Rothenberger is currently Chief Resident for InternalMedicineattheUniversityof Minnesota.ThispastsummerMeghanwenttotheCDCtoassistBillStaufferwithhisrefugeescreeningprojectandwillgotoTanzaniathisfalltocontinueresearchonthisproject.SheisstillworkingregularlyattheDelawareStreetInfec-tiousDiseaseClinic.NextsummerMeghanwillbeginanIDfellow-shipattheUniversityof Minnesota.

Updates?We’d like to keep in touch with you. Please email Holly Heisler and let us know what’s new with you, hjh@umn.edu.

Ongoing Twin Cities Global Health Lecture SeriesAmericanSocietyof TropicalMedicineandTravelers’HealthCer-tificate Preparation Course, offered annually in July and August at theUniversityof Minnesota.Formoreinformationpleaseseewww.globalhealth.umn.eduorwww.astmh.org.

Tropical&TravelMedicineSeminarSeries:www.tropical.umn.edu

GlobalPediatricsProgramLectureSeries:www.med.umn.edu/peds/globalpediatrics/lectureseries/home.html

Global Health Resources and LinksAmerican Society of Tropical Medicine & Travelers’ Health www.astmh.org

Centers for Disease Control & PreventionDivision of Parasitic Diseases: www.cdc.gov/ncidod/dpdInternational Emergency & Refugee Health Branch:www.cdc.gov/nceh/ierh/default.htmTravelers’ Health: wwwn.cdc.gov/travel/default.aspx

Global Health Education Consortium (GHEC)www.globalhealth-ec.org

International Society of Travel Medicine www.istm.org

Leenhapong, Adam and Parichat, 2007 Global Health Course.

Global Health Pathway StaffHolly Heisler,Program CoordinatorHolly earned her Masters in Public Health (MPH) with a focus in Environmental Health & globalhealth from the University of Minnesota Schoolof Public Health in 2004. Her undergraduate degreeisinNaturalResourcesandEnvironmentalStudies. She has always been interested in inter-

nationaleducationandhealth,soisexcitedtobeabletocombineherinterestsasprogramcoordinatorfortheGlobalHealthPathwayandCourse.PreviouslyHollyworkedat theUniversityof Minne-sotainvariousdepartmentsandasanadultbasicEnglishandhealtheducationteachertoadultimmigrants,primarilyfromtheHornof AfricaandSoutheastAsia,whichencouragedhertoreturntoschooltostudyglobalpublichealth.Shelovesworkingwithpeoplefromaround the world and being a lifelong learner. Holly has had field experiencesinCostaRica,Germany,andEthiopia.

Michael Kim,Associate Director of Global Health Programs in Pediatrics & Medicine; Associate Direc-tor of Primary Care ClerkshipDr. Kim attended medical school at the University of Minnesota,completedhisMed-PedsResidencyatUMNandwasPediatricChief Resident.HeiscurrentlyaMed-Pedshospitalistandassistantpro-

fessor at the University of Minnesota. Dr. Kim’s research interests includedevelopingaweb-basedglobalhealthcurriculumformedicalstudentsandresidents.HehascompletedaninternationalrotationinChiangMai,Thailandand iscurrentlypursuingapediatricaca-demicresearchcollaborationinVietnam.

David Boulware, Associate Director of Global Health Programs in Internal MedicineDr. Boulware is an Assistant Professor in theUMNDepartmentof Medicine,Divisionof In-fectiousDiseasesandInternationalMedicinewithan interest in international research and wilder-nessmedicine.HehasexperienceinHIVresearch

as is thenewly-appointedSiteCoordinator for theGlobalHealthPathway-affiliated site in Kampala, Uganda. For the past eight years hehasassistedintheTropicalandTravelMedicineSeminarSeriesandrunstheTTMwebsite,www.tropical.umn.edu.Dr.Boulwaresuc-cessfullycompletedthe2006GlobalHealthCourseandnowholdsaCertificate of Knowledge in Clinical Tropical Medicine and Travel-ers’Health.

Global Health Pathway Leadership GlobalHealthPathwayDirector:Patricia Walker,MD,DTMH

GlobalHealthCourseDirector:William Stauffer,MD,DTMH

GlobalHealthPathway/CourseCoordinator:Holly Heisler,MPH

Office Contact: 14-124 Phillips-Wangensteen Building420 Delaware Street SE, MMC 284Minneapolis, MN 55455hjh@umn.eduor612-625-3238

Current Global Health Pathway International Affiliation AgreementsBangalore, India• St.John’sNationalAcademyof HealthSciences• Narayana Hrudayalaya Institute of Medical Sciences Manipal

HospitalArusha, Tanzania• SelianLutheranHospital

Chiang Mai, Thailand• ChiangMaiUniversity

Kampala, Uganda• InfectiousDiseaseInstitute,MakerereUniversity

Residents in the Global Health Pathway 2006-2008Internal MedicineKristina Balck Soichiro NagamatsuChavonBlackburn SarahNakibAlisonBormann LeenhapongNavaravongDavidBoulware MonicaRaniKevin Broder Gretchen RasmussonElizabethClarke EmilyRoseJoseDebes MeghanRothenbergerAlyaJawaid LeylaShuneHansJeppesen JodyOlsonRajatJhanjee AnneValaasChristine Johns Gregory WeberWei Yen Kong Kitsada WudhikarnIsmailMualin

Medicine-PediatricsAshleyBalsam JohnMurphyKim Borke Theresa Wampler MuskardinChrisBowron CatherineNguyenLindsayByrnes PatrickPedersonAnaCampagna CuongPhamRachelDarling ChadRamlerKara Denny Michael RhodesBrettHendel-Paterson DanielRiesJesseHennum DanSchnobrichMatthew Jones Kara SullivanMichael Kim Cecily WaitKatherine Marienfeld

Hennepin County Medical CenterSharminAlam SamIvesTeresaAnderson-Barrera AnnePylkasEricaBlevins DavidVanDykeBrandiGary

Pathway Residents Completing International Rotations, 2006-2007Internal MedicineSoichiroNagamatsu,Thailand

Medicine-PediatricsRachelDarling,ThailandPatrickPederson,ThailandMichaelRhodes,ThailandKara Sullivan, ThailandAnneValaas,Thailand

This publication/material is available in alternative formats upon request. Direct requests to Holly Heisler, Global Health Pathway, Department of Medicine, 14-124 Phillips-Wangensteen Building, 420 Delaware Street SE, MMC 284, Minneapolis, MN 55455 | Phone: 612-625-3268 | Email: hjh@umn.edu

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