How to Find and Select an International Medical Elective Stephen A. Huffman, MD.

How to Find and How to Find and Select Select

an Internationalan InternationalMedical ElectiveMedical Elective

Stephen A. Huffman, Stephen A. Huffman, MDMD

Steve Huffman, MDSteve Huffman, MD

862 Buckeye Court862 Buckeye Court

Tipp City, Ohio 45371Tipp City, Ohio 45371

Email: Email: [email protected]@hotmail.com

Phone (937) 667-1877Phone (937) 667-1877

Places I have Places I have practiced:practiced:

San Juan Medical Clinic, Dominican San Juan Medical Clinic, Dominican RepublicRepublic

Spanishtown Hospital, JamaicaSpanishtown Hospital, Jamaica Regency RainbowRegency Rainbow, Regency Cruise , Regency Cruise

Line, Inside Passage, Alaska/CanadaLine, Inside Passage, Alaska/Canada St. Jude’s Hospital, St. Lucia, West St. Jude’s Hospital, St. Lucia, West

IndiesIndies Tully Hospital, Queensland, AustraliaTully Hospital, Queensland, Australia


Chubu Hospital, Okinawa, Japan, Chubu Hospital, Okinawa, Japan, Visiting ProfessorVisiting Professor

Gov. Juan F. Luis Hospital, St. Gov. Juan F. Luis Hospital, St. Croix, US Virgin IslandCroix, US Virgin Island

St. Elizabeth/ St. Martin de Porre St. Elizabeth/ St. Martin de Porre Hospital, Cameron AfricaHospital, Cameron Africa

King Edward VII Memorial King Edward VII Memorial Hospital, Hamilton, BermudaHospital, Hamilton, Bermuda


University of Guadalaraja School of University of Guadalaraja School of Medicine - Visiting Professor Medicine - Visiting Professor

Cat Cay Island, Bahamas Private Cat Cay Island, Bahamas Private Island PhysicianIsland Physician

Where to next:Where to next: Roy L. Schneider Hospital – St. Roy L. Schneider Hospital – St.

ThomasThomas St. George’s Medical School, St. George’s Medical School,

GrenadaGrenada

Questions to AnswerQuestions to Answer

Who?Who?How?How?When?When?

Why?Why?What?What?Where?Where?

Who/When?Who/When?

Residents/StudentsResidents/Students– First yearFirst year– Second YearSecond Year– Third YearThird Year– Fourth YearFourth Year– ResidentResident

What is the Big ‘M’ What is the Big ‘M’ Today?Today?

MissionMission

Money Money

MeMe

Why?Why?

Prepare for service Prepare for service after Medical after Medical School/ResidencySchool/Residency

EducationalEducational Service to othersService to others EvangelisticEvangelistic Change of life styleChange of life style AdventureAdventure Find one’s selfFind one’s self See the worldSee the world

Why?Why?

Great Experience – Great Experience – no Residents or no Residents or other medical other medical studentsstudents

Tropical MedicineTropical Medicine Different Different

presentations of presentations of disease statesdisease states

Different medical Different medical environment/cultureenvironment/culture

Web SitesWeb Sites

www.cfhi.orgwww.cfhi.org– Child Family Health InternationalChild Family Health International

www.imva.orgwww.imva.org– International Medical Volunteer AssociationInternational Medical Volunteer Association

www.amsa.orgwww.amsa.org– American Medical Student AssociationAmerican Medical Student Association

www.ifmsa.org www.ifmsa-usa.orgwww.ifmsa.org www.ifmsa-usa.org– International Federation of Medical Student International Federation of Medical Student

AssociationsAssociations www.ihmec.orgwww.ihmec.org

– International Health Medical Education ConsortiumInternational Health Medical Education Consortium www.who.intwww.who.int

– World Health OrganizationWorld Health Organization

Web SitesWeb Sites

www.medicstravel.co.ukwww.medicstravel.co.uk– Medics TravelMedics Travel

www.ifmsa-usa.orgwww.ifmsa-usa.org– International Federation of Medical Students International Federation of Medical Students

AssociationAssociation www.vanterventures.comwww.vanterventures.com

– Disney Cruise Ship PhysicianDisney Cruise Ship Physician www.astmh.orgwww.astmh.org

– American Society of Tropical Medicine and HygieneAmerican Society of Tropical Medicine and Hygiene www. Family.mcw.edu/belizewww. Family.mcw.edu/belize

– University of Wisconsin- Department of Family PracticeUniversity of Wisconsin- Department of Family Practice www.uchsc.edu/internationalwww.uchsc.edu/international

– University of Colorado School of MedicineUniversity of Colorado School of Medicine

Where?Where?

Third WorldThird World Under-served areasUnder-served areas Caribbean/Latin Caribbean/Latin

AmericaAmerica Africa, Eastern EuropeAfrica, Eastern Europe Cruise Ship/ Resort Cruise Ship/ Resort

MedicineMedicine Public Health ServicePublic Health Service Indian Health Service Indian Health Service

Twenty years from now Twenty years from now you will be more you will be more

disappointed by the disappointed by the things you didn’t do things you didn’t do than by the ones you than by the ones you did. So, throw off the did. So, throw off the

bowlines, sail away from bowlines, sail away from the safe harbor, catch the safe harbor, catch

the trade winds in your the trade winds in your sails.sails.

Mark TwainMark Twain

International Health in International Health in the Developing World: the Developing World:

Clinical and Community CareClinical and Community Care

University of Arizona summer courseUniversity of Arizona summer course

2 weeks every summer, optional 2 2 weeks every summer, optional 2 weeks abroadweeks abroad

Contact:Contact: The University of Arizona, College of MedicineThe University of Arizona, College of Medicine

Dept. of Family and Community MedicineDept. of Family and Community Medicine

PO Box 245052 PO Box 245052

Tucson, AZ 85724Tucson, AZ 85724

www.globalhealth.arizona.eduwww.globalhealth.arizona.edu

What?What?

Primary Care Primary Care SurgicalSurgical ResearchResearch

Elective CreditElective Credit

Research what Research what department will give you department will give you credit for your experience credit for your experience at your schoolat your school

RequirementsRequirements– GoalsGoals– ObjectiveObjective– ResearchResearch– Case StudiesCase Studies– Written ReportWritten Report– PresentationPresentation

Additional ReadingAdditional Reading

Jesus, MD A Doctor Examines the Jesus, MD A Doctor Examines the Great PhysicianGreat Physician; by David ; by David Stevens, 2001Stevens, 2001

JAMA, JAMA, August 7, 2002, Vol 288, August 7, 2002, Vol 288, No. 5 pages 559-565No. 5 pages 559-565

Where There is No DoctorWhere There is No Doctor; by Dr. ; by Dr. David Werner, 1992David Werner, 1992

FundingFunding

www.amsa.org/resource/amsarc/ www.amsa.org/resource/amsarc/ creative/creative.cfmcreative/creative.cfm

www.depts.washington.edu/ihgwww.depts.washington.edu/ihg www.map.orgwww.map.org Local churchLocal church Medical School OrganizationsMedical School Organizations School LoansSchool Loans

What? Things to What? Things to ConsiderConsider Credit from Medical Credit from Medical

School/ResidencySchool/Residency VisaVisa Travel PlansTravel Plans Immunizations/Malaria prophylacticImmunizations/Malaria prophylactic Personal/Family Safety/Political Personal/Family Safety/Political

SituationSituation

What? Things to What? Things to ConsiderConsider

AccommodationsAccommodations Cost/Fund RaisingCost/Fund Raising LanguageLanguage Duty/Duty/

ResponsibilityResponsibility CommunicationsCommunications InsuranceInsurance Experience of Experience of

Others Others

Unique RequirementsUnique Requirements

Singapore - record temperatureSingapore - record temperature Bermuda – nose culture for MSRSABermuda – nose culture for MSRSA South Africa – Student Visa $250USSouth Africa – Student Visa $250US Jamaica – Gov. Employee – Jamaica – Gov. Employee –

PreceptorPreceptor Australia - ImmunizationsAustralia - Immunizations

International International Residency ProgramsResidency Programs

Family PracticeFamily Practice– University of CincinnatiUniversity of Cincinnati– Case Western Reserve/University Case Western Reserve/University

HospitalsHospitals– Marshall University School of MedicineMarshall University School of Medicine– University of ArizonaUniversity of Arizona– Baylor College of MedicineBaylor College of Medicine– St. Joseph’s Family Prac. Residency, South St. Joseph’s Family Prac. Residency, South

Bend, IndianaBend, Indiana


Emergency MedicineEmergency Medicine– Brown UniversityBrown University– John Hopkins UniversityJohn Hopkins University– Loma Linda UniversityLoma Linda University– University of Illinois at ChicagoUniversity of Illinois at Chicago– Medical College of GeorgiaMedical College of Georgia


Internal MedicineInternal Medicine– Brown UniversityBrown University– Case Western Reserve UniversityCase Western Reserve University– Duke UniversityDuke University– Indiana UniversityIndiana University– Yale Internal Medicine/Primary Care Yale Internal Medicine/Primary Care

MedicineMedicine– Tulane UniversityTulane University


PediatricsPediatrics– Case Western Case Western

Reserve Reserve UniversityUniversity

It is good plan, every It is good plan, every now and then, to go now and then, to go

away and have a little away and have a little relaxation; for when relaxation; for when you come back to you come back to

work your judgment work your judgment will be surer; since to will be surer; since to remain constantly at remain constantly at work will cause you work will cause you to lose the power of to lose the power of

judgment.judgment.Leonardo da Leonardo da VinciVinci

International Medical International Medical Opportunity Time Opportunity Time SheetSheet One to three year One to three year

before departurebefore departure– Letters of inquire for Letters of inquire for

need or current program need or current program in place to area, in place to area, country, or organization country, or organization you are interested inyou are interested in

– Identify and engage Identify and engage funding sourcesfunding sources

– Identify available time Identify available time and durationand duration

International Medical International Medical Opportunity Time Opportunity Time

SheetSheet 8 months before departure8 months before departure

– Learn about medical needs, specific Learn about medical needs, specific disease processesdisease processes

– Identify and start to collect needed Identify and start to collect needed medical and pharmaceutical suppliesmedical and pharmaceutical supplies

– Clearance for customs by host for Clearance for customs by host for suppliessupplies

– Apply for CME/CUEApply for CME/CUE– Approval from appropriate person at Approval from appropriate person at

the medical schoolthe medical school


SheetSheet 6 months before 6 months before

departuredeparture– Identify housing, food Identify housing, food

services, and travel services, and travel arrangementsarrangements

– Immunizations Immunizations including HBV, HAV, including HBV, HAV, Tetanus, MMR, Polio, Tetanus, MMR, Polio, country specificcountry specific

– Passport and Visa Passport and Visa applicationapplication


SheetSheet 3 months before 3 months before

departuredeparture– FundraiserFundraiser– Language skillsLanguage skills– Contingency plan Contingency plan

for last minute for last minute changeschanges

– Identify specific Identify specific role, daily role, daily scheduleschedule


SheetSheet 2 weeks before 2 weeks before

departuredeparture– Confirm all travel Confirm all travel

plans, plans, accommodations, in accommodations, in country travelcountry travel

– Final packingFinal packing– Give family/friends Give family/friends

communication communication informationinformation

– Start malaria Start malaria prophylactic if neededprophylactic if needed


SheetSheet One month after returnOne month after return

– Confirm all necessary requirements for Confirm all necessary requirements for creditcredit

– Write thank you and follow up letters to your Write thank you and follow up letters to your hosthost

– Thank you letter and a note outlining your Thank you letter and a note outlining your trip to the medical school and to everyone trip to the medical school and to everyone that donated supplies, money, or assisted in that donated supplies, money, or assisted in any wayany way

– Start making plan for next tripStart making plan for next trip

QuestionsQuestions

Steve Huffman, MDSteve Huffman, MD

862 Buckeye Court862 Buckeye Court


Ph. 937-667-1877Ph. 937-667-1877

Email: [email protected]: [email protected]

To purchase the bookTo purchase the book

“How to Find and Select an “How to Find and Select an International Medical International Medical

Elective”Elective”

Send $17.50Send $17.50made out to Steve Huffmanmade out to Steve Huffman

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How to Find and Select an International Medical Elective Stephen A. Huffman, MD.

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