INMED   Institute for International Medicine
Equipping healthcare professionals to serve the forgotten

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Concern over healthcare for all people continues to grow, fueled by economic globalization, worldwide news coverage, and the ease with which an epidemic or disaster in distant lands can affect other nations within hours. There also exists a heartening sense of caring that motivates individuals to respond with compassion and action to those who are most in need.

Yet healthcare professionals who enter international service often discover that their education poorly prepared them to work effectively because:
  • Diseases are different. Malnutrition, unique injuries, and certain infectious diseases are common in developing nations, but are rare elsewhere.
  • Medical resources are minimal. Advanced diagnostic technologies, subspecialty consultants, and highly developed treatments are rarely available in poorer nations, forcing healthcare professionals to rely instead upon basic clinical skills.
  • Cultural context is challenging. Success in promoting health and combating disease requires an intimate understanding of human values and behavior , which often contrasts sharply with that found in more developed nations.
  • Leadership skills are underdeveloped. Effective health intervention requires attention community-wide needs and resources, team building, and strategic planning - concepts infrequently addressed in medical education.
  LEARNING OBJECTIVES  

At the completion of the INMED International Medicine Intensive Course, students in the context of a low-resource community will be able to:
  • Assess community health status based on the leading determinants of health
  • Prevent, diagnose and treat the leading diseases of poverty
  • Assure that health interventions are culturally appropriate
  • Design effective health interventions as part of a health leadership team
  • Successfully adapt one's lifestyle to a new cultural context
2009 Intensive Course Graduates
  COURSE CONTENT  

The Course will address five particular bodies of knowledge:
  • Determinants of Health - Those factors that most significantly impact health in developing nations
  • Diseases of Poverty - The medical conditions most frequently encountered in low-income communities
  • Cross-cultural Competence in Health Care - Those skills necessary to effectively promote health in a new cultural context
  • Health Leadership - How health care professionals can work in cooperation with communities to design and lead effective health systems
  • Personal Skills For Cross-Cultural Living - Covering cultural adaptation, physical health, personal relationships and financial skills connected with service in developing nations
  COURSE DIRECTORS  

Nicholas Comninellis, MD, MPH
Assistant Professor, University of Missouri-Kansas City School of Medicine
President, Institute for International Medicine - INMED
Jean Fields, RN, MSN, CNS
Community Health Nursing Specialist
Research College of Nursing
Rockhurst University
John O. Gibson, MD
Director of Global Health Education, John Peter Smith Family Medicine Residency, Ft Worth, Texas
Assistant Professor, University of Texas Southwestern Medical Center

  HOST  

INMED - Institute for International Medicine

  PARTNERS  
  COURSE FACULTY  

Himal Bajracharya, MD, is an Assistant Professor of Medicine and infectious diseases consultant at Kansas University Medical Center. Prior to this position he served as Lecturer in Community Medicine at Tribhuvan University Teaching Hospital in Kathmandu, Nepal, and as a clinician at Gandhi Memorial and Associated Hospitals, Lucknow, India. Bruce Banwart, MD, is an intensivist at Children's Mercy Hospital in Kansas City and a veteran of medical service in Latin America and Thailand with Operation Smile.
 
Alan Barber, DDS, is adjunct faculty at the Kirksville College of Osteopathic Medicine and Director of International Healthcare for AT Still University. Dr. Barber is also Founder/Chairman of True North Missions, a humanitarian organization providing healthcare to indigenous people of Central America, and recipient of the 2006 Rotary Healthcare Professional of the Year. Lloyd Cleaver, DO, is a Professor in the Department of Internal Medicine, Dermatology Section, at Kirksville College of Osteopathic Medicine. Dr. Cleaver completed his dermatology residency training with the United States Navy, accumulating considerable experience with dermatology in developing nations.
 
Nicholas Comninellis, MD, MPH, is president of INMED, and is board certified in both public health and family medicine. Nicholas trained in tropical medicine at the Walter Reed Army Institute of Research, and served four years in Shanghai, China and Angola, Africa. Nancy Crigger, PhD, ARNP, is an associate professor of nursing at William Jewell College in Liberty, Missouri. For two decades she has lead volunteer medical teams to Central America, and has been published extensively regarding her insights into cultural, ethical and best practices issues related to international service.
 
Jeff DeGraffenraid, EdD, is Chief Programs Officer for Heart To Heart International, and served as VP of its Global Crisis Response. Dr. DeGraffenraid's resume includes Division Chief for the Overland Park Fire Department and Paramedic Team Leader for Johnson County Med-Act. He is author of numerous articles and chapters on subjects of emergency medicine management. Michael Driks, MD, is an infectious disease consultant at Kansas City HCA and Saint Lukes Hospitals, whose experience includes tropical medicine service in Thailand.
 
Jean Fields, RN, MSN, CNS, is a nurse educator teaching community health nursing at the Research College of Nursing. Her service in Africa, India, Central and Latin America, and Eastern Europe has focused on the illuminating the cultural aspect of health care. Micah Flint, MPA, is CEO of INMED and a graduate of the Disaster Management program at Park University. Micah serves on the board of directors for Samaritan Emergency Medical Search and Rescue.
 
John Gibson, MD, is Program Director of the International Medicine Fellowship at the University of Texas Southwestern Health Sciences Center/John Peter Smith Hospital. He lived in Thailand from 1984-2004 training medical personnel and providing care for marginalized people throughout the nation. Ted Higgins, MD, is a general and vascular surgeon at Research Medical Center. He has provided surgical care in the Dominica Republic each year since 1995.
 
Daniel Hinthorn, MD, is the Chief of Infectious Diseases at Kansas University Medical Center, a leading HIV investigator for the National Institutes of Health, and on the Board of Scientific Counselors for the National Center for Infectious Diseases. Joe LeMaster, MD, MPH (London), is an Assistant Professor, Department of Community and Family Medicine, at the University of Missouri, Columbia. Joe and his wife Judy lived in Nepal from 1990-2000, serving at Okhaldhunga Hospital, the only medical care facility for 300,000 people, promoting maternal-child health, and conducting leprosy research.
 
Michael D. Lockwood, DO, is Professor and Chair of the Department of Osteopathic Manipulative Medicine at Kirksville College of Osteopathic Medicine in Kirksville, Missouri. Dr. Lockwood serves at the CURE International Hospital in Afghanistan and at Tansen Mission Hospital in Nepal, where he instructs Nepalese resident physicians. Michael Luchi, MD, is Associate Program Director for the Internal Medicine Residency at Kansas University Medical Center and an infectious diseases consultant. He is a distinguished recipient of an Institutional Development Award from the National Institutes of Health for sustained development of clinical researchers in Kansas.
 
Mani Mani, MD, is a graduate of the Christian Medical College, Vellore, India, and trained in plastic surgery at the University of Kansas. From 1974-1995 he served at Medical Director of the Gene and Barbara Burnett Burn Center, University of Kansas Medical Center. Thad May, MS, PE, is a professional engineer with a specialty in water and sanitation. His work experience includes development projects in Zambia, Africa, and in China. Thad earned his B.S. in Civil Engineering and M.S. in Environmental Engineering from the University of Kansas. Thad serves on the INMED Board of Directors.
 
Fernando Merino, MD, is an infectious diseases consultant at Kansas University Medical Center. He was fellowship trained in infectious diseases at Yale University School of Medicine/Yale-New Haven Hospital, and earned a Master's degree in Tropical Medicine at the Universidad de Valencia, Spain. Scott A. Murphy, MD, is a board certified ophthalmologist and fellowship trained ocular plastics surgeon trained at the University of Oklahoma Dean McGee Eye Institute. He volunteers at the Northwest Haiti Christian Mission, providing eye care in the region of St. Louis du Nord.
 
Dennis Palmer, DO, and his wife Nancy currently live in Cameroon, West Africa, where they lead an innovative program to prevent mother-to-newborn transmission of HIV prevention and run an HIV treatment project that has 6,000 patients enrolled. Kevin Raymer, MD, spent two months at Kudjip Nazarene Hospital in Papua New Guinea as part of the INMED Diploma Program and is currently participating in the Via Christi International Family Medicine Fellowship.
 
Michael Searcy is a Certified Financial Planner and President of Searcy Financial Services - a firm specializing in money management needs of medical professionals. He is an adjunct faculty member at the College for Financial Planning and the University of Missouri-Kansas City. For the last decade, Michael has traveled with medical mission teams to Guatemala. Stan Shaffer, MD, is Director of Neonatology at St. Luke's Health System, in Kansas City, and founder/medical director of the Maison de Naissance in Haiti, a birthing center and community health program where more than 300 babies born each year under vastly improved circumstances. Shaffer is an E. Gray Diamond Professor of International Medicine at the University of Missouri-Kansas City.
 
Anne Sly, MD, is Associate Program Director for the Research Family Medicine Residency and formerly of the International Rescue Committee's (IRC) Thailand medical relief project in association with Cornell University. Todd Stephens, MD, DTM&H, is Director of the Post-Residency International Family Medicine Fellowship at Via Christi Medical Center in Wichita, Kansas. Dr. Stephens served six years in Kenya and Rwanda. The Fellowship he leads today is designed to equip physicians with the unique knowledge and clinical skills necessary to serve effectively in developing countries.
Spencer Stith, MDiv, MA, is Director of Faculty Recruiting for International Institute for Christian Studies. Prior to this he served three years at director of international activities of the American Academy of Family Physicians, seven years leading an NGO in Bulgaria, and several month coordinating relief for war refugees from Sierra Leone and Liberia.  

  COURSE SCHEDULE  

Monday, June 1, 2009

8 Course orientation - Comninellis, Rolf
9 Pretest - Comninellis
10 Progress Against HIV - Palmer
11 Reducing TB and Malaria - Raimer
1 Chronic Disease Management - Stephens
2 Tropical Eosinophilia - Stephens
3 Case Studies in Travel Medicine - Stephens
4 Case Studies & Tansen Health Care System - Lockwood

Tuesday, June 2, 2009

8 Nutritional Assessment & Management of Malnutrition - Sly
9 Water-Borne Diseases - Sly
10 Lower Respiratory Infections - Sly
11 Dengue/Yellow Fever - Gibson
1 Application Groups
2 Ultrasound Applications - Gibson
3 Measles & Polio - Driks
4 Viral Hepatitis - Driks

Wednesday, June 3, 2009

8 Health & Poverty - Shaffer
9 Haiti Health Intervention Planning - Shaffer
10 Common Newborn Illnesses - Shaffer
11 Teaching Basic Newborn Care - Shaffer
1 Vaccination, Nutrition & Well Child Care - Banwart
2 Oral Rehydration/Fluids and Electrolytes - Banwart
3 Management Of Common Childhood Illnesses - Banwart
4 Case Studies - Gibson

Thursday, June 4, 2009

8 Malaria - Hinthorn (KU Dept of ID)
9 TB - Luchi (KU Dept of ID)
10 Fungal Diseases - Bajracharya (KU Dept of ID)
11 Avian Influenza - Hinthorn (KU Dept of ID)
1 Contraception & Prenatal Care - Gibson
2 Obstetrical Complications - Gibson
3 Gynecology topics - Gibson
4 Application Groups

Friday, June 5, 2009

8 HIV Management - Merino (KU Dept of ID)
9 HIV Opportunistic Infections - Merino (KU Dept of ID)
10 Helmithic Infections - Bajracharya (KU Dept of ID)
11 Personal Health of the Traveler - Bajracharha (KU Dept of ID)
1 Language Acquisition - Gibson
2 Common Eye Disorders - Murphy
3 Essential Optical Refraction - Murphy
4 Eliminating Preventable Blindness - Murphy

Monday, June 8, 2009

8 Acute Abdomen - Higgins
9 Surgical Infections - Higgins
10 Burn Management - Mani
11 Burn Management - Mani
1 Dermatology in Developing Nations - Cleaver
2 Dermatology in Developing Nations - Cleaver
3 Odontogenic Infections - Barber
4 Oral Pathology - Barber

Tuesday, June 9, 2009

8 Health & Culture - Comninellis
9 Cultural Adaptation - Stith
10 Cultural Adaptation - Stith
11 Surviving Culture Shock - Fields
1 Ethical Issues In International Medicine - Fields
2 Ethical Issues In International Medicine - Crigger
3  Ethical Issues In International Medicine - Crigger
4 Application Groups

Wednesday, June 10, 2009

8 Health Leadership - Comninellis
9 Water & Community Development - May
10 Water Resources & Systems - May
11 Promoting Health Thru Community Development - LeMaster
1 Community Health Assessment - LeMaster
2 Research In International Health - LeMaster
3 Training Health Workers - LeMaster
4 Case Studies - Comninellis

Thursday, June 11, 2009

8 Comparative Health Systems - Flint
9 Disaster Management - DeGraffenreid
10 Disaster Management - DeGraffenreid
11 Disaster Management - DeGraffenreid
1 Future Of International Medicine - Comninellis
2 Examination Review
3 Examination Review
4 Application Groups

Friday, June 12, 2009

8 Examination
9 Examination
10 Financial Planning For A Life Of Service - Searcy
11 Misconceptions & Choosing Your Service Path - Comninellis
1 Reception for Students and Instructors

  GRADUATES  

Dolores Atkinson, MS, ARNP
Patricia Back, MD
Megan Beatty, MD
Amy Biel, MPH
Patrizia Braukmann, MD, PhD
Lloyd Cleaver, DO
Melissa Curtice, MSN, CNM
Tracy George, RN
Catherine Gerke, RN
Jessica Goreham-Voss. MD
Anna Jordan-Helser, MSN
Paul Kuraguntla, MD
Susan LaSpina, RN
Darlene Lee, RN
Winston Manimtim, MD
Diego Manzoni, MD
Myrna McLaughlin, RN
Rachel Morgan, medical student
Tabitha Oosterhouse, medical student
Nadine Pelham, RN
Paul Rotert, medical student
Danny Smelser, MD
Emily Smith, OT student
Leslie Stone, MD
Natalie Sukhaphadhana, DPT
Steven Wales, RN
Rose Wamaitha, MSN, FNP
John Wambugu, Clinical Officer
Gary Wheeler, MPT
Charlotte White, MN, ARNP
Tina Wiebe, RN
Irving Wiesner, MD