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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 service in low-resource communities often discover that their education poorly prepared them to work effectively because:
- Health challenges are distinct. Malnutrition, unique injuries, and certain infectious diseases are common in low-resource communities, but they are rare in wealthier ones.
- Healthcare resources are minimal. Safe drinking water and adequate housing, let alone diagnostic technologies and specialty consultation, are rarely available in low-resource communities.
- Cultural context is challenging. Success in promoting health and combating disease requires an intimate understanding of human behavior, which often contrasts sharply from one community to another.
- Leadership skills are underdeveloped. Effective health intervention requires attention to community-wide needs and resources, team building, and strategic planning - concepts infrequently addressed in the education of healthcare professionals.
- Living and working in low-resource communities demands unique personal skills. Attention to physical health, emotional wellbeing, financial subjects, and family relationships is essential for long-term success.
| 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
- Demonstrate technical proficiency in relevant clinical skills
2010 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 low-resource communities
- Diseases of Poverty - The health 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 low-resource communities
| COURSE DIRECTORS |
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Nicholas Comninellis, MD, MPH
Assistant Professor, University of Missouri-Kansas City School of Medicine President, Institute for International Medicine - INMED |
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Jean Fields, RN, MSN, CNS
Community Health Nursing Specialist Research College of Nursing Rockhurst University |
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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 |
- University of Missouri-Kansas City School of Medicine
- University of Kansas School of Medicine Department of Infectious Diseases
- Via Christi Medical Center International Medicine Fellowship
- University of Texas Health Sciences Center/John Peter Smith Hospital International Medicine Fellowship
| COURSE FACULTY |
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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. |  |
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. |
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Anil Cherian, MD, MPH, is Director of Community Health and Development for the Emmanuel Hospital Association in northeastern India. Dr. Cherian, a pediatrician by background at Chatarpur Christian Hospital, completed public health training and today oversees 24 community health centers and 6 HIV treatment centers. |  |
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. |
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Nathan Cook, DO, is an Assistant Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine and on the teaching faculty at Children's Mercy Hospital. He served in West Africa in 2001 and 2003, where he taught basic health care and facilitated medical and dental clinics for the people of Senegal. |  |
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. |
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Micah Flint, MPA, is Chief Programs Officer 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. |
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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. |  |
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. |
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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. |
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Kyle McPhee, is a specialist in biosecurity and disaster preparedness. Currently he works with the Federal Emergency Management Agency (FEMA) on Congressionally mandated catastrophic planning initiatives. Previous, he served as leader of Global Crisis Response at Heart to Heart International and as Coordinator for Safety and Emergency Preparedness at Kansas City's Saint Luke's Hospital. |  |
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. |
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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. |  |
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. |
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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 7, 2010
| 8 | Course Orientation & Introductions - Comninellis, Rolf | |
| 9 | Course Orientation & Introductions - Comninellis, Rolf | |
| 10 | Fighting The Diseases Of Poverty - Comninellis | |
| 11 | Low Resource HIV Care - Comninellis | |
| 1 | Chronic Disease Management - Stephens | |
| 2 | Tuberculosis - Stephens | |
| 3 | Malaria - Stephens | |
| 4 | Case Studies In International Medicine - Stephens |
Tuesday, June 8, 2010
| 8 | Nutritional Assessment & Management of Malnutrition - Sly | |
| 9 | Lower Respiratory Infections - Sly | |
| 10 | Vaccination, Nutrition & Well Child Care - Cook | |
| 11 | Management Of Common Childhood Illnesses - Cook | |
| 3 | Odontogenic Infections - Barber | |
| 4 | Oral Pathology - Barber | |
| 1 | Dengue/Yellow Fever - Gibson | |
| 2 | Case Studies In International Medicine - Gibson |
Wednesday, June 9, 2010
| 8 | Water-Borne Diseases - Bajracharya | |
| 9 | Helmithic Infections - Bajracharya | |
| 10 | Personal Health of the Traveler - Bajracharha | |
| 11 | Evaluation of the Febrile Patient - Bajracharha | |
| 1 | Ultrasound Techniques - Gibson | |
| 2 | Skill Stations #1 (case studies, US techniques) | |
| 3 | Skill Stations #2 | |
| 4 | Skill Stations #3 |
Thursday, June 10, 2010
| 8 | Acute Abdomen - Higgins | |
| 9 | Surgical Infections - Higgins | |
| 10 | Burn Management - Mani, Maria Pena, Trina Schulz | |
| 11 | Burn Management - Mani, Maria Pena, Trina Schulz | |
| 1 | Contraception & Prenatal Care - Gibson | |
| 2 | Obstetrical Complications - Gibson | |
| 3 | Gynecology topics - Gibson | |
| 4 | Application Groups |
Friday, June 11, 2010
| 8 | Language Acquisition - Gibson | |
| 9 | Injury Management - Gibson | |
| 10 | Exam Review - Comninellis | |
| 11 | Exam Review - Comninellis | |
| 1 | Common Eye Disorders - Murphy | |
| 2 | Eliminating Preventable Blindness - Murphy | |
| 3 | Eliminating Preventable Blindness - Murphy | |
| 4 | Essential Optical Refraction - Murphy |
Monday, June 14, 2010
| 8 | Course Orientation & Introductions - Comninellis, Rolf | |
| 9 | Course Orientation & Introductions - Comninellis, Rolf | |
| 10 | Fighting The Diseases Of Poverty - Comninellis | |
| 11 | Health Leadership - Comninellis | |
| 1 | Comparative Health Systems - Flint | |
| 2 | Building Organizational Capacity - Flint | |
| 3 | Water & Community Development - May | |
| 4 | Water Resources & Systems - May |
Tuesday, June 15, 2010
| 8 | Movie �The God's Must Be Crazy� | |
| 9 | Movie Discussion | |
| 10 | Cultural Adaptation - Stith | |
| 11 | Surviving Culture Shock - Stith | |
| 1 | Building International Partnerships - Crigger | |
| 2 | Ethical Issues In International Medicine - Crigger | |
| 3 | Ethical Issues In International Medicine - Crigger | |
| 4 | Case Studies In International Public Health - Comninellis |
Wednesday, June 16, 2010
| 8 | Health & Poverty - Cherian | |
| 9 | Well Child Care - Cherian | |
| 10 | Prenatal Care - Cherian | |
| 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 In International Public Health - Comninellis |
Thursday, June 17, 2010
| 8 | Health Intervention Planning - Cherian | |
| 9 | Cross-Cultural Competency in Healthcare - Cherian | |
| 10 | Disaster Medicine Management - Flint, McPhee | |
| 11 | Disaster Management Case Studies- Flint, McPhee | |
| 1 | Future Of International Medicine & Public Health - Comninellis | |
| 2 | Application Groups - Comninellis, Cherian | |
| 3 | Examination Review - Comninellis | |
| 4 | Examination Review - Comninellis |
Friday, June 18, 2010
| 8 | Examination | |
| 9 | Examination | |
| 10 | Financial Planning For A Life Of Service - Searcy | |
| 11 | Choosing Your Path To Service - Comninellis | |
| 1 | Reception for Students and Instructors |
| GRADUATES |
Sandra Abraham, MSN
Douglas Blackall, MD
Lynne Boone, Medical Student
Joni Bramon, Medical Student
Mark Byler, MD
Hannah Coram, Medical Student
Laura Corbett, PA
Bethany Ediger, RN
Allison Ellzey, MD
Nida Faheem, Medical Student
Kristin Fish, Pharmacy Student
Philip Flatau, MD
Millard Lynn Fogleman, MD
Sharon Kay Fogleman, MD
Helene Friedberg, MD
Scarlett Gard, Medical Student
April Hall, MSN, CRNA
Leopold Hamulczyk, Pharmacist
Aaron Highfill, RN
Kristen Huber, MPAS
Pamela Keller, MPAS, BSHP
Ayesha Khan, MS
Keils Kitchen, PA-C
John Littlefield, MD
Ciara Lynch, MD
Joel Massey, MD
Catherine McCurdy, PA
Raymond Nkwantabisa, MD
Sandy Orchard, RN
Jeehyun Park, Pharmacy Student
Rebecca Radcliffe, PA
Marideth Rus, MD
Rachel Sass, Pharmacy Student
Jennifer Sass, Pharmacy Student
Ravindra Shiwnandan, MBBS
Alexandra Sneed, Medical Student
Mardi Steere, MBBS
Georgia Villaflor, BSN
William Weitzel, MD
Kristell Willmer, BSN
Man Yu (Debby) Wong, BSN
Kelly Wright, MD