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INMED

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INMED CME

Liaoning International General Health Trainers

China

Overview

Shenyang, a city in northeastern China, is home to one of that country’s only family medicine fellowships. Visiting health profession students and residents physicians assist American and Chinese physicians and healthcare professionals in serving the medical needs of local citizens. Medical care is mainly provided at Deji Hospital and H’Image Doctor Clinic.

Visitors serving with LIGHT will be able to communicate adequately in English, given that all the LIGHT staff speak English, In addition to medical service, visitors to Shenyang can enjoy its numerous famous attractions, including the Imperial Palace, Zhao Ling Tomb, Fu Ling Tomb, the Water Caves, a botanical garden, and several scenic mountain sites.

Location

Liaoning International General Health Trainers, best known by the abbreviation LIGHT, is headquartered in Shenyang, the capital city of Liaoning Province. This province lies in the northeastern part of China, just northeast of Beijing and close to Korea, Mongolia and Russia. Shenyang is a famous heavy industrial city, and is also the economical and cultural center of the northeast area and a hub of communication.

Shenyang has four distinct seasons. Spring last from February through May, with average temperature in the 50s F. There are sand storms in the spring because the wind blows through the open soil that has not been covered by grass due to the cold. Summer is from May through August (temperature 80s or low 90s F). Autumn lasts from August through October (temperature in 50s F), and winter from November through February (temperature in 20s or 30s F). Shenyang’s winter is one of the coldest compared to other cities in China.

Become familiar with China’s culture, history and economy by reviewing the Wikipedia China Profile. Rich resources for China health information include the Institute for Health Metrics and Evaluation IHME China Country Profile and the World Health Organization Global Health Observatory China Data.

Local Chinese patients served by LIGHT are often of low income. China’s medical insurance system is largely tied to employment. Those who are unemployed may not qualify for medical insurance, leading to delays in seeking medical attention. Common diseases are those typical of primary care, including hypertension, hepatitis, diabetes, and occasionally TB.

Patients are seen in an urban clinic for foreigners, an urban clinic for nationals, rural clinics, and nursing homes. Each setting offers an age-specific set of primary care problems. Primary medical care is a new and pioneering service in China. Therefore, large numbers of patients are not seen. Those attended quality whole-person care and excellent physician training in each patient encounter.

The local language is Mandarin Chinese. However, all the physicians speak English, as does most of the staff. Visitors will be able to communicate adequately using English alone.

The mission of LIGHT is both to provide care for low-income people and to train Chinese physicians in family medicine. Multiple medical care settings are employed. The Deji Hospital H’Image Doctor Clinic serves international persons working in China and local Chinese people of humble means. LIGHT mobile clinics also serve the medical needs of a retirement community, rural town sites, and a rehabilitation center for children. LIGHT works in cooperation with the Chinese Medical University (CMU) Family Practice Department.

LIGHT is lead by Chinese physician, Jason Pangyan. The staff also includes Chinese and American physicians, physical therapists, and nurses.

LIGHT emphasizes clinical prevention throughout all its primary care services, from urban health centers to rural clinics. Patient health education routinely addresses issues of diet, exercise, tobacco use, substance abuse, family planning, and trauma prevention. LIGHT health education efforts are also aimed at equipping other healthcare professionals with the motivation and skills to make this an intricate part of their practices.

Clinical screening and secondary prevention are relatively new concepts in Chinese society, and LIGHT is actively educating citizens about this importance. In this context LIGHT provides early detection of common diseases like hypertension, diabetes, and hyperlipidemia. Well child care is meticulously provided by LIGHT, with emphasis on tracking growth and development, and appropriate intervention for delays.

Wireless Internet is widely available for a low cost. All of China is within one time zone, and is 13-14 hours ahead of Central Time in the U.S., depending on Daylight Savings. The telephone Area Code for Shenyang City is 024.

INMED invites all participants to consider raising extra funds to financially support this facility. While such efforts are not required, they provide opportunity for INMED personnel to become involved in this important aspect of international healthcare.

Travel and Logistics

Several  airlines fly into Shenyang and most require a connection in Beijing or Shanghai. Direct flights to Shenyang may be available through South Korea. Personnel from LIGHT will pick up arriving visitors at the airport.

Once approved to work with LIGHT, the staff will advise applicants on obtaining the correct visa and completing the appropriate registrations after arrival in China.

All routine vaccinations should be current, including hepatitis A and B. Also recommended is Japanese encephalitis vaccine for those coming more than four weeks during May through October. This vaccine can be obtained at the LIGHT clinic in China. One should consult with their personal physician before traveling, and refer to the CDC Travel Website for the most up-to-date health information.

Travelers are advised to refer to the United States State Department website for the most up-to-date general travel information, and to regularly view current travel advisories.

Health professional students and resident physicians are welcome to participate in all activities of LIGHT. Most patient care is in the outpatient setting, with limited inpatient opportunities at this time. The patient care load in clinics tends to be light. In addition to health care, visitors may be invited to teach medical English and to participate in medical conferences.

Students should expect to have a degree of autonomy. They must be self-starters and take the responsibility on themselves to make the most of their experiences. They will participate in healthcare activities as well as in education educational conferences held at the H’Image Doctor Clinic. 

Students are usually housed at hotels near the H’Image Doctor Clinic. These are low cost facilities. The official currency in China is RMB, the Renminbi. US dollars and major credit cards are accepted in hotels and certain restaurants and shops.  Using a Visa check card to withdraw money from an ATM is the best way to obtain money in Shenyang.

Healthcare personnel should bring a white coat for work. Slacks, but not jeans, are acceptable for both men and women to wear to clinic; men rarely wear ties.

Shenyang was the capital of the Qing Dynasty from 1625 until 1644. Its numerous attractions include the Imperial Palace, Zhao Ling Tomb (North Tomb), Fu Ling Tomb (East Tomb), the Water Caves, a botanical garden, a wild animal park and several scenic mountain sites.

Bring appropriate clothing for the weather. Winters are very cold and summers can be very hot. Shenyang has extensive shopping opportunities to purchase any necessities. 

Note: Not all INMED learners post a blog regarding their international service-learning. Only completed blogs are listed:

Candice Allen-Hara

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