Global Health Opportunities

Dr. Sams, Dr. Wilson, and Dr. Amin on a trip to Uganda to teach midwives how to manage obstetrical and neonatal emergencies in low-resource settings.

Dr. Sams, Dr. Wilson, and Dr. Amin on a trip to Uganda to teach midwives how to manage obstetrical and neonatal emergencies in low-resource settings.

At Grant, we believe that a well-trained Family Physician is one of the most useful resources for the health of a community.  When that community is isolated, remote, or in a developing part of the world, the skill set of a Family Physician trained at Grant becomes even more beneficial!

Not surprisingly, many of our residents have a passion for treating underserved communities, and this often extends to an interest outside our U.S. borders.  

Grant currently sponsors International Electives available to residents with sites available in Ecuador, Peru, the Indian Himalayas, Papua New Guinea, Botswana, and Canada.   

 

In 2017, Grant residents and faculty took a trip to Uganda to teach local midwives a course in Obstetrics and Neonatal Resuscitation, a project that has resulted in being published and will likely result in multiple future opportunities for Grant residents. 

I went on two global health rotations during residency. The first was with Himalayan Health Exchange. This group sets up tent clinics in the same locations the same time of year. The villages are accessible less than 6 months out of the year due to snow or rain in the mountains so getting care is difficult. We camped near the villages we were serving for 15 days and then stayed in monastery guest houses the other half of the trip. As a resident, I oversaw one tent with 6 medical students. I learned as much from them as I hope they did from me, but more importantly, we all learned a lot from the patients we saw. Every student and resident was assigned a topic and we had nightly lectures during dinner. We saw everything from simple allergies and conjunctivitis to adrenal insufficiency. Our only tests were urine dipsticks. It changed the way I provided care for my own patients back in Ohio and made me appreciate the basics we have here - for having little compared to most of us in the US, our patients and friends there were truly happy.

The second trip was a month long trip to Botswana. A co-resident and friend went with me. I spent most of my time on the labor ward in a government run tertiary care hospital where episiotomies are routinely performed, there is no vacuum device, there is usually no ultrasound gel, about 10-20 c/sections daily and a census of 100+ in post-partum and 30+ in antepartum. There are 3 neonatal ventilators and about the same for adults. My co-resident spent his time on the medical ward where TB and cryptococcal meningitis were routine, LPs were performed daily, and you were often drawing blood yourself. Hard decisions are made about who should be aggressively resuscitated due to the lack of resources. Despite the situation in the hospitals, the patients were grateful for the care they do receive as it is better than the alternative. Prayer songs were heard every morning through the hospitals open windows and there was never a day where you felt you weren’t needed or helpful.
— Pooja Lahoti MD, Class of 2015