Content Resources

Goals of This Breakout Session Include:1. Review the list of evidence-based, low-cost, mortality-reducing interventions for critically ill patients that are appropriate for use in resource limited settings. 2. Share practical lessons learned including successes and challenges from running an ICU in Sub-Saharan Africa.

Global Health Issues: Major Existing Global Issues Intensive Medical Education in Low Resource AreasSpeaker: Ndidi MusaLocation: ED 210/212Abstract: To achieve the Millennium development goal 4, which is to reduce under-five mortality by two-thirds by 2015, still remains a challenge for low resource countries. Emergency and critical care services are often the weakest parts of the health system and yet have the potential to significantly reduce mortality. Effective triage, emergency care and intensive care is possible by putting into place intensive training and education that equips the health care staff to recognize and care for these critically ill children. Mission hospitals have the potential to take the lead in intensive care medical education for a number of reasons. Most missionary doctors have trained in a system where triage is the norm and where simple measures like availability of oxygen can save a life. it is with this background in mind that we will explore the following objectives: We will define the spectrum of intensive care services; We will identify tools and resources available to educate and train health care providers to improve skills and knowledge in intensive care; Innovations in critical care are they possible in mission hospitals?

Healthcare provides a unique opportunity to engage the deepest issues of life and faith alongside those who are suffering. Can you care for patients in a way that brings them before Jesus and offers them peace, healing, and wholeness? Discover how to practice healthcare as your ministry…starting even now as a student or resident.

The last contact we have with our patients is often discussing and dispensing their medications. This session will examine barriers and provide strategies to address cross-cultural: communication with patients, issues in appropriate patient medication use, and methods to provide clear instructions when counseling patients on medications.

The needs of long-term expatriate workers are quite different from those of the short-term worker. Long-term strategies include more flexible malaria prophylaxis regimens (covering high risk seasons), self treatment options for diarrhea and malaria, additional disease concerns (Japanese encephalitis, rabies) and dealing with mental health issues such as culture shock and depression.

Caring for Asian patients from other cultures offers some unique challenges, whether these are recent immigrants to the U.S. or patients seen in overseas settings. Language is just the first obstacle and often professional interpreters are a necessity. Cultural expectations differ by country. High context Asian cultures can make it difficult to communicate even after language issues are resolved. Many illnesses present differently with physical complaints often masking mental health concerns. Familiarity with various Asian culture bound syndromes is essential.

Regardless of your background, short-term and long-term, medical and non-medical mission workers alike are going to be faced with dental emergencies. Determining the course of action, including proper diagnosis and treatment, along with knowing when and where to refer when necessary, is important to patient health. This course will cover potential dental emergencies that may present as well as stress the importance of understanding the local health care system and the professionals working within that system.Learning objectives:1) List potential dental emergencies, presenting signs and symptoms and appropriate treatment2) Articulate the importance of understanding the local health care system when working cross-culturally

Abdominal surgery in Africa will focus on the incidence, diagnosis and the medical/surgical management of the most common clinical problems. The availability of medical personnel, facilities, and equipment will be discussed as well as the long-term need for surgical training.

Although largely framed as a legal issue, a social issue, and sometimes a geo-political issue, human trafficking is also a public health issue. Public health approaches consider all of these factors to take local information to make locally-appropriate interventions. It can also take local data to help feed our global pool of knowledge regarding this complex issue. Human Trafficking is both an individual as well as a public health issue. While direct health care is important, health professionals and organizations need to move beyond this and get involved in prevention, research, developing appropriate treatment guidelines, and monitoring and evaluation of health care interventions. We are against human trafficking because it harms people - so let's take approaches that will really work to mitigate, or even prevent, that harm.

In 2010, The Continuing Medical and Dental Education Commission of CMDA approved a working group to investigate the experience of medical missionaries with a view to providing information to assist mission agencies in setting a current and sustainable medical mission strategy. The PRISM (Patterns and Responses in Intercultural Service in Medicine) survey is a research report that summarizes those findings. This talk will involve a discussion of the salient, challenging, and sometimes surprising findings of what our full-time, long-term cross-cultural colleagues are facing today.

Excellent local training for Christian health professionals is one sure way to improve health services in many developing countries. Local schools, colleges and universities train the entire continuum of health workers – from community-based to specialty medical care professionals. Unfortunately, the quality of training is uneven in these institutions and local professionals may have not fully considered why being a Christian health professional is unique and special – making this a growing area for missions. This session will explore issues in developing robust, high quality Christian training centers for health professionals through partnerships with a network of Christian health professionals. This session explores lessons from such partnerships with US and Canadian universities involved in Uganda Christian University’s highly successful nursing and public health program, as well as other higher education partnerships. In particular, we will highlight the requirements for partnerships, the emerging role of technology, and implications for future development. Participants will have opportunities to share from their own experience, and help frame issues for future development.

Frontline health workers are vital to local health systems, as they are often based in the community and come from within the community they serve. They include community health workers, nurses, midwives, pharmacists and others who primarily work at the community level. They help families and individuals connect to health services, and in some cases are capable of providing lifesaving assistance. Where and how are these people identified and trained? What is the emerging role for medical missions in this area? This session will explore the emerging trends, opportunities and requirements for training of front line health workers, identifying challenges of recruiting qualified workers to serve in underserved areas. Examples will come from a review of international research on frontline health workers and personal experiences shared from the East Africa context. Participants will have opportunities to share from their own experience, and help frame issues for future development.