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International Career Paths and Research: Taking a Year Off Alan Rosenbaum.

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Presentation on theme: "International Career Paths and Research: Taking a Year Off Alan Rosenbaum."— Presentation transcript:

1 International Career Paths and Research: Taking a Year Off Alan Rosenbaum

2 Taking A Year Off Funding Options Student Status Timing International Career Paths Reasons

3 International Career Paths

4 Research

5 International Career Paths Research Clinical Education Public Health Intl Organizations

6 International Career Paths Research Peds ID OBGYN -Research Dollars -Academic Medicine -Home or Abroad -Research Dollars -Academic Medicine -Home or Abroad

7 International Career Paths Clinical Missions Long(er)-Term MSF (France) Emergency (Italy)

8 International Career Paths Clinical Missions Long(er)-Term MSF (France) Emergency (Italy) When are you not useful? A: Medical Student B: Intern C: Resident D: All of the above When are you not useful? A: Medical Student B: Intern C: Resident D: All of the above

9 International Career Paths Clinical Missions Long(er)-Term MSF (France) Emergency (Italy) When are you not useful? A: Medical Student B: Intern C: Resident D: All of the above When are you not useful? A: Medical Student B: Intern C: Resident D: All of the above

10 International Career Paths Education Clinicians Students Educators

11 International Career Paths Public Health Ministries of Health USgov/DHHS GH Policy Think Tanks

12 International Career Paths Intl Organizations UN WHO Specialty Groups

13 Taking A Year Off Student Status International Career Paths

14 Taking A Year Off Student Status International Career Paths What it means How to get it

15 Taking A Year Off Student Status International Career Paths What it means Why do we care? Loan repayment Grace Period (6month) Residency Application Explanation

16 Taking A Year Off Student Status International Career Paths What it means Definition: An approved leave of absence in which you are doing something productive for your degree Functional defn: School has to tell the US gov that you deserve to have student status

17 Taking A Year Off Student Status International Career Paths How to get it Degree Program Winning funding from a nationally competitive award that provides enough funding for the time you are on your LOA

18 Taking A Year Off International Career Paths Reasons

19 Taking A Year Off International Career Paths Reasons Research Clinical Degree Internship Personal

20 Taking A Year Off International Career Paths Reasons Clinical Internship PAHO/WHO (link) Volunteer websites, professional organization (link)

21 Taking A Year Off Timing International Career Paths

22 Taking A Year Off Timing International Career Paths After 1st Year After 2nd Year After 3rd Year Aug-Aug May-May

23 Taking A Year Off Timing International Career Paths -Publishing -Career changes -When will you want a break -Forget coursework -Step 1/2 -Publishing -Career changes -When will you want a break -Forget coursework -Step 1/2 -Acting Internships -Applying for match -Debt Burden -Particular Project -Acting Internships -Applying for match -Debt Burden -Particular Project

24 Taking A Year Off Funding Options International Career Paths

25 Taking A Year Off Funding Options International Career Paths Location Amount/Time Prestige Project

26 Fulbright -Student Program vs undergrads -Anywhere -Differences in competitiveness -Any research topic Fulbright -Student Program vs undergrads -Anywhere -Differences in competitiveness -Any research topic Fogarty (now Fulbright- Fogarty) -Apply to be in the program and project (Used to be Match) -Infectious Disease -Mostly basic science Fogarty (now Fulbright- Fogarty) -Apply to be in the program and project (Used to be Match) -Infectious Disease -Mostly basic science Boren -Primarily language program -Must have plan to learn language -Generally no Spanish/French Boren -Primarily language program -Must have plan to learn language -Generally no Spanish/French NIH (Global Health Program for Fellows and Scholars or Global Health Equity Scholars) -Operated by a few universities -Apply for a project NIH (Global Health Program for Fellows and Scholars or Global Health Equity Scholars) -Operated by a few universities -Apply for a project Doris Duke -Only East Africa (Tanzania, Kenya) -3 students per year Doris Duke -Only East Africa (Tanzania, Kenya) -3 students per year Specialty Groups? National Medical Societies? Departmental Funding? Mentor Funding? Summer Funding?? Partial Funding?? Specialty Groups? National Medical Societies? Departmental Funding? Mentor Funding? Summer Funding?? Partial Funding??

27 Links: 1) PAHO/WHO Link: &id=1489&Itemid=4245&lang=en 2) Damien House (Leprosy Clinic): 3) Volunteer Compiling Website: Funding: 1) NIH: global-health.aspx 2) Fulbright-Fogarty: fellowships-in-public-health 3)Fulbright: program 4)Boren: 5)Doris Duke: https://www.globalhealth.duke.edu/education-and- training/medical/doris-duke Links: 1) PAHO/WHO Link: &id=1489&Itemid=4245&lang=en 2) Damien House (Leprosy Clinic): 3) Volunteer Compiling Website: Funding: 1) NIH: global-health.aspx 2) Fulbright-Fogarty: fellowships-in-public-health 3)Fulbright: program 4)Boren: 5)Doris Duke: https://www.globalhealth.duke.edu/education-and- training/medical/doris-duke

28 Zoya Voronovich MS-4, University of Pittsburgh September 12th, 2013

29 Four keys to having a good experience: Have low expectations Be flexible Have a sense of humor Be patient

30 Africa: 1 billion people 1,200 neurosurgeons 142 in sub-Saharan Africa peds neurosurgeons Kenya: 38 million people 16 neurosurgeons 4 are outside of Nairobi 2 of which are in Kijabe Neurosurgical Training: Started in trainees 6 year training program

31 280 bed general hospital 5 bed ICU Owned by Africa Inland Church Health care to Gods glory Hosted at AIC Kijabe Hospital 2 operating rooms 50 beds New 85 bed facility under construction Dozens of mobile clinic dates per year Pediatric surgery and neurosurgery training and rotations

32 Long-timers: A. Leland Albright, MD Humphrey Okechi, MD Susan Ferson, NP Veronicah, CO Nursing teams Moms Short-timers: Sylvia Shitsama, MD Martin Situma, MD Kimberly Foster, MD Liana Beni-Adani, MD

33 2011 Cases: 1,328 total operations 410 shunt operations 131 endoscopic third ventriculostomies 253 operations for spina bifida 69 operations for brain tumors My Cases: 27 cases 9 shunt operations 6 operations for spina bifida 6 I&D/wound revisions 4 craniotomies for tumors 1 craniotomy for tuberculoma 1 endoscopic third ventriculostomy/ choroid plexus coagulation

34 Allow plenty of time for planning Traveling through a mission organization? Passport and visas Airline tickets Housing Immunizations and prophylaxis Expect that things may not be set in stone Funding Talk to people who have previous experience with: Country and culture Geography, including weather Work site Team Find ways you can help Medical supplies you can bring Equipment you can help transport Fundraising

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36 A. Leland Albright, MD Susan Ferson, NP Peter J. Veldkamp, MD Kimberly Foster, MD Elizabeth Tyler-Kabara, MD PhD Kenneth Clark, MD My family University of Pittsburgh Medical Alumni Association Global Links Donors to BKKH: Allison Berndtson, MD Susy Kohout, PhD Kai Larsen, PhD Judy Lozano Kaarin Michaelsen, PhD Anna Vavilova Valentina Vavilova, PhD Alexander Voronovich, PhD Anonymous donors

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