International Family Medicine EDUCATION Training World Class Physicians 6th AAFP Family Medicine Global Health Workshop Denver, September 2009 John O. Gibson, MD Director of Global Health Training JPS Family Medicine Residency

Background in Global Health Medical School experience in India Medical Missions: Hospital work in Thailand Teaching med students and residents in Thailand and on furlough Primary care and FM education in northern Thailand Teaching at Brazos Family Medicine/Texas A&M New Position at JPS FMR : Director of Global Health Education Director of P4 Global Health Fellowship Faculty for P4 OB Fellowship Director of Ultrasound Training

Medical Work in North Thailand Chiangklang Baptist Clinic Outpatient ministry to rural tribal and northern Thai peoples in Nan province. New Lives Drug Rehab Center Inpatient treatment for Opium addicts from hilltribe villages in N. Thailand. 3 month program involving education and job training.

Baptist Clinic Chiangklang Teaching Ultrasound skills at Baptist Clinic Chiangklang Nan Thailand

New Lives Rehab Center Addiction problem for Thai and Tribal groups in Nan 3 month residential program Agriculture and job training programs

Rotations in Thai Government Hospitals for FM Residents

Working and training with national physicians Possible site for rural track family medicine program in Thailand

8 International Disaster Relief

Tribal Village Health Projects Through Mobile Clinics: taking the doctors and nurses to the villages!

Goals and Objectives for FM Residents Procedural Training: Operative OB and Surgery Medical Systems Experience Cultural Experience and Language Challenges

Different Cultures Different Food (Akha French Fries)

Meeting people on their turf 6

Crossing Language Barriers with Pictures

Tasting the local fare

Typical Hilltribe Kitchen

Up close the view is different From a distance life is beautiful

Seeing life from The local perspective

Understanding Culture and Traditions

Examining Worldview Religion & Values

A Real “Hands on” experience

OB/Surgery Experience in Kenya

Tenwek Hospital and Kenya

Procedural and Surgical Experience in Ghana Baptist Medical Center Nalerigu Northern Ghana

Family Medicine Education and Exchange Programs in Thailand State of Family Medicine in Thailand New Medical Schools Initiatives in Thailand Visit from Deans of 4 New Medical Schools

Expressed Needs for Family Medicine Education in Thailand 1.Promotion of Primary Care Training 2.Cooperation in Primary Care Research 3.Cooperation in Faculty Development 4.Opportunities US family physicians to help model Family Medicine in Thailand. 5.Opportunities for Thai faculty and physicians in training to have short term exposure to US family medicine models

Goals & Opportunities for JPS FM Resident Education in Thailand 1.Rotations in busy Provincial Hospitals for OB, Surgery, etc 2.Research projects in Primary Care 3.Electives in Alternative Medicine (acupuncture, herbal medicine etc) 4.Role models for Thai students and residents 5.Long term relationship building

Proposal for Family Medicine Education in Russia Interests expressed by visiting faculty from MONIKI: 1.Opportunities for Faculty Development and enrichment 2.Research in Primary Care 3.Curriculum Development 4.Exchange programs for faculty and residents in Family Medicine Relationship started with contacts with Dr David Deshan, MD of Agape Unlimited who facilitated a visit from three representatives of MONIKI: Moscow Region Clinical and Research Centre. They are trying to establish Primary care training in the super specialized environment of Russian Medicine. Initiation of Family Medicine “retraining” programs. MOU ---

Global Health Fellowship at JPS 1.P4 Initiative 2.Global Health Curriculum a)International Health Clinic at JPS b)Global Health Lectures c)Intensive Course at INMED d)International Rotations i.1 month 2 nd and 3 rd Year ii.3 months in 4 th Year

Integration of All Parts Faculty and Resident Exchange: JPS to Thailand and Russia Thailand to JPS Russia to JPS Goals: Provide training for JPS residents who are interested in Global Health Develop partnerships for Family Medicine development overseas Provide opportunities for residents in training for electives at JPS Pursue Primary Care Research Initiatives with partner institutions

Challenges in Implementation A.Funding B.Continuity in Clinic C.Scheduling for Residents and Faculty D.Supervision and Evaluation