UMMS Global REACH News and Events
Announcements and News


Parliament member to discuss health insurance in Ghana and its impact on health outcomes

The National Health Insurance of Ghana - Accessing Health care in Ghana
Dr. Richard Anane, Ranking Member, Committee on Health, Parliament of Ghana

Tuesday, April 24, 2:00-3:30pm, Reception to follow
2610 SPH I, 1415 Washington Heights
Sponsored by The Global Public Health Initiative, School of Public Health and the Department of Obstetrics and Gynecology, University of Michigan Medical School

A graduate of Kwame Nkrumah University of Science and Technology School of Medical Sciences, Dr. Anane is one of the very early participants of the Carnegie sponsored Post-graduate education training in Ob-Gyn. He has been a Member of Parliament in Ghana since 1997 and has served as the Minister of Health and the Minister of Transportation. In 2008, he received the prestigious State award, Companion, Order of The Volta, for Public Service. As Minister of State, Dr. Anane initiated and implemented several significant projects.

For more information contact:
Chinyere Neale, nealee@umich.edu
(734.615.3514)

 



umhs logo peking_logo

University of Michigan Health System
Peking University Health Science Center
Joint Institute for Translational and Clinical Research

Joint Institute for Translational and Clinical Research Annual Symposium

November 28-30, 2012
BSRB and other locations at U-M (TBD)

This year's symposium will feature keynote speakers, breakout discussions, and posters sessions for JI and non-JI researchers. Last year, almost 60 University of Michigan community members from six schools and colleges were able to join their Chinese colleagues in attending the symposium hosted by the Peking University Health Science Center (PUHSC). We anticipate the same wonderful representation as the University of Michigan Health System (UMHS) welcomes its PUHSC partners.

Speakers include:

Joseph C. Kolars, MD
Senior Associate Dean for Education and Global Initiatives,
Professor of Internal Medicine, University of Michigan Medical School

Steven L. Kunkel, PhD
Senior Associate Dean for Research, Endowed Professor of Pathology Research, University of Michigan Medical School

Cristina Rabadan-Diehl, PhD
Deputy Director, Office of Global Health, National Heart, Lung, and Blood Institute, National Institutes of Health, United States

Tom Shanley, MD
Director of Michigan Institute for Clinical and Health Research
Professor of Pediatrics, University of Michigan Medical School

Yangfeng Wu, MD, PhD
Executive Associate Director, Peking University Clinical Research Institute, Professor of Cardiovascular Medicine, Peking University Health Science Center

Symposium updates can be found on the Joint Institute website

 


UMMS Partnership Focuses on Increasing and Improving Trauma Care in India

In April 2011, Dr. Ora Pescovitz, Executive Vice President for Medical Affairs and CEO of the University of Michigan Health Systems, signed a Memorandum of Understanding between UMHS and the All India Institute of Medical Sciences (AIIMS). This partnership, involving the University of Michigan Medical School and the JPN Apex Trauma Center (JPNATC), is the first partnership with a US medical school focused on trauma care in India.

A symposium held in New Delhi in February 2012 entitled 'Trauma in India-Challenges and what could be achieved with collaboration with the University of Michigan?' brought together several key investigators from each institution to help set the agenda for the next steps of the collaboration. In addition to research discussions and learning meetings with trauma surgeons and other medical specialists at JPNATC, the symposium activities included a tour of the Advanced Trauma Life Support Program and Laparoscopic Pig Lab at AIIMS, and meetings with the Directors of the General Health Services, the Indian Council of Medical Research, and the Director/Dean of AIIMS.

The symposium was attended by several UMMS faculty including: Kevin Chung, MD, Charles de Nancrede Professor of Surgery, Assistant Dean for Instructional Faculty and Associate Director of Global REACH; Steven Kunkel, PhD, Senior Associate Dean for Research, Endowed Professor of Pathology Research and co-director of General Pathology in the Department of Pathology; and Krishnan Raghavendran, MD, Associate Professor of Surgery.

Related press release

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Above L-R: Dr. Krishnan Raghavendran, Dr. Steve Kunkel, Dr. Mahesh Misra (Director of the JPNATC AND Chairman Department of general surgery at AIIMS),
and Dr. Kevin Chung

 

 

 

 

 

 

 

 

 

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Above: A group portrait taken during the U-M delegation's visit to New Delhi
in February 2012

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


New award looks to increase university-based OBGYN partnerships in Africa

Frank Joseph Anderson
Frank J Anderson,
MD, MPH

Frank J Anderson, MD, MPH, Associate Professor Obstetrics and Gynecology and Health Behavior/Health Education was recently awarded a Flora Family Foundation one-year learning grant to support his project "Improving Maternal Health and Reducing Maternal Mortality in Africa through Training Obstetricians." The grant will use the lessons gleaned from current UMMS obstetric partnerships to engage other academic OBGYN programs in the US who are interested in making similar long-term commitments to identifying academic obstetric and gynecology programs in sub-Saharan Africa located in countries committed to creating, supporting and sustaining this capacity.

Anderson, who also serves as the Director of Global Initiatives in the OBGYN department, notes, "Partnering with universities and programs in less developed countries to decrease maternal mortality is a major goal of this program. This grant will help highlight the importance of university partnerships to train physicians to become obstetricians - as a new development model." He adds, "the University of Michigan is a known leader among all obstetrics and gynecology programs in the US because of its work in Ghana, and has a unique opportunity to document the successes and failures and create a formula to assist other US or North American-based OBGYN departments in creating capacity building partnerships in Africa." Anderson and his colleagues hope that the work done over the next year would lead to a consortium of university-based OBGYN partnerships whose goal would be to train 1000 new obstetricians in Africa in the next 10 years, preventing and treating thousands of incidents of obstetric fistula and saving countless lives.

 


Sujal Parikh Memorial Symposium for Health and Social Justice

Sujal Parikh
Sujal Parikh

A joint conference of the 2nd annual University of Michigan Sujal Parikh Memorial Symposium for Health & Social Justice and the Physicians for Human Rights National Conference

March 24th to 25th, 2012 in Ann Arbor, Michigan

Tentative Program:

  • Friday, March 23rd: 9PM - Social event @ Sava's, 216 S. State St
  • Saturday, March 24th @ Ford School of Public Policy
  • Sunday, March 25th @ UM School of Public Health Community Room

For more detail about the program, Please visite: http://sujalsymposium.org/2012-program/


Survey Results of Sub-Saharan African Medical Schools Study

Results of a survey conducted by the Sub-Saharan African Medical Schools Study (SAMSS) in 2009 have just been published in Human Resources for Health. The survey, which was distributed to medical schools in 40 of the 48 Sub-Saharan African countries, examined qualitative and quantitative institutional characteristics of Sub-Saharan African medical schools. The data expands the current baseline data and further informs researchers and policy makers concerned with the imbalance these countries experience when they bear the greatest proportion of the world's burden of disease along with the greatest shortage of health care workers.


Dr. Joseph Kolars, UMMS Senior Associate Dean for Education and Global Initiatives, shared authorship on this publication with collaborators in the US and six African nations.


U-M Shows Strong Presence at Annual Meetings of the Consortium of Universities for Global Health

Led by a multi-disciplinary contingent of researchers from the University of Michigan Medical School (UMMS), the University was well represented at the 2011 Global Health Conference held in Montreal, Canada last November. Dr. Joseph Kolars, UMMS Associate Dean for Education and Global Initiatives, served on the Scientific Program Advisory Committee along with UMMS faculty member and director of the Center for Global Health, Dr. Sofia Merajver.

This year's meeting, focused on Advancing Health Equity in the 21st Century, was attended by 1400 people from more than 60 countries. As one of the cooperating organizations & sponsors, UMMS provided overall support for plenary, panel, and poster sessions. In addition, Dr. Kolars and Global REACH hosted several international collaborators to attend and present at the meetings including Dr. Ephata Kaaya, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania; Dr. Marion Jacobs, University of Cape Town, South Africa; Dr. Abdel Koumare, University of Bamako, Mali; Dr. Nelson Sewankambo, Makerere University, Kampala, Uganda; Dr. Peter Donkor, Kwame Nkrumah University of Science and Technology, Accra, Ghana; and Dr. Aaron Lawson and Ms. Sandra Donkor-Bamfo, University of Ghana, Accra.

Of special Note: UMMS M1 student, Emma Lawrence, was the recipient of the Anvar and Pari Velji Award for Global Health Excellence: GHEC Emerging Leaders in Global Health.

 


Global Impact Speaker Series:
Battling Counterfeit Medicines with Technology and Social Enterprise

Who Ashifi Gogo
CEO and Founder
Sproxil, Inc.
When Tuesday, November 29 2011
4:30 - 5:30pm
Where R 0230
Ross School of Business
  Reception to Follow
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Ashifi Gogo, Sproxil CEO

Ashifi is CEO and Founder of Sproxil, a venture-backed for-profit enterprise that delivers product authentication and supply chain consulting services to pharmaceutical companies. Sproxil's services allow end-consumers to verify with a simple free text message that they are not purchasing counterfeit medication. Pharmaceutical companies pay service fees to Sproxil for the increase in sales of genuine pharmaceutical products. It enables consumers to participate in bringing an end to the $75 billion trade in counterfeit medication, while putting manufacturers directly in touch with consumers to close the feedback gap in a cost-efficient scalable electronic way.

Ashifi is an expert in end-consumer authentication technologies. He is Six Sigma Black Belt certified in Good Manufacturing Practice and Continuous Process Improvement. He previously co-founded VSOL, a VoIP company that provides telephone services to the administration of a 24,000-student university in Ghana.

Ashifi holds a Ph.D. in Electrical Engineering from the Thayer School of Engineering at Dartmouth College and a double-major B.A. in Mathematics and Physics from Whitman College. He is Dartmouth's first-ever Ph.D. Innovation Fellow.

Read more about his work: http://asmarterplanet.com/blog/2011/10/meet-ashifi-gogo.html


Software and Global Health: The Challenge of Technology Introduction to the Ministry of Health

siteparts/images/anderson_richard
Richard Anderson

Yahoo Speaker Series
Fall 2011 speaker
Richard Anderson
2:30-4 p.m.
Thursday, October 27
2435 North Quad

Anderson will describe the process of introducing software for managing vaccine cold chain equipment to the ministries of health in several countries, and examine the characteristics of software used at the national level and the role of multiple stakeholders in adoption and use of systems.

Based on deployment of the system in countries in Africa and Latin America, and interviews with immunization program officers, Anderson will argue that this type of software can meet country needs in planning a more efficient vaccine cold chain and increasing system transparency provided that it is situated is a broader system committed to strengthening immunization programs.

This talk will examine challenges relating to the introduction and sustainability of health information systems that operate at the national level in developing countries.

Anderson is a professor of computer science and engineering at the University of Washington. He graduated with a B.A. in mathematics from Reed College and a Ph.D. in computer science from Stanford University.

In 1986 he joined the University of Washington after a one-year post-doc at the Mathematical Science Research Institute in Berkeley, California. He has held visiting positions with the Indian Institute of Science in Bangalore, India and with the Learning Sciences and Technology group at Microsoft Research.

For the past two years, Anderson has been working at PATH, a Seattle-based public health nongovernmental organization, applying computing technology to a range of problems in global health.

This series supports distinguished guest lecturers from the fields of information and technology. More information is available about this presentation.


Dr. Michael Fetters comments on Japanese health care education in The Lancet

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Dr. Fetters and the Japanese Family Health Program

Michael D. Fetters, M.D., M.P.H., M.A., associate professor of family medicine, and colleague published a comment entitled, "Education for health professionals in Japan-time to change" in The Lancet.

The comment states, "Japan is known for its good health outcomes, which might indicate support from a strong primary health-care system; however, this is not the case. Most of the country's primary-care physicians are not primary-care physicians according to the standard definition. Furthermore, scarcity of gatekeepers-ie, primary-care physicians who are not well trained as generalists allow patients to self refer to secondary-care or tertiary-care hospitals even when their ailments could be treated just as well, if not better, at the primary-care level."

This is key to what Dr. Fetters is working on with his Shizuoka-University of Michigan Advanced Residency Training and Exchange Research in Family Medicine (SMARTER Family Medicine) Project which aims to develop a Japan/US training exchange to provide advanced and clinical teaching skills to Japanese Family Physicians in both inpatient and outpatient community settings.

 


The GHEC/Lancet and Valji Awards

The Global Health Education Consortium would like to remind your organization that as an institutional member of GHEC your faculty, students, and residents are eligible for the GHEC/Lancet and Valji Awards.  GHEC would like to remind your students and residents that they now have until October 15th to apply.  Awards of $1000 and recognition plaques will be given out at the GHEC 2011 Global Health Conference in Montreal November 13-15.

A letter outlining the awards and guidelines (pdf)

 


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Interested In Global Health, Design, Medical Technologies, or Social Entrepreneurship?

Come learn more at our Fall 2011
PROJECT EXPO & MASS MEETING

  • Wednesday, September 21 at 6:30 pm
  • Lurie Biomedical Engineering (LBME) Building
  • First floor atrium

DINNER WILL BE PROVIDED!

OUR MISSION: To use engineering design, in combination with needs assessment and social entrepreneurship, to improve access to healthcare in underdeveloped communities.

ACTIVITIES: Workshops, Volunteering, Design Projects, International Experience, Social Opportunities, Design for Credit

For Additional Information Visit: www.umich.edu/~mheal
Or email us at: mheal-contact@umich.edu

 


General Electric's Developing Health Globally Program Announces New National Medical Fellowships

In partnership with GE's Developing Health Globally Program, National Medical Fellowships has announced a sponsored opportunity for 4th year minority medical students to study abroad. The deadline for submission is 30 September 2011. This two month mentored clinical elective targets study in Ghana or Uganda. The clinical elective focuses on critical regional health care needs including HIV/AIDS, diabetes, tuberculosis, health disease, cancer, and infant mortality. To find out more about eligibility requirements or National Medical Fellowship Program opportunities contact UMMS Global REACH.

 


Humanitarian Crisis in East Africa

 

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Children have walked for weeks across the desert to get to Dadaab, and many perish on the way. Others have died shortly after arrival. On the edge of the camp, a young girl stands amid the freshly made graves of 70 children, many of whom died of malnutrition. Photo: Andy Hall/Oxfam

As the world continues to realize the scale of the humanitarian crisis in East Africa, it has become clear that additional support is needed for the region over the near and long term.

Some of the key developments released this week:

  • 12.4 million people require urgent humanitarian assistance
  • Over a half million refugees have been displaced from their homes
  • Most pressing is to meet the food needs of drought and famine

Members of the UMHS community have reached out to Global REACH for advice on where to direct contributions to address this humanitarian crisis. Working with USAID, Global REACH has identified that the best organizations to make an efficient and effective impact are the Center for International Disaster Information or InterAction. Monetary contributions are needed most. Coordinating with USAID, these organizations are working with the United Nations on food airlifts to reach the almost 2.2 mission people that have yet to receive aid.

Thank you to every person in the UMHS community for rising to the challenges of humanitarian crisis and revealing the great spirit of the University of Michigan. Go Blue!

 


Standard three-drug therapy beats four-drug regimens against H. pylori in Latin America study

New results suggest different populations need different therapies

Helicobacter pylori, the bacterium known to cause peptic ulcers, is also the primary cause of gastric cancer, which is a leading cancer killer globally.

A large clinical trial at seven sites across Latin America has now found that a standard three-drug regimen for treating H. pylori is more effective, at least in the population studied, than either of two four-drug regimens that proved superior in studies in Europe and Asia.

"This study turns recent literature a bit on its head," says study coauthor William D. Chey, M.D., of the University of Michigan. "Specifically, virtually all other randomized, controlled trials that have tested the four-drug therapy, either sequentially over ten days or concomitantly over five days, have found it superior."

View full article...


Global Medical Education Network

The University of Michigan Medical School is a participant in the Medical Education Partners Initiative (MEPI), through funding from the National Institutes of Health Fogarty International Center and the Presidents Emergency Plan for AIDS Relief (PEPFAR).

As a partner in the MEPI program the University of Michigan has campus wide access to participate in an exciting new Global Medical Education Network. Any UM student or faculty is eligible to use the resources of this new web-based portal, which provides up-to-date information and networking in global and African medical education and research.

Please share this exciting opportunity with others at UM who may be interested in medical education and research in Africa.

Here's the overview of the Global Medical Education Network site from Fogarty International Center/PEPFAR:

The mepinetwork.org is an authenticated site for faculty, staff, and students who are affiliated with Medical Education Partnership Initiative (MEPI) schools. MEPI schools are the MEPI grantees, their partners in-country and U.S.-based schools as well as the MEPI Coordinating Center. The mepinetwork.org site is designed to engage its members in knowledge exchange activities in relation to the following key themes:

  • Propose to expand and/or enhance innovative medical education models that have the potential to improve the quality of clinical education and clinical care in countries in Sub-Saharan Africa;
  • Develop strategies that enable graduating medical students to remain in their home country to practice, serve as faculty, and/or conduct research related to the implementation of PEPFAR and other public health priorities; and
  • Enhance the recruitment and retention of qualified academic faculty through partnerships and research opportunities.

University of Michigan students make safe drinking water available to prevent illness caused by contaminated water in underserved communities

In a unique partnership, led by University of Michigan Professor Noel Tichy's Global Business Partnership at the Ross School of Business, students and faculty at the Medical School, and the School of Nursing have teamed up with P&G, Grupo Salinas, and the United States Military Academy, West Point on the PUR Pilot Project Mexico. This collaborative endeavor is part of an action learning agenda through Professor Tichy's Global Corporate Citizenship Initiative forging global partnerships with corporations (GE, 3M, P&G, Boeing, Grupo Salinas) and University of Michigan students and faculty to engage in environmental and human capital projects around the world. The action learning agenda both contributes to the enhanced well-being of those we work with and produces a body of practical knowledge to help others around the world reflected in books, articles and application tools. This project aims to bring clean water to families at the base of the pyramid in Mexico as a prototype for a much bigger effort for many countries in South America.

"This partnership breaks all the stereotypes," Dr. Andy Haig of the University of Michigan Medical School shares, "Soldiers who are trained to fight caring about the health of foreign children, enthusiastic bright medical students getting into the details of sustainable marketing practices, and determined business people donating with their hearts, time and checkbooks. The project changed the attitudes of all the participants and built leadership skills in ways that we could never experience in the class room. It could only happen at Michigan, where our campus thrives on breaking down barriers."

Click here to download complete article (word doc)


University of Michigan Medical School students receive third place honor in business competition

University of Michigan Medical School students won third place in an international business writing contest in May, the NextBillion 2011 Case Writing Competition.

The competition awarded third place to "Catch a Falling STAR: Sustainable Financing for a Base of Pyramid Hospital (BoP)," written by U-M Medical School students Shilpa Gulati, Gopal Pai, Dave Seo and Alice Zheng. The students were working under the supervision of Paul Clyde, Adjunct Professor of Business Economics and Public Policy at the U-M's Stephen M. Ross School of Business.

"It was great working with the medical students, they were very sharp and effective at using their time," says Clyde. He explains the case is a concise description of some of the key challenges of health care delivery in emerging markets.

STAR, a comprehensive mission hospital in India, is facing an impending decrease in donations, which currently comprise nearly 50% of total funding. Its founder, Gautam Vora, must consider altering its business model to adopt more sustainable financing mechanisms.

To evaluate, he benchmarks three other hospitals that serve the BoP including two in India and one in Uganda. The hospitals are compared according to their formation, history, context, services, assets, and financing structure.

"This was a great way to put together our interests and combine our different backgrounds to look at emerging market healthcare issues," says Alice Zheng, third year medical student.

Currently in its second year, The NextBillion 2011 Case Writing Competition recognizes and publishes the best new business cases on Social Enterprise or Base of the Pyramid (BoP) topics. Engaging students and faculty globally in the emerging field of Social Enterprise is the ultimate goal of the annual competition.

The medical students were great at using their individual expertise, which included different sectors from business and public health, allowing them to write with a multidisciplinary approach.

"Even though all of us are medical students, we bring together a diverse skill set," says Zheng.

View full article...

 


International travel policy changes offer location flexibility, improved safety

By Rick Fitzgerald
Public Affairs

Provost Phil Hanlon has announced a series of changes in the university's international travel policy that will allow a broader range of possible locations for study-abroad programs.

Hanlon has decided the university will undertake its own assessment of risk for university-sponsored academic programs in countries covered by a U.S. Department of State travel warning. In doing so, the university will move away from its current practice of automatically suspending all programs taking place in such countries.

The decision on the new approach comes after a review of peer university study-abroad policies organized by Mark Tessler, vice provost for international affairs. Hanlon said the new approach would take effect this fall.

Tessler says the policy change comes with two important requirements for all students, faculty and staff who travel abroad on university-sponsored programs or university business: All travelers must register emergency contact information through the university's travel registry; all travelers must be covered by U-M travel abroad insurance, which provides for evacuation if needed.

"We've seen very clearly just how important the Travel Registry and the travel insurance can be," Tessler says."Knowing where our students and their mentors are and being able to reach them is absolutely essential in an emergency. And the low-cost insurance coverage provides a means to get assistance to them when needed."

University officials are working to streamline the existing procedures for registering travel plans and for getting insurance coverage, and are drafting a new Standard Practice Guide on international travel. Staff members in the office of the vice provost for international affairs are working to coordinate the risk assessments for international programs.

More details will be announced as the process moves forward. Those with questions are asked to contact Kati Bauer in the office of the vice provost for international affairs at kati@umich.edu or 734-764-2571.

 


Eva Luo (M3 student) abstract accepted for AAMC Research in Medical Education Conference

Eva Luo (M3 student) has had an abstract accepted for the 50th Annual Conference on Research in Medical Education (RIME) to be held in conjunction with the 122nd annual meeting of the Association of American Medical Colleges (AAMC) scheduled for November 4-9, 2011 in Denver, Colorado. The conference is planned and organized by the RIME Program Planning Committee, a committee of the AAMC Group on Educational Affairs. The purpose of the conference is to provide a forum for presentation and discussion of research concerning all aspects of medical education.

Ms. Luo's research is titled, "Effects of an Obstetrics/Gynecology Specialist on Obstetrics Care and Training in Rural District Hospitals in Ghana". Results of the study demonstrate significant improvements in the management of obstetric cases and the potential of district hospitals to be training facilities at hospitals with specialists.

In the study, rural district hospitals both with and without obstetrics and gynecology specialists were assessed. The study characterizes change that occurs after the placement of obstetrics and gynecology specialist and the perceived need for a specialist at health facilities. The facilities with specialists employed graduates of the Ghana Postgraduate Training Program, a partnership between the following organizations:

  • Department of Obstetrics and Gynecology of the University of Michigan Medical School
  • School of Medical Sciences, Kwame Nkrumah University of Science and Technology
  • Department of Obstetrics and Gynecology at Komfo Anokye Teaching Hospital
  • Department of Obstetrics and Gynecology at Korle Bu Teaching Hospital
  • Ghana Ministry of Health

Future efforts to reduce maternal mortality should include investments in human resource capacity building that incorporates training and rural placement of obstetrics and gynecology specialists.

The research was sponsored by the William Davidson Institute and U-MMedical School Summer Biomedical Research Program.

 


NO MORE: Organized Rape in the Democratic Republic of the Congo Must Stop Now!

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Doctor Mukwege, Wallenberg and the DRC initiative - IN PRESS Colleagues

NO MORE: Organized Rape in the Democratic Republic of the Congo Must Stop Now! (pdf)

Denis Mukwege, M.D.
Director, Panzi General Referral Hospital
Bukavu, Democratic Republic of the Congo

Summer Biomedical Research Program (SBRP)
Website: http://www.med.umich.edu/medschool/osp/research/
Amount: $4300 or so.

More Info: Current or entering medical students. They are required to work 10 weeks total, but it doesn't matter how much time they spend in the field.

OmniMed
Greetings to GHEC members; we finally have our searchable database up on-line. Please feel free to send feedback directly to me at Omni Med. We know there are still a few bugs in the search engine. Please also keep an eye on the Omni Med website for future updates. We have much more data to add to this database, including query responses on opportunities for: medical students, premedical students, doctors in training, allied health students, families with children, and those with no prior global health experience. Additional information will be added on language and religious requirements / restrictions, and organization's funding for travel, room and board, and other funding and training opportunities. Good luck searching.

http://www.omnimed.org

 


World Health News

    Taiwan Medical Mission awarded for providing medical aid in Africa
  • China Post - (4/19/2011, Global Health Workforce Alliance)
  • Within three years, the Taiwan Mission Team to Swaziland has treated a total of 4,000 people across 12 districts.
  • View article...
    Médicos rejeitam salários de até R$ 11 mil no interior
  • PB Agora, Brazil - (4/24/2011, Global Health Workforce Alliance)
  • Quem não gostaria de receber mensalmente um salário de R$ 11mil na conta bancária, e com isso assegurar uma renda anual de R$ 132 mil? Prêmio lotérico? Não dessa vez.
  • View article...

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