Family Medicine Cares International AAFP Global Health Workshop
Family Medicine Cares International AAFP Global Health Workshop October 2013 Mary Jo Welker, MD, FAAFP Foundation President Jane A. Weida, MD, FAAFP Foundation Vice-President
• Dr. Welker has reported no conflicts of interest • Dr. Weida has reported no conflicts of interest
Educational Objectives At the end of this presentation, participants will be able to: 1. Identify the clinical opportunities for volunteer work in Haiti with Family Medicine Cares International and their partnership with Heart to Heart International 2. Describe the medical education system in Haiti, from medical school through Family Medicine residency plus the schools and programs that exist 3. Identify future opportunities for medical student education and residency education in Haiti as part of the project work
AAFP Foundation Mission Statement The American Academy of Family Physicians Foundation advances the values of Family Medicine by promoting humanitarian, educational, and scientific initiatives that improve the health of all people.
The Heart of Family Medicine • The AAFP Foundation is a 501(c)3 • Supports and/or runs 27 programs. – The work is made possible through the donations of family physicians, corporations and others who provide donations of time and money. • Family Medicine Cares International is the Signature International Humanitarian Program of the AAFP Foundation
On January 12, 2010… • At 4: 53 pm, a 7. 0 magnitude earthquake struck Haiti, the poorest country in the Western Hemisphere • The epicenter was near Leogane, 29 Km (18 miles) west of the capital of Port-au-Prince • 100, 000 people perished in the first 60 seconds
On January 12, 2010… • Rescue efforts were hampered by – No electricity – No cell phone reception – No heavy equipment to free survivors – Poor infrastructure, poor roads, the airport was destroyed, etc. • Hospitals were quickly overwhelmed by the tremendous need
The Devastation • At least 220, 000 people lost their lives • 250, 000 residences and 30, 000 commercial buildings collapsed or were severely damaged
Signature Humanitarian Program • That year, the Foundation began making plans for a new Signature International Humanitarian Program, having just completed plans for a Domestic Program • Haiti was chosen as the site – Great need – still coping with the aftermath of the earthquake – Close to home – easy to get to – Our members expressed interest in providing assistance to the people of Haiti – Partnership with Heart to Heart International on the ground
Family Medicine Cares International • Announced at the AAFP Annual Assembly in Philadelphia, October, 2012 • Components: working to improve the quality of life and health of the people of Haiti – Family Medicine education and promoting Family Medicine in Haiti – Patient care – ongoing opportunities – provides sustainability – Children’s Projects – Medication airlift if possible (customs in Haiti is problematic) – Re-construction/public health project as needed and feasible
Family Medicine Cares International • Work is accomplished by: – Annual Delegation – Ongoing Efforts • Patient care • Orphanage support
Indicates Family Medicine Cares International locations
Annual Delegation Trip • The Annual Delegation trip is a one-week volunteer opportunity that includes both medical and nonmedical individuals. • Inaugural Delegation – February 2 -9, 2013 – 21 People – 13 physician members • Three Teams – Patient Care – Medical Education – Service • 2014 Delegation: February 15 -22
2013 Delegation Team Members Dr. Ainee Ahmed………………………York, PA Dr. Julie Anderson…………. . . …………………St. Cloud, MN Dr. Denis Chagnon……………. . Lake Placid, NY Brenda Cherpitel……………. . . Overland Park, KS Dr. Anna Doubeni……………. . . …Philadelphia, PA Lori Foley………………………. Kansas City, MO Dr. Michelle Jones …………………. . Hampstead, NC Dr. Laura Knobel……………………. . . …. Walpole, MA Dr. Evelyn Lewis&Clark……………Newnan, GA Douglas Mac. Lean…………………Westlake Village, CA Haley Maclean…………………. Westlake Village, CA Taylor Mac. Lean………………. . . …Westlake Village, CA Dr. William Markle…………………. . . ……Clairton, PA Christen Moburg……………. Georgetown, IN Dr. Jacobo Rivero………………. . . ……………Zillah, WA Dr. Dave Smith……………………. Elkhart Lake, WI Karen Smith………………………. . Elkhart Lake, WI Dr. Kimberly Tjaden …………………. ……Sartell, MN Dr. Jane Weida ……………………West Reading, PA Dr. Mary Jo Welker ……………………Columbus, OH Lloyd Welker………………………Columbus, OH
Patient Care Team • Treated More Than 600 Patients – 2 weeks to 92 years – 100 well-child visits at orphanage • Urban and Rural Locations – Port au Prince – Santo “Clinic in a Can” – Dufort Mobile Clinic – Place l’Or Mobile Clinic
Ongoing Volunteer Opportunities • Three to four volunteer physicians are needed each week throughout the year to provide ongoing patient care in community clinics in Haiti.
Ongoing Volunteer Opportunities • Opportunities for practicing and resident physicians (with physician supervision) • Can volunteer for 1 week to months at a time – Costs are reasonable – All details are pre-arranged – translators, transportation, including to and from airport, safe food, housing, training manual for providing care in Haiti, etc. • Contact Foundation Staff Brenda Cherpitel (Director of Development)
Brenda Cherpitel AAFP Foundation bcherpitel@aafp. org 800 -274 -2237 x 4452 www. aafpfoundation. org/familymedicinecares
Medical Education Team • Leadership “Traveling Squad” • Full Day Symposium on Cardiovascular Risk – Cap Haitien – Port au Prince • Met with Key Contacts in Haiti Health Care – – Council of Deans (4 med schools) Cap Haitien & Saint Marc Residency programs MSPP US Embassy
Family Medicine Symposia • Topics chosen by Cap Haitien residency director and our symposium planning team • Delivered in English, translated into French • Attended by residents, faculty, and practicing physicians
Symposium in Cap Haitien
Medical Training in Haiti • Primary and Secondary School – 14 years • No undergraduate education required • Medical school: – Classroom – 2 years – Externship rotations – years 3 -5 in public med school(one in Haiti), years 3 -6 in private schools (there are three in Haiti) – Internship – 1 year – Mandated social service – 1 year (for nurses too)
Residency Training • In addition to one-year internship, residency requires: – Family Medicine, pediatrics, IM – 2 more years – Ob-Gyn – 3 more years – General or orthopedic surgery – 4 more years
Medical Training in Haiti • Most primary care is delivered by generalists practitioners with no residency training • CME is limited and not required • There are few trained family physicians • Delivery of care is hampered by spotty electrical service, poverty, low physician salaries, rural locations of many patents and physicians, availability of meds, etc.
Residency Training • Residency in Cap Haitien – in existence for 12 years • Residency in Saint Marc – in existence for 2 years – no graduates yet • Residencies are in need of: – Medical equipment – Books and other training materials – Faculty development
Medical Education Team Meeting with Council of Deans • The Deans were supportive of concept of Family Medicine but generally not very familiar with the specialty • Little training in med school to familiarize students with Family Medicine • A future goal of FMCI is provide a short curriculum (perhaps 3 weeks) to the medical schools to let the students learn about the scope of Family Medicine
Medical Education Team Meeting with General Director and Academic Director of Health Ministry • They verbalized the need for Family Medicine in their country • They have limited resources to support the medical needs of the country • They have limited resources to support additional residency positions in the county • They would welcome our help in advancing Family Medicine
Medical Education Team Met with US Embassy Officials • Learned about the many challenges to providing quality medical care in Haiti • Future plans are to continue to meet with embassy leadership during every Delegation trip
Vo-Tech Scholarships “Agents of Peace” • Benefits inner city youth and young adults • Provides scholarships to complete vo-tech training in heavy equipment operation, plumbing, electrical, etc. • Jobs, hope, change • We attended their first graduation ceremony
Family Medicine Cares International Resident Scholarship • One scholarship for a Family Medicine resident to be part of the 2014 FMCI Delegation to Haiti (February 15 -22, 2014). – Covers expenses for travel to Haiti & in-country, including housing and food. – Includes expenses for Scholarship recipient to present at the 2014 AAFP National Conference. – Maximum amount is up to $5, 000. – Only Resident members of the AAFP are eligible to apply. • Application period: September 22 – November 1, 2013 • Candidates must provide: – – Delegation Application; CV or Resume; Letter of Intent; and Letter from Residency Program Director
Service Team • Painting – Orphanage – Exam rooms in Bel Air clinic • Distributed vitamins to children (donated) • Parties for children in orphanages – Feast (with a goat) – Small back-packs with treats – Party
Bel Air Clinic: Triage Area Renovation • A major challenge was the problem of privacy, security and cleanliness within the triage space. • The clinic is located on the balcony level of a large church which is an open cement block structure that allows excessive noise and dust from the streets below.
Rose Mina Orphanage • The orphanage provides a home to approximately 90 children ages 0 -21. • Many of the children are abandoned or have one parent that cannot take care of them. Delivery of Milk, Water and Protein
Fondwa Orphanage and School • Fondwa is located in the mountainous region at the epicenter of the earthquake. • Both the school and orphanage were completely destroyed. • The school provides education to children ranging in age from 3 – 16. • The orphanage is home to children ranging in age from 2 – 18.
Ongoing Service Efforts • Provide high-fat powdered milk, clean water, and protein to the Rose Mina Orphanage • Investigating other orphanage needs • Looking into additional partners in Haiti for the service work
Next Steps/Dreams • Have started meeting with the other FM organizations to provide: – Expertise in areas such as curriculum and faculty development – Opportunity for more people to learn about FMCI • Support for residencies – equipment, training for residents as well as faculty
Next Steps/Dreams • Exposure to Family Medicine in medical schools • Continuing medical education • Very preliminary work for perhaps a third Family Medicine residency in Les Cayes – Faculty – Expertise – $$ needed
Key Contacts • Board of Trustees Officers: – Mary Jo Welker, MD, FAAFP, President – Jane Weida, MD, FAAFP, Vice President – Jason Marker, MD, FAAFP, Treasurer • AAFP Foundation Staff: – Craig Doane, Executive Director – Brenda Cherpitel, Director, Development – Lori Foley, Director, Strategic Partnerships
For more information or to obtain an application please contact: Brenda Cherpitel AAFP Foundation bcherpitel@aafp. org 800 -274 -2237 x 4452 www. aafpfoundation. org/familymedicinecares
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