Plenary-style sessions with internationally-recognized leaders and successful global health practitioners.
Thursday, September 8, 8–8:45 a.m.
Family Medicine Specialty Training in Lesotho: Lessons from a Partnership
Brian Jack, MD
Low income countries face challenges to train and retain physicians with the skills needed to organize and deliver high quality health care. This presentation describes the development of a FM residency program (FMRP) in Lesotho, a small country in southern Africa with a profound need for more physicians and no history of physician training. We present how a long-term commitment to the country and dialogue with country leadership led to a consensus that a FMRP is a key component to a long-term strategy to improve human resources in health. Our experience developing a FMRP, the curriculum and training methods, the creation of national accreditation and certification mechanisms, and the inevitable challenges, political barriers and lessons learned are discussed. Finally, the emerging recognition that the Lesotho program is a model for other limited resource countries in southern Africa and possibilities for multinational and regional collaboration around postgraduate specialty training is discussed. The lectureship is supported by a special grant from the AAFP Foundation.
The lectureship is supported by a special grant from the AAFP Foundation.
Thursday, September 8, 1–2 p.m.
This session will feature creative and unconventional project ideas and practices applied in global health family medicine and primary care. The presentations will follow a 6x7 format. It will consist of six quick-paced and innovative presentations seven minutes long. They are designed to inspire a glimpse of how your colleagues and peers are changing the face of family medicine around the globe.
Mori Morikawa, MD, MPH, FAAFP, University Hospitals Case Medical Center/Case Western Reserve University
Mark Ryan, MD, FAAFP, Virginia Commonwealth University School of Medicine
Elizabeth Hutchinson, MD, Swedish Family Medicine First Hill
Nidhi Lal, MD, Boston University School of Medicine
Karen Lin, MD, FAAFP, Rutgers Robert Wood Johnson Medical School
Myles Stone, MD, Unviersity of Arizona Department of Family and Community Medicine
Friday, September 9, 8–8:45 a.m.
Curi Kim, MD
In keeping with the tradition of providing safe haven for the oppressed, the U.S. admits refugees through an orderly and secure process. Other migrants of humanitarian concern also enter the U.S., or are granted legal relief. This presentation will focus on the health issues of populations covered by the federal Office of Refugee Resettlement (ORR): refugees, asylees, Cuban and Haitian entrants, Iraqi and Afghan special immigrant visa holders, unaccompanied children, and others. Many factors affect the physical and emotional health of these diverse populations, including conditions and events in their countries of origin and during their journey, as well as post-migration stressors. Health screening programs, clinical resources, and access to health care varies among states and by immigration status. Understanding this background can help health care providers working with these populations deliver trauma-informed, culturally-sensitive care to their patients.
Friday, September 9, 1:15–2:15 p.m.
General Session IV
Faith-based Approaches to Global Health Development: The Abrahamic Faith Traditions
Nazneen Uddin, MD; David McRay, MD, FAAFP; Laura Jirmanus, MD, MPH; and Calvin Wilson, MD (moderator)
Faith-based individuals and institutions have historically played a major role in health services delivery and development in many developing countries. However, little attention has been paid to the complex motivations, underlying principles of ethics and medical professionalism, and expression of one’s faith in these activities. In addition, few Western health care providers are aware of the growing influence and scope of Islamic-oriented health programs and institutions. In this panel discussion among several who had worked extensively in Christian and Muslim health care settings, we will attempt to increase awareness of the scope of the various Abrahamic faith traditions in health care provision, discuss the varying motivations for provision of medical services in areas of need, and compare and contrast the ethical principles and professional codes under which these faith-based medical providers operate. We hope to challenge some existing assumptions and create an environment of understanding and mutual appreciation for the medical contributions of these major faith traditions.
Saturday, September 10, 8–8:45 a.m.
Jonathan Quick, MD
In the final decades of the 20th century smallpox was eradicated worldwide and childhood killers like measles, rubella, whooping cough, and polio were virtually eliminated in the global north. Despite heartening progress, the 21st has seen a steady stream of infection diseases: severe acute respiratory syndrome (SARS), avian influenza, Ebola, and now Zika. Acceleration in international travel, global warming, and other trends put us at risk for a pandemic that could reach every major population center within 100 days and claim as many as 360 million lives. Zika is at our doorstep and a highly pathogenic avian flu looms in the background. Drawing on four decades as a family physician in global health, this presentation will explore the evidence for the pandemic threat and the vital role family medicine has to play in clinical, community, national, and international efforts stop such epidemics before they start. Strong primary care and public health systems are the foundation.
Saturday, September 10, 12–12:30 p.m.
Calvin Wilson, MD; and Jessica Evert, MD
The most significant concepts brought out in this conference will be highlighted in this session. While the basic principles of family medicine practice are universal, the application of those principles must be tailored to specific conditions and needs of the local setting. We will summarize ideas that generated significant comment and interest among the participants, and suggest the importance of carrying on this interest into individual and corporate global action. An emphasis will be placed on the sharing of our resources of people, education, products, and money, but it must be done in a spirit of true humility and not with arrogance or paternalism. All participants will be encouraged to make a contribution toward the good of the marginalized in other cultures, and to go beyond themselves, their settings, and their personal comfort zone to make this happen.