Global Health Workshop Preconference
Global Health Workshop Preconference
Wednesday, October 4, 2017
Nicholas Comninellis, MD, MPH, DIMPH; Mark Huntington, MD, PhD, FAAFP; Stephen Merry, MD, MPH; and Calvin Wilson, MD
9:00 a.m. – 5:00 p.m.
A significant number of family physicians are actively involved in the health of the poor and culturally distinct, both in their own practice and in the developing world. Yet many physicians feel ill prepared for the unique challenges of managing possible diseases seen primarily in tropical countries, and in the management of well-known problems but within a context of poverty and another language and culture. This Pre-Conference event will deal with the most commonly seen infectious problems in tropical countries, as well as the unique issues of diagnosis and management of problems commonly seen in our own practices, but now presenting in a resource-poor, cross-cultural setting such as a developing country.
- Participants will be able to describe the diagnosis and management of unique infectious diseases commonly encountered in ambulatory health care in a resource-constrained, tropical setting.
- Participants will be able to recognize and effectively manage health problems commonly seen in the home setting but often presenting in a unique manner in a cross-cultural, low-resource, tropical setting.
- Participants will be able to apply known clinical evidence in the management of common illnesses encountered in the tropics.
- Participants will be able to understand the application of technology appropriate to the resources available.
- Participants will be able to engage in effective health education in a cross-cultural, low resource setting.
Jeff Hall, MD; Neil Jayasekera, MD; Jennifer Lee, DO; Mena Ramos, MD; and Mark Shaffer, MD
1:00 – 5:00 p.m.
Ultrasound is a diagnostic tool that is ideal for remote and austere environments. It can provide a great amount of information in real time, while still remaining highly portable and inexpensive. Additionally, there is mounting evidence that physicians with limited training can effectively utilize ultrasound protocols at the bedside to rapidly provide high quality care to their patients. Some protocols have been developed that could be especially useful to a physician providing care in a developing country with otherwise limited resources. The Extended Focused Assessment Sonography in Trauma (e-FAST) evaluates trauma patients for pneumothorax, intrathoracic and/or intraabdominal hemorrhage. several protocols evaluate for pneumonia. The Cardiopulmonary Limited Ultrasound Exam (CLUE) evaluates for congestive heart failure and pulmonary edema. The Focused Assessment with Sonography for HIV associated Tuberculosis (FASH) evaluates for extrapulmonary tuberculosis infection in HIV infected individuals. The goal of our workshop will be to introduce these concepts to the participants with the help of a partially “flipped classroom” curriculum and provide them with an opportunity to practice the basic hands-on skills required to perform these protocols.
- Participants will be able to demonstrate the knowledge required to perform the basic operations of laptop sized ultrasound units.
- Participants will be able to describe different point-of-care ultrasound protocols and how they can be applied in the global health setting.
- Participants will be able to begin to perform and interpret point-of-care ultrasound protocols.
Joseph LeMaster, MD, MPH; Martha Carlough, MD, MPH; Ranit Mishori, MD, MHS, FAAFP; and Jeffrey Walden, MD, FAAFP
1:00 – 5:00 p.m.
Since 1975, more than three million refugees settled in the U.S., fleeing unrest, conflict, and persecution. Refugees are a very diverse group ethnically, culturally, religiously, socioeconomically, and educationally. Despite this heterogeneity, there are commonalities in the refugee experience and subsequent health outcomes. This session will provide a broad overview of clinical issues in refugee health, as well as identify best practices for the care of refugee populations via community-based partnerships. Through case studies, didactics, and a facilitated discussion, topics covered will include: the refugee journey from displacement to resettlement, the refugee entrance exam, recommended screenings, refugee women’s health issues (including female genital mutilation), trauma-informed care, non-communicable diseases in refugee populations, and creating a refugee health program at your clinical or educational site.
- Participants will be able to understand the resettlement process for refugees and other forced migrants, including asylum seekers and unaccompanied minors, and discuss how this process differs from that of other immigrants to the US.
- Participants will be able to follow screening guidelines for common infectious diseases, identify mental health concerns, and manage chronic conditions among newly arrived refugees.
- Participants will be able to recognize how cultural beliefs and practices may impact maternal and child health in refugee communities.
- Participants will be able to create a plan to integrate refugee health into their clinical or educational site, or to implement a dedicated refugee health program or clinic.