Research Project & Site Selection
Introduction to Global Health for Trainees
Rotation Director: Joaquin Barnoya, MD, MPH
This elective rotation provides experience in general internal medicine, cardiovascular care, and oncologic care in a resource limited setting in Guatemala City. The rotation is 4 weeks and is designed to provide first hand clinical experience in healthcare delivery in a developing country. Inpatient and outpatient encounters will be experienced.
General Country Background:
Guatemala is currently undergoing the epidemiological transition. During the last two decades, as life expectancy continues to improve, high-fats diets, cigarette smoking, and sedentary lifestyles have become more common. Noncommunicable diseases, mainly cardiovascular disease, are now taking a considerable toll of the country’s mortality. In addition to this complex disease frequency, Guatemala is struggling with one of the highest levels of poverty and inequality in Latin America. More than half of the population (56.2%) lives in poverty and 15.7% lives under conditions of extreme poverty.
Rotation Director: David Clifford, MD
This rotation is an elective experience in an international environment at the Mekelle Medical School in Mekelle, Ethiopia. The rotation is four weeks and designed to provide first-hand clinical experience in the delivery of medical care in a developing country. Experiences will be in the outpatient and inpatient settings.
General Country Background:
Ethiopia is a large country in the “horn of Africa” on the northeastern side of the continent with a population of approximately 84 million people. It is the second most populous nation in Africa with a rich history and tradition. The government is a federal parliamentary government with an elected Prime Minister who in recent years has been a powerful leader. The country emerged from a period of communist control to this government in the early 1990s. The country has diverse ethnic groups communicating in several major languages with Amharic being the official language. The capital is in Addis Ababa, which is a major international city and the location for the United Nations center in Africa. Much of the population of Ethiopia is rural with an agricultural base economy, with per capita income of ~$1000/year. However, the economy has been growing rapidly in recent years. Healthcare is organized systematically from local health clinics serving each local population center, to the national referral hospital in Addis Ababa. At least six medical schools are supported by the government to provide free education for health care providers, but at present only ~2000 physicians remain in the country. The physician-population ratio is one of the lowest in the world. Medical education is carried out in English throughout Ethiopia. Medical education generally starts after secondary school and consists of six years of training, followed by several years of general internship. Thereafter, some physicians specialize. There are very few specialists in this country, and particularly at the outlying medical centers outside of Addis Ababa. The Global Health Scholars Program has established relations with the Mekelle Medical School in northern Ethiopia in the city of Mekelle, a town of ~300,000 and serving a much larger regional population.
Rotation Director: Barbara Lutey, MD
St. Louis provides a rich setting for medical education in patients from different cultural backgrounds, with different levels of health literacy and from various socioeconomic settings including homelessness and prior incarceration.
This elective rotation provides experience in an urban setting learning about health care for patients who are refugees, immigrants, or homeless. The rotation is 2-4 weeks and will provide outpatient clinical experience in general internal medicine as well as learning experiences with interpreter services, homeless shelter health outreach programs, and ex-offender education programs.
The Global Health Scholars Pathway program and participants work closely with many partners across Washington University. They include:
Curriculum & Global Sites
Washington University School of Medicine
Division of Medical Education
Campus Box 8121
660 S. Euclid Ave., St. Louis, MO 63110
p: (314) 362-8065 f: (314) 747-1080