International Career Paths and Research: Taking a Year Off Alan Rosenbaum

International Career Pathsand

Research: Taking a Year Off

Alan Rosenbaum

Taking A Year Off

Funding Options

Student Status Timing

International Career Paths

Reasons

International Career Paths

International Career Paths

Research

Research

Research Research

Research

International Career Paths

Research

Clinical

Education Public Health

Int’l Organizations

International Career Paths

Research

Peds ID OBGYN

-Research Dollars-Academic Medicine

-Home or Abroad

International Career Paths

Clinical

Missions Long(er)-Term MSF (France)

Emergency (Italy)

International Career Paths

Clinical

Missions Long(er)-Term MSF (France)

Emergency (Italy)

When are you not useful?A: Medical Student

B: InternC: Resident

D: All of the above

International Career Paths

Clinical

Missions Long(er)-Term MSF (France)

Emergency (Italy)

When are you not useful?A: Medical Student

B: InternC: Resident

D: All of the above

International Career Paths

Education

Clinicians Students Educators

International Career Paths

Public Health

Ministries of Health USgov/DHHS GH Policy Think Tanks

International Career Paths Int’l Organizations

UNWHO

Specialty Groups

Taking A Year Off

Student Status

International Career Paths

Taking A Year Off

Student Status

International Career Paths

What it means

How to get it

Taking A Year Off

Student Status

International Career Paths

What it means

Why do we

care?

Loan repayment

Grace Period (6month)

Residency Application Explanation

Taking A Year Off

Student Status

International Career Paths

What it means

Definition: An approved leave of absence in which you are doing

something productive for your degree

Functional def’n: School has to tell the US gov that you deserve to have

student status

Taking A Year Off

Student Status

International Career Paths

How to get it Degree Program

“Winning funding from a nationally competitive award that provides enough funding for the

time you are on your LOA”

Taking A Year Off

International Career Paths

Reasons

Taking A Year Off

International Career Paths

Reasons

Research Clinical Degree Internship Personal

Taking A Year Off

International Career Paths

Reasons

Clinical Internship

PAHO/WHO (link)Volunteer websites, professional organization (link)

Taking A Year Off

Timing

International Career Paths

Taking A Year Off

Timing

International Career Paths

After 1st Year

After 2nd Year After 3rd

Year

Aug-Aug

May-May

Taking A Year Off

Timing

International Career Paths

-Publishing-Career changes

-When will you want a break-Forget coursework

-Step 1/2

-Acting Internships-Applying for match

-Debt Burden-Particular Project

Taking A Year Off

Funding Options

International Career Paths

Taking A Year Off

Funding Options

International Career Paths

Location

Amount/TimePrestige Project

Fulbright-Student Program vs

undergrads-Anywhere

-Differences in competitiveness

-Any research topic

Fogarty(now Fulbright-

Fogarty)-Apply to be in the

program and project(Used to be Match)-Infectious Disease

-Mostly basic science

Boren-Primarily language

program-Must have plan to

learn language-Generally no

Spanish/French

NIH (Global Health Program for Fellows

and Scholars or Global Health Equity Scholars)

-Operated by a few universities

-Apply for a project

Doris Duke-Only East Africa (Tanzania, Kenya)

-3 students per year

Specialty Groups?National Medical

Societies?Departmental

Funding?Mentor Funding?

Summer Funding??Partial Funding??

Links:1) PAHO/WHO Link: http://new.paho.org/hq/index.php?option=com_content&view=article&id=1489&Itemid=4245&lang=en2) Damien House (Leprosy Clinic): http://www.thedamienhouse.org/contact.html3) Volunteer Compiling Website: http://www.planetgapyear.com

Funding:1) NIH: http://www.fic.nih.gov/Programs/Pages/scholars-fellows-

global-health.aspx2) Fulbright-Fogarty: http://us.fulbrightonline.org/fulbright-fogarty-

fellowships-in-public-health3) Fulbright: http://us.fulbrightonline.org/fulbright-us-student-program4) Boren: http://www.borenawards.org/boren_fellowship5) Doris Duke: https://www.globalhealth.duke.edu/education-and-

training/medical/doris-duke

International Clinical Experience

Pediatric Neurosurgery In Kijabe, Kenya June 2013

Zoya VoronovichMS-4, University of Pittsburgh

September 12th, 2013

Four keys to having a good experience:

Have low expectationsBe flexible

Have a sense of humorBe patient

Neurosurgery in Kenya

Africa: 1 billion people 1,200 neurosurgeons

142 in sub-Saharan Africa 10-12 peds neurosurgeons

Kenya: 38 million people 16 neurosurgeons

4 are outside of Nairobi 2 of which are in Kijabe

Neurosurgical Training: Started in 2006 23 trainees 6 year training program

AIC Kijabe Hospital 280 bed general hospital

5 bed ICU Owned by Africa Inland Church “Health care to God’s glory”

Hosted at AIC Kijabe Hospital 2 operating rooms 50 beds

New 85 bed facility under construction Dozens of mobile clinic dates per year Pediatric surgery and neurosurgery training and rotations

Bethany Kids

The TeamLong-timers:A. Leland Albright, MDHumphrey Okechi, MDSusan Ferson, NPVeronicah, CONursing teamsMoms

Short-timers:Sylvia Shitsama, MDMartin Situma, MDKimberly Foster, MDLiana Beni-Adani, MD

Operations

2011 Cases: 1,328 total operations

410 shunt operations 131 endoscopic third ventriculostomies 253 operations for spina bifida 69 operations for brain tumors

My Cases: 27 cases

9 shunt operations 6 operations for spina bifida 6 I&D/wound revisions 4 craniotomies for tumors 1 craniotomy for tuberculoma 1 endoscopic third ventriculostomy/

choroid plexus coagulation

Getting There Allow plenty of time for planning

Traveling through a mission organization? Passport and visas Airline tickets Housing Immunizations and prophylaxis Expect that things may not be set in stone Funding

Talk to people who have previous experience with: Country and culture Geography, including weather Work site Team

Find ways you can help Medical supplies you can bring Equipment you can help transport Fundraising

Time Off

Acknowledgements

A. Leland Albright, MD Susan Ferson, NP Peter J. Veldkamp, MD Kimberly Foster, MD Elizabeth Tyler-Kabara, MD

PhD Kenneth Clark, MD My family University of Pittsburgh

Medical Alumni Association Global Links

Donors to BKKH: Allison Berndtson, MD Susy Kohout, PhD Kai Larsen, PhD Judy Lozano Kaarin Michaelsen, PhD Anna Vavilova Valentina Vavilova, PhD Alexander Voronovich,

PhD Anonymous donors

Thank You!

Questions?