Embed Size (px)
Citation preview
Division of Global Emergency Medicine
The Warren Alpert Medical School of Brown University
DIVISION OF
GLOBAL EMERGENCY
MEDICINE 2018 FISCAL YEAR ANNUAL REPORT
2
_______________________________________________________________ Photo Courtesy of Adam Levine
Lecturing on Humanitarian Response at Naval War College
______________________________________________________________ TABLE OF CONTENTS
MISSION 4
LETTER FROM THE DIRECTOR 5
CORE FACULTY 6
ASSOCIATE FACULTY 9
GLOBAL EMERGENCY MEDICINE FELLOWS 11
GRANT FUNDING 14
PEER REVIEWED PUBLICATIONS 16
BOOK CHAPTERS 18
RESIDENT GLOBAL EMERGENCY MEDICINE ROTATIONS 20
ABSTRACTS 21
INVITED PRESENTATIONS 22
TEACHING 26
AWARDS & RECOGNITIONS 29
CONTACT US 30
3
_____________________________________ Photos Courtesy of Adam Levine
Conducting mHealth Research in Bangladesh
Rwandan EM Residents in Front of ED
4
_________________________________________________ ____________ MISSION
“The mission of the Division of Global Emergency Medicine is to provide high-
quality, culturally competent, emergency care, education, research, and leadership in
resource-limited settings across the globe. The division engages residents, medical
students, physician assistants, and fellows in global emergency medicine collaborations
from institutions around the world.”
__________________________________ ___________________________________ Photos Courtesy of Adam Levine & Naz Karim
Rwandan EM Resident Ultrasounds Patient First Class Rwandan EM Residency Graduates
Samu Training
Samu Ambulance
5
_______ ______________________ _ LETTER FROM THE DIRECTOR
The past year has been both one of tremendous growth and transition for our Division of Global
Emergency Medicine (EM). In September, we welcomed our newest core faculty member, Dr.
Genisca, with a focus on global pediatric emergency care. Also, this year, Dr. Karim and Dr.
Aluisio transitioned into the roles of Global EM Fellowship Director and Associate Director,
taking over responsibility for a fellowship that has grown to include 4 amazing trainees. Finally,
Dr. Rosenberg transitioned back to Providence after two years in Rwanda, joining Dr. Arbelaez
as the newest associate faculty members for our Division.
In 2018, our Division faculty and fellows made significant contributions to the global emergency
medicine evidence base, publishing or presenting nearly 40 peer reviewed manuscripts, book
chapters, or abstracts on their cutting edge global health research. In total, our Division faculty
currently hold more than 15 active grants for ongoing projects worldwide, totaling $4,242,484 in
cumulative funding. As can be seen from the grant and publication sections later in this report, our faculty research spans the
breadth of global EM, from infectious diseases to trauma care, and from education and pre-hospital care to ultrasound and
mobile health. In addition, 4 of our Division faculty and fellows currently serve as editors or reviewers for the prestigious
Global Emergency Medicine Literature Review, published annually in Academic Emergency Medicine.
In addition to their research, our faculty and fellows have become international leaders in global health training and curriculum
development. This year, Drs. Arbelaez and Moretti helped lead the Spanish translation of the WHO Basic Emergency Care
course for implementation in Latin America while Dr. Genisca participated in a WHO Basic Emergency Care train-the-trainers
course in Ethiopia. Dr. Karim developed and implemented a novel pre-hospital emergency care training course in Rwanda and
is working with the African Federation of Emergency Medicine on the development of a pre-hospital needs assessment tool.
Dr. Hayward continues to serve as faculty for the popular massive open online course “The Practitioner's Guide to Global
Health.” Our faculty and fellows have also delivered more than 75 lectures, invited presentations and ground rounds on global
health topics this past year, including several presentations at the African Conference on Emergency Medicine in Kigali,
Rwanda. Finally, this year we were proud to watch our very first class of 6 Rwandan EM residents graduate from the residency
in Kigali that our Division has worked to establish and grow over the past seven years.
Our Division also continues to provide significant support to our own residency program at Brown Emergency Medicine,
sponsoring 14 separate international rotations for EM residents this past year under the guidance and supervision of Dr.
Kearney. This year, emergency medicine also formally joined the Brown Resident International/Global Health Training
(BRIGHT) program, with Dr. Meagan Barry becoming the first EM resident to participate.
Far more important than the numbers listed above, however, is the substantial impact that our faculty, fellows, and residents
have had on the lives of thousands of the world’s poorest and most vulnerable citizens. We are thankful for your continued
support and proud of our ability to extend the mission of Brown Emergency Medicine far beyond the borders of Rhode Island.
With the addition of our new faculty, we look forward to extending our impact even further in 2019.
Sincerely,
Adam C. Levine, MD, MPH
Director, Division of Global Emergency Medicine
6
_________________ __________________________________ __________ CORE FACULTY
Adam Levine, MD, MPH
Director, Division of Global Emergency Medicine
Academic Interests: Acute care research and training during
humanitarian emergencies and in resource-limited settings.
Contact: [email protected]
Naz Karim, MD, MHA, MPH
Director, Global Emergency Medicine Fellowship
Academic Interests: Prehospital and Emergency care in Rwanda,
use of technology to advance medical education
Contact: [email protected]
Adam Aluisio, MD, MSc, DTM&H
Associate Fellowship Director
Academic Interests: Emergency and acute care research
and training in LMICs including Rwanda and Haiti
Contact: [email protected]
Alexis Kearney, MD, MPH
Global Emergency Medicine Resident Coordinator
Academic Interests: prehospital care in Rwanda, resident
Global EM coordination
Contact: [email protected]
7
_________________________ _____________________________________ CORE FACULTY - Continued
Alicia Genisca, MD
Global Pediatric Emergency Medicine Coordinator
Academic Interests: Pediatric emergency care education in
limited-resource settings, simulation
Contact: [email protected]
John Foggle MD, MBA
Global Emergency Medicine Trauma Course Facilitator
Academic Interests: Trauma course development in Kenya,
American Samoa, Rwanda and Nicaragua, simulation
Contact: [email protected]
Grace Wanjiku, MD
Global Emergency Ultrasound Coordinator
Academic Interests: Emergency medicine development in
Kenya, Point of care ultrasound in resource limited settings
Contact: [email protected]
David Bouslough, MD, MPH, DTM
Global Physician Assistant Coordinator
Academic Interests: Global EM in American Samoa,
public health, disaster medicine
Contact: [email protected]
8
__________________________ _ ______________________________ Photos Courtesy of Grace Wanjiku
Ultrasound and Trauma Training at Moi
University in Eldoret, Kenya.
9
___________________ __________________________________________ ASSOCIATE FACULTY
Alison Hayward, MD
Assistant Professor of Emergency Medicine
Christian Arbelaez, MD, MPH
Vice Chair of Academic Affairs, Department of Emergency Medicine
Associate Professor, Alpert Medical School, Brown University
Contact: [email protected]
Shirley Wu, MD
Assistant Professor of Emergency Medicine,
Clinician Educator
Noah Rosenberg, MD
Assistant Professor of Emergency Medicine,
Clinician Educator
Selim Suner, MD, MS, FACEP
Professor of Emergency Medicine,
Professor of Surgery, Professor of Engineering
10
_______________________________________________________________ Photos Courtesy of Kyle Martin
Presenting at the International
Conference for Emergency Medicine
(ICEM) Mexico City – June 2018
EM Residents at University Teaching Hospital – Kigali
11
____________________________________________________ _________ GLOBAL EMERGENCY MEDICINE FELLOWS
Stephanie Garbern, MD, MPH
Dr. Garbern is a second-year global EM fellow and received degrees in
Cultural Anthropology and Cellular & Molecular Biology from the
University of Michigan. After completing medical school at Albert
Einstein College of Medicine, she completed residency training at Beth
Israel Deaconess Medical Center, and then obtained her Master of
Public Health degree in global health from the Harvard T.H. Chan
School of Public Health. In 2018, Dr. Garbern volunteered with
International Medical Corps as part of a mobile medical team providing
care to communities affected by Hurricanes Irma/Maria around
Caguas, Puerto Rico. In March-April, she taught point-of-care
ultrasound to Liberian residents at JFK Hospital as part of the Liberia
Health Workforce Program. She is currently completing a study on the effect of artesunate-amodiaquine
mass drug administration on Ebola-related mortality during the West African outbreak and received a
Brown Emergency Medicine grant to conduct a pilot study evaluating the accuracy of biosensor devices
for vital sign monitoring in septic ED patients in Rwanda. She is currently completing a Diploma in
Tropical Medicine & Hygiene course in Tanzania/Uganda.
Kyle Denison Martin, MD, DO, MA, MPH
Kyle Denison Martin is originally from Michigan, where he attended
Michigan State University for his undergraduate, graduate and medical
studies. Kyle has been traveling to Haiti frequently since he was a child.
He currently collaborates on water and sanitation projects in rural
Haiti and researches non-communicable disease management by
community health workers. Kyle also travels frequently to Rwanda,
where he has helped with curriculum design and teaching for an
Emergency Medicine MMed program at University Teaching Hospital -
Kigali. Kyle is an endurance athlete who has cycled across the United
States. He co-founded Run Haiti, a nonprofit that holds running events
and promotes fitness in Haiti. This past year, Kyle helped to develop
Simulation training and Research Development curricula for an Emergency Medicine MMed program
at University Teaching Hospital - Kigali. He also taught at weekly didactics and bedside rounds while in
Rwanda. Kyle received grant funding for research on the peripheral administration of vasopressor
medications in critically ill patients. He also received grant funding to create free open-access medical
education material on global emergency medicine.
12
_______________________________________________ ______________ GEM FELLOWS – Continued
Catalina Gonzalez-Marques, MD
Dr. Catalina González Marqués is currently a Global Health Fellow
in the Department of Emergency Medicine at Brown University. She
received her Medical Doctorate from the George Washington
University School of Medicine and Health Science before completing
her specialty training in Emergency Medicine from the University of
Florida where she also served as Chief Resident. During medical
school, Dr. González Marqués worked abroad in Peru and Nicaragua.
In Peru, she worked at the U.S. Navy’s Medical Research Unit
(NAMRU-6). In Nicaragua she worked with the NGO RAD-AID. She is
concurrently working towards her Master’s in Public Health at Brown
University. Her current work at Brown focuses on continued
development of pre-hospital care system in Kigali, Rwanda as well as
assisting in the development of a needs assessment to respond to the
current Venezuelan refugee crisis in Colombia.
Katelyn Moretti, MD
Dr. Moretti’s fellowship activities include conducting an upcoming needs
assessment on emergency medicine education within medical schools
across Colombia with the goal of implementing the WHO Basic
Emergency Care course for senior medical students just prior to
graduation. In addition, she worked with the WHO to aid in the
translation of the course to Spanish. Dr. Moretti is also supporting and
aiding Fulbright scholar Chris Reynolds, currently in Colombia, in his
assessment of emergent medical access among internally displaced and
former rebels across Colombia. She is also working to establish a
residency exchange to provide Brown emergency residents the
opportunity to rotate in Colombia. She applied for and was awarded the
innovations grant for funding of these projects. In addition, she has
applied for the GEMA/SAEM grant for further support of implementation
of the BEC in Colombia.
13
______________________________________________ _______________ Photos Courtesy of Stephanie Garbern
Ultrasound Training at JFK Hospital in Liberia
Brown Global EM Fellows Respond
after Hurricane Maria in Puerto,
Rico.
14
_____________________________________________ _______________ GRANT FUNDING
Adam Levine, MD
• NIH National Institute of Diabetes and Digestive and Kidney Diseases Development of a
novel mobile health tool for age-specific dehydration assessment and management in patients
with diarrheal disease Grant Number: R01DK116163
Role: Principal Investigator $2,809,435 09/2018-06/2023
• NIH National Institute of Allergy and Infectious Disease
Evaluation of Management Strategies for Maximizing Supportive Care for Patients with Ebola
Virus Disease Grant Number: R03AI132801
Role: Principal Investigator $179,200 06/2017-05/2019
• United States Centers for Disease Control and Prevention
Global Emergency Response and Recovery Partner Engagement: Expanding Efforts and
Strategies to Improve Rapid Response to Public Health Emergencies Globally
Grant Number: NU2GGH002058
Role: Principal Investigator $750,000 06/2017-06/2022
• Carnegie Corporation of New York Civilian-Military Coordination in Humanitarian Response
Grant Number: R-17-55582
Role: Co-Investigator $175,000 04/2018-04/2020
• Bill and Melinda Gates Foundation
Development of a Bayesian diagnostic for etiological management of pediatric diarrhea
Grant Number: OPP1198876
Role: Co-Investigator $74,499 10/2018-04/2020
• Tina and Richard V. Carolan Rwanda Research Fellowship: Kigali, Rwanda $100,000
Katelyn Moretti, MD
• Brown Emergency Medicine Innovation Grant “Colombia Collaborative Consortium Initiative”
Role: Principal Investigator $7000.00 Recipient Funding Period 11/01/2018-11/01/2019.
In submission
• GEMA-SAEM Research Pilot Grant “Baseline Assessment of Emergency Care Among
Vulnerable Populations in Colombia”
Role: Principle Investigator $10,000
Adam Aluisio, MD
• Evaluation of Management Strategies for Maximizing Supportive Care for Patients with Ebola
Virus Disease, NIH, National Institute of Allergy and Infectious Disease,
Grant Number: R03AI132801.
Role: Co-investigator (PI: Levine)
20% effort (in kind no salary support) $132,730 06/2017-05/2019
• Loan Repayment Program, NIH / NIAID Clinical Research: Evaluation of Management
Strategies for Maximizing Care for Patients with Ebola Virus Disease.
Role: Recipient: $80,000. 07/18 – 06/2020
15
Kyle Denison Martin, MD
• Framework in Global Health Scholarship, “Evaluating the Safety of Peripheral Administration of
Vasopressor Agents”, Global Health Initiative, Brown University, Total Award: $1,750 2017
• Brown Emergency Medicine Faculty Innovation Grant, “Creating FOAMed in Global
Emergency Medicine”, Brown Emergency Medicine, Brown University,
Total Award: $2,000 2018
Catalina Gonzalez Marques, MD
In submission
• Evaluating the impact of emergency care training on prehospital process indicators and outcomes
amongst patients with acute emergencies in Kigali Rwanda.
Stephanie Garbern, MD
• Faculty Development Awards - Small Projects Grant
“Validation of a Biosensor Device for Vital Sign Monitoring in Septic Emergency
Department Patients in Rwanda” - Brown Emergency Medicine (formerly UEMF) Total Award: $10,000
Grace Wanjiku, MD
• UEMF Research Development Grant - Kenya Rural Point of Care Ultrasound Tele-ECHO. A
pilot Study
PI: Grace W Wanjiku Total Costs: $39,600 - 10/2018- 09/ 2019
• Carnegie African Diaspora Fellowship - Curriculum development for a Master of Emergency
Medicine, Aga Khan University Hospital, Nairobi Kenya (AKUHN). Collaborative project
between Grace Wanjiku (MD) Brown University and Benjamin Wachira MMED (AKUHN)
Total costs: $19,000 - 09/2018 11/2018
• Aga Khan University Research Council grant - Impact of FATE Training on the Performance of
Basic Bedside Echocardiography by Non-Cardiologists at Aga Khan University Hospital,
Nairobi Kenya (AKUHN)
PI: Wangari Waweru Siika. Role: Co-Investigator Total costs: $10,000 - 04/2018-03/2019
Christian Arbelaez, MD
• Fulbright Scholar Colombia to Chris Reynolds/ Senior Mentor 2018
• American College of Emergency Physicians Section Grant to Andres Patino/ Senior Mentor
$20,000 2018
• Alpert Medical School Dean’s Diversity Award to Taniesha Wilson/ Senior Mentor
$15,000 2018
Naz Karim, MD
• ACEP Emergency Medicine Foundation International Emergency Medicine Grant $10,000
16
_______________ _________________________________________________ Photos Courtesy of Alicia Genisca
Pediatric Emergency Medicine Training in Belize.
_______________________________________________________________ PEER REVIEWED PUBLICATIONS
1. Aluisio AR, Barry MA, Martin, KD, Mbanjumucyo G, Mutabazi ZA, Karim N, Moresky RT,
Nyinawankusi J, Byiringiro JC, Levine AC. “Impact of Implementation of Emergency Medicine
Training Implementation on Mortality Outcomes in Kigali, Rwanda: An Interrupted Time-Series
Study.” African Journal of Emergency Medicine.
2. Aluisio A R, Rege S, Stewart B T, Kinutia J, Mello M J, Levine A C, Farquhar C. “Prevalence of
HIV Seropositivity and Impact on Mortality Among Injured Patients from Low and-Middle-Income
Countries: A Systematic Review and Meta-Analysis” Curr HIV Res. 2017. PMID: 28933280
3. Aluisio AR, Garbern S, Wiskel T, et al. Mortality outcomes based on ED qSOFA score and HIV
status in a developing low-income country. Am J Emerg Med. April 2018. PMID: 29576257
4. Rudd KE, Seymour CW, Aluisio AR, et al. “Association of the Quick Sequential (Sepsis-Related)
Organ Failure Assessment (qSOFA) Score with Excess Hospital Mortality in Adults with Suspected
Infection in Low- and Middle-Income Countries”. JAMA. May 2018
5. Aluisio AR, Palaniappan A, Farquhar C, Mello MJ. Integrated HIV-injury programming: an
underutilized intersection to engage young adults in HIV care in low and middle-income countries.
AIDS. 2018;32(10):1377-1379. PMID: 29762167
6. Cattermole GN, Manirafasha A, Aluisio AR, Mbanjumucyo G. “FAME for Africa: Free Accessible
Medical Education.” African Journal of Emergency Medicine, Volume 8, Issue 2, June 2018, Pages
41-42.
7. Peters J L, Cho D K, Aluisio A R, Kennedy S B, Massaquoi M, Sahr F, Brown J, Perera S, Levine A
C. “Environmental Temperature and Mortality of Patients with Ebola Virus Disease in Sierra Leone
and Liberia, 2014-2015: A Retrospective Cohort Study," Tropical Medicine and International
Health. PMID: 30307686
17
8. Weissbecker I, Roshania R, Cavallera V, Mallow M, Leichner A, Antigua J, Gao K, Levine AC.
“Integrating psychosocial support at Ebola treatment units in Sierra Leone and Liberia.”
Intervention, 2018. doi: 10.4103/INTV.INTV_8_18
9. Bilal S, Nelson E, Meisner L, Alam M, Al Amin SU, Ashenafi Y, Teegala S, Khan MA, Alam NH,
Levine AC. “Evaluation of standard and mobile health (mHealth)-supported clinical diagnostic tools
for assessing dehydration in patients with diarrhea in rural Bangladesh.” American Journal of
Tropical Medicine and Hygiene, 2018. doi: 10.4269/ajtmh.17-0648
10. Mallow M, Gary L, Jeng T, Bongomin B, Aschkenasy MT, Wallis P, Cranmer HH, Debasu E,
Levine AC. “WASH Activities at Two Ebola Treatment Units in Sierra Leone.” PLOS ONE 13(5):
e0198235. https://doi.org/10.1371/journal.pone
11. Koeller E, Robertson SE, Garbern SC, Monk G, Nasrin S, Alam NH, Levine AC. “Accuracy of a
Combined Model Using Both Clinical Variables and Ultrasound Measurement for Predicting
Dehydration in Children with Acute Diarrhea in a Resource-Limited Setting.” Journal of Ultrasound
in Medicine, 2018; 00:1-9. doi:10.1002/jum.14752
12. Peters JL, Cho DK, Aluisio AR, Kennedy SB, Massaquoi M, Sahr F, Brown J, Perera S, Levine AC.
“Environmental Temperature and Mortality of Patients with Ebola Virus Disease in Sierra Leone
and Liberia, 2014-2015: A Retrospective Cohort Study.” Tropical Medicine and International
Health, 2018. doi: 10.1111/tmi.13166
13. Becker TK, Trehan I, Hayward AS, Hexom BJ, Kivlehan S, Lunney KM, Modi P, Osei-Ampofo M,
Pousson A, Cho DK, Levine AC on behalf of the Global Emergency Medicine Literature Review
(GEMLR) Group. “Global Emergency Medicine: A review of the literature from 2017.” Academic
Emergency Medicine, 2018. doi: 10.1111/acem.13456
14. Cancedda C, Cotton P, Shema J, Rulisa S, Riviello R, Adams LV, Farmer PE, Kagwiza J,
Kyamanywa P, Mukamana D, Mumena C, Tumusiime DK, Mukashyaka L, Ndenga E,
Twagirumugabe T, Mukara KB, Dusabejambo V, Walker TD, Nkusi E, Bazzett-Matabele L, Butera
A, Rugwizangoga B, Kabayiza JC, Kanyandekwe S, Kalisa L, Ntirenganya F, Dixson J, Rogo T,
McCall N, Corden M, Wong R, Mukeshimana M, Gatarayiha A, Kayonga E, Yaman A, Musabeyezu
J, Sliney A, Nuthulaganti T, Kernan M, Okwi P, RhatiganJ, Barrow J, Wilson K, Levine AC, Reece
R, Koster M, Moresky RT, O’Flaherty JE, Palumbo PE, Ginwalla R, Binanay CA, Thielman N, Relf
M, Wright R, Hill M, Chyun D, Klar RT, McCreary LL, Hughes TL, Moen M, Meeks V, Barrows B,
Durieux M, McClain CD, Bunts A, Calland FJ, Hedt-Gauthier B, Milner D, Raviola G, Smith S,
Tuteja M, Magriples U, Rastegar A, Arnold L, Magaziner I, Binagwaho A. “Health Professional
Training and Capacity Strengthening through International Academic Partnerships: The First Five
Years of the Human Resources for Health Program in Rwanda.” International Journal of Health
Policy and Management, 2018.
15. Balhara K, Bustamante ND, Selvam A, Winders T, Coker A, Trehan I, Becker T, Levine AC on
behalf of the Global Emergency Medicine Literature Review. “Bystander Assistance for Trauma
Victims in Low- and Middle-Income Countries: A Systematic Review of Prevalence and Training
Interventions.” Prehosp Emerg Care 2018 Aug 24:1-46. doi: 10.1080/10903127.2018.1513104
16. Colubri A, Levine AC, Siakor M, Wolfman V, Felix A, Sabeti P. “Prognostic models for Ebola virus
disease derived from data collected at five treatment units in Sierra Leone and Liberia: performance
and external validation.” bioRxiv, 2018; doi: http://dx.doi.org/10.1101/294587
17. Wanjiku G, Bell G, Wachira B. Assessing a point of care ultrasound training program for rural
health care practitioners in Kenya. BMC Health Serv Res. 2018 Aug 6;18(1):607. doi:
10.1186/s12913-018-3196-5.
18. Crosby J, Werku D, Zewdu T, Wanjiku G, Schmidt J. Acute Mesenteric Ischaemia. A case of
expedited diagnosis and management using point-of-care ultrasound. African Journal of Emergency
Medicine, October 2017
18
19. Jacquet G, Umoren R, Hayward AS, Myers J, Modi P, Dunlop S, Sarfaty S, Hauswald M, Gadiraju
S, Hudspeth J, Velji A, Weiner S, Tupesis J. The Practitioner’s Guide to Global Health: an
Innovative, Interactive, Online, Open-Access, Timeline-Based Curriculum for Medical Learners.
Med Educ Online 2018; 23:1.
20. Patino AP, Alcalde V, Gutierrez C, Moreno Carrillo A, Eduardo Vargas L, Bustos Y, Garcia
Romero M, Granada J, Giovanni Aguiar L, Menendez S, Eduardo Vallejo C, Zamara V, Luis Mora
Rodriguez J, Ivan Cohen J, Angel Saavedra M, Manuel Rodriguez J, Roldan T, Arbelaez C.
Characteristics of Emergency Medicine Residency Programs in Colombia. West J Emerg Med. 2017
Oct;18(6):1120-1127.
_______________________________________________________________ BOOK CHAPTERS
1.Wanjiku, G. Ultrasound for Trauma. Checkett, KA, Wallis LA, Reynolds TA.
AFEM Handbook of Acute and Emergency Care 2nd edition. Oxford University Press
_______________________________________________________________ Photos Courtesy of Adam Levine
Presenting Global EM Research at the American Society for Tropical Medicine and Hygiene Meeting
19
__ ___________________________________________________________ Photos Courtesy of Naz Karim
Highlights from the African Conference on Emergency Medicine in Kigali, Rwanda.
Tibet
Belize
American Samoa
Saipan
Rwanda
Honduras
Kenya
Ashley Gray, MD4 Weeks
Jordan Wolfe, MD & Mike Hunihan, MD4 Weeks
Joshua Kaine, MD2 Weeks
Tess Wiskel, MD4 Weeks
Tess Wiskel, MD4 Weeks
Tess Wiskel, MD4 Weeks
Gabe Gao, MD4 Weeks
Thomas Ross, MDJordan Cohen, MDChana Rich, MD
Michael Wilk, MDWill Galvin, MD
Gabe Heiderich, MD2 Weeks
__________________________________________________________RESIDENT INTERNATIONAL ROTATIONS –12 Residents, 14 Trips & 42 Weeks
21
______________________________ __ ABSTRACTS
1. Aluisio AR, Gerbern S, Wiskel T, Mutabazi ZA, Umuhire OF Ch’ng CC, Rudd KE
Nyinawankusi JD, Byiringiro JC, Levine AC. “The quick Sepsis-related Organ Failure
Assessment Score Predicts Emergency Department and Hospital Mortality Among Emergency
Care Patients in Kigali, Rwanda: A Retrospective Cohort Study.” Presented at Society for
Academic Emergency Medicine Annual Meeting, Indianapolis, IN, 05/2018.
2. Aluisio A R. Yam D, Peters J L, Cho D K, Perera S M, Kennedy S B, Massaquoi M, Sahr F,
Garbern S, Liu T, Levine A C. “Treatment with Intravenous Fluid Therapy Was Not Associated
with Improved Survival Among Patients with Ebola Virus Disease: An International Multisite
Cohort Study” American College of Emergency Physicians Research Forum, October 2018, San
Diego, USA.
3. Garbern S, Yam D, Cho D K, Aluisio A R, Perera S M, Levine A C, Liu T. “Effect of Mass
Artesunate-Amodiaquine Distribution on Mortality of Patients with Ebola Virus Disease during
West African Outbreak“ American Society of Tropical Medicine and Hygiene, 67th Annual
Meeting, November 2018, New Orleans, USA.
4. Aluisio A R, Yam D, Peters J L, Cho D K, Perera S M, Kennedy S B, Liu T, Levine A C. “Early
Intravenous Fluid Therapy and Mortality Outcomes Among Patients with Ebola Virus Disease:
A Multisite Retrospective Propensity-Matched Cohort Study” American Society of Tropical
Medicine and Hygiene, 67th Annual Meeting, November 2018, New Orleans, USA.
5. Yam D, Liu T, Levine A, Aluisio A, Peters S, Averill S, Kennedy S, Sahr F, Peters J and Cho D
(2018). “Intravenous fluid treatments for Ebola patients: The risk and the reward.” The Joint
Statistical Meeting. Jul 28-Aug2, 2018. Vancouver, BC. Canada.
6. Liu T, Yam D, Aluisio A, Peters S, Averill S, Kennedy S, Sahr F, Peters J, Cho D and Levine A
(2018). “Modeling causal effect of the timing of intravenous fluid treatment on survival of Ebola
patients” The International Biometrics Society/The Fifth International Biostatistics Symposium.
July 5th-7th. Guangzhou, China. (Invited presentation).
7. Karim N, Morretti K, Mumporeze L, Nsengimana V, Gray, A, Aluisio AR, Jeanne
Nyinawankusi JD, Byiringiro JC, Levine AC. Epidemiology of Trauma Patients with Head
Injury at a Tertiary Hospital. Presented at the New England Regional Meeting for SAEM,
Worchester, MA, 3/2018.
8. Karim N. “Alcohol Use and the Epidemiology of Prehospital Patients with Head Injury at a
Tertiary Hospital in Rwanda”. Presented at Society of Academic Emergency Medicine
Conference, Indiana, 5/2018.
9. Nteziryayo E, Mattson P, Aluisio A, Levine A, Karim, N. Characterization of
FractureDemographics and Outcomes during an EM Residency Training Program in Kigali,
Rwanda: A retrospective cohort study. Submitted to ICEM 10/2018.
10. Hayward AS. Non-Communicable Diseases Symposium, Kampala, Uganda. “Food
Insecurity and Over and Undernutrition in Rural Uganda: A Cross-Sectional Study.” 2018
11. Hayward AS. New England Emergency Medicine Research Directors Regional Meeting,
Worcester, MA. "Systematic Review on Chronic Non-Communicable Disease in Disaster
Settings.” Poster presentation. 2018
12. Hayward AS. New England Emergency Medicine Research Directors Regional Meeting,
Worcester, MA. "Global Health Electives and Procedural Experience: Increasing Competency.”
Lightning oral presentation. 2018
13. Aluisio AR, Barry MA, Mbanjumucyo G, Martin, KD, Levine AC. “Impact of
Implementation of Emergency Medicine Training on Mortality Outcomes in Kigali,
22
Rwanda: An Interrupted Time-Series Study.” International Conference on Emergency
Medicine, June 2018 at the Mexico City, Mexico.
14. Aluisio A R. Yam D, Peters J L, Cho D K, Perera S M, Kennedy S B, Massaquoi M, Sahr
F, Garbern S, Liu T, Levine A C. “Treatment with Intravenous Fluid Therapy Was Not
Associated with Improved Survival Among Patients with Ebola Virus Disease: An
International Multisite Cohort Study” American College of Emergency Physicians
Research Forum, October 2018, San Diego, USA.
15. Garbern S, Yam D, Cho D K, Aluisio A R, Perera S M, Levine A C, Liu T. “Effect of Mass
Artesunate-Amodiaquine Distribution on Mortality of Patients with Ebola Virus Disease during
West African Outbreak“American Society of Tropical Medicine and Hygiene, 67th Annual
Meeting, November 2018, New Orleans, USA.
16. Karim N. Unite for Sight, Global Health and Innovation Conference - “The Rise of
Research Capacity in Rwanda: Key Steps and Novel Methods to Building a Global
Research Infrastructure” - New Haven, Connecticut 2018
17. Karim N. Grand Rounds: University of Wisconsin - “Global Emergency Medicine: 5 Ways
to Make an Impact” - Madison, Wisconsin 2018
18. Kranc D, Gonzalez Marques C, Iketani K, Ryan M (2018 May 15-18) Society for
Academic Emergency Medicine. Clinical Images Exhibit. “Shortness of Breath”.
_______________________________________________________________ INVITED PRESENTATIONS
Adam Levine, MD
1. Tufts University. “Humanitarian Emergencies in Resource-Limited Settings.” Medford, MA,
2018.
2. United States Naval War College. “Humanitarian Emergencies in Resource-Limited Settings.”
Newport, Rhode Island, 2018.
3. Brown University Alpert Medical School Second Look Program
Keynote Address: “Lessons from Ebola: Preparing for and learning from epidemics” 1-hour
lecture – 60 prospective students in attendance
Catalina Gonzalez Marques, MD
1. Poder 1100AM/ 102.1FM guest on Radio Talk show “Deportes Cultura y Más” – Discussion on
challenges faced by Latino Physicians.
Stephanie Garbern, MD
1. Koeller E, Robertson S, Garbern SC, Monk G, Nasrin S, Alam N, Levine AC. Ultrasound
Adds No Benefit to Clinical Exam for Predicting Dehydration in Children with Acute Diarrhea
in a Resource-Limited Setting. Presented at the Unite for Sight Global Health & Innovation
Conference, New Haven, Connecticut. April 2018.
2. Garbern SC, Aluisio AR, Wiskel T, Mutabazi ZA, Umuhire O, Ch'ng CC, Rudd KE,
Nyinawankusi JD, Byiringiro JC, Levine AC. Mortality outcomes based on ED qSOFA score
and HIV status in a developing low-income country. Presented at Brown Emergency Medicine
Research Symposium, Providence, Rhode Island. April 2018
3. Garbern SC, Yam D, Cho D, Aluisio A, Perera S, Levine AC. Effect of Mass Artesunate-
Amodioquine Distribution on Mortality of Patients with Ebola Virus Disease during West Africa
23
Outbreak. Presented at the Royal Society of Tropical Medicine & Hygiene East Africa
Conference, Moshi, Tanzania. September 2018
4. Garbern SC, Yam D, Cho D, Aluisio A, Perera S, Levine AC. Effect of Mass Artesunate-
Amodioquine Distribution on Mortality of Patients with Ebola Virus Disease during West Africa
Outbreak. Presented at the American Society of Tropical Medicine & Hygiene Conference, New
Orleans, Louisiana. October 2018
5. Garbern SC, Boston University School of Public Health Disaster and Humanitarian
Emergencies Course. “Puerto Rico after Hurricane Maria: The Recovery Phase of Disaster
Response.” Boston, Massachusetts, 2018.
Grace Wanjiku, MD
1. Acute Cardiac Clinical Care Symposium, Aga Khan University Hospital, Nairobi Kenya.
Panelist: Chest pain, Shortness of breath, Cardiac Tamponade 03/2018
2. Fourth African Conference on Emergency Medicine, Kigali, Rwanda. “Global Emergency
Medicine Collaborations” 11/2018
Alison Hayward, MD
1. African Conference on Emergency Medicine, Kigali, Rwanda: “Freely Accessible Medical
Education and Social Media” 2018
2. African Conference on Emergency Medicine, Kigali, Rwanda. Emergency medicine abstract
session moderator. 2018
3. External examiner (remotely), M.Phil in Emergency Medicine dissertation, University of Cape
Town, South Africa
Noah Rosenberg, MD
1. Partnership and Propriety: African Conference on Navigating Ethics and Collaboration
Emergency Medicine for Research in LIMCs Kigali, Rwanda (November 2018)
2. Bioethics of End-of-Life Care Dept. of Emergency Medicine Muhimbili National Hospital Dar
es Salaam, Tanzania (May 2018)
Christian Arbelaez, MD
1. World Health Organization (WHO) Basic Emergency Care (BEC) Spanish Review Co Lead,
American College of Emergency Physicians (ACEP), San Diego, CA, 2018
2. World Health Organization (WHO) Basic Emergency Care (BEC) Spanish Review, Chair
International Conference of Emergency Medicine (ICEM), Mexico City, Mexico, 2018
3. Leadership Development/Seminar Moderator, Asociacion Colombiana de Especialistas de
Urgencias y Emergencias (ACEM), Medellin, Colombia, 2018
4. Leadership Development/Seminar Moderator, Asociacion Colombiana de Especialistas de
Urgencias y Emergencias (ACEM), Bogota, Colombia, 2018
5. Academic Global Engagement/ Presentation, ASCOFAME, Bogota, Colombia, 2018
Adam Aluisio. MD
1. “Public Health Impacts from the Emergency Department” African Federation Conference on
Emergency Medicine. Kigali, Rwanda, 2018. (Invited Speaker)
2. “Top 10 Papers in African Emergency Care” African Federation Conference on Emergency
Medicine. Kigali, Rwanda, 2018. (Invited Speaker)
24
John Foggle, MD
1. Hospital Bautista, Managua, Nicaragua. Invited speaker and co-lecturer with Dr. Jonathan H. Season
to 20 emergency medicine residents and faculty, “The History and Future of Emergency Medicine:
Parallels Between the United States and Nicaragua”, February 9, 2018.
2. Hospital Bautista, Managua, Nicaragua. Invited speaker and co-lecturer with Dr. Jonathan H. Season
to 20 emergency medicine residents and faculty, “Primary and Secondary Survey in a Trauma
Patient: A Simulated Case”, February 9, 2018.
3. Universidad Nacional Autónoma de Nicaragua, (National Autonomous University of Nicaragua,
UNAN-Managua), Managua, Nicaragua. Invited speaker and co-lecturer with Dr. Jonathan H.
Season to 80 fourth year medical students, “A Career in ER: The Rationale for Emergergency
Medicine Residency Training”, February 9, 2018.
4. Universidad Nacional Autónoma de Nicaragua, (National Autonomous University of Nicaragua,
UNAN-Managua), Managua, Nicaragua. Invited speaker and co-lecturer with Dr. Jonathan H.
Season to 80 fourth year medical students, “Primary and Secondary Survey in a Trauma Patient: A
Simulation Case-Based Approach”, February 9, 2018.
5. 6th Eurasian Congress on Emergency Medicine, Antalya, Turkey, Speaker, “Fear and Loathing:
Cases that Strike Fear in the Emergency Physician”, November 10, 2018.
6. 6th Eurasian Congress on Emergency Medicine, Antalya, Turkey, Speaker, “New Tools in the
ER: Which Ones Can Improve Health Outcomes?”, November 11, 2018.
7. Visiting Associate Professor of a weekly 2-1/2 hour fall semester seminar at the Frank H. Netter MD
School of Medicine at Quinnipiac University, entitled “Wilderness, Disasters, and Global
Health: Emergency Medicine in Limited Resource Environments”. Designed and taught elective
course for 2nd-year medical students. August-December 2018.
_______________________ _____________________________________ Photo Courtesy of Adam Aluisio
2018 AFCEM – African Conference on Emergency Medicine
25
_______ _______________________________________________________ Photos Courtesy of Alicia Genisca
WHO Basic Emergency Care course and Training of Trainer curriculum in
Addis Ababa, Ethiopia in Oct. 2018.
26
_______________________________________________________________ TEACHING
Adam Levine, MD
• Brown University PHP 1802S: Human Security and Humanitarian Response
o Directed Spring Semester Seminar Course
o 16 classes – 41 students
• Co-Convener, Brown International Advanced Research Institutes
o Institute on “Social Entrepreneurship within Health and Humanitarian Innovation”
o 2-week course – 25 international students in attendance
• Co-Convener, Brown International Advanced Research Institutes
o Philippines Institute on “Community Resilience for Natural Disasters”
o 1-week course – 48 international students in attendance
Adam Aluisio, MD
• Education Lecture: Acute Care Delivery and Global Health Research in LMICs. (PHP 2710:
Interdisciplinary Perspectives on Disability and Death in the Global South) Brown University
School of Public Health
Kyle Denison Martin, MD
• February 21, 2018 ~ “Trauma in a Remote Setting”
Simulation Scenario, Emergency Medicine Residency Program,
Warren Alpert School of Medicine, Brown University
• May 3, 2018 ~ “Global Health Workshop” Small Group Sessions,
Medical Student Training Program,
Warren Alpert School of Medicine, Brown University
Katelyn Moretti, MD
• Pham, Tran Minh Thu
Role: Faculty Sponsor, independent study: INTL 1970: The Politics and Economics of
Humanitarian Assistance.
1-hour teaching sessions per week x Fall semester, 2018.
• Educational Lecture: “Hypothermia in the Field” MEDWARS, August 2018
• Educational Lecture: “Lateral Canthotomy” Intern Cadaver lab,
Brown Emergency Residency June 27, 2018
• Educational Lecture: “Toxic Plants” Wilderness Medicine Course,
Warren Alpert Medical School, Brown University
• Educational Lecture: Refugee Health Panel. January 31, 2018
Naz Karim, MD
• Prehospital Emergency Care Course, Rwanda - “Obstetric Emergencies”
1-hour lecture for prehospital care providers
• Prehospital Emergency Care Course, Rwanda - “Burn Injuries”
1-hour lecture for prehospital care providers
• Prehospital Emergency Care Course, Rwanda - “Altered Mental Status and Neurological
Emergencies” - 1-hour lecture for prehospital care providers in Rwanda
• Prehospital Emergency Care Course, Rwanda - “Airway Lab”
27
2-hour Simulation for prehospital providers in Rwanda
• Prehospital Emergency Care Course, Rwanda - “Trauma in Pregnancy”
2-hour Simulation for prehospital providers in Rwanda
• Brown University PHP 1520: Emergency Medical Systems: An Anatomy of Critical
Performance” - “Global Disasters” - 1-hour lecture
• Division of Global Emergency Medicine - “Introduction to Global Infectious Disease”
• 30-minute pearls lecture for GEM Fellows
Stephanie Garbern, MD
• Brown Emergency Medicine Residency - “Post-Partum Hemorrhage in a Humanitarian Setting”
o Simulation Case Scenario, December 2017 - Warren Alpert School of Medicine, Brown
University, Providence, Rhode Island
• Ultrasound Education Director, March-April 2018
o JFK Memorial Medical Center, Liberia Health Workforce Program
▪ “Abdominal and Gastrointestinal Ultrasound”
▪ “Ultrasound Assessment of Deep Venous Thrombosis”
▪ “Aorta Ultrasound”
▪ “Ocular Ultrasound”
• Brown Emergency Medicine Student Interest Group - “Global Health Skills Workshop”
Warren Alpert School of Medicine, Brown University, Providence, Rhode Island
Alison Hayward, MD
• Faculty advisor, Essentials of Procedural Skills. 20 students. Warren Alpert School of Medicine
at Brown University, Providence, RI 2018-current
• Practitioner’s Guide to Global Health: Part 1. Massive Open Online Course (MOOC) available at
edX.org – Course Faculty ~10,000 students 2015-current
Noah Rosenberg, MD
• Sep 2018 - Foundations of Bioethics I (Bioethics 701.1) Harvard Medical School Master of
Bioethics Center for Bioethics
• Aug 2016 – July 2018 Bedside Resident Dept. of Emergency University Teaching Supervision
Medicine Hospital of Kigali - Kigali, Rwanda
• Mar 2018 SAMU EMS Instructor University Teaching Hospital of Kigali - Kigali, Rwanda
Christian Arbelaez, MD
▪ (GHP 559) Health of Urban Displaced Populations in Post-Conflict Colombia Faculty Co-Lead
Harvard School of Public Health (2013 – Present)
John Foggle, MD
• Course Director of elective, cataloged as “IM-3415: Clinical Medicine in Nicaragua”. Elective is at
Hospital Antonio Lenín Fonseca and Manolo Morales (Roberto Calderón) Hospital in Managua,
Nicaragua, October 2017-18.
• Brown Medical School summer course, Instructor. “Introduction to Medicine: Do You Want to Be a
Doctor?” Designed, ran, and debriefed an opioid overdose simulation case to 40 rising high school
juniors and seniors from around the world, July 2018.
• Designed and co-directed an interactive 2-hour workshop for the Global Health Society at Alpert
Medical School. Taught 25 students principles of trauma management in a limited resource
28
environment and led a medical simulation and debriefing on cultural competency in the
developing world. November 27, 2018.
• Course co-director and lecturer, Trauma Management, at Moi Teaching and Referral Hospital
(MTRH), Eldoret, Kenya, as part of a 2 day Trauma Course, March 17-18, 2018.
• Course co-director, Trauma Management, Nairobi, Kenya, as part of a 1 day Trauma Course
reassessment of former attendees, March 24, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Speaker,
“Introduction to Trauma Management”, March 17, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Speaker,
“Trauma: The Primary Survey”, March 17, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Skills Station
Instructor, “Primary and Secondary Survey”, March 17, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Speaker, “Chest
Trauma”, March 17, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Speaker, “Pelvic
Trauma”, March 17, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Skills Station
Instructor, “Tube Thoracostomy”, March 18, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Skills Station
Instructor, “Radiology of the Pelvis”, March 18, 2018.
• Trauma Course, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. Speaker,
“Trauma in the Pregnant Patient”, March 18, 2018.
• CHUK (University Central Hospital), Kigali, Rwanda. Speaker and Simulation Instructor,
“Simulation Design and Debriefing”, March 21, 2018.
• Simulation and Clinical Skills Center, University of Rwanda College of Medicine and Health
Sciences (Remera Campus), Kigali, Rwanda. Simulation Instructor, “Programming the SimMan
3G”, March 20 and 22, 2018.
• Trauma Course Simulation Instructor, Nairobi, Kenya, as part of a 1-day Trauma Course
reassessment of former attendees, March 24, 2018.
_______________________________________________________________ Photo Courtesy of Adam Levine
BIARI Training on Community for Natural Disasters in Philippines
29
_______________________________________________________________ AWARDS & RECOGNITIONS
Adam Aluisio, MD
• Society for Academic Emergency Medicine: Global Emergency Medicine Academy award from
most impactful researcher
Naz Karim, MD
• Certificate of Recognition for Outstanding Contribution to Enhancing Patient Experience
Miriam Hospital
Alison Hayward, MD
• Momentum Award. Academy of Women in Academic Emergency Medicine (AWAEM), 2018.
Noah Rosenberg, MD
• Oct 2018 Global Impact Award, Department of Emergency Medicine Alpert Medical School of
Brown University
Christian Arbelaez, MD
• Chair Development Scholarship Award Recipient Academy for Diversity & Inclusion
in Emergency Medicine/SAEM (2018)
30
PLEASE VISIT OUR WEBSITE FOR MORE INFORMATION:
https://www.brown.edu/academics/medical/about/departments/emerg
ency-medicine/divisions/global/
