GLOBAL HEALTH PROGRAM

ANNUAL REPORT 2016

THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK table of contents GLOBAL HEALTH PROGRAM HEALTH GLOBAL

Welcome ...... 2 Global Health Leadership ...... 3 . . Our People, Our Mission ...... 4 . . Building Leaders in Global Health ...... 6 Educating Physicians Around the World ...... 8 Mentoring the Next Generation ...... 10 ...... 12 Majid Sadigh, M.D., with Russia ...... 14. . . schoolchildren in Zimbabwe Vietnam ...... 16 . . . Zimbabwe ...... 18 The practice of global health connects us Dominican Republic ...... 20 . . to people of diverse perspectives and colors, Awards and Recognition ...... 22 and upon reflection, to ourselves and the Publications and Presentations ...... 24 lived experience. We learn to respect differences Directory ...... 26 . . . and recognize shared humanness. “ Contact Us ...... 28. . . In discovering the roots of empathy, we rediscover what calls us to the field of medicine. In its essence, this profession is a calling. At the service of the underserved, we follow that calling.

– Majid Sadigh, M.D., Christian J. Trefz Family Cover photo credit: Tyler Sizemore, Hearst Connecticut Media Group Endowed Chair in Global Health From left, Dr. Brian Beesiga, Dr. Sohi Ashraf, medical student Mary-Kate LoPiccolo, and Dr. Majid Sadigh examine a patient during clinical rounds at Mulago Hospital in ” the capital city of , Uganda.

GLOBAL HEALTH ANNUAL REPORT 2016 1 GLOBAL HEALTH LEADERSHIP

welcome Compassion at the Heart of Medicine It has been an extraordinary year for our global This endowed chair will help us build on the health program . Since its inception in 2012, our impressive foundation we have established GLOBAL HEALTH PROGRAM HEALTH GLOBAL innovative partnership with the Larner College while speaking to our unwavering commitment of Medicine at the University of Vermont has to medical education and global health . It inspired future professionals by providing recognizes the criticality of global health work unique opportunities to experience the essence while providing essential financial support to of medicine . This two-way exchange offers an help expand the program, build capacity and fuel This past year, the Western Connecticut Health Network/University of Vermont Global unparalleled opportunity for caregivers to deepen passion for teaching, research and patient care . Health Program has grown immensely, as the seeds sowed at its inception are now budding their empathy, broaden their perspective, and test For Norwalk Hospital board member Christian and thriving . their ability to observe, diagnose, and alleviate Trefz and his family, it is about making the Human power has proliferated with the addition of several staff members including an suffering in underserved, culturally diverse world a better place by advancing our study and associate director at UVM, two associate directors at WCHN, three departmental directors, John Murphy, M.D., countries . In return, we benefit from visiting research, providing us with the luxury of longer- two program coordinators, and three international site coordinators . Our network has President and CEO, our international partners and absorbing their term thinking, and ensuring world-class clinical broadened with the signing of Memorandums of Understanding that have initiated four Western Connecticut knowledge and expertise in managing global training for the next generation of physicians . new international partnerships in Uganda and the Dominican Republic . In the spirit of Health Network health epidemics such as Zika, Ebola and HIV . The practice of medicine may be changing reciprocity, the capacity building initiative has been expanded to include Norwalk Hospital, Most recently, we celebrated the naming of the rapidly, but the heart of medicine remains the the oncology departments at Danbury Hospital, and John Hopkins/LifeBridge Health . program director as the inaugural recipient of same: compassion, connection, and caring . In In the same spirit, we continue to strengthen our relationships with our partners . We the Christian J . Trefz Family Endowed Chair in today’s challenging fiscal environment, many hosted 13 medical students/physicians for observership training at WCHN, in addition to Global Health at Western Connecticut Health of our most innovative and forward-thinking 18 distinguished guests who made administrative visits . Meanwhile, 30 medical students/ Network . As the only endowed chair in global initiatives are almost entirely dependent on residents completed the global health elective in our host sites where they were supervised health in the state of Connecticut, and one philanthropy . Thanks to the generosity of the by 21 of our American faculty members . Global Health Week in April, during which 11 of only a few hospital-based endowed global Trefz family and other donors, our global health international guests were hosted by and gave lectures to WCHN/UVM Larner College of health chairs in the nation, this is a remarkable program will do just that – continue serving Medicine, was a great success . The event provided an important platform on which to learn accomplishment for our network and a true the world’s neediest populations while offering from our partners while promoting collaboration and solidarity among members, some of testament to Dr . Sadigh’s world-renowned faculty, students, and residents a chance to whom interfaced for the first time . reputation and invaluable contributions to the reconnect to the skills, insights, and passion that In terms of output, our program has featured five peer-reviewed publications, a monthly global community . define their commitment to help others . newsletter, a program website including online tropical medicine modules, and the design of site-specific participant and safety guides . Meanwhile, we have emboldened our commitment to combatting the major global outbreaks of HIV, Ebola, and Zika virus through Building Global Health Leaders television health programs, radio shows, newspapers, grand rounds, and public talks . We look forward to further expanding our program this upcoming year by initiating a The Larner College of Medicine at The University contribute to preparing the global health leaders partnership in Cuba and a unique capacity building model in India as a global health elective of Vermont is pleased to be partners with the of the future . More and more of our first-year site . We will also be working toward instating an advanced curriculum as well as a full track/ Western Connecticut Health Network in this students arrive looking for opportunities in global specialization that will incorporate global health curriculum in all years of medical training thriving and vibrant global health program . health . They are not only making a difference in for students seeking a more robust avenue for and involvement in the field . We are excited for the opportunities it provides the communities they serve, but are also adding We are excited to witness the burgeoning global health movement and passion for health our students, residents, and faculty to gain an to the body of research and scholarly work that equity in our communities, and are grateful to be part of this ever-growing network . understanding of the global issues of health care will have an impact beyond their international delivery and access by experiencing firsthand rotations . Many of our alumni have also become the challenges faced by physicians and providers, interested in the global health program, and it has patients and communities, as well as advocates been a pleasure to connect them with students and relief organizations . who share their passion . Sincerely, Our work with Dr . Sadigh, faculty across both The naming of Dr . Sadigh as the inaugural Majid Sadigh, M .D . Frederick C. Morin III, M.D., institutions, and our international colleagues Christian J . Trefz Family Endowed Chair in Global Trefz Family Endowed Chair of Global Health Dean, The Robert Larner, M.D. College of Medicine has enriched our educational mission and Health at Western Connecticut Health Network Director, Western Connecticut Health Network/University of Vermont Global Health Program at the University of expanded the perspective of all who have had the was a landmark moment for everyone involved Vermont chance to participate . Over the last year, building with the program . The commitment of the Trefz relationships and expanding collaborations with family and the dedication of Dr . Sadigh will serve our colleagues in Uganda, Russia, Zimbabwe, as inspiration and motivation for the year ahead Vietnam and the Dominican Republic has as we work together to build a first-class program strengthened our ability to enhance the education committed to developing outstanding physicians of our medical students and faculty and prepared to be leaders in global health .

2 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 3 Shining a Light on Global Health our people, “Global medicine is a fascinating voyage that gives us all the opportunity to comprehend the patient, the village, the family, the spread of illness, the response to sickness, the joy of wellness and the resiliency and determination of survival. The student

GLOBAL HEALTH PROGRAM HEALTH GLOBAL our mission is placed in the giant framework of a culture’s own medicine, a fabric woven from the glorious achievements of the shaman and wonderful cultural wisdoms and ideals and myths. We come as the foreigner. But we come with our own high professional quality, Trefz Family Gift a kind heart, and high ideals bearing a small solar lamp which Creates Global Health evaporates the darkness of the night.” – Fred Mandell, M.D.’64, current president of the UVM Medical Alumni Association, has Endowed Chair a long history of global health work. He donated 50 solar-powered flashlights to the African Community Center for Social Sustainability (ACCESS) in Nakaseke, Uganda. he inaugural Christian J . Trefz Family Endowed Chair in Global Health, the first T of its kind in the state of Connecticut and one of only a few hospital-based endowed Funding the Future: The Impact of Philanthropy in Global Health Education global health chairs in the nation, promises to advance the work of the Western Connecticut Health is at the core of most pressing global issues, more organized, professional and global than ever before . Health Network/University of Vermont Global including economic development, global security, effective WCHN is fortunate to count among its benefactors Health Program . At receptions in Vermont and governance and human rights promotion . In recent extraordinarily committed and generous philanthropists Connecticut, Majid Sadigh, M .D ., director of years, growing global interconnectivity has heightened who understand the importance of global health training the WCHN/UVM Global Health Program, was public awareness of global health and welfare, including and its far-reaching impact on future clinical practice . celebrated as the inaugural chair . The position, health problems that transcend national boundaries and The recent creation of the Christian J . Trefz Family established with a generous gift from Christian disproportionately affect the poor . Endowed Chair in Global Health, the first of its kind in J . and Eva W . Trefz of Westport, Connecticut, Philanthropy has a long history of improving the the state of Connecticut and one of only a few hospital- quality of human life through the promotion of welfare based endowed global health chairs in the nation, is propels the global health program towards a Grace Linhard, new era of capacity building for health care L to R: Fred Mandell, M.D., Stephen Winter, M.D., Majid Sadigh, M.D., and social change . Throughout every age, philanthropists Chief a shining testament to the power of philanthropic leaders around the world . John Murphy, M.D., Mr. and Mrs. Trefz, and Mr. Richard Jabara have demonstrated the power of giving to create Development partnership as well as the limitless potential of meaningful change . Modern philanthropy, however, is Officer, WCHN munificence meeting mission .

VOICES FROM OUR NETWORK Norwalk Hospital UVM Larner College of Medicine Sacred Heart University Global Health Program a Defining Since 2015, when the global health The growth and coordination of our The global health program has Element of Medical Education program at Norwalk Hospital formally program has allowed us to do more with provided our students in the began, 12 Norwalk Hospital residents, selecting and preparing our students for College of Health Professions Congratulations to the WCHN/UVM Global Jonathan Stephen Mariah Patricia Michelle Cole, fellows, and faculty have participated in participation in their electives, as well as with a new, more holistic view Health Program for reminding us of the Fine, m.d. Winter, m.d. McNamara, m.d. Walker, ed.d. dnp, msn, rn, cnp our elective sites in Uganda, Zimbabwe, and following up with participants after their of the world around them. essence of medicine: empathy and patient Vietnam. Many have taken part in an innovative approach international experiences to create a cycle for ongoing Our students now have the opportunity to discover the advocacy. Participants return from their global health to international medical student electives that pairs first improvements. Regular student reflections, elective complexity of the human condition in areas of the globe electives with a deepened passion for becoming the most year Larner College of Medicine students with a senior debriefing, and close relationships with our hosts have that are vastly different from their own. By engaging in a knowledgeable and compassionate physicians they can medicine resident and a faculty member who work and been valuable in embedding safety for patients, hosts, and cross cultural comparison and celebrating the differences be. We are also delighted to host junior faculty from our live together as a team. The Norwalk Hospital site also participants into all that we do. Moving forward I see many of the people they meet while appreciating commonalities, international partners every year. As it continues to grow, extended the capacity building goal of our program by opportunities that align with the mission and vision of the a true sense of humility is fostered. Our partnership the global health program is becoming one of the defining hosting five Global Scholars from Uganda, the Dominican UVM Larner College of Medicine. Together we can most with Western Connecticut Health Network is creating elements of medical education at WCHN. It embodies Republic, and Vietnam for training in Critical Care and certainly provide a medical education second to none. more compassionate and caring health professionals our commitment to serving patients and nurturing Pulmonary Medicine. – Mariah McNamara, M.D., Assistant Professor of Surgery who will spread their newly discovered empathy for development of students while fostering true reciprocity. – Stephen M. Winter, M.D., Global Health Program and Global Health Program Associate Director, UVM the advancement of medical care and global diversity. – Jonathan Fine, M.D., Director of Medical Education, WCHN Director, Norwalk Hospital – Patricia W. Walker, Ed.D., Dean, College of Health Professionals and Professor Michelle Cole, DNP, MSN, RN, CNP, Sacred Heart University 4 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 5 NEW PROGRAMS & PARTNERSHIPS

building leaders A Focus on Women’s Health Across the Globe

On a whiteboard in my office, I have written the UVM Larner College of Medicine Global Women’s words: witness, advocate, exchange, and improve . Health Program does just that . It informs and These are my pillars of global health . Witness, don’t enhances the perspectives of medical trainees, leaving GLOBAL HEALTH PROGRAM HEALTH GLOBAL in global health rescue . Advocate, for a diversity of backgrounds . them with an organized and nuanced appreciation for Exchange, sustainably and equitably . Improve, the practice of global women’s health . By witnessing, building appropriate technology and capacity . These advocating for and exchanging ideas, our trainees core concepts may seem obvious, but they require improve health care for patients both at their home Anne Dougherty, M.D., training in global health ethics and the realities of on institution as well as abroad . Director of Global Women’s the ground work in low-resource settings . The WCHN/ FINDING THE PERFECT MATCH Health Program, UVM

Global Health Education for Residents ow do you make sure the students you’re selecting This year has been marked by truly remarkable continue to grow, we hope to create a Global Health H for global health work collaborative efforts to grow the program . As a result, Track for residents . Few residents had global health have the skills and experience global health has trickled into many dimensions of curricula or opportunities to travel in a medical they need to thrive? A paper education at the student, resident, and faculty level . capacity during their medical school careers . A Global co-authored by Mary Kate In addition to an enthusiastic group of first year Health Track will encourage a level of awareness LoPiccolo ’18, tackles that medical students who traveled to four countries, that extends beyond the local hospital environment, question . In it, she identifies several residents from the Family Medicine, helping residents gain the skills to be compassionate Pediatrics, and Ob/Gyn Departments also participated healthcare providers in this globalizing world . competencies deemed most Michelle Mertz, M.D., Director of Global Health, Department in our global health partnerships this year . As we important for global health work, and presents of Family Medicine, UVM a scorecard based on a weighted system for interviewers to evaluate students’ answers . The Global Health Cardiology Partnerships Expand paper, titled “Finding the Perfect Match: Creating a Structured Interview Tool to Choose Candidates The cardiovascular service line of Danbury Hospital surgery, nuclear medicine and echocardiography . We for Global Health Electives,” was published as an and the Western Connecticut Health Network has been extend special thanks to Drs . Hal Wasserman, Mark “Online First” article in the journal Medical Science intimately involved with the global health program, Warshofsky, Murali Chiravuri, Lawrence Fisher, Marc Educator . In the future, LoPiccolo hopes to develop and 2016 was a year of substantial growth . In the past Krichavsky, and all of the cardiology fellows led by a training program for interviewers and conduct a year, five cardiologists and cardiology fellows from Chief Fellow Dr . Oana Penciu for their integral role in the Medical students from the Class of 2020 larger pilot study . our partners in Vietnam, Uganda, and Cuba have training program for visiting physicians . Overall, we have selected to participate in the global spent between three and twelve months participating provided an educational milieu for the advancement of health program. Robert Jarrett, M.D., in clinical rounds, interventional cardiology, cardiac cardiovascular medicine and issues of global health . Sr. Cardiologist, WCHN

NOTES FROM THE FIELD Gentle, Generous & Hardworking Unearthing New Truths Improving Patient Outcomes

Leaving My Comfort Zone “On arrival to Parirenyatwa Hospital, I was “I want to stress that I’ve grown immensely “The critical care unit is spacious and impressed by the organization, efficiency, from this experience. The discomfort I’m first-class, with top organization and “I befriended wonderful doctors from all and care provided by the medical house feeling is due to truths that I’ve unearthed management. Each patient has a detailed over the world, including from Vietnam, USA staff and attending doctors. Infectious zimbabwe and faced for the first time. These truths vietnam treatment plan, including nursing and USA India, the Dominican Republic, Uganda, the disease made up the largest burden of span inequality, health disparity, new cultural preventive complications. This explains a United Kingdom, China, Canada, and Iran, who are very disease due to a high prevalence of HIV in the country. experiences and subsequent new feelings towards my own decrease in in-hospital mortality rate as well as duration young but mature and talented physicians. We supported Despite its ongoing difficulties, Zimbabwe is a beautiful culture. While I am sad in many ways I am also hopeful. of hospital stay. When I return to work at Cho Ray one another throughout the program, sharing the country with an abundance of natural resources. Its people I have more to contribute as a growing doctor and when Hospital’s interventional cardiology department, I will experience of medical practice in our respective countries, remain gentle, generous, and hardworking. The healthcare I return to Vietnam I will be better prepared to learn and apply these clinical practices and expect that they will in addition to our cultures, traditions, and histories. They standards impressed me immensely.” help in any way that I can.” improve patient outcomes.” inspired me to read more about my own country and other – Herman Sequeira, M.D., Pulmonary/Critical Care – Florence DiBiase, UVM Larner College of Medicine – Dr. Tran Quang Khanh, Global Health Scholar places thousands of kilometers away from my home. They Medicine Fellow, Norwalk Hospital student, Class of 2019 from Vietnam inspired me leave my comfort zone.” – Tatiana Afanaseva, M.D., Global Health Scholar from Russia

6 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 7 Number of Number of medical physicians specialties represented by educating physicians 13 and health 6 faculty participating in the BY THE professionals August 2016 orientation for NUMBERS who visited the U.S. in 2016 students planning global health for observership training electives, including surgery, – from Russia, Uganda, emergency medicine, family GLOBAL HEALTH PROGRAM HEALTH GLOBAL around the world Vietnam, Cuba, and medicine, pediatrics, internal Dominican Republic. medicine, and Ob/Gyn.

Russia 49 17 243 244 Number of faculty, Number of first Total number of Total number of residents and and fourth year weeks faculty, weeks global health Dominican Republic medical students UVM Larner residents and leaders and fellows Vietnam from WCHN College of students from the from around the and UVM who Medicine students United States spent world spent on visits participated in who completed at partner sites and global health

United the global health global health for global health rotations in the States program in 2016. rotations in 2016. rotations in 2016. United States.

In the summer of 2016, 11 first year medical students participated in a six-week field elective. Students worked in Russia, Vietnam, Uganda, and Uganda Zimbabwe. In preparation for their work overseas, students attended weekly sessions with faculty. Students also participated in a Global Health Bootcamp Zimbabwe the weekend prior to their departure where faculty members from Russia, Uganda and Vietnam gave lectures and met with students in small groups. Our Partners: Our Partner Sites Interest in the Global Health Program continues to grow with more than 20 Global Health Host Countries Dominican Republic Uganda continued • Universidad • St. Stephen’s Hospital students applying for a limited number of spots for next summer. The global health elective provides medical students • St. Francis Hospital/ Iberoamericana – Molly Moore, M.D., Director of Global Health, Department of Pediatrics, UVM with a unique opportunity to engage in global health • Hospital Universitario Naggalama work that emphasizes sustainability and reciprocity. Maternidad • Mbarara University of The elective at WCHN/UVM Larner College of Medicine • Nuestra Señora de Science and Technology la Altagracia Western Connecticut Health Network University of Vermont encourages students to reconnect with the true roots of United States medicine and cultivate passion for empathy and clinical • Instituto Dominicano de Cardiologia • UVM Larner College of The vision of the Western Connecticut Health As a new member of the WCHN/UVM advancement. Every international site exposes students Medicine • Hospital Vinicio Calventi Network Global Health Program is to achieve Global Health team, I am so grateful for the to a wide array of clinical cases while the supplementary • Western Connecticut excellence and national recognition in global opportunity to work in support of improving socio-cultural curriculum allows further connection Russia Health Network health education and research. The program patient care and medical education through with the local culture. Students who experience the • Kazan State Medical • Sacred Heart University strives to enhance capacity building efforts collaboration with our partner institutions homestay model are able to delve even deeper into the University cultural underpinnings of the region and garner a better Vietnam in partnership with international academic around the world. The people involved in understanding of the landscape of the country, people, Uganda • Cho Ray Hospital institutions in order to address health disparities this program, both in the United States and and patients that they serve. Ultimately the global • ACCESS/Nakaseke in select underserved communities. As global abroad, are truly inspiring, and it is an honor Zimbabwe health continues to evolve as a major priority in to work with them. It is rewarding to play a health elective is a chance to confront the pressing Hospital Leah Moody, Audree Frey, • University of Zimbabwe inequities of healthcare, release judgment, and redefine • Makerere College of medical education curriculum, it is hoped that Program role in helping our medical students become, Program Health Sciences College of Health Sciences what it means to be a teacher and healer. the program at WCHN will stand as a leader to Coordinator, as Dr. Sadigh says, “citizens of the world,” Coordinator, uphold the values of sustainability, research, WCHN knowing that this will help them become UVM and reciprocity. the best physicians they can be.

8 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 9 mentoring the “You Are Not A Drop In the Ocean. You Are the Entire Ocean In a Drop.” – Rumi

GLOBAL HEALTH PROGRAM HEALTH GLOBAL next generation

In 2016, program leaders began sending Be Like the Bird... understanding the local people and their beliefs from their lens . The tourist is focused on the self, and the traveler on others . The weekly notes of encouragement to students “Be like the bird who, tourist strives toward pleasure, and the traveler toward discovery . during their global health elective, offering pausing in her flight You do not have time for pleasure in the tourist’s sense . Your specific guidance in response to themes awhile on boughs too pleasure must come from learning the challenges that need to be slight, feels them give understood in order to find solutions . captured from student reflection writing. way beneath her, and yet – Majid Sadigh, M.D., and Mitra Sadigh This process ignited a discussion of she sings knowing she hath wings ”. – Victor Hugo philosophy that will continue through 2017. “You Are Not a Drop in the Ocean. To become a leader in global health, one must possess the astute You Are the Entire Ocean in a Drop.” – Rumi discipline to be the best in the field and not settle for anything less . Aim for True, Long Term Engagements! The path will never get easier . The path will get harder . The foreign For now, you are simply observing deficiencies, injustices, languages and harsh climates will not be temporary nuisances, and inequalities while investigating the reasons behind them . As the number and breadth of collaborations between institutions but will become ways of life . Are you ready? In the moments when Somewhere down the road, you may be a powerful person in the in resource-rich and resource-limited nations grows, so do the the body tires, you must be fueled by an internal force, which is WHO or UNICEF or another organization with the ability to have opportunities for creating global learning societies . To continue the mission of global health . To be the voice of the voiceless and a substantial impact on the lives of the underserved . You may building momentum and maximizing the benefits gained from advocate of the underserved while upholding the art of humility even return to the country that hosted your global health elective these efforts, we must understand what the draw is to global health, within the medical field . several years from now to directly give back to the community on both the institutional and individual level . We should aim for – Majid Sadigh, M.D., and Leah Moody that gave so much to you . Your experiences will make an impact true, long-term engagements . Most if not all of these collaborations even if you work at the service of the underserved in the United involve tradeoffs . Challenging ethical questions may arise . Without States . The underserved is the underserved, whether under the careful attention, life may proceed for both host and visitor without Cut the Umbilicus! shadow of skyscrapers in New York City or in a slum in Kampala . deep reflections on these ethical challenges . Your experiences will make you a better doctor and, perhaps more – Nelson Sewankambo, M.B.Ch.B., M.Sc., M.MED, FRCP, My advice to you is to cut your umbilicus from your own country and importantly, a better person . That transformation will make an provost of and president of the Uganda culture . Do not assume that the way with which you are accustomed impact on everyone around you . National Academy of Sciences is the best way . Purge yourself of Western-centric thinking in which – Majid Sadigh, M.D., and Mitra Sadigh the West knows best . Our education system and media is centered around white Western philosophy, politics, history, literature and Turning Vulnerability Into a Great medicine, neglecting the ideas and ways of the entire rest of the “When the Soul Lies Down in that Grass, Inspirational Tool for Global Health world . Consciously or unconsciously, you are inclined to impose your the World is too Full to Talk About” – Rumi own ways into a culture that is entirely different from yours, and to Each of us possess points of vulnerability that may be heightened believe that this imposition is just and good . It is this very act that It began with almost inaudible rumblings . A subtle vibration or when in an unfamiliar environment . However, the levels of falsely justified colonialism around the world, the culprit of many an unidentified feeling that I did not even recognize as worthy of resiliency in the face of such challenges varies from one person problems you likely take issue with in the “developing world ”. investigation . I was surprised to feel, despite the relief of returning to another . Participant resiliencies can be difficult to predict . It is – Majid Sadigh, M.D., and Mitra Sadigh home, an unfamiliarity with the place I had known so long . Nights very important to be aware and appreciative of vulnerability when spent in my room were bereft of geckos to keep me company . It was it surfaces . When clinicians arrive in a country for the first time, harder to fall asleep without the delicate nestling of the mosquito they must be patient and compassionate toward themselves; to “This Place Made from Our Love for net . My body was home, but my spirit was elsewhere . I caught take time and be willing to learn not only the medicine but also the that Emptiness!” – Rumi myself saying prayers during my nightly ritual of candle lighting for culture and environment in which they are working . They should the infant of a taxi driver who had suffered from third-degree burns . be silent but curious observers who may not be able to contribute A traveler and a tourist engage in a new environment in distinctly I somehow seemed to be living in two spaces at once . As my body much at the outset . different ways . A tourist, “a person who is visiting a place for stepped out into the hallway each morning, slowly waking, my mind – Robert Kalyesubula, M.D., president and founder of pleasure,” separates him or herself from the local people and still dreamt of the village morning air, and the beautiful moth I saw ACCESS Uganda experiences a new place through his or her usual lens . In contrast, with the broken wing that miraculously flew . a traveler discards that lens and immerses with the goal of – Mitra Sadigh

10 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 11 St. Francis Hospital, A Focus on Rural Populations Makerere Naggalama College of Health St . Francis Naggalama Hospital, a 100-bed rural In a country with 86 percent of the population Sciences hospital in Uganda, is one of the newest members living in rural areas and 70 percent of the doctors of Western Connecticut Health Network/Larner practicing in the cities, people living in the rural areas College of Medicine Global Health Program . Serving are particularly underserved . Naggalama Hospital’s a population of 300,000, Naggalama has been a Palliative Outreach Program – which includes a team teaching hospital to medical students from all over of specially trained nurses and spiritual leaders, the world . The faculty includes Ugandan physicians with intermittent physician input – focuses on the

GLOBAL HEALTH PROGRAM HEALTH GLOBAL uganda with specialties in Ob/Gyn, Pediatrics, Internal rural populations for whom poverty and lack of Medicine, and General Surgery . Naggalama also transportation makes access to medical care of any serves a large outpatient clinic population, and is type difficult . The team sees patients in a Palliative Howard Eison, M.D., known for its Palliative Care outreach program, run Care outpatient clinic session, and they travel to Senior Physician, by the local palliative care team and overseen by Drs . surrounding villages a few times each week to Makerere College Norwalk Hospital of Health Sciences A Focus on Building Capacity and Partnerships Randi Diamond and Howard Eison from WCHN . provide in-home care . As a global player in health professional training, environment . A historic institution in respect to Makerere University College of Health Sciences medicine, MakCHS is the place of many landmark (MakCHS), a historic and renowned institution, medical discoveries including Burkitt’s Lymphoma, has embraced the global health concept as a way endomyocardial fibrosis, and the description of the Key Developments of improving health and achieving health equity natural history of HIV in Africa . During my visit FOSTERING GLOBAL HEALTH LEADERS at a Glance for all people worldwide . This elective site provides to Western Connecticut Health Network, I became a rich clinical and cultural experience with a wide aware of the potential breadth of our partnership • Establishment of a new range of pathologies seen in a diversity of patients toward capacity building . In the future, we hope to from Uganda and neighboring countries . Astute and provide adjunct appointments to faculty from our homestay site scholarly medical students, residents, faculty, and partner institutions, strengthen supervision for • Establishment of clinical site Isaac Okullo, B.D.S., international global health participants representing students on global health electives, and continue to Ph.D., Deputy Principal in Naggalama: St. Francis over twenty countries comprise a unique learning build our partnerships . Hospital • Establishment of partnership Learning Medicine in Low-Resource Settings with Department of Psychiatry at MakCHS The past year has witnessed continued improvement Larner College of Medicine, Western Connecticut and expansion for the program in Uganda . We Health Network, and Sacred Heart University (SHU) . • Implementation and welcomed more than 30 medical students, residents, During our visit, we finalized plans to host the first standardization of the and faculty to our campus in Kampala and gave psychiatry residents from the WCHN/Larner College supplementary clinical them exposure to a wide range of clinical cases . of Medicine programme to Uganda in 2017 . Also in curriculum The socio-cultural supplementary curriculum is 2017, we look forward to welcoming a nursing and well-established, with visiting students residing at physician’s assistant delegation from SHU . We are • Training of two faculty selected senior faculty homes to share in traditional grateful to our colleagues in the United States and Susan Nassaka Byekwaso, members and two interns Ugandan customs and language . I took the those at MakCHS who supervise the students to Coordinator, International from MakCHS Programs opportunity to accompany Professor Isaac Okullo, expose them to medicine in low-resource settings . “I am immensely grateful for all that I have gleaned over these past six weeks . Professor Magid Kagimu, and Ms . Nansasi to the The homestay at the Lubogas and our time at St . Stephen’s amounted to a richly • Video documentation of the rewarding experience, and I can only hope to pay it forward somehow in the experiences of UVM medical future ”. – Zachary Wunrow (above, left), UVM medical student, Class of 2019 students in international sites

St. Stephen’s Hospital, Mpererwe, Kampala Growing Partnership between Vermont and Kampala

In 2016, we hosted the first group of medical as well as quality of care for patients . We hope that Delegates from Uganda students from the Larner College of Medicine . the exposure and experiences students had while visiting the UVM Larner They participated in outpatient care, ward rounds, rotating in Uganda gave them a better understanding College of Medicine theatre, maternity, laboratory, and in community of healthcare service delivery in resource limited education by giving a talk about infection prevention . settings . We plan to have projects they can implement Through home visits, they learned more about home to further enrich their experiences during their healthcare in a resource limited setting . Students stay at St . Stephen’s Hospital . We look forward to a also had the opportunity to present to the staff growing partnership as we work in solidarity with and participate in the discussions that followed to the goals of the global health program . contribute to the improvement of medical education Catherine Kwagala, Site Director

12 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 13 FOSTERING GLOBAL HEALTH LEADERS Khaled Al-Tawil ’19, second from left, with residents and KSMU Department of Medicine Chair Dr. Diana Abdulganieva

Kazan State Medical University GLOBAL HEALTH PROGRAM HEALTH GLOBAL russia

Becoming “Truly Mature Doctors”

The father of medicine, Hippocrates, once said, intent of the medical profession, which is to save people “Wherever the art of medicine is loved, there is despite borders, politics, and one’s own interests . also a love of humanity ”. The Western Connecticut The Global Health Program allows young doctors Health Network/University of Vermont Global to become knowledgeable professionals by obtaining Health Program gives a wonderful opportunity to such indispensable qualities as integrity, dedication, young motivated physicians from various countries and love for people and medicine . We highly value the worldwide to not only obtain unique clinical WCHN/UVM Global Health Program and wish our experience but also to express their humanism and longstanding partners continual advancement and Alexey Sozinov, M.D., other qualities . Year by year we see every one of our substantial growth . We hope for further cooperation, Ph.D., D.Sc., Rector, Kazan State Medical University (KSMU) students successful projects, and considerable achievements Kazan State Medical returning from the global health elective in Uganda in the challenging sphere of global health . We believe University as a different person . Through this experience, they this program has great potential to make a difference become truly mature doctors who acknowledge the full for people’s health around the world . “I have been spending my time at the hospital with Dr . Abid and Department in Kazan . I have not felt any pressure when shadowing Dr . Askari . They are witty and competent residents . We see patients in the United States . The environment at the hospital is very together . They write the history in English and let me do part of the friendly . Usually patients are talking and hanging out with each physical exam or repeat what they did . They do the best they can other . I have yet to see a patient by themselves . I think this keeps to accommodate me . They often invite me to get lunch with them, the spirit up for a lot of patients and harmonizes the atmosphere ”. Global Health at Kazan State Medical sometimes at Tatar and Yamani places . The hospital is a great – Khaled Al-Tawil, UVM Larner College of Medicine student, University: Future Direction place with a lot of potential . They have the only Rheumatology Class of 2019

Kazan State Medical University (KSMU) is among the This elective was established as part of a tripartite most respected medical education institutions in the agreement between Yale University, Makerere Russia . A 20-year collaboration with Yale University University, and KSMU . Similarly, KSMU is an active Key Developments and later with Western Connecticut Health Network/ global health rotation site for students and residents at a Glance University of Vermont has focused on capacity from WCHN and University of Vermont . building at KSMU, allowing many KSMU members Moving forward, KSMU’s global health program Director of Global trained in the United States to advance into leadership can take many steps towards continuing its unique • Establishment of Medical Bulat Ziganshin, M.D. Health at WCHN/ positions within their disciplines . Ward Teaching Model U.S. Site Director for leadership role, including raising greater awareness UVM Larner College Russia KSMU is also a leader in global health education . In of global health education, collaborating with partner of Medicine with • Establishment of tripartite 2009, it became the first Russian university to launch sites on research projects, establishing new rotation select alumni of collaborations between a sponsored six-week elective program for students, sites, revamping the curriculum, and enhancing the Global Health Program residents, fellows, and junior faculty members to train long-term sustainability of all global health activities WCHN/UVM Larner College at Makerere University, Mulago Hospital in Uganda . and programs . of Medicine, UNIBE, and Cho “This year we continued to strengthen the Ray Hospital partnership between Western Connecticut Health • Establishment of Tropical Network and Kazan State Medical University, Medicine Course for as well as enhance capacity-building efforts, international students by making the flagship course in basic tropical • The training of one J1 medicine available to all KSMU medical students.” research scholar – Swapnil Parve, M.D., Postdoctoral Research Scholar, WCHN

14 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 15 Cho Ray Hospital

Vietnam site welcomes new staff

GLOBAL HEALTH PROGRAM HEALTH GLOBAL vietnam In 2016, the program extended a warm welcome to the three newest members of the International Affairs Office at Cho Ray Hospital. Ms. Tran Thi Thu Quyen (left) is the Global Building a Bilateral Partnership Health Program Coordinator; Cho Ray Hospital (CRH) is a 1,900-bed public Hospital and two intensive care doctors in Norwalk Ms. Le Thi Thu Quyen (center) is the Global Health Program teaching hospital that receives tertiary cases from Hospital . I had the opportunity to travel to WCHN/ Secretary; and Ms. Tien Pham 23 provincial hospitals in southern Vietnam . The UVM Larner College of Medicine for three weeks Thi Thuy (right) is new staff. Vietnam elective site provides a safe and highly during which I visited Danbury Hospital, Norwalk The program thanks the entire organized clinical learning environment in which Hospital, and the UVM Larner College of Medicine International Affairs Office participants can learn from passionate faculty in the to learn more about the global health program’s for strengthening the backdrop of the nation’s rich depth of history . international network and meet international guests partnership between WCHN Dr . Sadigh visited CRH in 2013 to lay the foundation from other sites . The knowledge I gained has been and Cho Ray Hospital. Huynh Kim Phuong, for the bilateral partnership of training medical pivotal for developing the global health partnership M.D., Ph.D., Head of International Affairs, students . In 2016, we received seven medical students, with CRH . Cho Ray Hospital five residents, and two faculty members from the I truly appreciate the contribution of the global UVM Larner College of Medicine who completed six- health program in advancement of medical education Key Developments week rotations in cardiology and infectious disease and patient care at Cho Ray Hospital . We would FOSTERING GLOBAL HEALTH LEADERS at CRH, during which they were exposed to a wide like to express our gratitude to many members of at a Glance breadth of clinical cases and had the opportunity the WCHN/UVM Larner College of Medicine for to advance their compassion and communication supporting the training of junior faculty from Cho “I had a conversation with Dr . Tuh this week • Establishment of homestay skills with an underserved patient population . In Ray Hospital in the United States . We look forward to about what it is like to be a doctor at Cho Ray site underway 2016, WCHN trained three cardiologists at Danbury expanding our international collaboration in 2017 . Hospital . She works six days a week, twelve hours a day, and sees far more patients daily • Implementation and than any competent physician could hope to standardization of adequately care for . She doesn’t get paid nearly supplementary socio-cultural as much as she would if she worked at a private curriculum hospital, yet does all of this without complaint . Medical Education in a “Massive Urban Hospital” She talked about the lack of resources and the • Training of five faculty The global health clinical experience in Southeast anomalies never diagnosed due to the limitations guilt she feels when some patients get forgotten members from Cho Ray Asia is largely centered in Ho Chi Minh City at Cho of preventive health care . In addition to amazing about because there is just too much to do . From L to R: Hospital Her overwhelming compassion in spite of her Huynh Kim Phuong, Ray Hospital, a massive urban hospital serving the clinical opportunities, the Cho Ray faculty are M.D., Ph.D., Florence • Video documentation of underprivileged in Vietnam with a bed capacity friendly and helpful . demanding job is truly inspiring ”. DiBiase ‘19, Julia the experiences of UVM exceeding 3,000 . Because of the high incidence of Cho Ray Hospital is a phenomenal elective site . – Julia Cowenhoven, UVM Larner College of Medicine Cowenhoven ‘19 traffic, mainly motorcycle, accidents in the city, a The interested student or resident should expect to student, Class of 2019 & Jayne Manigrasso ‘19 medical students in significant proportion of the inpatient population encounter a multitude of exceptional learning cases . international sites is orthopaedic . The hospital also boasts very busy Participants are expected to significantly enhance Stephen Scholand, M.D., U.S. Site Director for Emergency Medicine and Critical Care services . their clinical skills while still having access to Vietnam The site offers a wide range of clinical experience diagnostic labs and advanced technology . Spending opportunities with many interesting patient cases . time in Vietnam will not only allow immersion in The Infectious Diseases Department is prolific, with Vietnamese culture, but will also open the mind to clinical experiences that can only be found in the the major tenets of global health . Expect to nurture tropics such as dengue fever, typhoid, and snake bites . compassion for others and develop valuable insights The Cardiology Department is another of the site’s into patient problems in the setting of significant strong points, with a wide variety of cardiac diseases health inequalities . Leadership of Medical Education ranging from acute rheumatic fever to congenital at Cho Ray with medical students, residents, faculty from WCHN/UVM

16 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 17 University Meeting a Patient Named Everlasting Hope of Zimbabwe College of I met Everlasting Hope while rounding on the cholesterol would, hopefully, have been diagnosed and Health Sciences general medical wards of Parirenyatwa Hospital treated early . during the two weeks I spent in Harare, Zimbabwe I returned to Connecticut a few days later, in August 2016 as part of the Western Connecticut preoccupied . As chair of the Department of Medicine Health Network/University of Vermont Global Health at Danbury and New Milford Hospitals, much of my Program . I remember being immediately captivated job involves finding ways to continuously improve by the biblical proportions of the name; Zimbabweans the prevailing systems and processes in place to care

GLOBAL HEALTH PROGRAM HEALTH GLOBAL zimbabwe have the unusual custom of naming their children for patients . Since my return from Zimbabwe, I find after important events or emotions they experienced myself no longer thinking just about the patients in Aparna Oltikar, M.D., at the time of the child’s birth . I was eager to hear the the hospitals and communities that my organization Department of Medicine Chair, Danbury Hospital story behind her name, but regrettably, I never got serves in northwestern Connecticut . I think about the chance . Everlasting Hope, a 34 year-old woman, Everlasting Hope and the countless other patients had been admitted the day before after suffering a like her at Parirenyatwa Hospital . How, I constantly Extended Partnerships in Zimbabwe massive stroke that left her unable to speak, unable to wonder, do we build better systems and processes Lead to Additional Collaboration swallow, and unable to move her entire right side . Her that could be implemented there, so that patients like communication was limited to a series of desperate Everlasting Hope have a chance for a better outcome? This year, we hosted many members of our Reisman, two family medicine residents from UVM . blinks and hand gestures which frustrated both of us . And this, perhaps, is the greatest value of global partner institutions including Dr . Aparna Oltikar, Dr . McNamara’s and Dr . Mariani’s visits helped pave Everlasting Hope’s hospital care consisted of one liter health: it expands the boundaries of what we, as Chairperson of Medicine at Danbury Hospital; Dr . the road toward future establishment of residency of intravenous fluid per day, and oral blood pressure physicians, consider to be “our” medical community . Mariah McNamara, Emergency Medicine Specialist programs in family medicine and emergency medications and aspirin, neither of which she could After witnessing, firsthand, the devastating impact from UVM; Dr . Katherine Marie Mariani from the medicine, as University of Zimbabwe College of swallow . Not surprisingly, her condition progressively that globalization can have on vulnerable populations University of Zimbabwe deteriorated and she died four days after being in a cost-constrained medical environment, the College of Health Sciences Family Medicine Department at UVM; and Dr . Health Sciences (UZCHS) does not currently have admitted . I remember explaining to the American mission of global health has become personal for Dean Midion Chidzonga, Herman Sequeira, Pulmonary and Critical Care residencies in either department . M.Med.Sci., (right) and fellow from Norwalk Hospital . We also hosted Deputy Dean Professor Rati Ndhlovu spent four medical students in the program with me that her care me . It is no longer about bringing healthcare equity Deputy Dean Chiratidzo three first-year medical students: Omkar Betageri, weeks of her sabbatical at UVM Larner College of would have been very different had she been admitted to nameless, faceless people on a distant continent Ndhlovu, M.Med.Sci. Morgan Hadley, and Amber Meservey, supported Medicine and Western Connecticut Health Network to a modern, multidisciplinary stroke unit . She would across the sea . It is about dear colleagues and patients by Dr . Peter Saikali, a resident from Norwalk where she became more familiar with innovative have received nutrition through a feeding tube, with whimsical names and warm, toothy smiles, Hospital, and extended our partnership to Harare educational methods while sharing her experience medicines to prevent blood clots, telemetry monitoring whose stories I know and suffering I have, however Central Hospital to host Michelle Dowait and David with the Zimbabwean medical education system . to assess for life threatening cardiac arrhythmias, and briefly, shared . For me, it will also always be about We hope the multifaceted nature of our partnership daily speech and physical therapy . More importantly, Everlasting Hope . Wherever my future adventures in I explained, in a less resource-constrained medical global health take me, I know that her story and her We hope the multifaceted will become known once the documentary about the experiences of UVM medical students is complete . environment, Everlasting Hope may never have had name, with its latent promise that better times must nature of our partnership We are grateful to the UVM members who visited the stroke because her high blood pressure and high lie ahead, will guide me . will become known once us despite the economic challenges such as cash shortages and unexpected political strikes . As the documentary about the always, we remain resolute in facing these challenges experiences of UVM medical and maintaining peace and hope as the futures FOSTERING GLOBAL HEALTH LEADERS unfolds on us . The support from global health students is complete. collaborations spurs us on . “The medical education system at Pari stresses the importance of a thorough physical exam and history as a primary diagnostic tool, as opposed to relying on expensive tests, imaging, and procedures, through which it is still able to maintain a level of functionality in patient care . I look forward incorporating some of the techniques Key Developments at a Glance I have learned into my own medical career ”. – Omkar Betageri, UVM Larner College of Medicine • Completion of Deputy Dean Chiratidzo Ndhlovu’s one month sabbatical at student, Class of 2019 WCHN and UVM Larner College of Medicine • Implementation and standardization of supplementary clinical curriculum • Video documentation of the experiences of UVM medical students in international sites

• Initiation of the process of developing residency programs in family medicine Omkar Betageri ’19, and emergency medicine second from left, in Zimbabwe

18 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 19 Report from the field Establishing a Bilateral Ob/Gyn Partnership dominican In 2016, the WCHN obstetrics and gynecology and to familiarize themselves with the Ob/Gyn team made two site visits to Santo Domingo to lay Department . The exchange of medical education will the framework for a partnership with Universidad provide Ob/Gyn residents and medical students from Iberoamericana (UNIBE) as well as Hospital both institutions an opportunity to experience the Universidad Universitario Maternidad Nuestra Senora de la specialty from different angles . Trainees from the Iberoamericana Altagracia (HMNSA) in Dominican Republic . The Dominican Republic will participate in collaborative GLOBAL HEALTH PROGRAM HEALTH GLOBAL republic program at WCHN hopes to establish a bilateral simulation research projects and gain exposure to Robert Samuelson, M.D., partnership with these institutions to create infertility and laparoscopic training . Thank you to Chair of Department of opportunities for capacity building in Ob/Gyn medical residents Corrie Miller, Bethany Brady, and Ob/Gyn, Danbury Hospital training . In December, Drs . Joselyn Sanchez, Dolores Abhilasha Tangada for their active participation in Feliz, Henry Mesa, and Ana Sanchez, visited WCHN establishing this global health partnership . Sharing Global Health Challenges to make preparations for the training programs Through our exchange with WCHN/UVM Larner medicine, and cultural awareness . Furthermore, we College of Medicine, we have learned more about what are planning to provide a Global Health Track for our global health means and how it can be incorporated selected students in the near future . We were also very into a career in medicine . We have been inspired impressed by the Global Health Blog, and believe it to work toward making global health an integral provides an important platform for communication Las Malvinas, Santo Domingo. Inter-Institutional Meeting, UNIBE component of Universidad Iberoamericana (UNIBE) . between global health partners and serves as a shared Our own Global Health Department at UNIBE Faculty forum through which global health topics can be of Health Sciences was established in August . brainstormed, discussed, and broadened . Moreover, L to R: Jomar Florenzan, We are thrilled about our new partnership with the it is an avenue through which we can share our global M.D., Marco Ñuñez, M.D., outstanding WCHN/UVM Global Health Program . health challenges and experiences, and the lessons and Loraine Amell, Ph.D. We are currently preparing for upcoming electives learned through them . for international medical students which includes, in – Marco Ñuñez, M.D., Dean of Health Sciences addition to clinical training, medical Spanish, tropical at UNIBE Dr. Florenzan, program coordinator for the Dominican Republic, with Dr. Ammar Ibrahim, hospital director for “Hospital Escuela Jorge Abarham Hazoury,” and Dr. A Clear and Broad Minded Vision Robert Paulino, director of the Institute of Tropical Medicine and Global Health At UNIBE School of Medicine, we are highly Attending the Global Health Week in April was a committed to the development of our Global Health true blessing . We had the opportunity to meet global Program . For several years, we have been working health leaders from different places and backgrounds, with nearby communities, engaging our students all united in one common goal: to deliver healthcare to Key Developments in volunteer work, practicing in primary care those who need it the most . at a Glance units, developing research projects, and promoting In September, UNIBE School of Medicine appointed cooperative agreements with local and international Dr . Jomar Florenzan as the first Global Health • Establishment of Global institutions . We realized it was time to form a Coordinator . Our Medical School Dean, Dr . Marcos Health Pathway at UNIBE robust structure for global health initiatives . Our Ñuñez, has a clear and broadminded vision about • Establishment of Homestay partnership with the WCHN/UVM Larner College of the global health opportunities that lie ahead . We are Medicine global health team has been encouraging happy to share this journey with our friends at WCHN Model and inspiring for us . It has helped us realize the and the UVM Larner College of Medicine . • Establishment of Tropical importance of global health, and has given us – Loraine Amell, Ph.D., Dean of International Medicine ward and research perspective on how to structure our program . Relations at UNIBE lab at Hospital Escuela Jorge Abraham Hazoury We had the opportunity to meet global health leaders from • Establishment of tripartite different places and backgrounds, all united in one common collaboration between goal: to deliver healthcare to those who need it the most. WCHN/UVM Larner College of Medicine and Kazan State

Visit of a delegation from the Dominican Republic to Medical University WCHN/UVM Larner College of Medicine. From left to • Training of one UNIBE right: Dr. Ana Sanchez, Dr. Joselyn Sanchez, Leah Moody, Dr. Henry, Dr. Swapnil Parve, and Dr. Dolores Feliz graduate

20 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 21 awards and The WCHN/UVM Larner College of Medicine Global Health Program has been recognized by:

• Yale School of Medicine at Medical Grand Rounds • North American Board of Kazan State • Connecticut Healthcare Association: Medical University Healthcare Heroes • Consortium of Universities for Global Health GLOBAL HEALTH PROGRAM HEALTH GLOBAL recognition • Tribuna Newspaper: American Dream (CUGH): Highlighted in the newsletter Leadership Award • Kazan State Medical University for 20 years of partnership

CELEBRATION OF GLOBAL HEALTH

Guests of Honor at UVM’s Celebration of Global Health Dominican Republic: Dr. Marcos Ñuñez, Dean of Health Sciences at UNIBE; and Loraine Amell, Dean of International Relations at UNIBE and Dr. Jomar Florenzan, Site Director for Dominican Republic Celebrating Global Health Russia: Dr. Alexey Sozinov, Rector of Achievements, Partnerships Kazan State Medical University, Marat Mukhamedyarov, Head of Office of n April 4 and 5, 2016, the UVM Larner College of Medicine hosted nine International Affairs, and Arina Ziganshina, distinguished international guests from Russia, Dominican Republic, Vietnam Coordinator of Global Health O and Uganda for a “Celebration of Global Health Day” featuring a broad range Uganda: Dr. Robert Kalyesubula, Founder of of activities . Designed to showcase the global health education, scholarship, and ACCESS, and Estherloy Katali, Coordinator of service partnerships accomplished through the Global Health Program at Western Global Health Program at ACCESS Connecticut Health Network and UVM, the celebration highlights included a Dean’s New awards Vietnam: Dr. Huynh Phuong, Head of Distinguished Lecture on Global Health delivered by Alexey Sozinov, M .D ., Ph .D ., The Celebration of Global Health included the presentation of two International Affairs at Cho Ray Hospital D .Sc ., of Kazan, Russia, a special Family Medicine Grand Rounds and Community inaugural awards. Stefan Wheat ‘18 (second from right) received the Beth Kirkpatrick Citizen of the World Award, and Assistant Medical School presentation by Uganda’s Robert Kalyesubula, M .D ., and a Dean for Communications and Planning Carole Whitaker (at photography exhibit and academic poster session showcasing the work of medical left) received the Patricia O’Brien Global Health Leadership and students, nursing students and residents . Robert Kalyesubula, M.D., delivers a Humanitarian Award. The awards recognize two visionary global Community Medical School lecture at health leaders, UVM Professor of Infectious Disease Medicine Beth UVM Larner College of Medicine titled Kirkpatrick, M.D. (top right), and UVM Professor of Hematology/ “Global Health: A View from Uganda.” Oncology Patricia O’Brien, M.D. (bottom right).

22 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 23 Andrea Rynn, Director of Government and Public Relations, publications and WCHN

GLOBAL HEALTH PROGRAM HEALTH GLOBAL presentations

Advanced course in Tropical Medicine (606) - August 29, 2016; Fairfield Woods Branch Library; Building local and global Educational Manual Majid Sadigh, Director of Global Health, WCHN . infrastructure for long- “Zika Virus: An Update” Consortium of Universities for Global Health Basic course in Global Health (101) - Educational term health benefits San Francisco, Calif., April 2016 Manual November 6-9, 2016: Baltimore, International Congress on Women’s Health Issues Annual We believe the global health The Western Connecticut Health Network/University of Vermont Global Health Cases and Reflections from Mulago - Educational Meeting . Building capacity for a multimodal HIV, Program had a robust presence at the 2016 Consortium of Universities for Global Health Manual breast and cervical cancer screening clinic in program is foundational to Conference. The event, which drew thousands of participants, featured abstract and Site-Specific Participant Guides for Global Health rural Tanzania . - M . Ma, S . Bedell, E . Mallange, E . many aspects of contemporary poster presentations from students and faculty on a range of topics, including peer Electives - Educational Manual Lwega, A . Dougherty healthcare. After all, we mentorship, pre-departure training, and more. Site-Specific Safety Guides for Global Health November 9, 2016; Danbury Hospital; Asghar are a global society, and • Peer Mentorship and Early Exposure: A • Exploring the Psychological Effects Electives - Educational Manual Rastegar, Director of Global Health, Yale our communities served are University Department of Medicine . “Global Novel Approach to the Global Health of the Global Health Rotation on increasingly diverse. Illnesses Elective - Stefan Wheat, Richard First Year Medical Students through 2016 Global Health Reflections and Photos Health: A professional journey, a personal journey.” are crossing oceans, and along Mendez, Ruth Musselman, et al. Analysis of Student Reflection - Emma Booklet Vick et al. with them, the desire to prevent • An Innovative Approach to Rural September 8, 2016; Norwalk Hospital; Majid Antenatal Care: A Report of a Mobile • Creation, Implementation and Impact Global Health Grand Rounds, Sadigh, Director of Global Health, WCHN . “Zika and address these illnesses Clinic Network in Northern Tanzania of an Evidence-Based Medicine Talks, and Interviews Virus: An Update” abroad and locally is apparent - M. Ruhotina, A. Dougherty, J. Curriculum in Kazan, Russia. Pierre across governments. February 2, 2016; Danbury Hospital; Majid Flanagan, E. Lwegalulila et al. Galea, Bryce Bludevich et al. Global Health Evenings Sadigh, Director of Global Health, WCHN . “Zika With this belief, the need for • A Survey of Pre-Departure Training Virus” January 13, 2016 . Vietnam: A Medical Journey, a strong communications Provided to U.S. Medical Students a Personal Journey . Robyn Sctaena and Sandra Participating in Global Health Electives Nominations for CUGH Awards March 15, 2016; Television Program; Health Talk: program is integral. Our Cablevision: Majid Sadigh, Director of Global Wainwright . - Taylor Goller, Alex Miller, Molly Moore, Samuel Luboga, M.D., Ph.D., D.Sci.: Health, WCHN . “Zika Virus” students and practitioners Anne Dougherty. CUGH Distinguished Leadership Award February 10, 2016 . Vision Services in Resource Scarce Environments . Ella Gudwin, President of must know we exist and that • Coordinating Community Healthcare Robert Kalyesubula, M.D.: April 4, 2016; UVM Larner College of Medicine; CUGH Hall/Sewankambo Mid-Career VisionSpring . there are myriad opportunities Needs to Local Services in Paraiso, Family Medicine Grand Rounds and Community Leadership Award Medical School lecture; Robert Kalyesubula, to learn and serve. Our Dominican Republic through Strategic March 9, 2016 . Reflections from Uganda . Grace M .D ., president and founder of ACCESS-Uganda . Assessments Strategies - Michelle Mitra Sadigh: CUGH/Wasserheit Young Herrick . communities are reassured “Global Health: A View from Uganda ”. Cole, Christina Gunther, et al. Leader Award May 11, 2016 . Healthcare and Medical Education about the many benefits of April 5, 2016; UVM Larner College of Medicine; in Zimbabwe . Deputy Dean Chiratidzo Ndhlovu, the program both locally – Alexey Sozinov, M .D ., Ph .D ., D .Sc .; Dean’s UZCHS . Distinguished Lecture on Global Health by helping provide skilled, June 14, 2016 . Healthcare in Uganda . Onesmus compassionate, and culturally Published Manuscripts Submitted Manuscripts April 8, 2016; Sacred Heart University: Majid Twinoweitu, Head of Haem/Onc at Mulago Sadigh, Director of Global Health, WCHN . “Zika adept care, and globally - by National Referral Hospital Wheat S, Mendez R, Musselman R, et al . Beyond Zimbabwe College of Health Sciences . Sadigh M, Parve S, Moody L, Sadigh M, et al . Virus: An Update” serving others in need. Media the Homestay Model: Peer Mentorship and Early African Health Sciences . 2016;860-65 . Creating a Bidirectional Culture of Safety in September 21, 2016 . Communities, Care Centers, Exposure in Global Health Education . Medical Global Health Electives Via Comprehensive July 2, 2016; Cablevision; Health Talk; Majid in particular shined a bright and Local Health Systems: An inside look . Ziganshin B, Sadigh M, Iausheva L, et al . Sadigh, Director of the Global Health Program light on the program in a way Science Educator . 2016:1-7 . Safety Protocols . Medical Science Educator . Brian Hoyer, Director of Recovery Programs at Developing Medical Education Capacity in at WCHN and Dr . Stephen Winter, Director of AmeriCares . that brought it to life in the LoPiccolo MK, Sadigh M . Finding the Perfect Russia: Twenty Years of Experience . BMC the Global Health Program at Norwalk Hospital; Match: Creating a Structured Interview Tool to Medical Education (Accepted) Published Booklets and Course most eloquent way for our “The Concept of Global Health” October 12, 2016 . Health Worker Safety . Anne Choose Candidates for Global Health Electives . Modules Petersen, Senior Vice President for Programs at communities. As a result, Medical Science Educator . 2016;1-8 . doi:10 .1007/ Sadigh M, Nawagi F, Sadigh M . The Economic August 24, 2016; Danbury Hospital: Majid AmeriCares . our Global Health Program is s40670-016-0301-4 . and Social Impact of Informal Caregivers at Basic course in Tropical Medicine (101) - Open Sadigh, Director of Global Health, WCHN . “Zika Mulago National Referral Hospital, Kampala, online (MOOC) Virus: An Update.” December 7, 2016 . Global Mental Health and more widely known, valued, Parve S, Ershadi A, Karimov A, et al . Access, Uganda . Annals of Global Health (Accepted) Resilient Capacity Building . John Woodall . and financially stable. We are attitudes and training in information Intermediate course in Tropical Medicine (202) - technologies and evidence-based medicine Educational Manual forever grateful for this support. among medical students at University of

24 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 25 directory GLOBAL HEALTH PROGRAM HEALTH GLOBAL

Program Directors GLOBAL HEALTH COMMITTEE 1 Majid Sadigh, M .D . 7 Samuel Luboga, M .D ., Ph .D ., D .Sci . Global Health Program Director Director, Uganda Partnership Western Connecticut Health Network Makerere College of Health Sciences Western Connecticut University of Vermont, USA Uganda Health Network 2 Stephen Winter, M .D . 8 Huynh Kim Phuong, M .D ., Ph .D . Christina Gunther Global Health Program Director Head of International Affairs Menoo Jarrett Norwalk Hospital, USA Cho Ray Hospital, Vietnam 1 2 3 4 5 Robert Jarrett, M .D . 3 Mariah McNamara, M .D ., M .P .H . 9 Robert Kalyesubula, M .D . Lauri Lennon, M .B .A . Global Health Program Associate Director Founder, Access Uganda Leah Moody, M .P .H . University of Vermont, USA Swapnil Parve, M .D . 10 Midion Mapfumo Chidzonga, M .Med .Sci . Mary Shah, MLS, AHIP 4 Marcos Ñuñez, M .D . Dean, University of Zimbabwe College of Majid Sadigh, M .D . Dean, Universidad Iberoamericana (UNIBE) Health Sciences, Zimbabwe Dominican Republic Patricia Wetherill, M .D . 11 Chiratidzo Ellen Ndhlovu, M .Med .Sci . Stephen Winter, M .D . 5 Loraine Amell, Ph .D . Deputy Dean, University of Zimbabwe John Woodall, M .D . Dean, International Relations, UNIBE College of Health Sciences, Zimbabwe 6 7 8 9 10 Dominican Republic 12 Christina Gunther, M .A . 6 Alexey Sozinov, M .D ., Ph .D ., D .Sc . Director of Global Health Programs The Robert Larner, M.D. Rector, Kazan State Medical University Sacred Heart University College of Medicine at Russia The University of Vermont Site Directors and Coordinators Tania Bertsch, M .D . Anne Dougherty, M .D . Dominican Republic 19 Professor Celestino Obua, Site Director Mariah McNamara, M .D . 13 Jomar Florenzan, M .D . and Vice Chancellor, Mbarara University 11 12 13 14 15 Michelle Mertz, M .D . Dominican Republic Site Director, of Science and Technology Molly Moore, M .D . Universidad Iberoamericana (UNIBE) Majid Sadigh, M .D . 20 Isaac Okullo, B .D .S ., Ph .D . Carole L . Whitaker Russia Site Director and Deputy Principal, Christa Zehle, M .D . 14 Marat Mukhamedyarov, M .D ., Ph .D . Makerere College of Health Sciences Russia Site Director, Kazan State 21 Susan Byekwaso Medical University Coordinator, International Programs 15 Bulat Ziganshin, M .D . Makerere College of Health Sciences U .S . Site Director for Russia 16 17 18 19 20 Vietnam 16 Dilyara Nurkhametova 22 Nguyen Ngoc Sang, M .D . Russia Site Coordinator Site Director at Cho Ray Hospital Uganda 23 Stephen Scholand, M .D . 17 Robert Kalyesubula, M .D . U .S . Site Director for Vietnam Founder, Access Uganda Zimbabwe 18 Estherloy Katali 24 Chiratidzo Ellen Ndhlovu, M .Med .Sci . Site Coordinator, ACCESS Uganda Deputy Dean, University of Zimbabwe College 21 22 23 24 of Health Sciences, Zimbabwe Site Director

26 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK GLOBAL HEALTH ANNUAL REPORT 2016 27 contact us GLOBAL HEALTH PROGRAM HEALTH GLOBAL

Global Health Office at Global Health Office at Western Connecticut The Robert Larner, M.D. Health Network College of Medicine at The University of Vermont Majid Sadigh, M.D. Program Director at Western Connecticut Majid Sadigh, M.D. Health Network/University of Vermont Program Director at Western Connecticut Christian J . Trefz Family Endowed Chair in Health Network/University of Vermont Global Health at WCHN 89 Beaumont Avenue 6-South, Danbury Hospital Given Courtyard N-100 24 Hospital Ave Burlington, VT 05405 Danbury, CT 06810 (203) 739-7057 (203) 739-7057 Majid .Sadigh@wchn .org Majid .Sadigh@wchn .org Mariah McNamara, M.D. Stephen Winter, M.D. Associate Program Director, Program Director, University of Vermont Western Connecticut 89 Beaumont Avenue Health Network at Norwalk Hospital Given Courtyard N-100 34 Maple Street Burlington, VT 05405 Norwalk, CT 06856 (617) 921- 0739 (203) 852-2392 Mariah .Mcnamara1@uvmhealth .org Stephen Winter@wchn. .org Audree Frey Leah Moody, M.P.H. Program Coordinator, Program Coordinator, University of Vermont Western Connecticut Health Network 89 Beaumont Avenue 6-South, Danbury Hospital Given Courtyard N-100 24 Hospital Ave Burlington, VT 05405 Danbury, CT 06810 (802) 656-8378 (203) 739-4932 Audree .Frey@med .uvm .edu Leah .Moody@wchn .org

Produced by: The Robert Larner, M.D. College of Medicine at The University of Vermont Creative Direction: Ann Howard, Erin Post Editorial Direction: Mitra Sadigh Content Production: Leah Moody, M.P.H., Swapnil Parve, M.D.

28 THE UNIVERSITY OF VERMONT AND THE WESTERN CONNECTICUT HEALTH NETWORK