2000/Schedule Date: 6/16/00 DRAFT

2016 Schedule (10/30/2015) DRAFT GLOBAL HEALTH: CLINICAL AND COMMUNITY CARE 2015 [MED 896A/CPH596A] 34th ANNUAL ARIZONA SUMMER COURSE: Oct 3-21, 2016 Abrams FCM Building, 1450 N Cherry Ave, Tucson AZ 85719

Ronald Pust, MD, Co-Director (520) 626-5650 Arleen Heimann, Course Administrator Tracy Carroll, PT, MPH, Co-Director Phone: (520) 626-1992 Office of Global and Border Health Fax: (520) 626-6134 University of Arizona College of Medicine e-mail: [email protected]; Tucson, Arizona 85724 [email protected] Copyright by Ronald E. Pust, 2015 (and annually) [email protected] All rights reserved

Please read the schedule and be prepared for the next day’s sessions. Some require advance preparation via a website or power point.

WEEK ONE [*] Refers to chapters/units in Syllabus [G] = Groups (Small Group interactive session) MONDAY, October 3 TUESDAY, October 4

The Big Picture—and The People Infectious Diseases: An Approach 8:30 Global Health: What? Why? Who? 8:30 Infectious Disease: “Selective Primary [participant introductions] [5A] Care” vs. Disease Control Priorities [1A] Discussion – R. Pust, MD, T. Carroll, PT, MPH R. Pust

10:00 Break and Pick up syllabus at FCM Building, 1450 8:45 The IMCI Protocol for Sick Children N Cherry, room 204 ($15 cash or check) [5A-1] Melissa Moore, MD

10:30 Global Health course: What about it? 10:00 BREAK Syllabus, GeoJournals, Library Resources, and “logistics” 10:15 Diarrheal Diseases T Carroll, Arleen Heimann [5B] M. Moore

LUNCH HOUR 12:00 Group Photo [Life Sciences North stairwell] Please return to room 102 by 12:50 12:15 Lunch hour 12:55 Welcome to College of Medicine from Francisco Moreno, MD, and to FCM from Myra Muramoto, 1:15 Outbreak Investigations in Acute Disease MD, MPH [ 2C] R Pust

Overview of the “Big Picture” and this course 1:45 Overview of Small-Group Clinical Problems 1:00 Health Care for Developing Nations: an overview (SGP) #l thru #7 [1B] R. Pust R. Pust.

2:30 Independent Study Units Overview 2:00 BREAK T. Carroll 2:15 Diarrhea in a South Indian Village Independent Study Units T. Carroll will explain G Small Group Clinical Problem #2 [1C] From “Tropical Medicine” to “Health For All:” Our R. Pust, Sommer Aldulaimi, MD, Larry Moher, MD Generation’s Challenge

End of day – 3:15 End of day – 3:15

Preparation for 6B TOMORROW www.earthday.org/footprint-calculator WEEK ONE WEDNESDAY October 5 THURSDAY, October 6 Chronic Diseases in Developing Nations Population: The Epidemiologic Denominator Note: students are urged to study Ch 2A & 2B, which relate to this Note: students are urged to study 2A & 2B in conjunction with 2H. subject and are scheduled Aug 6. 8:30 Demography, Health and Development: 8:30 Chronic Care: Implications of Demographic and [2B] Measuring the health of your populations Epidemiologic Transitions on Medical Care Wayne Peate, MD, MPH [2H-1] T. Carroll 10:00 Break 9:45 Break **Advance preparation necessary; see 2D in Syllabus 10:00 Epidemiologic Transition: Controlling the Global 10:15 Community Diagnosis: How Healthy Tobacco Epidemic [2D] Are the Hewa? Tewa? Kenyans? Your patients? [2H-2] M. Muramoto, MD, MPH R. Pust 11:30 Questions and Answers on logistics 11:15 Community Diagnosis: T Carroll, A Heimann G Small Group Clinical Problem #1 GeoJournals R. Pust, W. Peate, T. Carroll Exam, Evaluations Car Pools Independent Study Unit – with powerpoint Other questions? [2A] Organizing Health Services in Developing Nations

12:00 Lunch 12:00 Lunch

Environmental and Occupational Health Globalization: Economics, Power and Health 1:00 Appropriate Technology for Water, Sanitation and 1:00 Community Oriented Primary Care (COPC) Environmental Health [7C -1] T. Carroll [6B] T. Carroll 2:00 Break 2:30 Migration, Global Violence and Refugee Health Care [10A] 2:15 Globalization: Health Inequities in the Global Workplace  Medical Surveillance and Treatment in a Refugee Camp [9D-1] T. Carroll Ramesh Karra MD Independent Study Portion Independent Study Units  Refugees and Forced Migrants – T Carroll [7B] Best Practices Examples of Community Development Utilizing COPC Methodology End of day – 3:15 End of day – 3:15 6pm: Optional dinner out at former refugees, now restaurant owners, either Guatemalan or Bosnian. If you want to go, let us get together and decide which one. Menu link posted in class

FRIDAY, October 7 SATURDAY, October 8 Infectious Diseases: Insect-Borne Diseases Global Health Happy Hour (Friday and/or Sat) 8:30 Malaria… : Clinical & Community Care 5-7 pm (tap room open 4-8pm) [6D] R. Pust Borderlands Brewing Co. 119 East Toole Avenue, Tucson, AZ 9:30 Break http://borderlandsbrewing.com/tucson-brewery/ 9:45 Fever and Big Spleen in Children Around the World G Small Group Clinical Problem #5 Tortolita Gutpluckers scheduled to play beginning at 6 pm R. Pust, J. Koleski

6H-2 Chagas’ Disease: Overview of Diagnosis 11 :00 Lunch Afternoon class convenes in new location: meet at Sonora Co-Housing Common House 501 East Roger Road (map will be given)

1:00 Interprofessional Partnerships with Patients in [7A] Managing Chronic Conditions -4 groups T Carroll, Elizabeth Koleski, facilitators

3:15 – Bring your suits and take a swim after class.

WEEK TWO

MONDAY, October 10 TUESDAY, October 11

Infectious Diseases: 8:30 Extending Mental Health Care in Low & Middle Soil and Water-borne Diseases Income Countries [9C] Francisco Moreno, MD 8:30 Soil and Water-Borne Parasites [selected]: Nematodes; Schistosomiasis; Cysticercosis 9:30 Break [6A] Tirdad Zangeneh, DO Infectious Diseases: Air-borne Diseases 9:45 Break 9:45 Pneumonia (ARI) and Meningitis: Diagnosis and 10:00 Lymphatic Filariasis: control of a chronic NTD Case Management (Neglected Tropical Disease) [5D] R. Pust [6D-1] T Carroll

11:00 Weakness in a 7-year-old boy 11:00 Tuberculosis: The World’s Most Lethal Bacterium G Small Group Clinical Problem #3 [6E-1] R. Pust R. Pust, J. Koleski, MD or Larry Moher, MD

Independent Study Unit [6G] “Tropical Dermatology” and Water-Washed Skin Independent Study Unit Diseases 6H-1 Basics of Chest Radiograph Interpretation

12:00 Lunch 12:15 Lunch

12:30 Arleen meets with UA students and residents to review 12:30 Jerry Koleski , Liz Moran and residents will talk with the travel regulations and forms required by Univ of Arizona medical students about the Family Medicine Residency at BannerHealth UA South Campus and Alvernon BUMC – Bring your Lunch with you Infectious Diseases: Direct Contact Diseases 1:00 Micronutrient Deficiency in the Developing World 1:00 HIV/AIDS in Global Health [4D] M. Moore [6C] Tom Kenyon, MD, MPH 10 minute break about 2:00 1:45 Break

3:00 Sexually transmitted diseases: Syndrome management 2:00 Managing Malnutrition: Inpatient/Severe and control in LMIC’s [4B] M. Moore [6C-1] J. Koleski, MD

3:45-4:30 – Break End of day – 3:15 430-6pm Ebola: What have we learned from Ebola: Independent Study Unit – with power point 2E-1 What are we learning from Ebola in Africa? [4C] Managing Malnutrition : Community-Based In America? Mangement of Acute Malnutrition (CMAM) Panel presentation in Duval Auditorium: including T J. Jeffries - Power point is a good review of today’s Kenyon MD, MPH, Theresa Cullen MD; Craig severe malnutrition session Spencer, MD and moderated by Ron Pust MD Duval Auditorium

Independent Study Unit [2E] Emergence, Eradication and Evil: Unnatural Epidemiology in Infectious Disease. R Pust WEEK TWO

WEDNESDAY, October 12 THURSDAY, October 13

8:30 Parasitology Lab (Blood and GI Parasites) – Infectious Diseases: Immunizable Diseases [6H] Randa Kutob, MD, R. Pust and S. Aldulaimi 8:30 The Diseases of WHO’s Expanded Program of Immunization (EPI) 9:45 Break (and put aside scopes) [5C] Gretchen Hull, MD

Doctors’ Roles at the District Hospital 10:00 Break 10:00 Emergency Care in Global Health [8C] Brad Dreifuss, MD, MPH 10:15 Rash and Cough in 2-year-old Boy, Poko Iki G Small Group Clinical Problem #4 Nutrition: The Problem Solving Cycle R. Pust, L. Moher or Koleski 11:00 Measuring Malnutrition: Assessing Protein-Energy Malnutrition by Anthropometry in children and their mothers [4A] R. Pust 11:15 LUNCH 12:00 LUNCH 11:45 R. Pust and T. Carroll will meet Univ Arizona medical OPTIONAL –Video: Changing Lives; HIV-AIDS and a students about Global Health Preceptorships (MED 891A) and Microcredit program in Zambia GH Capstone Projects (room 212)

1:00 Wealthier is Healthier – Healthier is Wealthier: 1:00 Surgery and Anesthesia: Microfinance and Nutrition as Integrated Global [8C-1] “Global Disease Burden at the District Hospital” Health Learning Resources and Case Presentations [7D] T Carroll R. Pust/ Kerry Kreidel, MD

2:00 Break 2:30 Break

2:15 Infant Feeding Options for HIV-Infected Mothers: 2:45-3:15 Bier Block Demonstration [4E] Evidence, Controversies and Programmatic K. Kreidel and 2 students Challenges Jen Kasper, MD, MPH via videoconference 3:00 (or as soon as Bier Block is finished) End of day – 3:15 Ultrasound session with Lucas Friedman, MD Room 3218 in the TLC area of College of Medicine Meet at Sonora Co-Housing Common House 501 East UA medical students – please show others the way. Roger Road 4:00 Highly Recommended (not required) End of day – 3:15 [6D-2] Bats as Pest Control Agents and Vectors Eran Levin, PhD, Entomologist Independent Study Units 9D-4 Understanding the impact of Globalization practices 5:00 Local food snacks and short intro to local organizers 9D-5 View the Global Economy through video from Bean Tree Farms and Make Way for Books 5:30 [9D-2] Globalization: How Debt Impacts Health and Human 8F Bringing Global Health Back Home: integrating Rights T. Carroll evidence-based global research and best practices Movie “The Economics of Happiness” locally Followed by a short reflection/discussion

7-9 pm (optional) swim time, and opportunity to tour on site water harvesting, solar technology, urban gardening at Sonora Co-Housing

FRIDAY, October 14

Community Health on Mexico-USA border

Leave Tucson at 7 am

7:00 am – 11:30 pm - in Nogales AZ (Maps provided) [9D-3] Globalization: Border Humanitarian Issues and Public Health Response Perspectives WEEK THREE

MONDAY, October 17 TUESDAY, October 18 Reproductive Health Programs: Family Planning Reproductive Health Programs: Clinical Skills for Safe Motherhood 8:30 Family Planning and Population Programs [3C] Barbara Kremer, MPH, CNM 8:30 Safe Motherhood: Does Prenatal Care Save Lives? [3A] Lynn Coppola, MD 9:45 Family Planning Case Studies 9:45 Break G Small Group Session #8 R. Pust, B. Kremer, S. Aldulaimi 10:00 Active Management of Difficult Labor : [3B] Protocols and Options 10:45 Break R. Pust 11:00 Managing Eight Women in Labor 11:15 Symphysiotomy for Second-Stage Emergencies: G Small Group Clinical Problem #7 Why? Who? How? Why Not? R. Pust, S. Aldulaimi, L. Moher [3B-2] [Demonstration] R. Pust

Independent Study Unit – with powerpoint [3B-3] Obstetric Fistula: scope, causes, prevention

12:00- Lunch 12:00 Lunch 12:30 Saving Haiti’s Mothers (DVD: PBS “Now” Jan 2010) (30 min)

1:00 Helping Babies Breathe: teaching neonatal 1:00 Disability - Inclusive Development resuscitation S. Aldulaimi and R. Pust [8E] T. Carroll [3B-1] Demonstration/Practice Session 1:45 ARSOBO ( Arizona-Sonora Border) Silla de Ruedas Todo Terreno y mas 2:00 Break T Carroll

2:15 Post Partum Hemorrhage 2:30 Break [3B-4] R Pust, S. Aldulaimi Demonstration/Practice Session 2:45 UA Medical students report back on [9D3] Interprofessional Learning Experience End of day – 3:15

End of day – 3:15 WEEK THREE

WEDNESDAY, October 19 THURSDAY, October 20

Where Do We Go From Here? 8:30 Tropical Travel: Regional Risks and 8:30 Leprosy in the USA and Abroad [10B] Recommendations [6E-2] R. Pust R. Pust 9:30 Break 9:30 Break 9:45 Wound Assessment, Care and Healing [8C-2] T. Carroll 9:45 The District Hospital: Clinical Cases and Resource Constraints Infectious Disease Integration [8A] R. Pust 11:00 Cough and Fever in a 22 Year-Old Mother and 11:00 Nurses in Africa in the Era of AIDS [G] Her Infant [8G] Sandra Anderson, PhD, RN Small Group Clinical Problem #6 R. Pust, L. Moher or J. Koleski

12:00 Lunch 12:00 Lunch 12:30 – Jen Kasper will introduce Doctors for Global Exam time for Residents who can’t be present on Friday Health and its relationship with CoCoSI in El Salvador 1:00 Hospital Dx and Rx with Clinical Lab, Imaging and Dentistry: Clinical and Community [8B] WHO’s “Essential Drugs” J. Koleski, MD 1:00 Where There is No Dentist: (based on the book by [8D] Murray Dickson, DDS) 2:00 Break Basic Dental Procedures Demonstrated Steve Smith, DDS, Tony Burrows, DDS, 2:15 Community Oriented Health Assessment and Chris Douville, DDS [7C -2] Kacey Ernst, PhD, MPH End of day – 3:15 Review of independent study questions – those that were not answered correctly.

End of day – 3:15

FRIDAY, October 21 (Little Chapel, 1501 E 1st St) 9:00 Ethical Controversies in Global Health [9E] Student & faculty large group discussion

10:15 Break

10:30 Career and Continuing Education Opportunities [10C] in Global Health (Panel) R. Pust, T. Carroll, J Koleski, M Moore, Joy Mockbee, B Dreifuss and others

11:30 Lunch

GEOJOURNALS - DUE TODAY (email or hard copy) FCM Building 12:30-2:30 Final Exam and course evaluations A. Written final [~50 item exam]

B. Final online evaluation of course and faculty

5:30 Farewell/Hasta Luego/Kwaheri/ Lukim Yu Behain— “Not-so-final” Farewell Party for all of us