November 2016 UOJMUOJM JMUO Volume 6 Issue 2 UNIVERSITY OF OTTAWA JOURNAL MÉDICAL DE JOURNAL OF MEDICINE L’UNIVERSITÉ D’OTTAWA GLOBAL HEALTH ELECTIVE INTERVIEW REPORT Narrative Exposure Therapy: An Innovative When Healthcare Short-Term Treatment Systems Collide: An for Refugees with International Elective PTSD – Interview with Student’s Perspective Dr. Morton Beiser COMMENTARY RESEARCH Preventing the Pioneering International Tragedy of Suicide Collaboration in Medical Among Indigenous Education: The Ottawa- People in Canada: Shanghai Joint School of Physician Advocacy Medicine Student Builder Through the Training Program Pipeline and Beyond uojm.ca ISSN: 2292-650X UOJM JMUO UNIVERSITY OF OTTAWA JOURNAL MÉDICAL DE JOURNAL OF MEDICINE L’UNIVERSITÉ D’OTTAWA Volume 6 Issue 2 november 2016 The student-run medical journal of the University of Ottawa ABOUT US UOJM is an international, peer-reviewed journal led and published by the students of the Faculty of Medicine. We welcome submissions in a variety of areas in biomedical research and feature original research, reviews, news and commentaries, case reports and opinion pieces. Our articles are written in both English and French, and rep- resent the only student-run bilingual medical journal in Canada. Le JMUO est un journal revu, édité et publié par les étudiants de la Faculté de médecine. Nous encourageons les soumissions d’une variété de différents domaines en recherche biomédicale et publions des articles de recherche originale, des articles de revue, des nouvelles et commentaires, des rapports de cas et des pièces d’opinion. Nos articles sont écrits en français et en anglais et représentent le seul journal médical bilingue géré par les étudiants au Canada. CONTACT INFORMATION Address: University of Ottawa Journal of Medicine Journal médical de l’Université d’Ottawa c/o Office of the Vice-Dean Roger Guindon Hall 451 Smyth Rd. Ottawa, ON K1H 8M5 Canada Website: uojm.ca ISSN: 2292-650X (print), 2292-6518 (online) CORRESPONDENCE Editorial, recruitment and sponsorship correspondence can be made to [email protected] Manuscripts can be submitted online, for more information visit http://uojm.ca UOJM is digitally archived and indexed at uO Research at http://www.ruor.uottawa.ca/en/handle/10393/30680 To inquire about receiving print versions of current and past issues of UOJM, contact the Editors-in-Chief at [email protected] Page 2 | UOJM Volume 6 Issue 2 | November 2016 Journal Staff University of Ottawa Journal of Medicine FACULTY ADVISORS Journal médical de l’Université d’Ottawa Dr. Melissa Forgie c/o Office of the Vice-Dean Dr. Phil Wells Roger Guindon Hall Dr. David Moher 451 Smyth Rd. Ottawa, ON K1H 8M5 Canada ISSN 2292-650X (print), 2292-6518 (online) EDITORIAL TEAM Senior Editors-in-Chief: Paula Adler Devon Johnstone Junior Editors-in-Chief: Laura Forrest Ryma Ihaddadene Managing Editor: Teslin Sandstrom VP Education: Tara Crawford (Grad – Senior) Sadaf Arbab-Tafti (Medicine – Senior) Publication Director: Annie Cheung (Senior) Clayton Hall (Junior) Jennifer D’Cruz (Junior) VP Finance: Luvneet Verma Translation Director: Lydia Richardson (Senior) Marie-Ève Eyahpaise (Junior) VP Promotions: Chandra Eberhard (Senior) Danny Jomaa (Junior) Social Media Director: Anastasiya Muntyanu (Senior) Adam Pietrobon (Junior) VP Technology: Alexandra Birk-Urovitz Reviewers: Amanda Bentley-DeSousa Nasim Haghandish Pourya Masoudian Anastasiya Muntyanu Johnny Huang Ryan McGinn Brian Chen Joanne Joseph Megan Fitzpatrick Jennifer D’Cruz Richard Jung Erika Schmitz Joseph Di Michele Pushpinder Kanda Matthew Tsang Chandra Eberhard Coralea Kappel Caitlyn Vlasschaert Jesse Elliott Mariya Kuk Cheng Wang Nigel Fernandopulle Eleni Levreault Austin Yan Zach Ferraro Marisa Market Jennifer Zlepnig Section Editors: Laura Forrest Nima Nahiddi Caitlyn Vlasschaert (NOSM) Ryma Ihaddadene Charis Putinski Jason Zelt Susan Rogers Van Katwyk Cindy Law Copy Editors: Paula Adler Devon Johnstone Teslin Sandstrom Annie Cheung Coralea Kappel Jennifer Zlepnig Jennifer D’Cruz Cover Artist: Peter Feige All editorial matter in UOJM represents the opinions of the authors and not necessarily those of the editors, the Faculty of Medicine, or any orga- nizations affiliated with UOJM. UOJM assumes no responsibility or liability for damages arising from any error or omission or from the use of any information or advice contained in UOJM. Page 3 | UOJM Volume 6 Issue 2 | November 2016 Sponsors UOJM thanks its sponsors for making Volume 6, Issue 2 possible. Our sponsors have graciously contributed to the production of the journal, while allowing us to exercise editorial freedom. To support or make a contribution to UOJM, please send correspondence to [email protected]. SPONSORS Faculty of Medicine, University of Ottawa The Ottawa Hospital: • Department of Anesthesiology • Department of Emergency Medicine • Department of Medicine • Department of Ophthalmology • Department of Otolaryngology • Department of Surgery Department of Cellular and Molecular Medicine, University of Ottawa Department of Pediatrics, Children’s Hospital of Eastern Ontario and University of Ottawa Department of Psychiatry, The Royal Ottawa Mental Health Centre Office of the Vice-President Research, University of Ottawa All editorial matter in UOJM represents the opinions of the authors and not necessarily those of the editors, the Faculty of Medicine, or any orga- nizations affiliated with UOJM. UOJM assumes no responsibility or liability for damages arising from any error or omission or from the use of any information or advice contained in UOJM. Page 4 | UOJM Volume 6 Issue 2 | November 2016 Table of Contents UOJM JMUO UNIVERSITY OF OTTAWA JOURNAL MÉDICAL DE JOURNAL OF MEDICINE L’UNIVERSITÉ D’OTTAWA TABLE OF CONTENTS Preface / Préface 7 Paula Adler, Devon Johnstone, Laura Forrest, Ryma Ihaddadene INTERVIEW Narrative Exposure Therapy: An Innovative Short-Term Treatment for Refugees with PTSD – 9 Interview with Dr. Morton Beiser Jennifer T D’Cruz, Joanne N Joseph On the Interrelationship Between Global and Public Health and a Healthy Environment: A 13 Discussion with Professor Linda Selvey Maximilian Andreas Storz, Eric P Heymann COMMENTARY Preventing the Tragedy of Suicide Among Indigenous People in Canada: Physician Advocacy 17 Through the Training Pipeline and Beyond Max Deschner, Emilie Glanz The War on Language: Providing Culturally Appropriate Care to Syrian Refugees 21 Megan A. Roy The Effect of Conflict and Displacement on the Health of Internally Displaced People: The 26 Colombian Crisis Juliana Barrera Ramirez, Hernan Franco Refugee Mental Health: How Canada Supports the World’s Most Vulnerable in Their Transition to 30 Becoming Canadian Ciarán Patrick Collins Galts Interim Federal Health Program for Refugees: Looking Back and Moving Forward 33 Hamid Abdihalim The Community Health Worker Model: A Grass-Roots Approach for Measles Prevention in Refugee 36 Camps Kristina Baier, Raywat Deonandan Page 5 | UOJM Volume 6 Issue 2 | November 2016 Table of Contents UOJM JMUO UNIVERSITY OF OTTAWA JOURNAL MÉDICAL DE JOURNAL OF MEDICINE L’UNIVERSITÉ D’OTTAWA Mind the Gap: Improving Pediatric Cancer Care in Developing Countries 40 Rebecca Quilty First Nation and Medical Student Perspectives on the Participation in Culturally Immersive 43 Learning Experiences During Medical Training Caitlyn Vlasschaert, Jennifer Constant The WHO’s Need to Address Insecticide Resistance in Malaria Vectors 46 Tarun Rahman RESEARCH Pioneering International Collaboration in Medical Education: The Ottawa-Shanghai Joint School of 49 Medicine (OSJSM) Student Builder Program (SBP) Chelsea Soares, Jason Hu, Kyle Ng, Fan Yang Strategies for Improving the International Elective Process: SWOT Analysis of an Elective in Butare, 55 Rwanda Hashim Kareemi, Victoria Rose Myers REVIEW & CLINICAL PRACTICE The Borders that Remain: Prevention of Cervical Cancer in Refugee and Immigrant Women in 61 Canada Matthew Beckett ELECTIVE REPORT When Healthcare Systems Collide: An International Elective Student’s Perspective 67 Linda Zhou Chka!: A Portrait of Armenian Healthcare 69 Andrea Zumrova Page 6 | UOJM Volume 6 Issue 2 | November 2016 From the Editors UOJM: Preface Now beginning its 7th cycle, the University of Ottawa Journal of Medicine (UOJM) is off to a great start following another year of growth. The 6th cycle represented our biggest expansion of the journal yet, as we increased promotions to medical schools and universities across Canada, the Canadian Federation of Medical Students (CFMS), the Ontario Medical Students’ Weekend (OMSW), and indeed we’ve been receiving increasing numbers of submissions internationally as well. UOJM 6.2: Global Health focuses on an increasingly important aspect of healthcare: our growing connectedness with other countries and the health- care needs that exist abroad and for incoming refugees. With wars happening overseas, our borders have been welcoming tens of thousands of refugees, and with that comes new challenges for our healthcare system—challenges that we have no doubt Canadian healthcare professionals and researchers are keen to take on. The articles in this issue address many aspects of refugee health, such as posttraumatic stress disorder (PTSD), problems associated with language barriers, and challenges accompanying the transition to becoming Canadian. Overseas, healthcare needs can vary greatly from our own. This issue also discusses the challenges of addressing paediatric cancer in developing countries, the potential benefits of using Community Health Workers