AOA Bureau on International Osteopathic Medical Education &...

AOA Bureau on International Osteopathic Medical Education & Affairs (BIOMEA) Colleges of Osteopathic Medicine Survey on

International Activities

October 2011

International Clinical Electives

Int'l Clinical Elective Sites BIOMEA COM International Involvement Survey

COM and Contact Student Rotations in Foreign Countries?

Establish rotations in other countries?

Open to Intl rotation sites?

Evaluate international sites?

Int'l Elective Curriculum

A.T. Still/KCOM Jeff Suzewits, DO, MPH, Associate Dean for Clinical Educational Affairs [email protected]

No, we do not sponsor an international elective rotation; students have completed international rotations at various locations.

No, we do not sponsor or have an established clinical rotation at a foreign site.

Not at this time. Yes, we have a process in place to evaluate the site along with req'd documentation from the student to ensure a quality experience. All students are req'd to provide site specific information along with a letter of acceptance from the program/physician/sponsoring organization. If the student works through INMED, students are then req'd to provide all documentation to meet the INMED requirements.

No.

DMUCOM Yogesh Shah, MD, Assistant Dean of Global Health [email protected]

Yes, we currently have clinical rotations sites in Mexico, South Africa, Uganda, Tanzania, St. Lucia and two sites in India. Students may choose a site on their own, after approved by the global health dept.

Yes, UADY, Mexico; University of Limpopo, South Africa; University of Makerere, Uganda; KCMC, Tanzania; St. Judes Hospital, St. Lucia; AIMS, India; Calcutta Mercy Hospital. India

Yes, Nepal, Mali, Rwanda.

Yes, for sponsored sites, Associate Dean visits each site prior to students going to check on safety, housing, site appropriateness for medical students, and any problems the site may have. For unsponsored sites, student must provide demographics, approval letter from preceptor, and preceptor CV.

Yes, copy of the Global Health Learning Collaborative schedule is attached.

KCUMB-COM Gautam J Desai, DO [email protected]

Yes, Guatemala, Dominican Republic, and working with INMED.

Yes, Guatemala, and the Dominican Republic

Yes. Yes, faculty visits. Yes, pre/post tests about culture, commonly seen diagnoses, etc.

LECOM/LECOM-Bradenton Regan Shabloski, DO, Asst. Dean of Clinical Education

No longer coordinate international rotations. Students can do selective international rotations upon approval from Asst. Dean of Clinical Education

MSU-COM Professor Reza Nassiri, Associate Dean of Global Health Program, Director, MSU Institute of International Health [email protected]

Yes, Mexico, Brazil, Dominican Republic, Germany, Italy, India, Kenya, Turkey, Russia, S. Korea, Peru, or any country that has WHO-approved teaching hospital. The COM does not allow clinical rotations in Iran, Syria, Afghanistan, Pakistan, North Korea, Sudan, Israel, and Cuba.

Yes, Mexico, Brazil, Dominican Republic, Germany, Italy, India, Kenya, Turkey, Russia, S. Korea, Peru.

Yes, Uganda and Tajikistan. More clinical exposure, more pathologies, more cultural competency.

Yes, on-site evaluation, on-site interviews, examining credentials and CVs.

Int'l global health faculty teaches modules such as tropical medicine, infectious diseases, community medicine, and cultural cmpetency. For 4th year osteopathic medical students, there are int'l electives in medicine available such as cardiology, OB/GY, general surgery, tropical medicine, infectious disease, internal medicine and GI through MSUCOM partnership with international hospital sites.

Int'l Clinical Elective Sites 1 of 8 10/27/2011







MWU/CCOM Thomas A. Boyle, DO [email protected]

Yes No No. Yes, student and preceptor evaluations.

No.

NSU-COM Robin J. Jacobs, PhD, MSW Director of International Medical Programs [email protected]

Yes, OMSIV students complete 1 month rural/underserved selective at int'l locations. Bangladesh, Australia, Vietnam, China, Costa Rica, Argentina, Ecuador, Peru, Belgium, Germany, Italy, South Africa, Egypt & Mexico.

Yes, LaRioja Argentina, 2 month rural/underserved core rotation, 1 month rural/underserved selective rotation, 1 month Public Health rotation offered in conjunction with Instituto Universitario de Ciencias de la Salud in Argentina - Fundacion H.A. Barcelo Facultad De Medicina. Also, Shanghai, China: Huashan Hospital.

Yes, we are expanding, 2 month rural/underserved core rotation, 1 month rural/underserved selective rotation in China, 1 month Public Health rotation with a medical center in Bangladesh.

Yes, each student when not using our affiliated core sites must submit a detailed application which is reviewed in light of our selection protocol and rural syllabus safety and cultural competence and appropriate language skills are also considered on an individual basis.

No, COM is in the approval process and closely evaluates the clinical experience opportunities that the site presents in light of the rural medicine syllabus.

NYCOM Edward A. Gotfried, DO, FACOS Consultant to the AOA BIOMEA, Director of Global Health NYIT [email protected]

Yes, any setting with an approved teaching program.

No, formal plans are under way.

Yes, Jordan, Africa, Argentina, China, France, Germany.

Yes, evaluation via written communication, review of written proposal.

Yes, curriculum in process.

OUCOM Gillian Ice, PhD, MPH, Director of International Programs [email protected]

Yes, we have organized rotations in El Salvador, Ecuador, Honduras, Kenya. We participate in the IFMSA exchange which has sites all over the world. Students can also propose to rotate in other countries through independent rotations as long as the country is not on the state Department warning list and it is considered an appropriate experience.

Yes, we have programs in Ecuador, Honduras, El Salvador, Dominican Republic and Kenya.

Yes, we are always exploring other options.

Yes, we do written student evaluations and on-site evaluations of our own programs. We primarily rely on student evaluations of the sites post rotation and require paperwork prior to the rotation to evaluate the opportunity in advance of an independent rotation.

Yes, we have required reading and require that students complete GHEC modules.

PCOM/PCOM-GA Allan McLeod, DO, JD

Yes, students may perform electives at any place of their choice; we have no affiliation w/any foreign location.

No No. No. No.

PCSOM Boyd Buser, DO, Dean [email protected]

Yes, to the Dominican Republic through the Christian Medical Association.

No No No. No

PNWU-COM Robyn Phillips-Madson, DO, MPH, Dean/CAO, Director of Office of Global Health Education and Research [email protected]

No. PNWU-COM has just started its second year. We are working on establishing clinical rotations sites for elective credit in 2011-12.

No. Yes. Guatemala and Peru are initial sites we've started; Ghana and Kenya are two other sites under consideration.

Yes. We are in initial phases. We sent faculty to Guatemala and Peru this past summer where various opportunities, partnerships and sites were explored.

No. This is under development and will be available in 2011-12.








Texas College of Osteopathic Medicine Rynn Ziller, EdD, Director of Clinical Education [email protected]

Yes, students may apply to any preceptor or site (hospital/clinic) of their choice.

No. No. No. No.

TOURO-CA Eiman A. Mahmoud MD, MPH [email protected]

Yes, affiliated w/Israel, Bolivia, East Africa (Tanzania, Ethiopia, Taiwan

Yes: Israel, East Africa (Ethiopia, Tanzania) Taiwan, Bolivia

Yes: India, Nepal Yes. Annual on-site assessment includes: adequacy of preceptors; spectrum of clinical exposure; student evaluation; didactic component; outcome and impact on student body measurements; avenue for holistic approach to global health, i.e., service, scholarly work and partnership. Assessments completed through mtgs w/local preceptors, community leaders and students.

Yes. Curriculum follows Guidelines of Global health Educ Consortium for med students. Curriculum for students seeking dual degree in DO/MPH, Global Health Track.

TOUROCOM-NY Bruce Peters, DO Clinical Dean [email protected]

No No No No. No

UMDNJ - NJ Paul Krueger, DO [email protected]

n/a n/a n/a n/a n/a

UNECOM Ken Johnson, DO Dean [email protected]

Not able to respond at this time.








Edward Via VCOM H. Dean Sutphin, PhD, Assistant Vice President for International and Outreach; Dr. Dixie Tooke Rawlins, DO, Dean and Vice President [email protected]

Yes,VCOM has three permanent sites for clinical rotations in the Dominican Republic, El Salvador & Honduras. These sites are year-round sustainable clinics and VCOM sends approx. 50, 3rd & 4th yr students for rotations yearly. Has in-country partnerships to support personnel, curriculum and technology, provide safe hsg and transp minimize expenses. Students are encouraged to select these rotations. Students are allowed to pursue non-VCOM-sponsored rotations to int'l locations on a case-by-case basis if meet standards. Students must adhere to professional and ethical guidelines and provide supporting documentation including stmt of approval by a medical school or reputable medical training institute within the US assuring medical supervision of

Yes, has three year-round clinics in Dominican Republic, El Salvador and Honduras. Has a signed MOU with that gov't allowing the transport of medications, hire in-country personnel, and bring US-based physicians and students to practice in-country on mission trips. Has partnerships w/medical schools in each country to deliver video conference-based curricula in Global Health. VCOM appoints & contracts w/a bilingual native physician licensed in the country and recommended by in-country medical school partner. These physicians are familiar w/local language, culture & healthy care policies & teach this information to VCOM students on clinical rotations. Provides faculty development and encourages an exchange of knowledge between in-country faculty physicians and VCOM US-based faculty

Yes, increasing student interest in int'l trips and opening of a branch campus in South Carolina have justified plans for expansion into add'l int'l sites. Planning an exploratory trip to Africa. Add'l sites considered for expansion include Guatemala and Belize.

Yes, each Int'l site undergoes annual evaluation process, where partnerships, services, facilities, budget, staff & patient populations are evaluated and plans are made for future improvements and improved access. Focus particularly on quality of care provided at each clinic, ongoing community activities, and sustainability of mission activities. Qtly site visits made to each location, tracking progress throughout the yr. In addition to annual reviews, students evaluate the int'l site and experience after each rotation or mission trip. Student evals include: clarity of expectations, patient case load, meaningfulness of experience, faculty preceptor, variety of patient cases, orientation opportunities, morning reports, grand rounds, lecture and expansion of knowledge as a result of participation. VCOM personnel in constant communication w/each site

Yes, int'l faculty teach modules in medical topics of particular relevance to each site, including health system, medical practices in that country, & tropical medicine topics. Student expected to research and create PowerPoint presentations on selected tropical medicine topics from pre-selected list of topics. Faculty traveling to each country mission trip make presentations to students on rotation. Along with student-guided learning, in the process of implementing online modules in tropical disease and online orientation pgms for each country which students may complete prior to int'l rotation

West Virginia School of Osteopathic Medicine Zachary Comeaux, DO [email protected]

Yes, depends on what they can arrange. There is no pre-arranged rotation. We assist with contacts as requested. Currently students considering France and Japan.

No No No

Western U/COMP Dr. Rafi Younoszai [email protected]

Yes, Mexico, Kenya, Peru, Honduras, India, Argentina, Ecuador, Vietnam, and Hong Kong.

Yes, countries affiliated with Child Health International (CFHI)

No. Yes, specific forms for preceptors to evaluate students' activities. Students also complete forms stating why have chosen this site, and write their specific goals and objectives. Faculty advisors (program directors) review and monitor their professional progress.

No.

William Carey University Darrell Lovins, DO, Dean [email protected]

School is in its 1st yr, will have a disaster preparedness curriculum and third world medicine elective.



COM and Contact





MSU-COM Professor Reza Nassiri, Associate Dean of Global Health Program, Director, MSU Institute of International Health [email protected]

Assessment of Int'l Clinical Learning Competency

International Organization Affiliations/joint academic research programs

Int'l students as COM/exchange

Int'l culture competency curriculum

Int'l student elective process

Yes, we have an evaluation tool that is used for all student rotations. This evaluation tool (a preceptor completed evaluation form) is utilized to assess student clinical learning.

No. No. No selection process at this time. 4th yr. students identify where they are interested in completing an elective international rotation experience and the University provides follow-up paperwork.

Yes, supervising physicians at each site are asked to fill out a post rotation evaluation form for each student.

No, at this time, we have not developed any program with osteopathic schools.

Yes, University of Makerere, Uganda and UADY, Merida, Mexico.

No. Yes, all students are encouraged to participate in an international rotation. The only selection criteria is for financial assistance that is available.

Yes, traditional evaluations. No. No. No. Past work, volunteer hours, grades.

Yes. Students completing foreign rotations typically enroll for elective credit with the P/N grading system and completion of the standard subjective elective rotation evaluation that generally reflects the student's performance relative to the core clinical competencies.

Yes, BSO in London and ICOM in Milan.

Yes, Italy, Germany, Brazil, Mexico.

No. Yes, good academic standing, ability to work in an international environment, respect for other cultures, proof of immunizations, personal interviews and pre-departure orientation.



COM and Contact

MWU/CCOM Thomas A. Boyle, DO [email protected] Robin J. Jacobs, PhD, MSW Director of International Medical Programs [email protected]



PCOM/PCOM-GA Allan McLeod, DO, JD








No. No. No. Yes Handles as an application process.

Yes, the COM student and faculty evaluation process. Faculty do periodic visits to our affiliated sites. At individual non affiliated sites COM receives feedback from the students and reviews of student evaluations by the health professionals at the site.

No. The international outreach and rotation programs presently do not have international osteopathic school academic and research programs. Osteopathic research is part of the medical outreach program and a component of the affiliated rural/underserved and public health rotations.

Yes, we have exchange students from our affiliated medical school from Argentina and Czech. On an individual basis have had a medical student from Columbia. In the process of accepting students from Medical University of Graz, Austria.

Yes For the affiliated site in Argentina in the early part of the M4 school year students are invited to apply. COM (Dept of Rural/Underserved medicine) reviews each application individually as to the student commitment, cultural competency and appropriate linguistic skills. Non-affiliated international students select and apply through the Dept of Clinical Education to the Chair, Dept. of Rural/Underserved Medicine. The Chair reviews and makes a decision based upon the educational opportunity at the proposed training site, student cultural competence, as well as safety and appropriate language skills.

Yes, standard NYCOM Student Performance Evaluation form completed by student's supervisor.

Yes, in process now with Univ of Benin, Nigeria

No, development in process.

Yes, curriculum attached.

Students must be in good academic standing, must meet with the Director of Global Health, and provide outcomes assessment of their Int'l experience.

No, currently developing. Yes/No, not a school but a professional organization in Germany.

Yes, IFMSA. Yes The international electives are integrated into our entire curriculum years 1-4.

No. No. No. No. Students are allowed to perform electives anywhere in the world as long as their supervisor is a physician.

No No No No

No, not at this time. No. No. No, this is currently under development.

N/A



COM and Contact




UMDNJ - NJ Paul Krueger, DO [email protected] Ken Johnson, DO Dean [email protected]






Yes, student performance evaluations are required for every rotation.

No. No. No. n/a

Yes. Annual on-site assessment by Global Health Faculty thru mtgs w/students and local preceptors. Accomplished thru evaluation and grading of: student log book, preceptor evaluation, scholarly product and service project outcomes rpt.

No. Receive academic senior and junior faculty from affiliated sites.

Yes, see attached.

Students accepted upon successful completion of: semester long Global Health Elective emphasizing cultural competency, global burden of diseases, health policy, gender and health, health and environment, health in conflict states, quality of student presentation, good academic standard, global health faculty recommendation, elective clinical rotation students are approved for students demonstrating academic preparedness, good preceptor evaluation and global health faculty recommendation. Global Health Core rotation is a mandatory required course for students of dual degree DO/MPH Global health track.

No No No No No

n/a n/a n/a n/a n/a



COM and Contact










Yes, VCOM in-country physician faculty members assess student clinical learning competency through evaluations completed for each student. Student clinical evaluation areas include communication skills, physical exams, problem solving, professional and ethical behavior, medical knowledge, and osteopathic medicine. Additional evaluation elements include student greatest strengths, areas needing improvement, specific clinical skills and display of VCOM values.

Yes, VCOM is in the process of beginning a partnership with UNITEC New Zealand to offer the Global Seminar collaborative video-conference-based course in Global Health for Spring 2011. This course is already offered in partnership with medical schools in the Dominican Republic, El Salvador and Honduras. Expansion to other medical schools is under consideration.

Yes, VCOM has an agreement with medical schools in the Dominican Republic, El Salvador and Honduras to receive international students in US rotations affiliated with VCOM.

Yes, at each site, VCOM int'l doctor is required to provide cultural awareness and culturally sensitive medical treatment. VCOM uses a Peace Corp representative on location in the respective countries, primarily in the Dominican Republic to orient students to the region and cultural practices. A Spanish class, includes cultural awareness, and is taught as an elective to 1st and 2nd yr students. Topics in cultural awareness/comp

Each interested student is required to submit an application outlining their reason for applying for an international experience; how the rotation or mission trip will fit with their career goals; and why they chose the particular site of interest. Applications are reviewed by a panel of representatives from the International and Appalachian Outreach Department, Department of Clinical Affairs, Registrar, Student Services and the Dean of the College to determine student academic and behavioral progress and trip or rotation selection. Once the student receives approval from the panel, he/she is notified of acceptance and begins an orientation process. Priority in international rotations is given to 4th year students.

No Yes, we assist students from the Japan College of Osteopathy with an anatomy elective and also a clinical rotation.

No

Not at this time. No. Limited to the Exchange with the University of Santander (Spain, through the IFMSA)

No.

No formal affiliation agreements or rotations have been established to date.


International Outreach & Linkages

Int'l Outreach & Linkages BIOMEA COM International Involvement Survey

COM and Contact International Student Clubs

COM have agreements/contracts with schools or hospitals internationally?

Faculty participation with Missions/Outreach pgms

Student Eval Form for Mission Work

Does COM assist students w/ obtaining visas or other travel documents?

Does COM financially support students' int'l rotations?


Yes, recently formed the Rural Remote Global Health Committee. Chapters in DOCARE, SNMA and UNICEF.

Yes, as students identify an elective rotation site, the University prepares the req'd paperwork including affiliation agreements as appropriate. Each agreement is rotation/date specific.

While it is not req'd, faculty are encouraged to participate in medical mission and outreach programs as interested.


Yes, an International Medicine Club (IMC): promote the importance of multiculturalism in medicine today. The club attempts to bring students of all heritages and backgrounds together to learn from one another to broaden worldview. Understanding cultures and belief systems influences members' lifestyle and perception of health. Global Health Student Club (GHSC): Students dedicated to becoming part of the global health community.

Yes, Honduras with Global Brigades.

Yes, 3-4 faculty per year: Yearly medical mission trip, homeless outreach programs, mobile clinic.

No. Yes, Visa, immunizations for international rotations and medical services trips are free of charge for students at our student health clinic.

Yes. $1,200 provided to support approximately 40 students. Selection criteria includes an application process, personal statement, community service hours, and LOR.


Yes, DOCARE International Student Chapter, same contact.

No. Yes, 10 per year internationally.

No. No. Yes, approximately $400 to 20 students, based upon volunteer hours.


No longer coordinate international rotations.

MSU-COM Professor Reza Nassiri, Asst Dean of Global Outreach & Graduate Pgms [email protected]

Yes, there are 28 student organizations at MSU-COM. For complete list, visit: www.com.msu.edu/ss/stu-orgs.html

Yes, Germany, Brazil, Mexico, Dominican Republic, Italy, Kenya, Russia, India, Peru, Guatemala.

Yes, 2 to 4 faculty; 2 to 3 times per year.

Yes Yes, with passports and immunizations.

Yes, $500-$1,000 endowments for 3-4 students per year. Criteria includes good academic standing, good at health research and good cultural competency.

Int'l Outreach Linkages 1 of 8 10/27/2011









Yes, it is a single int'l medicine club, no known mission statement.

Yes, Letters of Agreements are executed for each site on an as-needed basis.

Yes, 2-4 faculty annually. Yes.


Yes. Faculty-led: Medical Outreach Committee comprised of faculty, staff and student representatives from various clubs that assist in planning and coordination of various international medical outreach programs, such as Bangladesh, Peru, Argentina, Jamaica, and Ecuador. Student-led: International Medical Outreach Club (IMOC) (contains student executive board and one faculty advisor); main purpose is to organize and carry out international medical missions.

No Yes, we have 6 int'l medical outreach programs per year. About 25 faculty mbrs participate in these outreach activities annually.

Yes


Yes, AMSA, SOMA, PHR Yes, Jordan University of Science and Technology Medical School-MOU. University of Benin, Nigeria-MOU.

Yes, faculty participates in medical missions and outreach programs.

Yes.


Yes, AMSA is actively involved in international activities and includes a chapter of IFMSA and a medical Spanish group.

Yes, El Salvador, Honduras, Ecuador. In addition, all independent rotations require an educational agreement with the hospital.

Yes, 3-5 on a regular basis. Yes.

PCOM/PCOM-GA, Allan McLeod, DO, JD

No No. No. No.


No, but students can do outreach through SOMA.

No. Yes, faculty members accompany the students.

No.










No, this is in process right now. We anticipate signing agreements with hospitals in Guatemala, Peru, and New guinea.

Yes. Currently, two faculty members participate at least twice yearly, 3 participate annually and 2 participate every 2 years.

No.


Yes. No. No. No.


Yes. Int'l Health Club serving as a forum for interested students to learn various aspects of int'l health. Collaborates with Pgm in Global Health and other local and global organizations to provide service project opportunities for students.

Yes. Tanzania, Ethiopia and Bolivia. Annually provides principles of partnership and sustainability which includes: annual screening pgms for endemic diseases, malaria and shistosmiasis; health education in endemic diseases, STD, nutrition; maternal and child health nutrition projects: community based health education, farms sponsoring and media and instructional material development; capital building of health education mini centers in rural areas.

Yes. Avg of 4-6 annually for a period of 3-4 weeks.

Yes. Provide data and project reports for each of the service projects carried annually to assess its efficacy and sustainability.


No No No. No.


Yes No Yes, 2-4 students per year with 1-2 faculty members

Yes


Not able to respond this time.










Yes, VCOM has one official club for International Medicine, a committee for Operation Smile and an intercultural club, the Hispanic Community Medical Outreach Club, which has international interest. In addition, several other VCOM clubs have appointed International Mission coordinators, including the Christian Medical and Dental Association club. Many clubs (9 in 2010) select mission trips to co-sponsor where club members go as a group activity.

Yes, in addition to VCOM permanent year-round clinics in the Dominican Republic, El Salvador and Honduras, VCOM has agreements with hospitals in each country to provide student rotations in Pediatrics, OB/GYN, Surgery and Emergency Medicine. Students may participate in these rotations while in-country on clinical rotations or during "themed" medical mission trips.

Yes, VCOM sends approximately 5 faculty members on each of 8-9 medical mission trips per year. Some faculty members attend multiple mission trips. The total number of faculty participating in international and Appalachian-based mission experiences is approximately 25 annually.

Yes.


Yes, Christian Medical and Dental Associations.

No. Yes, Guatemala, Dominican Republic, no formal commitment; on an annual basis.

No.


No. No. No. No. No.


School is in its 1st yr, nothing established to date.

Efforts underway to secure medical mission opportunities for interested students by end of their 1st yr.



COM and Contact






Established a permanent clinic outside US

Encourage OMM Faculty in Missions/outreach

Student Selection Process Developed Joint Academic Research Pgms

Established Linkage Agreements w/osteopathic schools outside US

Are linkage agreements beneficial to COM's mission?

All faculty are encouraged to participate in medical missions, outreach programs or humanitarian relief efforts as interested.

No selection process at this time. 4th yr students identify where they are interested in completing a medical mission or global outreach program and the University provides follow-up paperwork.

No. No. Students complete an application form which includes: personal narrative and letter of reference; students are then interviewed and selected.

No. No. N/A

No. Yes. Yes, 10 per year internationally. No No.

Yes, Blantyre, Malawi, Africa. Currently establishing a new one in Merida, Yucatan, Mexico.

Yes. To provide needed health care services to an underserved populations, to supervise/train students participating in the elective, to instill a culture of providing service to those in need, and to give faculty an opportunity to visit and work in a developing country that they would not normally visit.

Students submit an application with specific questions related to each elective, e.g., Spanish speaking, participation in other international service. Required to write an essay of less than 200 words on what assets/skills they bring to the elective to ensure its success. The application is scored, and students with the most points are offered a position.

Yes, exchange of osteopathic information and knowledge, research and CME events.

Yes, BSO, London and ICOM, Milan.

Yes, synergism on solving global health issues and for MSUCOM students to see pathologies that are uncommon at home.



COM and Contact












No. Yes, all faculty are encouraged to participate, not just one special area.

All applications are considered on a merit basis.

No. - N/A

No. Yes, goal of incorporating OMM faculty in missions is one of service to bring skills of the osteopathic physician to parts of the world that may be in need. Also for training our students; introduce American Osteopathic Medicine internationally; promote full practice rights for DOs internationally.

Selection of participants is conducted by the student executive board of the International Medical Outreach Club (IMOC) based on club membership, preceptor availability, and language skills of the host country.

Yes, with the Instituto Universitario de Ciencias de la Salud in Argentina. In the agreement, 4th year medical students can go to one of the rural clinical sites of this school and complete their rural/underserved rotation there.

No. Yes, it offers exposure of our students to rural/underserved communities through affiliation agreement with Instituto Universitario de Ciencias de la Salud in Argentina. NSUCOM is committed to the care of underserved populations.

No. Yes, original intent of the int'l rotation for health professionals was to augment the medical education of students by exposing them to cultures, environments, infrastructure and practices of medicine that differed from their home institution. These experiences should not be underestimated. The ideology and practices of primary care and preventative health in a global health setting can play a crucial role in forming the next generation of primary care providers that are acutely aware of the clinical significance and health care necessities of preventative health strategies.

Undergraduate and graduate students, recent graduates, residents, attending physicians, faculty and other individuals interested in the field of global health; minimal requirements: current medical students in good standing, 3rd/4th yr nursing students in good standing and graduate students in good standing. All applicants will be subject to final approval by the faculty of the Certificate in Global Health.

Yes, JUST-MOA University of Benin-MOU

No Yes.

No, we are however closely linked with one in Kenya (helped raise funds to build and help staff).

Yes, encourage but have not had active participation.

Students are required to fill out an online application which includes an essay, 2 recommendations, transcripts and sometimes an interview.

Yes, extensive agreements with Catholic University in Ecuador. Also have an agreement with the Kenya Medical Research Institute.

No. Yes.

No. No No No.

No. No No No No



COM and Contact












No. Yes, the goal is to incorporate OMM in the practice of medicine in any setting.

Under development. No No Not at this time, but there will be in the future.

No. Yes, we have several faculty that participate in medical mission/humanitarian relief efforts that are independent of the University.

n/a No. No. n/a

Yes. Goals to include OMM techniques into global settings as sustainable resource for health care. Objectives to utilize manipulative techniques in treatment in low resource areas and examine the history of manipulative techniques in local culture.

Students selected upon successful completion of: one semester long global health elective course emphasizing cultural competency, global burden of diseases, health policy, gender and health, health and environment, health in conflict states, quality of student presentation, good academic standard and global health faculty recommendation. Approval includes student's ability of teamwork, flexibility and commitment to mission of pgm.

Yes. Israel, Ethiopia and Bolivia. Research linkage, faculty development, academic mentoring pgm for jr faculty and staff in host countries, support of research and scholarly effort of jr faculty in host institutions.

No. Yes. Agreements emphasize the general mission to the university to provide health care professional who teach, serve and learn.

No. No No No No No

No. No Students identify interest, responding directly to faculty member. Final approval by Associate Dean of Academic Affairs

No No Note: This year UMDNJ has a student completing an NIH Fogarty Scholarship in Kenya



COM and Contact










Yes, permanent clinics in the Dominican Republic, El Salvador and Honduras share VCOM's mission to provide care to the underserved and to prepare students to be globally-minded, community-focused physicians.

Yes, VCOM OMM faculty have full practice rights in all three countries where VCOM has permanent clinics. These faculty members attend international and Appalachian outreach trips as well as disaster relief trips. VCOM is beginning an OMM faculty training program for doctors in El Salvador, and OMM topics are included in the international rotation curriculum for students. In addition, VCOM has been actively pursuing licensure of OMM in each country where we have a permanent clinic.

The student selection process for medical mission trips is the same as the process for international rotations. Please see that section.

Yes, VCOM has collaborative arrangements with Universidad Central del Este in the Dominican Republic, Universidad Evangelica de El Salvador in El Salvador, and Universidad Nacional Autonoma de Honduras in Honduras to provide a course in Global Health, where students at VCOM share case-based curriculum with students at these medical schools and collaborate via video conference technology. In addition, there is an opportunity to conduct joint research using in-country laboratory facilities. Seven VCOM students have completed PhD thesis research in international settings.

No, VCOM does not have formal linkage agreements with non-US Osteopathic schools yet but does have linkage agreements with MD schools in the Dominican Republic, El Salvador and Honduras. However, VCOM has active and positive working relationships with COMs in the US and abroad.

Yes, linkage agreements support student international experiences in underserved care, which directly benefit the VCOM mission. In addition, VCOM has active working relationships and projects with a number of NGOs in countries where we work.

No. Yes, supervise student participation.

Student availability usually matches need.

Yes, Japan College of Osteopathy, anatomy elective described above.

No formal agreements; several faculty teach as individuals on an adhoc basis.

No.


Interactions with International

Organizations

Interactions with Int'l Orgs BIOMEA COM International Involvement Survey

COM and Contact Developed professional contacts w/WHO, PAHO, GHC?

COMs Vision of Int'l Presence in Osteo. Educ. And Research

Considering opening a site?


No. No.


Yes. 7 students have participated in internships with WHO; 3 students have participated in internships with PAHO. The goal of the global health department is to offer students an opportunity to enhance cultural competency and learn about healing from a more global perspective by living and working in a developing country.

We want our osteopathic students to visit different cultures and be exposed to different medical systems about osteopathic principles.

No.


No No


No longer coordinate international activities.


Yes, information sharing, consultations and internship programs.

To deliver the American model of osteopathic care beyond the U.S. borders and to train global osteopathic physicians.

No.


No. Has not been articulated at this time. No


No. To increase awareness of DO skills/profession and increase students' cultural competence and appreciation of global health issues and public health. The mission of the outreach program is to provide access to medical care in underserved and vulnerable countries to improve the health and wellness of those populations most in need. Our goal is to establish long-term relationships that allow us to revisit each community multiple times over several years until the community can maintain its medical status independently. In addition to attending to the health needs of those who do not usually have access to care, these rewarding experiences also offer our students, faculty members, and volunteers the chance to use their clinical skills in settings that may have medical and public health challenges different from their own. The exposure to varied cultures and the unique concerns that each presents provides participants with unparalleled real-world education that serves to enrich us all.

No.

Interactions with Int'l Orgs 1 of 6 10/27/2011






Yes, educational participation in conferences and utilization of resource materials for curriculum development and location of possible sites to study abroad.

Enhance communication across medical fields, communities, health systems and educational institutions worldwide developing a common language of care and caring. Broaden perspectives on healthcare as part of our responsibility to the global community by engaging in collaborative international teaching, research and service. Stimulate and support worldwide research in the use of Osteopathic Medical Principles and Practice and their meaningful integration within the entire medical healing concept. Develop innovative partnerships with Global Health and Policy Leaders, scholars and populations worldwide. Educate and inspire medical students, faculty and other healthcare professionals by providing exposure to and immersion in int'l experience.

Yes, mission in the Kwahu region, Ghana.


Yes, The OU Tropical Disease Institute is actively involved with WHO activities in Ecuador.

A wide variety of global health programs offered by the Ohio University College of Osteopathic Medicine are designed to: improve cultural sensitivity, improve/develop language communication skills - regional specific, give exposure to diseases not seen in this hemisphere, provide the opportunity for personal growth, facilitate the educational exchange of information, help students hone their history, physical, etc. skills, provide opportunities for students to be involved in all levels of research, increase exposure of osteopathic medicine beyond the borders of the United States, facilitate a global perspective of health, disease, and healthcare delivery systems, and provide opportunities for participants in outreach.

No.


N/A N/A N/A


Only through the Dean's international contacts.


Yes. Two of our faculty attended the GHEC conference in Seattle this past April, and we are part of the GHEC Directors listserv to help develop best practices for int'l clinical rotations for medical students and residents.

We are actively preparing an int'l educational and research pgm w/the group we work with in Guatemala. This will not be operational until at least 2011-12, if not a year or two later.

No. We are exploring options, but this will be in the future (probably at least 4-5 years away).


No, not sure if we will in the future. n/a No.


Yes. Global Health Education Consortium: Institutional Mbrs and Reviewers; Bay Area Int'l Health Group: Mbrs and host for regional conference; Institute of One World Health: Consultancy.

Platform for provision of sustainable accessible healthcare. Incorporation into the existing local traditional health care.


No N/A No







n/a n/a n/a


Not able to respond this time.


Yes, the VCOM VP for International and Appalachian Outreach visits PAHO offices and determines collaborative activities annually. In addition, there is interaction throughout the year to foster relationships.

Global Health training and increased access to health care in underserved areas are core missions. VCOM aspires to operate model, sustainable clinics in underserved areas and train globally-minded, community-focused physicians. The care we provide is evidence-based, focusing on key clinical and public health issues and the improvement of health of the community, and we offer education in disaster relief and emergency preparedness for medical students and partners abroad.

Yes, we already have sites in three countries and will likely expand based on student needs. Since VCOM is opening a branch campus, there is a high probability needs will increase.


Yes, our faculty is the current president of WOHO and an OIA partner member.

Collaboration, extension of appreciation of the integrated osteopathic medical approach to patient care; contribute to quality of osteopathic profession as it evolves globally.

No


No. No.


School is in its 1st yr, nothing established to date.



COM and Contact



KCUMB-COM Gautam J Desai, DO [email protected]/LECOM-Bradenton Regan Shabloski, DO, Asst. Dean of Clinical EducationMSU-COM Professor Reza Nassiri, Asst Dean of Global Outreach & Graduate Pgms [email protected]/CCOM Thomas A. Boyle, DO [email protected] Robin J. Jacobs, PhD, MSW Director of International Medical Programs [email protected]

Perceived benefits from Int'l programs/electives BIOMEA's involvement with COM

Participation in all international electives, medical missions or outreach programs will expand the student's knowledge and help them gain cultural competency in many areas.

Providing some level of site evaluation for the international programs, medical missions or outreach programs could be helpful in the future. In addition, KCOM offered an elective Rural Remote and Global Health course for second yr students. This course was designed to provide students with knowledge about international rotations.

Increased interest in primary care specialties, increased service in underserved communities; increased volunteering with community groups; higher performance on US medical licensing exams; better history taking and physical exam skills; greater awareness of cost issues in medicine; stronger commitment to reducing health disparities at home and abroad; better understanding of socioeconomic factors in health; greater appreciation of public health; greater motivations to pursue future international health.

Assist with securing a medical license approval in a few countries like India. We would like to see a common clinic established outside the U.S. being managed by a few COMs and BIOMEA.

Keep us posted about your activities!

Gain experience of a different culture, different pathologies, development of research ideas, sharing of knowledge, grant writing.

Keep us posted about your activities!

Humanitarian service and exposure to world medicine Providing connectivity between COM's

Education and training, feeling the sense of satisfaction of delivering care to the medically underserved international communities, an expanded vision of medicine and public health on a global basis. Students also experience cultures other than their own, unique pathologies, and return with an expanded world-view of medical and social issues affecting underserved populations globally. These experiences lend to produce more culturally proficient and globally-oriented physicians. Also helps them to understand issues and appreciate the importance of treating indigent and underserved patients in the U.S.

Share best practices, assist with funding for increased student and preceptor participation, and assist with donations such as pharmaceuticals, and host a conference to share information among all DO schools. Yes, would like to receive a copy of the survey.



COM and Contact




PCSOM Boyd Buser, DO, Dean [email protected] Robyn Phillips-Madson, DO, MPH, Dean/CAO, Director of Office of Global Health Education and Research [email protected]

Texas College of Osteopathic Medicine Rynn Ziller, EdD, Director of Clinical Education [email protected] Eiman A. Mahmoud MD, MPH [email protected]



Numerous, students discuss improvement of clinical skills, cultural competency, and an opportunity to provide needed services, etc.

I think more active involvement of the COMs in BIOMEA and assistance to schools who want to develop programs with assistance from experienced COMs. Sharing of information, document, challenges, etc. between colleges.

N/A N/A

Int'l electives open the eyes of both students and faculty to challenges faced in settings with which they are unfamiliar. When they return home, they see their communities in a different light and are more likely to become involved in local outreach more than if they hadn't worked internationally in the first place.

We look forward to developing sites utilizing best practices gleaned from other COMs and medical schools. Collaboration among the COMs is vital to minimize culturally and economically costly mistakes, and to maximize benefit both for those served internationally and those hoping to serve. Offices of global health at various medical schools are relatively young.

No, not sure if we will in the future. n/a

Becoming global health care providers w/necessary clinical skill; cultural competency and better understanding of determinants of health globally.

Collaboration and provision of basis of int'l osteopathic curriculum similar to GHEC; facilitation involvement of int'l experts; providing official platform for all osteopathic schools , set guidelines and resources of int'l involvement.

This should be consistent with our mission of serving the underserved and helping to reduce health disparities. This would also give our students role models or mentors who do this everyday that our students could see in action. This would be a great way of teaching our students and faculty of a way to give back to underserved communities both locally and internationally.

I would love to see what other COMS are doing and how they got started. I would also love to learn about other resources they utilize to help support these projects. We do have a TOURO campus in California that offers international rotations for students.



COM and Contact

UMDNJ - NJ Paul Krueger, DO [email protected] Ken Johnson, DO Dean [email protected] Via VCOM H. Dean Sutphin, PhD, Assistant Vice President for International and Outreach; Dr. Dixie Tooke Rawlins, DO, Dean and Vice President [email protected]





n/a n/a

Yes, on Pre- and Post-Tests administered to students on each mission trip, students indicate significant increase in level of medical knowledge and skill in consulting with patients and diagnosing chief complaints, experiences in recognizing and overcoming cultural differences in patient/doctor interactions, skills in mission medicine, and interest in pursuing medical missions after graduation. After mission trips, students report significant increases in their perception of the importance of communication with patients and time spent with patients. VCOM students in 3rd and 4th year rotations universally indicate that they are better prepared because of mission trip experiences. VCOM believes that a Global education experience equips physicians to handle emerging global health threats and infectious disease in a global community, improves ability to provide medical services in resource scarce settings, develops skills to overcome cultural and other barriers and facilitates shared understandings about and with underserved populations.

Yes, facilitate international conferences and opportunities for presentations in order to share experience and develop professional working relationships. Foster committee activities during the year that promote international collaboration.

Expand quality and awareness of osteopathic medicine; personal cultural enrichment; new perspective on medicine; contribute to care of underserved.

Release survey information so we can know how to network better.


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