annual report draft 2011-12 final - mcgill university · 1 building partnerships at mcgill and...
TRANSCRIPT
Cover design by Olivier Gagné. Photo credits: Katrina Ballerini, Sally Lin, Kirsten Niles, Olivier Gagné, and Megan Arthur.
Consistently ranked as one of North America’s leading academic institutions, McGill University’s rich history of providing service to the global community through innovation in research and education positions it as an important institution in the pursuit of global health for all. In the 2011 and 2012 academic year, Global Health Programs (GHP) continued to pursue that goal through the strengthening and development of key local, national and international partnerships; building capacity for medical education in North America and in low‐resource settings; supporting student advocacy initiatives; and fostering the development of future leaders in this field. The 2011 Global Health: Advancing Equity in the 21st Century Conference marked an important collaboration for global health – bringing together U.S. and Canadian institutions to showcase and shape global health research, education and advocacy alongside the leading global health thinkers of our time (see pp. 1‐3). Co‐hosting this seminal meeting in Montreal marked an important achievement for Global Health Programs and further entrenched McGill’s position as a leader in this field. Through new initiatives in 2011‐12, GHP has extended its contribution to global health and capacity‐building in medical education, in particular through partnering with Dartmouth College and the Haiti Medical Education project to promote developments in medical education in Haiti (more information on p. 4). Global Health Programs' redevelopment of the McGill Global Health Projects database, its ongoing support of the Humanitarian Studies Initiative and the McGill‐Addis Ababa University Infectious Diseases Training Program, as well as the numerous meetings and discussions with key stakeholders at McGill and abroad further demonstrate the commitment to fostering collaboration for developments in global health capacity‐building, pedagogy, research, and partnership‐building (see pp. 5‐8). The growth of student interest in global health was also undeniably evident in 2011‐12, with a significant increase in applications to the GHP Global Health Student Initiative Fund, the McGill Undergraduate Medicine Travel Awards, the Images that Inspire Photography Competition, and the Dr. Yuk Chan Ma and Dr. Yuen Kok Chan Prize in Multicultural and International Medicine (see pp. 9‐25), and involvement in Global Health Night and the Emory University Global Health Case Competition (see p. 23‐26). The McGill Global Health Programs 2011‐12 Annual Report outlines our work in the pursuit of global health equity, as well as the key partnerships and initiatives that we support. This document provides a glimpse of the important global health work that is ongoing and growing at McGill, and we look forward to collaborating with stakeholders at home and abroad to continue building these efforts. Sincerely,
Timothy Brewer, MD, MPH Megan Arthur Director Program Manager
Contents
Building Partnerships at McGill and Beyond
A. 2011 Joint GHEC‐CUGH‐CSIH Global Health Conference: Advancing Equity in the 21st Century ..... 1
B. Partnership for Medical Education in Haiti ....................................................................................... 4
C. McGill Global Health Projects Database and Map ............................................................................ 5
D. The Office of the Provost Work Group on Service to the Global Community .................................. 6
E. Meetings and Key Partnerships ........................................................................................................ 7
Fostering the Development of Future Global Health Practitioners
A. McGill University Undergraduate Medicine Travel Awards ............................................................. 8
B. 2011‐12 Annual Global Health Night .............................................................................................. 14
C. The Dr. Yuk Chan Ma and Dr. Yuen Kok Chan Prize in Multicultural and International Medicine . 16
D. The Emory University Global Health Case Competition ................................................................. 17
E. Global Health Education and Resources ......................................................................................... 18
Support for Training and Advocacy Initiatives for Global Health
A. The Humanitarian Studies Initiative................................................................................................ 19
B. McGill/Addis Ababa University Joint Infectious Diseases Training Fellowship ............................... 20
C. Global Health Programs Funding for Student Initiatives ................................................................ 21
Global Health Programs at McGill: Future Directions .......................................................................... 29
Appendix A .................................................................................................................................................. 30
Appendix B .................................................................................................................................................. 31
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BuildingPartnershipsatMcGillandBeyond
A. 2011JointGHEC‐CUGH‐CSIHGlobalHealthConference:AdvancingEquityinthe21stCentury
The 2011 Joint Global Health Education Consortium (GHEC), Consortium of Universities for Global Health (CUGH), and Canadian Society for International Health (CSIH) Global Health Conference took place from November 13th to 15th, 2011 at the Hilton Bonaventure in downtown Montreal. This historic meeting was the result of a first‐ever collaboration of three of North America’s leading global health organizations. The complementary and unique aspects of each organization were infused throughout the scientific program, which featured contributions from the full spectrum of global health stakeholders, including government, academia, clinicians, non‐governmental organizations, and students from a range of backgrounds. Dr. Brewer was the Chair of the Scientific Program Committee and Global Health Programs led the coordination of logistics and scientific program planning for the meeting.
Participants had the opportunity to hear from individuals who shape global health policies around the world, from those pushing the boundaries of educational content and approaches, and from investigators conducting cutting‐edge research. Equally exciting was the opportunity for participants to engage with the group of outstanding individuals present at the conference, in an environment which fostered an exploratory and collaborative spirit across geographic, disciplinary and ideological borders.
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The conference scientific program featured over 160 speakers from more than 20 different countries in keynote speeches, plenary panel sessions, breakout panel sessions, workshops, special training sessions, and poster presentations, including introductory remarks by Heather Munroe‐Blum, the Principal of McGill University, and MP Beverley Oda, the then Canadian Minister of International Cooperation.
The conference theme was health equity and it was organized according to the following streams: Global Burden of Disease; Travel, Migration and Displacement; Social, Economic and Environmental Determinants of Health; Globalization, Communications and Capacity Building; and, Human Rights, Legal Issues, Ethics and Policy. A sample of the sessions that were offered can be found in Appendix A; the full program is available on the conference website: www.2011globalhealth.org.
2011 Global Health Conference Notable Speakers
Sir George Alleyne, Barbados
Prof. Zulfiqar Bhutta, Pakistan
Prof. Robert Black, USA
Lt. Gen. (retired) Roméo Dallaire, Canada
Prof. Haile Debas, USA
Prof. Peter Donkor, Ghana
Prof. Julio Frenk, USA
Dr. Roger Glass, USA
Ambassador Eric Goosby, USA
Prof. Jody Heymann, Canada
Prof. Marian Jacobs, South Africa
Dr. Gareth Jones, Canada
Prof. Felicia Knaul, USA
Honourable Dr. Keith Martin, Canada
Prof. David Serwadda, Uganda
Prof. Nelson Sewankambo, Uganda
Dr. Peter Singer, Canada
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The 2011 annual meeting also marked the historic merger of CUGH and GHEC into a single global health organization. The new organization, which kept the name of the Consortium of Universities for Global Health, represents a union of the important traditions of each consortia. The first annual meeting of the new organization will take place in spring 2013 in Washington, DC.
Harnessing the energy of these three leading societies, this conference provided a unique chance to showcase and shape global health research, education and advocacy with colleagues from across the wide spectrum of backgrounds, interests and stages of training that makes global health the dynamic field that it is.
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B. PartnershipforMedicalEducationinHaiti Few opportunities exist for postgraduate medical education in Haiti, and the few that were available were compromised by the earthquake of January 2010. Physicians in their mandatory social service year immediately following graduation from medical school particularly lack access to ongoing structured training. In an attempt to support the development of Haitian Postgraduate Medical Education, McGill Global Health Programs has been working in partnership with Dartmouth College and the Haitian Medical Education project (HME) for over a year on a number of projects. The primary project spearheaded by this group has been the creation of a live, interactive postgraduate training program for Haitian physicians using Vidyo, an internet‐based video conferencing software that was graciously donated to support medical education development in Haiti. Participants at Haitian sites see and hear Canadian, Haitian and US‐based faculty and their slides in real‐time, and are able to engage in discussions with faculty and colleagues at other sites. McGill, Dartmouth and HME continually work with Haitian hospitals, Haitian medical educators and policy makers, and participants to ensure that the lecture series meets stated needs and to develop further programs and training opportunities. In just one year, this videoconference lecture has become a popular source of continuing medical education for Haitian medical students and physicians, and its popularity continues to grow, with additional clinical sites joining the videoconference over time. By the end of June 2012, 54 lectures had been delivered over approximately one year, covering a gamut of primary care topics including chronic and infectious diseases, prevention and mental health. The full 2011‐12 lecture schedule can be viewed in Appendix B. The program successfully reaches 4‐6 Haitian sites each session including doctors based at rural hospitals. Easily accessible inexpensive hardware, an internet connection and specialized low‐bandwidth software are the only equipment requirements. The program is made possible by faculty volunteers from McGill and elsewhere, including Haitian clinicians and medical educators, who donate their time to provide the lectures, which take place Wednesday mornings between 8:00 and 9:00 am. An initial information session about the program was held in Montreal on August 19th, 2011, welcoming partners from Dartmouth College and HME, as well as approximately 20 McGill faculty members. Over the past six months, with the help of fourth year McGill medical student Robert Battat, Global Health Programs has developed an outline of core competencies adapted from North American Family Medicine guidelines to serve as a curriculum for the lecture series. Participants may also now earn a certificate for every 2 months of lectures that they attend. Though further evaluation is ongoing, to date this initiative has demonstrated how high‐quality, low‐cost postgraduate training can be delivered successfully to Haitian physicians through creative partnerships and internet‐based technology. Future steps include implementing evaluation mechanisms, and more broadly contributing to other medical education development projects in Haiti. For more information visit http://www.hmeproject.org/.
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C. McGillGlobalHealthProjectsDatabaseandMap In order to facilitate greater cohesion and collaboration among global health activities at McGill University, as well as broader awareness of these, Global Health Programs created a database of global health‐related projects in 2006. This database provides information about over 120 projects in 35 countries involving faculty members in over 40 different departments within the university. In 2011‐12, GHP undertook an effort, in partnership with the McGill University Health Centre (MUHC) and the MGH Foundation, to create a new website within the McGill web management system in order to host the Global Health Projects database. This new website, which was launched on July 12th, 2012, includes a new google‐powered interactive map and allows users to search on the home page by country or by project leader. The advanced search page further permits a more detailed search of the database of projects. Users may also view projects in a list format or can visit a page that features only projects associated with MUHC researchers, either in map or list format. Further, an important new feature that has been added to the database is that of Project Leader Profiles. Project Leaders now have the opportunity to upload detailed information, not only about their projects, but about their affiliations, contact information, publications, personal research interests, and including their CV, a biography, videos, photos, link to other websites, and more. Future developments will include the addition of map marker filters according to project type, as well as the addition of social media applications. To visit the website please use the following address: http://www.mcgill.ca/globalhealth/project/map_view.
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D. TheOfficeoftheProvostWorkGrouponServicetotheGlobalCommunity
Service to the community is core to McGill’s mission. A truly international university, McGill’s involvement in and impact on communities stretches globally. Remaining at the forefront of university‐based research, education and service requires careful consideration of McGill's international activities and ways in which the University can strengthen its leadership in this area. The Office of the Provost created the Work Group on Service to the Global Community, which Dr. Brewer was asked to Chair, in order to identify McGill’s international service activities and to provide recommendations to assist the University in enhancing its international service leadership globally. As part of the Office of the Provost's mandate for the Work Group on Service to the Global Community, Global Health Programs led a survey over three months of McGill faculty members and non‐research administrative units involved in global projects and collaborations, or that provide service to the global community. Research assistants collected information from faculty members and staff identified by Department Chairs, School Directors, Faculty Deans, Work Group members and through research of faculty, departmental, divisional and individual web sites. Respondents provided information about their global initiatives, which was then recorded in a database. In total, 874 faculty members were contacted and 427 responded (49% response rate). Overall, the survey collected information on approximately 730 unique projects across the University. This map indicates the global distribution of projects collected by the inventory. Map of the Global Distribution of International Projects collected by the Work Group Inventory
Based on this informal survey and the group’s deliberations, the Work Group submitted a final report to the Office of the Provost that outlined a series of recommendations for how McGill might enhance international service efforts in a range of capacities throughout the University.
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E. MeetingsandKeyPartnerships As Director of Global Health Programs and an expert in the field of global health, Dr. Brewer is invited to speak at numerous engagements. In 2011‐12, Dr. Brewer spoke at the 9th Annual Western Regional International Health Conference in Seattle, Washington and at the NAFSA: Association of International Educators 64th Annual Conference & Expo, which welcomed over 8500 delegates and was held in Houston, Texas. Further, Dr. Brewer organized a Physicianship lecture for 1st year medical students at McGill University during which he conducted a videoconference and co‐presented along with Dr. Reginald Fils‐Aimé from the Zanmi Lasante (ZL) Sociomedical Complex in Cange, Haïti and Dr. Brian Remillard at Dartmouth‐Hitchcock Medical Center in Hanover, New Hampshire. Drs. Brewer, Fils‐Aimé, and Remillard discussed health service provision in low‐resource settings and the challenges of brain drain and shortages of health care professionals. Global Health Programs held and participated in a number of very exciting meetings during the 2011‐12 year in the pursuit of partnership development. These include:
Meeting with delegates from Ben Gurion University in Israel
Meeting with Geoffrey Anguyo of the Ugandan Kigezi Healthcare Foundation (KIHEFO)
Hosting the “Grandest Challenge” book launch along with Drs. Peter Singer and Abdallah Daar
Helping to facilitate a roundtable discussion with Dr. Vanessa Bradford Kerry, Director of the Global Public Policy and Social Change Program in the Department of Global Health and Social Medicine at Harvard University, along with the U.S. Consulate General in Montreal
Meeting with Jenny Samaan from the Association of American Medical Colleges (AAMC) Global Health Learning Opportunities service (GHLO)
Meeting with delegates from Shenzhen, China
Meeting with Dr. Theophile Hounhouedo of “La Vie Nouvelle” NGO Clinic in Benin
Presentation and discussion with members of the Montreal Children’s Hospital global health group
Videoconferencing with key stakeholders at An Najah University in Palestine
Meeting with Glen Shepherd of Health Partners International, Canada
Strategic planning session with the Department of Family Medicine regarding global health initiatives
Meeting with the McGill Faculty of Medicine Associate Deans of Undergraduate and Post‐Graduate Medical Education
Participating in the Association of Faculties of Medicine of Canada (AFMC) Global Health Interest Group (GHIG) meetings at the Canadian Conference on Medical Education (CCME)
Co‐facilitating the first meeting of the Canadian Global Health Initiative (CGHI)
Visit to Dartmouth College and Dartmouth‐Hitchcock Medical Center Global Health Programs actively pursues the development of partnerships with local, national and international institutions in order to pursue the goals of contributing to capacity‐building and global service provision, as well as building opportunities for the education and training of McGill faculty and students in areas of global health.
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FosteringtheDevelopmentofFutureGlobalHealthPractitioners
A. McGillUniversityUndergraduateMedicineTravelAwards McGill University offers a number of travel awards to medical students wishing to pursue a pre‐clinical or clinical rotation or a service‐learning experience in low‐resource settings in Canada and abroad. Each of these awards has distinct eligibility criteria, though they are all obtained via the same competitive application process. Students must complete an application form to apply, as well as provide their CV, a budget for their trip, and a short essay. Competitions occur twice per year in the spring and fall and all submissions are judged by a multi‐disciplinary selection committee. For more information please visit our website at: http://www.mcgill.ca/globalhealth/studentfunding/funding‐opportunities/medicine‐travel‐awards. Twelve awards were disbursed in 2011‐12, as outlined below.
OslerMedicalAidFoundation(OMAF)ScholarshipThe OMAF Scholarship was created by a group of medical students several decades ago to facilitate service‐learning and electives and rotations in low‐resource settings. The OMAF scholarship helps support students to pursue their global health interests with the understanding that students who gain an awareness and understanding of global health issues are more likely to approach issues of health inequities and work in underserved communities both in Canada and abroad. In 2011‐12, two scholarships of $1000 were awarded twice during the year, for a total of 4 scholarships disbursed. Fall 2011 Scholarship Recipients The OMAF Scholarship recipients in the fall of 2011 were Adrienne Boon and Milena Garofalo. During November and December 2011, Adrienne travelled to Addis Ababa, Ethiopia to complete a four‐week pediatric elective at Black Lion Hospital, the largest teaching hospital affiliated with Addis Ababa University. The hospital has limited resources however it receives referrals from throughout the country and has all major departments. According to Adrienne, “Children from all over the country come to Black Lion for treatment, and between three wards, a pediatric ICU, and a neonatal ICU with up to four babies per incubator, the pediatric teams look after about 140 patients. Malnutrition, tuberculosis, and pediatric cancers are routine
diagnoses, as are infections of every organ system: pericarditis, pneumonia, osteomyelitis, meningitis, AIDS, sepsis.”
Adrienne’s reflections on her elective:
There are no physicians in many rural regions,
and so families go to traditional healers, who
burn the skin in the painful area, and bring the
child to hospital only after she fails to improve.
Sometimes there are still effective treatments
to be had at that point, but sometimes all the
doctors can offer is palliative care. Some
families then choose to take the child home to
die, partly because they cannot afford the
expense of private transport to bring the body
back to their village for the important burial
rituals, and so prefer to take the inexpensive
public bus with a sick child. The challenges
facing Ethiopia remind me of how lucky we are
in Canada for the care we can provide, the
resources available, and the low incidence of
many diseases that are so often fatal in less
developed countries.
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Milena undertook a Family Medicine elective in Women’s Health at the Hospital Regional Ernesto Sequeiro Blanco (HRESB) in Bluefields, Nicaragua during November and December 2011. Milena conducted both clinical and surgical work in Bluefields, attending obstetrical/gynaecological rounds, helping to discharge patients, providing physical examinations as required, attending deliveries, and assisting with a number of surgeries, which allowed her to improve her suturing technique substantially. In Milena’s words:
Spring 2012 Scholarship Recipients Ariane Smith and Aileen Roman were selected as the spring 2012 recipients of the OMAF Award. Ariane’s elective will take place during June and August of 2012, therefore her report will be featured in the 2012‐13 Annual Report. Between May 8th and June 1st, 2012, Aileen Roman pursued a rural Family Medicine rotation at a clinic in Ollantaytambo, a town of approximately 1000 people in the middle of the Andes, which serves several mountain communities and towns along the Sacred Valley. Aileen worked with an organization called Sacred Valley Health ‐ Puesta de Salud that is dedicated to improving the health and wellbeing of citizens of the Sacred Valley through prevention, education and provision of medical care, with the ultimate goal of creating a sustainable health program for inhabitants of these communities. The clinic served mainly walk‐in patients, though also featured a small inpatient unit for those too sick to go home, yet not critical enough to be sent to the nearest city for treatment. Prevalent issues in this region included malnutrition, teen pregnancy, gastrointestinal disease, respiratory tract infections and soft tissue pathologies. In her post‐trip report, Aileen stated that “Working at the Centro de Salud was truly an eye‐opening experience, with regards to the medical practices in place and the perspectives Peruvian physicians hold. At this clinic I had the opportunity to see walk‐in patients, tend to inpatients, make house calls, and assist with deliveries. The patient demographic was quite varied, with a
More important than the clinical knowledge gained was the immense cultural and social experience that I was submerged in. Medicine is still disease‐centered rather than patient‐centered in Nicaragua, just as it was once here, many years ago. The patient hardly has any say at all about their management and not much is explained to them. This may be due to the fact that people are much less educated than in
Canada. Therefore, they tend to trust their physicians or local shamans with all the decision‐making with respect to their health. This was difficult for us to experience, initially. However, we came to realize that
in this population, this did not make patient care any worse, especially since when patients did ask questions or showed curiosity, things were explained to them… We were amazed at how much the
physicians relied on the clinical exam to manage the patients. Laboratory tests need to be chosen wisely, only in those in which it is really clinically indicated. I see now just how much we rely on lab tests to reach our diagnosis rather than the clinical exam. We take it for granted that we can afford all these tests and use
them sometimes unnecessarily, simply because we can.
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significant pediatric population. In addition to working at the Centro de Salud, I also had the opportunity to spend some time at a private clinic (Kausay Wasi) in the neighbouring town of Coya, which offers free health care to locals. The clinic receives teams of specialists every month from other parts of the world, which attracts a large variety of patients with interesting pathologies. It was also fascinating to see the stark contrast between the public system and a private clinic run by volunteers.” Aileen also took advantage of Ollanta’s strategic location between Cuzco and Machu Picchu to travel and hike during evenings and weekends as the Centro de Salud did not require students to do call.
TheMedicalClassof'65StudentBursaryThis bursary was created in May 2000 by Medicine alumni from 1965 in order to allow medical students to pursue research or clinical electives overseas. In the fall of 2011 this bursary was awarded to Sonali Srivastava and in spring 2012 it was awarded to Dimitrios Coutsinos. Dimitrios’ elective will take place in July 2012 therefore it will not be featured in this report. Sonali travelled to Innisfail, Australia in January and February of 2012 to complete a rural obstetrics/gynaecology rotation at the tertiary‐level Townsville Hospital, which is the main teaching hospital for the James Cook University medical school. Sonali described the hospital as small but well‐equipped and found that the rotation provided a great clinical experience. While on rotation, Sonali participated in rounds, followed designated patients on the wards, saw patients in the ER, shadowed in a Family Medicine clinic, attended births assisted by midwives, shadowed surgery and anesthesiology, and also completed a week‐long training session in Aboriginal Health.
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TheMedicalClassof'84StudentBursaryEstablished in 2010 by the Medicine Class of 1984 to commemorate their 25th reunion, this bursary was created to help support the travel and accommodation expenses of one or more senior medical students pursuing an elective overseas in a developing country. In 2011‐12, Justine Nagurney received the fall 2011 award and Alicia Cheong received the spring 2012 award. Alicia will be travelling to Nepal in the fall of 2012 therefore a report on her activities will be included in the 2012‐13 Annual Report. During most of the month of April in 2012, Justine completed a trauma surgery rotation at Chris Hani‐Baragwanath Hospital (Bara), which is the public hospital that serves the 1.3 million inhabitants of Soweto, a township in Johannesburg, South Africa. Justine described her time in Johannesburg as such: “Per the UN, South Africa has one of the highest violent crime rates in the world‐‐over 40 people are murdered each day. The ER at Bara is divided into a medical pit and a surgical pit. Trauma surgeons (and the students who work with them) resuscitate and manage patients in the surgical pit in addition to operating in the theaters. There are 16 resuscitation beds, 11 exam cubicles, and space for about 40 patients to be managed in the pit at once. On a busy day, they will all be full. The sheer volume of trauma coming through the doors makes Bara an unmatched place to train for anyone interested in trauma, emergency medicine, or surgery. The flip side is that the sheer volume of trauma exposes students to levels of violence some may be unfamiliar and/or uncomfortable with. Working at Bara is an intense experience. I had a great time, but it's important to be clear about what you're getting into.”
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TheAshworthStudentTravelAwardThe Ashworth Student Travel Award was established by M. Anthony Ashworth, MDCM 1961 and family to honour the late Dorothy and William Ashworth of Montreal. As a result of his many trips to the James Bay region, Dr. Ashworth believed that practicing with limited technology made the physician a better clinician. The award supports medical students conducting their elective clinical clerkship in remote regions in Canada or in a developing country. It is hoped that those who benefit from these awards make aid to underserved areas of the world a part of their future responsibility. In 2011‐12, the inaugural year of this award, the fall 2011 recipients were Tamara Glavinovic and Shama Cash‐Goldwasser, and the spring 2012 awardees were Mathieu Hylands and Megan Delisle. Mathieu and Megan’s rotations will take place during the summer of 2012 and will be featured in the 2012‐13 Annual Report.
In the middle of the winter of 2012, in January and February, Tamara ventured up to Whitehorse in the Yukon Territory to complete a Family Medicine elective at the Whitehorse General Hospital and Yukon Medical Centre. The Whitehorse General Hospital is the primary acute care centre for the Yukon Territory consisting of 49 beds, receiving medevacs from Watson Lake, Dawson City, and all smaller communities within the territory. The hospital is run by family practitioners, although there are a small number of surgeons, an anesthetist, as well as specialists who come in to Whitehorse as locums.
Tamara spent the majority of her time doing shift work in the Emergency room, with approximately 2 days per week spent in the clinic at the Yukon Medical Centre. She was attracted to this opportunity because it offered her a chance to learn about and experience Northern medicine and Indigenous health issues. Throughout the month Tamara travelled to remote communities, which provided her with invaluable exposure to rural medicine in the far North. In Tamara’s own words, “The primary health conditions that I will encounter on this rotation are invariably different than those seen in Montreal. While I will see patients with diabetes, as I would here at McGill, what will be unique are the very different social circumstances from which these health issues arise. First Nations have unique social challenges, poverty, alcoholism and health problems that are present in very different proportions and in a very different context than in a city setting such as Montreal. In addition, the approaches to these problems, both by members of the community and by physicians, differ greatly.” While Tamara went north, Shama travelled south for her elective, spending one month during November and December of 2011 at the Jinja Regional Referral Hospital in Jinja, Uganda. According to Shama, Jinja Referral Hospital struggles with a marked scarcity of resources despite being a major hospital center in Eastern Uganda. In Jinja, Shama worked under the auspices of a research team from the University of Toronto, as well as the Ugandan doctors at the hospital. She observed and assisted clinical care of inpatients and
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outpatients, allowing her to learn about a wide variety of tropical infectious diseases, such as measles, cryptococcus, tetanus, schistosomiasis and numerous malaria cases. Shama was impressed during her time at the hospital by the ability of nurses and doctors to use “unbelievably limited resources to treat everything from the simplest superficial infections to complicated congenital heart disease cases”. During her time in Uganda, Shama also assisted a University of Toronto clinical trial of inhaled nitric oxide as adjunctive therapy for cerebral malaria, which she describes as a devastating complication of malaria that occurs most frequently in children. Of her experience, she wrote, “It was an emotionally challenging environment that required student initiative, fortitude and cross‐cultural sensitivity.”
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B. 2011‐12AnnualGlobalHealthNight Each year, Global Health Programs hosts an event that brings together McGill students, student organizations, faculty, staff and members of the public to explore important global health issues, foster exchange and collaboration among interested stakeholders at McGill University, and provide students with a forum to showcase their global health activities. The fifth annual McGill Global Health Night, held on March 8th, 2012, featured an enlightening presentation by Dr. Joanne Liu, the evening’s guest speaker. Dr. Liu is the former President of the Board of Directors of Médecins sans Frontières (MSF)‐Canada. She has been working with MSF since 1996 and also works at Ste‐Justine Hospital and the CHUM Travel Health Clinic. In 2011, she received an Alumni Award from McGill for Community Service and a Woman of Distinction ‐ Community Involvement Award from the YWCA of Montreal. Dr. Liu’s guest lecture was followed by a wine and cheese reception during which students held poster presentations about a range of initiatives – from medical electives and student research projects to student journals and service‐oriented global health student groups at McGill (see side bar). The evening also included the announcement of the Global Health Programs Photography Competition winner, the Faculty of Medicine’s Chan Prize winner, as well as the Global Health Night Poster Prize winners. Poster Prize winners included Hélène Retrouvey, Daniel Jones, the Comparative Healthcare Systems Program, and the Montreal WHO Simulation. Global Health Night 2011‐12 was well attended with approximately 100 guests and was host to a lively exchange among students and faculty involved in global health.
Global Health Night 2011‐12
Poster Presentations
Benan Berhan ‐ Cambodia
Adrienne Boon – Inuvik, NWT
Estelle Chétrit – Israel
Caitlin Collins – India
Milena Garofalo – Nicaragua
Niall Filewod – East Africa
Lauren Hamlin‐Douglas – Rwanda
Daniel Jones – Ottawa, Canada
Samantha Liauw – Indonesia
Joshua Ng – South Africa &
Madagascar
Kirsten Niles – Ghana
Hélène Retrouvey – Peru
Mélissa Roy – Ecuador
Julian Xue – Belize
The Prognosis Journal
Comparative Healthcare
Systems Program
McGill International
Health Initiative
MEDLIFE McGill
McGill South America
Health Initiative
McGill Students for
Neglected Tropical Diseases
McGill Students for
Save a Child’s Heart
Health on Earth Radio
Dignitas McGill
McGill Interprofessional
Global Health Course
Montreal WHO Simulation
Universities Allied for
Essential Medicines
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The Global Health Programs Images that Inspire Photography Competition The annual Global Health Programs Photography Competition is open to McGill students who have participated in a global health‐related field study, elective or volunteer experience. Students may submit up to 3 photos with an accompanying caption. Submissions are judged by a selection committee and the winning photo receives a cash prize of $75. All submissions are published on the Global Health Programs website and are featured at the Annual Global Health Night. The 2011‐12 Images that Inspire Photography Competition winner was Sally Lin, a fourth year Anthropology and Psychology student who conducted a summer internship in 2011 in Chennai, India with the local NGO AID India. Sally worked with AID India’s Arogyam health team, assisting at a dental camp and with conducting field surveys on the dietary patterns of rural children. The caption for Sally’s photo is: “A community health worker for AID India conducting a 24‐hour dietary survey with a mother in rural Tamil Nadu, India.”
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C. TheDr.YukChanMaandDr.YuenKokChanPrizeinMulticulturalandInternationalMedicine
The Dr. Yuk Chan Ma and Dr. Yuen Kok Chan Prize in Multicultural and International Medicine, in the amount of $1000, is awarded annually by the Faculty of Medicine Global Health Scholarship Committee to a medical student who participates in an elective, research project or community service program of at least four weeks who best demonstrates an understanding of the contribution of social and cultural factors to health. More information is available at http://www.mcgill.ca/globalhealth/students/funding‐opportunities/chan‐prize . Applicants to the Chan Prize are required to present a poster about their rotation or elective experience at the annual Global Health Night.
Dr. Alice Chan‐Yip, MDCM is a graduate of the McGill Faculty of Medicine whose career has been marked by a strong commitment to multicultural and international medicine. Having recognized the importance of cultural factors influencing the practice of medicine, she developed community research and health promotional projects in the Montreal Chinese Community, and collaborated with colleagues to develop the Multicultural Program at the Montreal Children’s Hospital which was established in 1986. She was the 2005 recipient of the inaugural Noni MacDonald Award by the Canadian Paediatric Society for her review article: “Health Promotion and Research in the Chinese Community in Montreal: A Model of Culturally Appropriate Health Care.” Through the endowment of the Chan Prize, is it Dr. Chan‐Yip's wish to promote the teaching of
cross‐cultural medicine among medical students at McGill University. Niall Filewod was selected as the 2011‐12 recipient of the Chan Prize, from a pool of 15 applicants. Niall spent his Family Medicine rotation in East Africa, travelling to Tanzania and Kenya for two months in the winter of 2011. In his application, Niall articulates how his experience abroad "resulted in a far‐ranging adventure that profoundly changed [his] understanding of how social, cultural, and economic problems underpin illness and disease". While working in Moshi, Tanzania in a mobile clinic, Niall reflected on the lessons he learned about the sustainability of healthcare missions, as well as about linguistic and cultural aspects of healthcare provision. In Nairobi, Kenya, his experiences working in a sexual health clinic provided an invaluable experience of working with marginalized populations as well as learning about the politics of sex work. Finally, at a district hospital in Siaya, western Kenya, Niall gained first‐hand knowledge of infectious diseases, as well as more subtle influences on health, such as "how tribal politics inform health‐care delivery, and how cultural conflicts conflate health‐care challenges".
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D. TheEmoryUniversityGlobalHealthCaseCompetition For the first time since the program began in 2009, McGill University took part in the Emory University Global Health Case Competition in 2011‐12. The Global Health Case Competition is a unique event in which 20 interdisciplinary groups of students from across the US, Canada, the UK, Mexico, and Colombia are presented with a case reflecting a real‐life global health issue and have one week to put together a presentation outlining how this case should be addressed. For full details see the website: www.globalhealth.emory.edu/fundingOpportunities/casecompetition.php. In order to choose the team of students who would represent McGill in Atlanta, Global Health Programs organized a mini case competition in February 2012. During the last week of March 2012, the successful team travelled to Emory University to participate in the 4th annual Emory Global Health Case Competition. The multidisciplinary team was composed of students from various faculties and departments at McGill including Ross Duncan (Honours Economics, U3), Chihab El Khachab (Anthropology, U3), Sajjid Hossain (Medicine, Med‐2), Theresa Lee (Biomedical Sciences and International Development Studies, U3), Mary Lu (Medicine, Med‐2), and Dave Marshall (Honours Political Science and International Development Studies, U3). The official case for the competition was released on March 26th. For 6 days, the students tackled the multifaceted challenge presented by the fictional case: teams were to advise CanAID, a fictional Canadian development agency synonymous with CIDA, with a plan to improve health in Sri Lanka. The team flew to Atlanta on March 29th to finalize their solution to the case, approaching the multitude of factors and problems with a sound, politically feasible action plan and wrapping it up into a 15‐minute presentation. The intensive week of competition, coupled with a visit to the CDC organized by Emory, and various networking opportunities during their time in Atlanta, was an enlightening and unforgettable learning experience for these McGill students.
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E. GlobalHealthEducationandResources In the emerging field of global health, there is a dearth of guidelines and standardization of pedagogical principles, core competencies, and academic resources. Global Health Programs plays a leadership role in the development of discourse and standards regarding global health education at McGill, in Canada, and abroad. During the past year at McGill University, Dr. Brewer participated in the review of undergraduate medical curriculum, contributing a map for global health content that will increase first year medical students’ exposure to issues related to global health from 1 hour in the previous curriculum to 12 hours within the new model. In this effort, Dr. Brewer was informed by the AFMC‐GHEC Global Health Essential Core Competencies for Medical Education. Global Health Programs met with medical students in December 2011 in an effort to garner their input and keep them informed of this process. Moreover, prompted by student interest, Global Health Programs is currently developing a proposal for a global health concentration program that would permit interested students to study global health issues in further depth and receive academic recognition for their efforts. Further, in 2011‐12, Global Health Programs undertook a project to expand and improve its Student Reports database, which serves as a resource for medical students wishing to conduct an elective or rotation in a low‐resource setting. Students who have completed such an experience are able to fill out a report for the database detailing their experiences and recommendations for future students. This database is now linked to a Google‐powered map to improve its usability and make it more accessible to students. More broadly, Global Health Programs continues to contribute to the development of the academic discourse regarding global health education, advising various stakeholders and participating in research projects regarding international medical electives, the history of global health education, and educational objectives in global health. One product of those efforts was the February 2012 publication of an article about pre‐departure training entitled “Are we there yet? Preparing Medical Students for Global Health Electives”.
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SupportforTrainingandAdvocacyInitiativesforGlobalHealth
A. TheHumanitarianStudiesInitiative Established in 2009 by Drs. Kirsten Johnson and Alison Doucet, the McGill Humanitarian Studies Initiative (HSI) is a multi‐disciplinary program which provides medical residents, graduate students and mid‐career professionals with comprehensive competency‐based training in humanitarian issues, as well as the methodologies, professionalism and essential skills that best prepare them to work in the field. Humanitarian Studies is a new discipline that addresses the question of how to improve the health and well‐being of people affected by violent conflict and widespread human rights abuses. The Humanitarian Studies Initiative is a unique collaboration between two of the world’s top academic establishments, McGill University in Montreal and Harvard University in Boston, and is the only course in Canada that certifies professionals in humanitarian studies. HSI program faculty are leading authorities in the evolving field of humanitarian studies, each bringing specialized areas of expertise from world‐renowned institutions such as McGill, Harvard, Tufts and MIT. Faculty members’ experience in the field, combined with the link to field work provided by the program, provides essential real‐world training for learners. In 2011‐12 there were 28 students who participated in the HSI course (http://hsi.mcgill.ca/students/). McGill Global Health Programs provides annual support to HSI. The Humanitarian Studies Initiative undertook a new project in 2011‐12 in collaboration with the Doctor Hawa Abdi Foundation (DHAF) (http://www.dhaf.org/). In July 2011, HSI held a meeting for the Somaliland Training Project in Montreal involving Dr. Hawa Abdi, her daughter Dr. Deqo Mohamed, and key stakeholders from McGill University including Dr. Kirsten Johnson, co‐Founder and Director of HSI, Dr. Tim Brewer, and Drs. Razek and Deckelbaum of the Centre for Global Surgery. Drs. Abdi and Mohamed provided an overview of the needs and resources available in Somalia and the group discussed a vision for a new training program based on what HSI offers. A series of recommendations were outlined and the group identified next steps for moving forward. HSI also held a workshop at the 2011 Global Health Conference in Montreal and a one‐day satellite training session following the conference. The course, entitled “Humanitarian Studies: Curriculum Design and Program Development”, aimed to provide the knowledge and tools necessary to integrate humanitarian content into university courses, effectively teach this material to students, and organize disaster simulations and field placements. The course featured international experts in this area, including Dr. Peter Walker, Director of the Feinstein International Center at Tufts University; Dr. Kirsten Johnson, Director of HSI at McGill; and Dr. Michael VanRooyen, Director of the Harvard Humanitarian Initiative. Further information about HSI, their training programs, research projects, field sites and other initiatives are available on their website at: http://hsi.mcgill.ca/.
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B. McGill/AddisAbabaUniversityJointInfectiousDiseasesTrainingFellowship
Led by Dr. Makeda Semret, the McGill/Addis Ababa University (AAU) Infectious Diseases Training Fellowship program has been in place since 2009. Working with colleagues at AAU, Dr. Semret, a McGill infectious diseases physician and microbiologist, has created the first post‐graduate infectious diseases training program in Ethiopia. This project, which included curriculum development and coordination of faculty across multiple US and Canadian partner sites, is now in its fourth year. Associate Dean for Medical Education Dr. Joyce Pickering and Infectious Diseases Division Chief Dr. Michael Libman have traveled to Addis Ababa to provide on‐site training, in addition to Drs. Semret and Brewer. This McGill‐initiated multi‐institutional educational program addresses a fundamental Ethiopian health manpower crisis. Infectious diseases remain the leading cause of mortality in Ethiopia, a country of approximately 88 million people. Despite the tremendous burden of morbidity and mortality caused by infectious diseases, in 2010 there were only 2 physicians trained in infectious diseases in the entire country. In contrast, a single large Montreal hospital might have 10‐15 infectious disease experts on staff. The first cohort of trainees completed their training and became qualified Infectious Diseases specialists in 2011. Subsequently, they have become faculty members at AAU and have doubled the number of infectious disease specialists in the country. Together with international faculty from Canada and the US, they will also become trainers for future ID specialists. In the fall of 2011, Dr. Semret received the inaugural Faculty of Medicine Haile T. Debas Prize. Established in 2010, the Haile T. Debas prize promotes equitable diversity at all levels in the Faculty of Medicine and recognizes a Faculty member(s) of any gender or ethnicity who helps promote diversity; which could be by acting as role model(s), mentor(s), or by implementing new policies so as to increase underrepresented minorities in undergraduate or postgraduate training, faculty recruitment, retention and/or promotion.
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C. GlobalHealthProgramsFundingforStudentInitiatives Every year at McGill, student leaders emerge who dedicate their time, energy and knowledge to advocacy efforts in order to raise awareness among their peers and make a contribution to a range of global health issues. Global Health Programs aims to facilitate the efforts of these students by providing faculty and administrative support, as well as direct funding on a competitive basis via the Global Health Fund for Student Initiatives. Each year student organizations and individuals are invited to submit applications twice per year in the fall and spring. Global Health Programs received 10 applications in 2011‐12, of which 9 were funded. Details of the activities that were supported by the Global Health Fund are found in this section. Further information about the application process and related deadlines can be found on the McGill Global Health Programs website: http://www.mcgill.ca/globalhealth/students/funding‐opportunities.
McGillInterprofessionalGlobalHealthCourse The McGill Interprofessional Global Health Course is a student‐led initiative that started in 2007. It was motivated by a desire to improve and expand global health content in the health professional students' curriculum. A partnership gradually evolved between students from all fields within the Faculty of Medicine, including medicine, nursing, physiotherapy, occupational therapy, dentistry and speech and language pathology. Membership and faculty support are offered by the Department of Family Medicine, the Faculty of Dentistry and the School of Nursing. Course Objectives include:
1. To increase students’ awareness of global health and the factors that influence health outcomes, including social determinants of health, global burden of disease and socio‐political forces.
2. To foster interprofessional relationships for students in health sciences.
3. To connect students with health professionals for career modeling and mentorship.
4. To provide a better understanding of the role of community and global health resources.
The course is presented as a not‐for‐credit, optional, evening lecture series which includes small group exercises and case scenarios that follow a problem‐based learning approach. It occurs annually from January to March with varying topics. From January to March 2012, 96 students from Medicine, Nursing, Dentistry, Epidemiology, OT/PT, Social Work, and undergraduate studies in Science took part in the course.
Course Topics
Current State of Global Health
Global Burden of Disease
Maternal and Child Health
Mental Health
Global Health Ethics
Comparing Healthcare Systems
Corruption in the Context
of Global Health
Disability and Nutrition
Aboriginal Health
Global Health Policy
Social Burden of Disease
Sexual Health in Global Health
Global Health in Action
Environment, Migration
and Health
Emergency Preparedness
Creating Partnerships in
Community Health
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McGillInternationalHealthInitiative(MIHI)/IFMSA‐QCStandingCommitteeonGlobalHealth(SCOGH) The McGill International Health Initiative (MIHI)/IFMSA‐QC Standing Committee on Global Health (SCOGH) is a medical student organization that aims to contribute to global health through awareness‐raising initiatives among its peers, as well as providing direct service via a range of projects. In 2011‐12, the events and projects that MIHI‐SCOGH organized included:
A welcome night at the beginning of the year that was attended by approximately 55 people
The IFMSA‐Québec National Congress where they received training and had the opportunity to discuss priorities for the year with students from similar committees at Québec universities
The Medical Students Society Roundtable event
A roundtable discussion with Dr. Vanessa Bradford Kerry, Director of the Global Public Policy and Social Change Program in the Department of Global Health and Social Medicine at Harvard University, which was organized as a satellite session to the 2011 Global Health Conference
Advocacy workshops
The annual Holiday Initiative, during which the medical school classes compete to see who can donate the most goods for charity during the holiday season. This year the donations were sent to L’Oasis de Saint‐Laurent.
An International Day of Zero Tolerance to Female Genital Mutilation documentary film screening
The Annual McGill Global Health Night, at which MIHI‐SCOGH presented a poster, in addition to having helped with planning
A delegation of 12 McGill medical students to the Unite for Sight Global Health and Innovations Conference at Yale University
Fundraising for the OMAF Scholarship, which was established by the antecedent organization to MIHI‐SCOGH, the Osler Medical Aid Foundation. Each year the OMAF Scholarship is awarded on a competitive basis to medical students pursuing a pre‐clinical or clinical rotation or elective in a low‐resource setting in Canada or abroad. Further details about the award and its recipients can be found in the Travel Awards section of this Report.
A bi‐monthly newsletter, which reaches over 400 individuals and is sent as far as Kenya, Cambodia and Turkey
A book donation program in which over 65 books were sent to Haiti and Ethiopia
Volunteer translation for medical education lectures delivered to physicians in Haiti as part of a weekly videoconference lecture series organized by McGill Global Health Programs, Dartmouth College, and the Haiti Medical Education Project
Partnership with Medical Students for Haiti (MS4H), a student‐led organization that supports medical education efforts for Haitian medical students
In 2011‐12, members of the MIHI‐SCOGH Executive included Laurence Bernard, Fabienne Djandji, Olivier Gagné, Danielle Godin, Laura Habib, Victoria Korsos, Lucy Manchester, Hélène Retrouvey, Amanda Schachter, and Mira Zein.
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Montreal World Health Organization Simulation (MonWHO)
The Montreal World Health Organization Simulation (MonWHO) is a 3‐day conference hosted in Montreal that brings together students from a wide range of disciplines to discuss global health issues. The goal is to acquaint students with the role of the WHO while providing them an opportunity to play a proactive role in global health policy. Participants assume a role – that of a country’s ambassador to the WHO, a non‐governmental organization representative, a pharmaceutical representative, or a journalist – and work with their peers in a simulated session of the WHO to develop resolution papers that address a particular global health theme, which varies every year. In the past, these resolutions have not only been brought to the attention of the WHO but have been adopted by global‐health minded student organizations. MonWHO’s founder recognized the importance of developing inter‐professional relationships in order to develop a deeper understanding of health and more sustainable solutions to its problems and the organizers are very proud to welcome students from all educational backgrounds to the conference. The theme of the 2012 MonWHO was Refugee Health. The conference took place over the weekend of March 23‐25 at the New Residence Hotel in downtown Montreal. The event welcomed 114 delegates from 10 different cities, 16 different universities and over 40 different academic programs. Speakers included Dr. Janet Cleveland (PhD, LL.L), Canada Research Chair on International Migration Law, University of Montreal; Dr. Nicole Ives (PhD), Researcher and Professor in the School of Social Work, McGill University; Dr. Chris Greenaway (MD, MSc), Associate Member of the Department of Epidemiology and Biostatistics, McGill University; and Dr. Cecile Rousseau (MD) Professor of Psychiatry, McGill University. This year MonWHO resulted in 4 resolutions which were passed and are available on their website (http://monwho.org/charter‐on‐refugeehealth/). Further, MonWHO has begun to work with IFMSA International and the leaders of the two sister WHO simulations (OmWHO in Ontario and EuWHO in London, England) in order to develop WHO simulations internationally. Since its inception in 2007, MonWHO has been closely linked with medical students and faculty members in its mission to promote interest in global health. Furthermore, it is a chance for participants to appreciate and explore the complex political, social, and economic determinants that underlie health care delivery and health outcomes. Through this annual conference, the MonWHO coordinators aim to inspire future leaders, including medical professionals, to tackle the complex issues that affect equity in health. For more information about MonWHO, please visit their website at http://monwho.org/.
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IFMSA‐QC Global Health Colloquium
Held annually for the past four years by the IFMSA‐Quebec student organization, the Global Health Colloquium brings together students from all four medical schools in Quebec and members of the public for a weekend of information and awareness‐raising on major issues of global health. Through panel sessions and workshops, participants will be asked to reflect on and discuss these issues and to recognize the role they can play as health professionals. With the theme ‘‘7 billion…and healthy?’’, the 2012 conference challenged the audience to consider the issues facing the practice of global medicine considering the ever‐expanding world population and the current state of health and burden of disease. The fourth annual IFMSA‐Quebec Global Health Colloquium was held March 24th and 25th and welcomed 136 participants. The number of participants rose significantly in 2012, likely due to an expansion of promotional efforts. The colloquium represents a collaborative effort of all IFMSA‐QC standing committees, ensuring that the program addresses not only global health issues, but also pertains to public health, reproductive health and human rights.
ColloquiumSpeakers
Dr.FrançoisReeves Dr.Pierre‐PaulTellier Mr.ÉtienneRenaud‐Roy Mrs.AnoukBrière Dr.MatthewHunt Dr.SamuelHarper Mrs.EricaPomerance Dr.JuanCarlosChirgwin Dr.AlainVadeboncoeur Mr.PhilippeBlackburn Dr.RichardLessard Mr.MichelVenne Dr.AnuragBhargava Dr.Marie‐ÈveMorin Mr.MathieuSimard Mrs.ÉmilieRobert Dr.RichardLessard
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ComparativeHealthcareSystemsProgram In its third year in existence, CHSP widely expanded its activities in 2011‐12. In addition to organizing the third edition of the Taiwan Exchange Program, the CHSP organized a series of new activities in pursuit of raising awareness of comparative health policy. These included a global health lecture series (in collaboration with MIHI‐SCOGH), the CHSP Annual Conference, and the Montreal Program (organized visits to healthcare centres around Montreal for participants in the Taiwan Exchange Program). These new activities were successful in creating greater opportunities for McGill students and staff to participate in CHSP activities. Further, CHSP hosted two radio shows for the Health on Earth series on CKUT and was awarded a Poster Award at the McGill Annual Global Health Night. In line with its mission of comparing and contrasting different health care systems in order to improve the Canadian one, CHSP organized its third public health exchange to Taiwan in 2011‐12. Ten highly motivated students were selected through a competitive process and had the unique opportunity to travel to Taiwan in order to study the contributing factors that have led to the successes of the Taiwanese healthcare system. The trip was organized in collaboration with Kao Hsiung University of Medicine and the Kao Hsiung Ministry of Health and featured presentations by field‐experts on a variety of topics.
3rdAnnualMcGillStudentColloquiumonHealthandLawFollow‐upPanel In order to provide a venue to further explore the issues raised during the 3rd Annual McGill Student Colloquium on Health and Law, which was held on March 27th, 2011, the organizing committee held a follow‐up panel on October 28th, 2011. The event was entitled “Disability and Reproduction in the Age of Reprogenetics: Complex Rights and Choices (Follow up panel to the 3rd Annual Student MJLH Colloquium)” and featured presentations from Dr. Roxanne Mykitiuk, Associate Professor of Law at Osgoode Hall Law School, and Dr. Jeff Nisker, Coordinator of Health Ethics and Humanities, and Professor of Obstetrics‐Gynaecology and Oncology at the Schulich School of Medicine & Dentistry, University of Western Ontario (UWO), as well as a discussion moderated by Dr. Abby Lippman, Professor in the Department of Epidemiology, Biostatistics, and Occupational Health at McGill University.
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4thAnnualMcGillStudentColloquiumonHealthandLaw The McGill Student Colloquium on Health and Law is organized annually by the McGill Journal of Law and Health (MJLH), with the vision of creating a space for the connection of ideas, minds and disciplines. The McGill Journal of Law and Health (MJLH) is a peer‐reviewed academic journal featuring literature from renowned academics and practitioners on current issues of law and policy relating to health. Publishing annually since 2007 on topics ranging from medical practice and technology, to intellectual property and medical ethics, the MJLH is a bilingual, student‐run venture based at the Faculty of Law of McGill University, and operates within an interdisciplinary and trans‐systemic framework of legal scholarship. The broadness of the term “health” is reflected in the many faculties, schools and institutes at McGill who work towards the common goal of improving the state of health in our communities, but often do so in isolation from one another. This student initiative aims to provide an opportunity to stimulate and promote the exchange of ideas by creating a space where students from these groups within McGill can share their knowledge and experience, but most importantly, shed light on what is problematic and what is promising from their perspective. It is in this spirit of inter‐disciplinary exchange that we are continuing this student initiative. The MJLH's 4th Annual Student Colloquium entitled "Insight on Insite: The Evolution of Canada's Drug Treatment Policy" held on March 10th, 2012 featured lawyers, health care providers, academics, politicians, community workers and law enforcement representatives. The 2012 colloquium critically explored several issues, including: the potential for harm reduction models of health care in the context of addiction; what the Insite decision by the Supreme Court of Canada means for other safe‐injection site initiatives; and what activities are currently ongoing in Montreal to address issues associated with injection drug use. With the Supreme Court of Canada's landmark decision, and as stakeholders brace for the impact of Harper's Omnibus Crime Bill on preexisting drug treatment strategies, the Colloquium was a timely survey of the complex economic, legal, social, and medical issues at the nexus of drug use harm reduction initiatives. The event welcomed over 70 participants from McGill and Concordia University, representing primarily 5 faculties: undergraduate science, law, medicine, social work, and undergraduate arts.
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McGillSurgicalGlobalHealthConference The first edition of the McGill Surgical Global Health Conference took place on May 12, 2012. The result of a collaborative effort by medical students and surgeons from the McGill University Health Centre, the aim of this conference was to provide a forum for discussion about the different challenges and approaches to the field of surgical global health. This event featured a total of seven presentations from various global health practitioners working in the fields of pediatric surgery, anesthesiology, general surgery, urology, pathology, cardiology and trauma. A panel discussion followed, providing students and physicians with an opportunity to debate the role of healthcare trainees in global health and to discuss the inequalities found in “North‐South” partnerships. Conference participants then had the chance to listen to an inspiring yet humbling keynote presentation on disaster response by Dr. Hossam Elsharkawi, the Director for International Emergencies and Recovery at the Canadian Red Cross. The conference was attended by a total of 102 participants, 96 of whom were students. 77 of these students attended medical school (mostly McGill University, with 9 students from University of Montreal or University of Sherbrooke). Also in attendance were 19 students from the fields of nursing, physical
therapy, occupational therapy, and other undergraduate departments, including the Faculty of Arts. Of the six non‐student participants, two were surgeons (vascular and general surgery), three were residents (urology, orthopedics and general surgery) and one was a CSSS director of nursing care. Feedback from participants was overwhelmingly positive. Goals for next year’s iteration of this event include having greater participation from healthcare disciplines besides medicine and from other universities, giving the opportunity for student presentations, and increasing the number of speakers coming from low‐ or middle‐income countries.
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3rdAnnualPre‐DepartureTraininginCulturalCompetencyinAboriginalHealth The Cultural Competency in Aboriginal Health Pre‐Departure Training workshop is aimed towards medical and nursing students planning to do research or clinical rotations in Aboriginal communities in Canada. Med‐2 students organizing Northern rotations next year, and any students doing SARROS internships this summer, were especially encouraged to participate. The workshop was open to anyone interested in attending. It was jointly organized by students from McGill medicine, McGill nursing and University of Montreal medicine, with a total planning committee of about 10 people. Through plenary‐style and small‐group discussion sessions, participants covered topics such as: how to prepare for your trip; how to form strong alliances with Aboriginal patients; the student's role in the community while visiting as a clinical trainee; and how to address issues of suicide, mental health, domestic abuse, and resource shortages in remote communities. Participants heard the perspectives of a variety of facilitators including physicians, community members, and students. Further, a reading package was provided with registration which included background articles, educational materials, and tools to use while away on the rotation. Also prepared by the organizers were additional readings which were shared with participants via a Dropbox folder. The training session featured 14 speakers and included a total of 75 participants from the Faculties of Medicine, Nursing and Occupational Therapy at McGill, from the Faculty of Medicine at the University of Montreal, as well as from Lund University, Laval University, and staff of the McGill Faculty of Medicine. The conference was well received by the students who attended. There was a diverse mix of students from different backgrounds and lively discussion in the sessions. In the future the organizing committee may consider making the training session a full day event on a weekend, or spreading the content over multiple evening sessions as many students felt that either the small group sessions or the full group sessions were not long enough to fully explore the large topics that the group had hoped to cover.
Members of the Workshop Organizing Committee.
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GlobalHealthProgramsatMcGill:FutureDirections Building on the long, storied tradition of international health at McGill, McGill Global Health Programs was conceived in 2005 to contribute to local and international capacity‐building for global health in a sustainable and ethical manner. Since its inception, GHP has become recognized throughout Canada and North America as a leader in global health educational innovation. GHP’s accomplishments include the first national survey of medical school global health programs, the development of consensus‐based US/Canadian guidelines for medical school core competencies in global health, Canadian consensus guidelines on pre‐departure training for medical students participating in international electives, and in 2011‐12 hosting the largest global health meeting in Canada with approximately 1,400 participants from 62 countries. In addition to the 2011 Global Health Conference, the past year was witness to a number of considerable achievements in the growth of collaborations between Global Health Programs and a number of institutions around the world for capacity‐building in the areas of medical education, the creation of training programs, the promotion of academic discourse for global health pedagogy, and the establishment of global service provision opportunities for McGill faculty and students. In 2012‐13, Global Health Programs is committed to building on previous successes and further pursuing the goal of better health for all by developing partnerships and collaboration for capacity‐building, supporting ongoing and emerging faculty initiatives for global health, facilitating student interest and innovations in advocacy and service provision, and increasing training opportunities and educational developments in this field. In pursuit of its aim to serve as a resource for the expansion of global health activities at McGill and the harnessing of McGill’s potential as a leader in this field, GHP will work with key stakeholders at McGill and beyond to continually expand contributions through innovations in research, education, training, and service.
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AppendixA
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AppendixB
CMEVideoconferenceLectureSeriesforHaitianHealthProfessionals
Date Topic FacultyName AcademicAffiliationApril 7, 2011 Acute Renal Failure Dr. Brian Remillard Dartmouth Medical School
May 4, 2011 Urinalysis Dr. Martin Sedlacek Dartmouth Medical School
May 18, 2011 Reading the Literature: Clinical Epidemiology Workshop
Dr. Galit Sacajiu Haiti Medical Education Project, Albert Einstein College of Medicine
May 24, 2011 Orthopedic Issues & Case Discussion Dr. Marc Rambaud Sens Hospital in France
June 8, 2011 Hypertension Dr. Brian Remillard Dartmouth Medical School
June 14, 2011 Attention Deficit Hyperactivity Disorder (ADHD)
Dr. Katlyne Lubin Albert Einstein College of Medicine
June 21, 2011 Malaria Dr. Selim Rashed Université de Montréal, McGill University Centre for Tropical Diseases
June 29, 2011 Pharmacoresistance to HIV Dr. Mark Wainberg McGill University AIDS Centre, Lady Davis Institute for Medical Research
July 6, 2011 Cognitive disorders associated with HIV infection and their impact on the treatment of HIV
Dr. Marie‐Josée Brouillette
McGill University Health Centre (MUHC)
July 13, 2011 Topics in Critical Appraisal of Medical Literature
Dr. Galit Sacajiu Haiti Medical Education Project, Albert Einstein College of Medicine
July 20, 2011 Pediatric UTI ‐ Diagnosis, Management and Prognosis
Dr. Robert Sternszus McGill University, Montreal Children's Hospital
August 3, 2011 Pain Management Dr. Alison Doucet McGill University, Montreal Chest Institute
August 10, 2011 Thyroid Disease Dr. David Morris McGill University, Quebec Endocrine Association
August 17, 2011 Hypertension ‐ Risk Factors, Screening, Investigations
Dr. Juan Carlos Chirgwin McGill University, CLSC CDN
August 24, 2011 Asthma: Guidelines for Diagnosis and Therapy
Dr. Ronald Olivenstein McGill University, Montreal Chest Institute
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September 7, 2011 Common Neonatal Brain Injuries Dr. Pia Wintermark McGill University, Montreal Children's Hospital
September 14, 2011 Acute Kidney Injury Dr. Michelle Elizov McGill University
September 21, 2011 Management of Type II Diabetes Dr. Kaberi Dasgupta McGill University
September 28, 2011 Giardiasis and Amebiasis Dr. Selim Rashed Université de Montréal, McGill University Centre for Tropical Diseases
October 5, 2011 Mental Health post‐Emergency/Natural Disaster
Dr. Marc Laporta McGill University
October 12, 2011 Abdominal Emergencies with Ultrasound Dr. Robert Harris Dartmouth Medical School
October 19, 2011 Hypertension ‐ Therapy Dr. Juan Carlos Chirgwin McGill University, CLSC CDN
October 26, 2011 Giardiasis and Filariasis Dr. Selim Rashed Université de Montréal, McGill University Centre for Tropical Diseases
November 2, 2011 Dysnatrémies et dyskaliémies : approche pratique
Dr. Serge Quérin Université de Montréal
November 9, 2011 Anemia Dr. Cruff Renard Montefiore Medical Center
November 16, 2011 Acute Meningitis Dr. Makeda Semret McGill University
November 23, 2011 HIV PEP / PreP Dr. Jodie Dionne‐Odom Dartmouth Medical School
November 30, 2011 Management of a newborn with hypoxic‐ischemic encephalopathy
Dr. Pia Wintermark McGill University, Montreal Children's Hospital
December 14, 2011 Clinical Approach to the Adolescent Patient
Dr. Alan Pavilanis McGill University
December 21, 2011 "Autistic Spectrum Disorder": Identification and Management
Dr. Harris Huberman SUNY Downstate Medical Center
January 11, 2012 Cellulitis Dr. Timothy Brewer (translation by Mrs. Françoise Righini)
McGill University
November 18, 2012 Diabetes in Pregnancy Dr. David Morris McGill University
November 25, 2012 STIs ‐ Gonorrhea, Chlamydia, Syphilis and HPV
Dr. Jodie Dionne‐Odom Dartmouth Medical School
February 1, 2012 Urinalysis and its use as a diagnostic and management measure
Dr. Martin Sedlacek Dartmouth Medical School
February 8, 2012 Colon Cancer Dr. Thierry Alcindor McGill University
February 15, 2012 Heart Failure Dr. Jocelyne David University of Miami VA
February 22, 2012 COPD/Emphysema Dr. Ronald Olivenstein McGill University, Montreal Chest Institute
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February 29, 2012 La mortalité maternelle en Haïti Dr. Roger Duvivier Albert Einstein College of Medicine
March 7, 2012 Pre‐operative evaluation Dr. Jocelyne David University of Miami VA
March 14, 2012 L'hémodialyse de suppléance Dr. Brian Remillard Dartmouth Medical School
March 28, 2012 Prise en charge des traumas pédiatriques Dr. Dickens Saint‐Vil Université de Montréal
April 4, 2012 Comment assurer le succès des traitements des infections VIH
Dr. Mark Wainberg McGill University AIDS Centre, Lady Davis Institute for Medical Research
April 11, 2012 Prevention of Maternal Mortality Dr. Roger Duvivier Albert Einstein College of Medicine
April 18, 2012 Cognitive‐Adaptive Abilities Dr. Katlyne Lubin Albert Einstein College of Medicine
April 25, 2012 Back Pain ‐ Outpatient Management and Diagnosis
Dr. Marshall Fleurant Boston University School of Medicine
May 2, 2012 Dengue Dr. Selim Rashed Université de Montréal, McGill University Centre for Tropical Diseases
May 9, 2012 Secondary Hypertension : Etiology, Diagnosis and Management
Dr. Andre Joseph Valery St Vincent Medical Center, Connecticut
May 16, 2012 Médecine Corps‐Ésprit (Médecine Psychosomatique)
Thomas Minde McGill University
May 23, 2012 Sickle Cell Anemia Cruff Renard Montefiore Medical Center
May 30, 2012 Prise en charge des traumas pédiatriques Dickens Saint‐Vil Université de Montréal
June 6, 2012 Les fractures bi‐malléolaires Marc Rambaud Sens Hospital France
June 13, 2012 Quelques indices sur les RX de l’épaule, utiles au raisonnement clinique à propos de l’épaule
Lucie Brazeau Université de Sherbrooke
June 20, 2012 First‐Trimester Vaginal Bleeding Thomas Lydon Wentworth‐Douglass Hospital in Dover, NH
June 27, 2012 Anaphylaxis Robert Hyde Dartmouth‐Hitchcock Medical Center