An Internship Abroad in India Ruesha Hendricks Edited by Emily Pritchard During Fall Semester 2013, Ruesha Hendricks (Pre-med Major) interned abroad in Loni, Maharashtra, India with the Center for Social Medicine (CSM), a constituent of the Pravara Institute of Medical Sciences (PIMS). CSM’s mission is to promote social health, equality, and development of its surrounding communities. Armed with nothing more than a backpack of clothes, mosquito repellant, beef jerky, and a laptop; Hendricks embarked on a challenging adventure to test out her career choices and learn more about herself in general. Turns out, the experience was far from easy but proved to be invaluable and life-changing. Briefly describe your experience. “During this internship I gained clinical knowledge through observation of procedures in various departments of the hospital and the surrounding rural health centers. I was also able to experience urban healthcare in India as the patient, twice. The first experience was infuriating, but eye opening. It increased understanding of why many specialties aren‟t allowed to apply for residencies in the USA. Additionally, through interactions with people in every facet of rural and urban health I learned of the social and economic history of India and of Loni specifically. I learned how these factors have played a role in the development of health care in a rural setting.” “During the last portion of the internship, the other interns and I collaborated to write a grant proposal for the addition of a mental health component to CSM‟s elementary school health and hygiene awareness program. Most importantly, this was a period of intense self-reflection. This part of the experience has not been a positive one for me and has left me in a bit of a career crisis, but I would not have gained such insight into my true priorities and limitations without this experience.” How did you get connected with this opportunity? “In an attempt to remind myself why I wanted to go to medical school by giving myself a taste of the light at the end of the tunnel, I sought to intern or volunteer in a less developed country in a medical setting with a well-established company I would feel safe with. I sought out Kevin Hood to assist me in finding the right opportunity for me and he did just that.” What was your favorite part? Did anything exciting or surprising happen? “I was hospitalized twice. That was pretty exciting and eye opening. My favorite parts actually happened during the travel period after the internship. The other interns and I were able to see how the rest of India compared to the internship site after having become intimately familiar with the community around the rural hospital.” How has your participation in this Academic Enrichment experience impacted your life as a student and as a person in general? “This experience had a huge impact on my career goals and life in general. By being exposed to other ways of living, many of my values and priorities changed. It was originally intended to solidify my career path, but instead I am now no longer applying to medical school. I am currently in a process of redefining myself as I continue to rediscover what makes me happy and what I want in life. I am still feeling a little lost after the experience, but important self-realizations could not have happened if I hadn‟t stepped outside academia and the US. I think the experience would have been very different if studying abroad there. I would have had a different purpose and would have learned different things. Not necessarily better, just different.” Were there any challenges you had to overcome to get this experience? “There was a huge financial barrier, but I was determined I had to go and the universe recognized the importance of this adventure for my future and answered in the form of a giant Gillman Scholarship as well as acceptance into a research program the summer before that paid handsomely.” Did this experience open any doors to other opportunities? “Now having been to India and understanding more about the different kinds of disparities in the social, public, and clinical health settings, I can think of about 20 research projects I could do if I find the desire to do so in the future. I also have new friends in India who all have medical connections, so I have a few „ins‟ for when I do decided where I fit into medicine and am ready to contribute my skills to the underserved portions of India.” What advice would you give other students considering opportunities like this? “JUST DO IT!!! Whether your barriers are family, money, confidence, or timing, they can be overcome. You just need to understand the importance of this kind of endeavor and accept that somehow you will find a way to go and then it will happen for you. Just do it. Also, spend a lot of time thinking about what your priorities are for the experience. Do you want low-stress, help with learning a language, or more hands-on? Do you want it to be more a classroom experience than a work experience? Then spend time researching sites to make sure it is going to meet your main priorities. Ask previous interns as well, they are always willing to help and answer questions.” “Lastly, when you figure out what you want and have made a decision where to go, find out as much as you can about the country and then drop ALL of your expectations before you go. The experience may be nothing like you are expecting and the best way to have a positive experience is to stay open.” In one sentence describe what participating in this experience was like for you. “An indescribably important emotional rollercoaster that, though incredibly maddening more often than not, I would do again in a heartbeat….but maybe at a different site.”