Evaluations: 2011 - Center for Medical Humanities & Ethics

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GLOBAL HEALTH EXPERIENCE
STUDENT SITE EVALUATION
General Information
Which level of student are you?
Answer Options
MS1
MS2
MS3
MS4
Response
Percent
Response
Count
0.0%
100.0%
0.0%
0.0%
0
7
0
0
Response
Percent
Response
Count
0.0%
0.0%
100.0%
0
0
7
2
Country & City/Town/Community of Elective Site:
Aleta Wondo, Ethiopia
Name of Host Organization/Institution:
Common River
Department/Focus of Work:
Health Clinic in Aleta Wondo
Name of Preceptor:
Dr. Richard Usatine
Dates of Rotation:
06/15/11-07/07/11
Total cost of elective:
Approx. $35,000-$40,000 for entire group
Did you receive a scholarship for this elective?
Answer Options
No scholarship
Paul Brand Scholarship
Dean's Scholarship
Other (please specify)
Other: Private donations; Dean’s Travel Scholarship
Pre-Travel
Please rate how well prepared you were for this elective site?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response
Percent
Response
Count
0.0%
0.0%
0.0%
71.4%
28.6%
0
0
0
5
2
Response
Percent
Response
Count
100.0%
0.0%
0.0%
0.0%
7
0
0
0
0
Which Global Health elective were/are you enrolled in?
Answer Options
Global Health Enrichment Elective - ELEC 5047
Preparing for Global Health Work - INTD 4030
International Medicine - MEDI 7003
None
Other (please specify)
What session(s) were most useful/helpful?
1
2
3
4
5
6
7
I think that the various infectious disease lectures were helpful, especially pertaining to skin
diseases, as this is what we saw/treated a lot of.
Sessions on infectious diseases
Presentations from the previous Ethiopia team
Learning about cholera transmission
Public health conditions.
None jump to mind. Most useful information for work at our site came from last year's Ethiopia
team.
N/A
What could have been provided that would have been of benefit for your elective site?
1
2
3
4
5
As a first year, it would have been nice to have had an introduction to what drugs we would
mostly be using (basic pharmacology as well as how to dose, as we did run our own
pharmacy.)
How to properly and efficiently run a clinic. Also, a description of the specific diseases we
would see in the area.
more knowledge of the language
Better preparation for diagnosing what diseases we saw...
A brief overview of likely diseases we would see and treat (although we had plenty of time to do
this on site).
What suggestions do you have to improve student preparation for international electives?
1
2
3
4
Better describe to the students what to expect in the clinic and what they are expected to do. I
did not feel adequately prepared initially.
More practical classes with focused training on the tests/exams students will be preforming,
less info type sessions where others trips are narrated
get more advice from students who have gone on the same trip from previous years
More preparation on diseases and diagnoses.
5
6
Lots of communication with the previous year's group. Thorough application process to ensure
that students who can adapt and appreciate all the good and bad aspects of being in Africa for
a month are selected for the trip.
I guess the online lectures, but I didn't have a chance to watch any before going. I wasn't
bothered by this (I didn't feel unprepared)
Accommodation, Meals & Travel
What accommodations did you have?
We stayed in huts in Aleta Wondo and in a hotel in Addis Ababa.
How would you rate the suitability and comfort of your accommodations?
Answer Options
Response
Percent
Response
Count
0.0%
0.0%
14.3%
42.9%
42.9%
0
0
1
3
3
Poor
Fair
Fine
Good
Excellent
How would you rate the quality of food while at your elective site?
Answer Options
Response
Percent
Response
Count
0.0%
0.0%
0.0%
28.6%
71.4%
0
0
0
2
5
Response
Percent
Response
Count
0.0%
14.3%
100.0%
42.9%
0
1
7
3
0
Poor
Fair
Fine
Good
Excellent
What was the source of meals while at your elective site?
Answer Options
Prepared own meals
Cafeteria
Home stay/Meals prepared at accommodation
Restaurants
Other (please specify)
What type(s) of ground transportation did you utilize during your elective?
Answer Options
Walk
Train
Response
Percent
Response
Count
100.0%
0.0%
7
0
57.1%
42.9%
0.0%
0.0%
4
3
0
0
5
Response
Percent
Response
Count
0.0%
28.6%
28.6%
28.6%
14.3%
0
2
2
2
1
Cab
Car
Motorcycle
Bicycle
Other (please specify)
Other: Bus
Was the ground transportation safe?
Answer Options
Not Very
Fair
Fine
Good
Very
Elective Site
Please describe your duties during your elective rotation?
1
2
3
4
5
6
7
Running a clinic, complete with Triage, Diagnostic stations, and Pharmacy.
The students switched between pharmacy, triage, and medical stations. The pharmacy was in
charge of passing out the drugs and describing to the patient how to take them. Triage took care
of blood pressure, temperature, weight, trachoma screening, etc. The medical stations
questioned the patient and did diagnostic exams, then presented to the doctor.
Free health clinic / public health survey
perform medical duties to the best of my knowledge
Diagnose and treat patients
Clinic work, administering interview survey
At site: not much--> play with the kids at the school. At clinic: treat patients
Was your site preceptor helpful?
Answer Options
Not Very
Fair
Fine
Good
Very
Response
Percent
Response
Count
0.0%
0.0%
14.3%
14.3%
71.4%
0
0
1
1
5
How would you rate your site preceptor’s/mentor’s knowledge?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response
Percent
Response
Count
0.0%
0.0%
0.0%
14.3%
85.7%
0
0
0
1
6
How would you rate your site preceptor’s/mentor’s teaching abilities?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response
Percent
Response
Count
0.0%
0.0%
14.3%
28.6%
57.1%
0
0
1
2
4
On average, how much time did your preceptor spend with you during a typical day?
Answer Options
Response
Percent
Response
Count
0 - 2 hours
2 - 4 hours
4 - 6 hours
6 - 8 hours
8 hours or more
0.0%
0.0%
0.0%
42.9%
57.1%
0
0
0
3
4
What types of things did you learn from the health center/hospital staff/program staff with
respect to global health, public health, tropical medicine and infectious diseases?
1
2
3
4
5
6
7
There is much we were unable to treat in our short visit. That said, I did learn an immense
amount about many infectious diseases, especially dermatological, and the value of hand/skin
sanitation.
The lack of infrastructure in the country makes it the perfect breeding ground for preventative
illnesses. Majority of the children had infectious diseases that were easily treatable and
preventable.
I learned a great deal about tropical medicine and infectious disease, particularly in regards to
dermatological issues and parasitic infestation.
Not all health centers have soap or running water
That there is still a lot of room for improvement
The area seriously lacks necessary medical supplies/infrastructure
Not much from anyone except our NGO leaders: they where very aware as to what was going on
the in the community and could explain how things were and how they came to be that way
What awareness of the host country’s health care system did you acquire?
1
2
3
4
5
I got a good feel for what rural Ethiopian medicine is like. Luckily, we were also able to visit several
hospitals in the capitol city of Addis Ababa, giving us an awareness of the major urban hospitals.
There is not a good government health program and simply a lack of medical care in the country.
Ethiopia in particular has a lot of corruption in the health care system, which makes it difficult for
normal citizens to get proper care.
Through our work with the health clinic in Ethiopia and shadowing various physicians in Addis
Ababa, I learned a great deal about Ethiopia's health care program. It was incredible and humbling
to see the disparities between our respective systems.
Many of them don’t understand the important of hygiene or are unable to attain clean water and
soap
That they don't put a priority on health care or public health
6
7
Phenomenally well trained and skilled doctors in Addis Ababa hospitals we visited
It’s free for rare diseases or those dangerous for the community, but limited access and impossible
transportation requirements make it impossible for most to access if desired. Children were a lot
tougher than Americans
Would you recommend this elective site/program to another student?
Answer Options
Not likely
Somewhat unlikely
Not sure
Somewhat likely
Very likely
Response
Percent
Response
Count
0.0%
0.0%
0.0%
0.0%
100.0%
0
0
0
0
7
Please explain:
1
2
3
4
5
6
7
I gained a significant amount of knowledge about both rural and urban medicine in Ethiopia.
Moreover, we were able to become immersed in the culture of the small village of Aleta Wondo by
getting to know many people in the village, visiting local homes, and working at the local school. It
was invaluable and one of the more profound and educational experiences of my life.
My time in Ethiopia was truly one of the best experiences in my life. I learned so much from the
people and mentors. I will carry these memories throughout my life and they will help shape my
career as a doctor.
This was a life altering experience that I won't ever forget, I'd recommend it to anyone willing and
excited about trying new things
the beauty of the county and the people, along with a great opportunity ot learn and help others
Life changing experience
Easy, comfortable living. Playing with all the kids at the school is a great time.
The best trip the school offers at this point in time
What suggestions do you have to improve this elective site/program?
1
2
3
4
5
My advice would be to better plan out the time not spent in clinic.
Prepare the students better for what they should expect at the clinic. Also, guide them more in the
selection of drugs and supplies. Fixing these few problems will probably alleviate a lot of
unnecessary stress.
More communication and transparency with the group that went the year before us
None
An additional doctor to accompany us: the more the better
Any other comments?
1
2
3
NA
I absolutely loved it and wish to go back terribly.
I went with a great group of people
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