Global Health Student Site Evaluation: ¡Vamos Guatemala! Summer 2013
1. Name:
1
2
3
4
Janitzio Guzmán
Gabriela Villanueva
Kristopher Koch
Stephanie Ossowski
2. Which level student are you?
Answer Options
Response Percent
Response Count
25.0%
75.0%
0.0%
0.0%
1
3
0
0
MS1
MS2
MS3
MS4
3. What country did you visit for your international
elective?
Guatemala
4. In what city/town was your international elective
site located?
Guatemala City / Quetzaltenango (Xela)
5. Name of Host Organization/Institution:
Hogar Luis Amigo / Clinica Familar Luis Angel Garcia (GFLAG)
6. Department/Focus of Work:
1
2
3
4
Medicine, Global
CMHE: Public Health water sanitation and hygiene/ HIV clinic
Clinic, Public Health surveillance and observation of HIV clinic
Clinical care, WASH surveying, and Shadowing at CFLAG
7. Name of Preceptor/Mentor:
Dr. Ted Wu; Dr. Hector Caraballo, Jason Rosenfeld, MPH
8. Dates of Rotation/Elective (DD/MM/YY DD/MM/YY):
05/26/2013-06/15/2013
9. Total cost of elective:
1
2
3
2000
2200
2000
10. Did you receive a scholarship for this elective (check all that apply)?
Answer Options
No scholarship
Paul Brand
Scholarship
Dean's
Scholarship
Other (please specify)
Response Percent
Response Count
0%
0
0%
0
100.0%
4
0
11. Where did you find out about this elective/program?
1
2
3
4
Student Organization Fair 2012
Student Orientation
Stephanie Gutierrez during pre-mat presentation
Dr. Berggren
12. 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%
75.0%
25.0%
0
0
0
3
1
13. Please explain why you felt/didn't feel
prepared?
Number
Response Text
1
Categories
Between the sessions offered by the Global Health course and the
2
3
expertise of our preceptors, it was not hard to feel at ease.
Would have liked more information stream-lined in one central
document before. Had to look around for information
I was not sure what to expect when I shadowing at the HIV clinic in
Guatemala City (CFLAG)
14. Which Global Health elective were you enrolled in?
Answer Options
International
Medicine - INTD
3001
Global Health
Enrichment
Elective - ELEC
5047
Preparing for
Global Health
Work - INTD
4030
International
Medicine - MEDI
7003
None
Other (please specify)
Response Percent
Response Count
0.0%
0
100.0%
4
0.0%
0
0.0%
0
0.0%
0
0
15. Which session(s) from your electives(s) were
most useful/helpful for your work at your site?
The needs assessment and diarrhea sessions were the most useful-these both directly impacted our practice and were very relevant to the
1 community we served.
2 Ethics in Global Health
Program evaluation, anything that gives us hands on tools that will be
3 useful. Big Decisions Training
4 NA
16. What information or skills could have been
provided that would have been of benefit for you at
your elective site?
1 Planning and management of time and resources
More information on practical skills and integration of trip preparedness
2 during mandatory sessions throughout yet.
More information about the trip as a whole could have been helpful in
3 giving me an idea of what type of work I would be doing.
17. What suggestions do you have to improve
student preparation for international electives?
It would be useful to have more, formal discussions about setting
1 vision/mission for the program site.
Centralize resources, documents. Have people sign up for class earlier
(first 2 weeks of august), have trip selection done by 1 week of
2 September so that winter trips can adequately prepare for their trips.
Past groups should give a thorough account of their trip to future
3 groups.
18. What accommodations did you have?
1
2
3
4
B&B/Homestay
Hotel and sponsor home
hotel - casa manen, host family in guatemala city
Casa Manen and Aura's house
19. How would you rate the suitability and comfort of your accommodations?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response Percent
Response Count
0.0%
0.0%
0.0%
25.0%
75.0%
0
0
0
1
3
20. How could your accommodations have been
improved?
1 They were great!
2 Keep as is.
Aura's house was a little dirty (bugs) and had a confusing set up. There
3 were several houses which we all stayed in.
21. How would you rate the quality of food while at your elective site?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response Percent
Response Count
0.0%
0.0%
0.0%
25.0%
75.0%
0
0
0
1
3
22. What was the source of meals while at your elective site? (Please check all that apply)
Answer Options
Response Percent
Prepared own
0.0%
meals
0.0%
Cafeteria
Home
stay/Meals
100.0%
prepared at
accommodation
100.0%
Restaurants
Other (please specify)
Street Vendors (even despite warnings
against…I know, I know)
Response Count
0
0
4
4
1
23. What type(s) of ground transportation did you utilize during your elective?
Answer Options
Walk
Train
Cab
Car
Motorcycle
Bicycle
Other (please specify)
Van
Response Percent
Response Count
100.0%
0.0%
100.0%
25.0%
0.0%
0.0%
4
0
4
1
0
0
2
24. Was the ground transportation safe?
Answer Options
Not Very
Fair
Fine
Good
Very
Response Percent
Response Count
0.0%
0.0%
0.0%
25.0%
75.0%
0
0
0
1
3
25. Please describe your duties while at your site.
1
2
3
Clinic direction, patient exam/encounters, dispensing medication,
conducting survey, translation, observation
Clinic, pharmacy, Big Decisions, survey community, and data
management.
Clinic, survey houses for public health project, observe in clinic
4
Clinic direction, patient exam/encounters, dispensing medication,
conducting survey, translation, observation
26. Was your site preceptor/mentor helpful?
Answer Options
Not Very
Fair
Fine
Good
Very
Response Percent
Response Count
0.0%
0.0%
0.0%
25.0%
75.0%
0
0
0
1
3
27. Please explain how your preceptor was/was
not helpful.
The Drs. were both comfortable enough to let us work through what we
needed to learn the appropriate approach for our patient care, and
allowed us to decide the best management course, correcting us when
1 something would either be excessive or might have been harmful.
He helped in developing a plan for clinic and for reaching out the
2 community.
3 Let us do what we needed, available to consult, had ideas.
Jason met with us before and after conducting surveys to guide us and
4 help us analyze the results.
28. 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%
0.0%
100.0%
0
0
0
0
4
29. How would you rate your preceptor's/mentor's teaching abilities?
Answer Options
Poor
Fair
Fine
Good
Excellent
Response Percent
Response Count
0.0%
0.0%
0.0%
25.0%
75.0%
0
0
0
1
3
30. Please elaborate on their teaching abilities.
1
2
3
4
The Drs. have a very calm way about them, and they were clearly very
comfortable with allowing us to learn by questioning.
Despite being crunch in time, he always took the time to teach us and
explain during clinic. Also during our debriefing discussion help us find
ways to address any concerns.
Dr. Wu = awesome, same for Dr. Caraballo
He encouraged us to only give our best work.
31. 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
25.0%
0.0%
0.0%
25.0%
50.0%
1
0
0
1
2
32. What did you learn from the health
center/hospital staff/program staff with respect to
global health, public health, tropical medicine and
infectious diseases?
This would be a long list. In short, I was impressed with how resourceful local
health authorities can be despite the relative lack of resources, and I learned
quite a bit about how different the community's perception of health and
disease was from our own understanding. This allowed for rich reflection
about the very different medical truths that we see in our culture and in one
1 quite different from it.
There was a lot that we learn from every activity that we did, especially in
regards to public health. It was interesting to listen to their ideas and what was
being done to deal with health disparities. At the HIV clinic we got a better
understanding of the epidemiology and management of HIV and AIDS among
2 other infectious diseases that this population faces.
3 discrepancies in health care and structural problems
I learned about the various conditions that Guatemalans in the highlands live
in. These living conditions cause many of the illnesses that these people
4 present with, unlike in the U.S..
33. What awareness of the host country's health
care system/situation did you acquire?
It was interesting to see how much the Guatemalan system seemed to
1 struggle with patients not seeking care until they are urgently ill, and even
2
3
4
then tending to prefer holistic remedies (in keeping with tradition and religion
of the area) over Western medicine.
There is a great problem with health disparities where the government of
Guatemala is attempting to help but there is still a lot of political problems that
do not allow it to progress. This was seen, for example, in that there were
many community health establishments built by the government; however,
because there is no regulation of this there are no physicians working at this
establishments which defeats their purpose.
a little
I became very aware of the socioeconomic status difference among people in
the U.S. and in Guatemala. Also, the hospital, where we shadowed in
Guatemala City, was very eye-opening. Many patients were having
procedures done in the hallways. TB precautions were not readily available.
Many individuals actually die in the hallway waiting for treatment.
34. How likely are you to recommend this site to a peer (another medical or MD/MPH
student)?
Answer Options
Response Percent
Response Count
Not likely
Somewhat
unlikely
Not sure
Somewhat likely
Very likely
0.0%
0
0.0%
0
0.0%
0.0%
100.0%
0
0
4
35. Please explain why you would/would not
recommend to another student.
This experience was incredible, it was humbling, and it allowed you to learn
and grow a lot. Really an incredible opportunity to step away from what you
have in the US and see that medicine and healthcare are realities that must
1 exist elsewhere, even if they appear quite different from what we are used to.
It was very interesting to learn about the health care system in another
country especially from working with the community we were working with. It
is also a great opportunity to learn leadership and teamwork skills that will be
2 very useful in the future as a physician.
Good experience, I would recommend this place as a project for those that
are interested in public health and would like to do their MPH practicum. Also
3 good experience for those who speak Spanish.
I thoroughly enjoyed my trip to Guatemala. I was with a great group, who had
4 a good balance of hard work and enjoying ourselves on the weekends.
36. What suggestions do you have to improve this
elective site/program?
I think there needs to be a more congruent partnership with the local
1 organizations that are already established in Guatemala.
2
This elective should always have a public health component to it. Perhaps,
surveying another rural area with the WASH survey.