Program Reviews

I am a second-year medical student and I went to Accra, Ghana through the CFHI program.

I rotated in the ER department and was able to round with the fifth-year medical students from Accra College of Medicine and Family Health Medical School. On my first day I rounded with the fifth-year medical students and I was terrified and intimidated. The way they presented, answered the doctor’s questions and interrogations on details about their cases, and dissected their differentials was astounding. With only one year of medical school under my belt, I felt useless and unknowledgeable compared to them. However, I tried to stay as engaged as I could, listening to patients’ hearts and lungs, interpreting x-rays and EKGs, and perfecting the craft of the history and physical exam. This coming year we’ll learn more about chronic illnesses and management, so I’ll be able to deepen my clinical knowledge and skills.

I was happy that I was able to recognize a lot of drug names since Pharm is one of my favorite classes and could ask questions about treatment plans and care management. Most of the pediatric cases were acute tonsillitis, acute otitis media, bronchopneumonia, bronchiolitis, and complications of sickle cell disease (SCD). I was able to see an infant that was diagnosed with Trisomy 21 aka Down syndrome and had a heart murmur. I was also able to see a patient that had a palpable thrill and murmur. I sat in on my first Morbidity and Mortality (M&M) meeting and learned a lot about that part of medical care. I also participated in various lectures on proper handwashing skills, stages and treatment of malnutrition, how to properly clean the umbilical cord postpartum, triaging, and common respiratory/cardiovascular diseases in children.

One of the most memorable days was when I clerked with one of the fifth-year medical students. His partner wasn’t coming till the afternoon, so I was there to make sure he asked all of the right questions. We exchanged mnemonics on the history of present illness (we learned OLDCARTS and he learned SOCRATES) and social history. I quickly jotted down all the aspects of the history that should be asked and felt grateful that my school had forced us to create our own SOAP note from scratch countless times. He was grateful that I was able to ensure he asked all of the necessary questions. Our main differential was Vaso-occlusive crisis as a complication of SCD. Our other differentials were osteomyelitis and cellulitis. Both doctors ended up supporting our top differential and it felt good to be able to come up with the correct diagnosis. The child also had otitis media but we weren’t sure if it was secondary to the SCD since they are more prone to infections, or independent of the SCD.

All in all I learned a lot this week, more than I ever thought I would and I’m so excited to rotate in other parts of the hospital. This experience is strengthening my desire to go into Family Medicine even more apparent and necessary.

I completed a global health practicum in La Paz, Bolivia in March 2018. Rather than working in a clinical setting, I worked with an NGO that had developed a micro health insurance (MHI) product for very low income persons living in La Paz. The NGO was experiencing challenges in meeting their sales goals, and the focus of my practicum was identifying barriers in selling/purchasing MHI and providing recommendations to overcome these barriers.

This practicum was a particularly important experience for me because I did not have any previous experience in public health. In addition to learning about what it is like to work in the field, I also learned several invaluable lessons about developing, implementing, and promoting public health programs.

I found both the NGO and CFHI staff friendly, supportive, willing to teach me, and willing to learn from me. The local CFHI staff was particularly helpful - they were always available to answer questions or help resolve any issues. My homestay accommodations were very high quality, and in a location convenient to the office.

The also program offered flexibility to travel on weekends, so that you can explore and learn more about Bolivian culture.

All in all, this was a wonderful experience and I am glad I participated in the program!

The Healthcare Challenges program in Cape Town and HIV/AIDS & Healthcare Challenges program in Durban were amazing experiences that taught me much about the field of medicine. We were able to shadow in a variety of healthcare settings, including large hospitals, small community clinics, and hospices, and in many different medical specialties, including general surgery, pediatrics, primary care, and obstetrics. We had fantastic support in South Africa and were given the opportunity to travel throughout the country, from the Garden Route of the Western Cape, to safaris of KwaZulu-Natal, and the mountains of Lesotho. South Africa is a beautiful country with a vibrant culture and rich history. I cannot wait until I get a chance to visit South Africa again!

This was a great program. Everything was very organized and structured so that I didn't have to worry about not knowing where I was supposed to be at any given moment. There were many points of contact throughout the whole process. From being picked up at the airport, adequate knowledge about the program from the host family, tour of the city and public transportation on the first day, coordination of hospital sites and physicians, the whole process was very seamless. Quito is a very easy city to navigate with great and cheap public transportation. Uber is also very cheap there. There are also lots of weekend trips that can be done to explore more of Ecuador. The rotations were all interesting and educational, with physicians teaching in between seeing patients. You get to work in a maternity hospital ER, adolescent pregnancy clinic, postpartum floor, outpatient clinics, and labor and delivery. I felt that the spanish classes were excellent especially since there were only 4 students or so in each class. Would definitely recommend this program!

My participation in a Solomon Islands Community Environmental Health program in 2017 left me with a growing desire to explore the world once more through my education. I felt an urgency and natural obligation to have a similar experience of volunteer work and service in my motherland. I found CFHI's program through their partnership with the University of California. The idea of getting paired with a Oaxacan NGO for a practicum experience was something I naturally yearned for and had seemingly manifested for myself. I needed Oaxaca's people, colors, food, artesanías, landscapes and one of a kind streets full of culture.
Back in April when the program was starting in Mexico City I was put in contact with the Assistant Director of CFHI Latin America to talk about the goals and interests I had in mind for the Community Health Practicum, a month-long project I was to complete in Oaxaca City while completing volunteer work. I was placed to work with El Instituto de la Naturaleza y Sociedad de Oaxaca (INSO) after sharing with her my background in environmental science. I felt an immediate connection to INSO’s work due to their ability of recognizing the importance of a holistic approach to ecology and community health. I also visited Centro de Apoyo para el Niño de la Calle (CANICA) and although it was not an NGO I was originally assigned to, I asked to volunteer there as well. From Tuesday through Thursdays I worked with the incredible educators, staff, and students of CANICA. My role at CANICA was to be a teaching assistant for an educator of a combined class of first through fourth grade students. I helped teach weekly environmental health and earth science topics such as flooding, wildfires, and earthquakes. I learned how to complete lesson plans, how to get comfortable teaching a classroom in my native language, and how to inspire young ones on topics I am passionate about. I appreciated all the different tasks I had at CANICA; even the simple everyday activities of math tutoring and pickup soccer that allowed me bond more with these wonderful kids. The highlight of my volunteer experience was being granted the freedom and responsibility by CFHI to complete a Community Health Practicum project that represented my diverse list of passions. I am grateful that this experience gave me the opportunity to formulate a project under the weekly mentorship and wisdom of highly influential people. I gained valuable insight on how to think critically about development work. Particularly distinguishing gaps to become a useful bridge between an NGO and communities that are typically targeted for health, educational, and other development projects. Completing an internship abroad with CFHI has offered me a portal to connect with people and places from different parts of the world, an opportunity to gain valuable leadership skills and has opened new doors in my mind about my identity.

I chose this program in India and participated for 4 weeks during my summer semester of college in 2016 because I am interested in obstetrics and gynecology as well as, the challenges expecting mothers face in the developing world. Apart from that, I also love the vibrant and colorful culture of India. This program was worth the time and money because I got to shadow and interact with physicians from both departments of pediatrics and obstetrics/ gynecology as well as, primary care physicians from rural villages. This experience allows me to have a better idea of what I want to pursue and how I want to contribute to women healthcare. I highly recommend to anyone who's interested in working in the healthcare sector. Also, I would totally encourage others to go because it’s not only an opportunity to learn more about global health but also, to learn more about different cultures and forge everlasting friendships.

Prior to depature, CFHI coordinators were prompt and sent helpful reminders on how to prepare beforehand. The local coordinator was very receptive to feedback, she checked in part way through to see if we needed to adjust the difficulty of Spanish medical language instruction. The shadowing experience in the clinics and hospital had an appropriate amount of time and the preceptors were kind. There was enough time to explore the community and practice Spanish. Quito had great public transportation and it was safe and easy to get around. I was warned by locals to avoid getting in a cab by myself as a female foreigner but also not to get ripped off with paying a flat fee instead of the ticker. Ecuadorian food is a little bland but affordable. It is great that you can explore the Galapagos Islands afterwards, would highly recommend!

I completed a 4-week experience with CFHI during the summer of 2016. The Intro to Traditional Medicine experience in India was one of the most formative experiences I have had in medical school. I shadowed practitioners in reiki, naturopathy, allopathic medicine, and ayurveda. I also attended one-on-one teaching sessions with a 104 year old genius of a man. The organization is very supportive, easy to work with, and flexible. The experience was pivotal to my understanding of healthcare systems, rural medicine, and cultural awareness. The rotation was very useful to my medical career and presented a once-in-a-lifetime opportunity to travel in India and southeast Asia. There was a good balance of education, culture, language skills, and travel. I enjoyed the experience so much that I will doing another rotation with CFHI this summer.

I spent a month is Ecuador in April 2017

I’m a physician with a great deal of clinical and administrative experience and am also a graduate of the Michigan School of Public Health. Because of this, I’m probably not very typical of the majority of folks who are reading this but for a few, my comments may be helpful. I was most interested in population health, delivery systems and vector control. I also hoped to do something that might contribute to the place I was visiting. Finally, I wanted the opportunity to have meaningful conversations with people in Spanish.

The month I spent in Ecuador was more than I could have hoped for. This was in large measure due to the programmatic flexibility of the sponsor and my assigned preceptor.

My first two weeks were spent in Guayaquil. The first week was weighted toward language classes with a couple of mornings visiting a local clinic. The next week was spent with vector control with some afternoon language classes. This was a good balance of time. I would say that the language school was more conversational and less structured than the school I attended in Oaxaca on a different trip.

My time with vector control was terrific. I was able to observe a highly organized and effective program on the ground. Wilfrido (my preceptor) is the vector control officer of a program that is responsible for diminishing the threat posed by mosquito bone illness (dengue, zika and chikungunya) in a huge, economically depressed area of Guayaquil that includes 500,000 people. I went out with the home visiting crew who charmed their way into most homes and provided personal and high quality education. I also spent time with the fumigation team and had the opportunity to see many different barrios, some of which don’t have basic water and electrical services.

Before going, I read a good deal about how tough Guayaquil can be and I had some anxiety. My preceptor who also hosted me not only kept me secure but also made me feel comfortable in that environment. They often provided transportation and gave careful advice on how and where we should go.

The second two weeks were spent in Puyo, a much smaller town on the edge of Amazonia. Because Puyo is at about 3000 ft above sea level, the weather was very comfortable with thundershowers almost every day and just a bit of heat for a couple of hours in the afternoon. Folks told me that there really isn’t a dry season in Puyo. It is about the same all year around. (Guayaquil does have a wet season and a dry season with May being variable.)

During my two weeks in Puyo, I was able to work on a project in which the local medical care community and hospital are trying to implement a major program advancing the care of type 2 diabetes. The Ecuadorian Ministry of Health has recently released a set of guidelines and I happened to arrive during a time of intense planning. My fellow participant and I were able to develop a set of recommendations that we discussed and modified with the help of community members and medical personal. I believe that this work will contribute to the eventual success of the program. This was more than I hoped for and we were supported fully by Child Family Health International.

Additionally, I was able to visit San Virgilio for a couple of days. This was an experience of a lifetime. I stayed in a comfortable bungalow that was in close proximity to members of an extended family. My host, Rodgrigo kept in almost constant contact with me and thought of everything, including providing a walking stick to help with stream crossings and slippery slopes. You are actually driven to the main village and do a bit of walking to get to the family compound (you cross the stream twice). You do need to purchase rubber boots but that is easy to do at the Mercado in Puyo and it costs about $10.00. I was introduced to Kichwa culture and tradition in a genuine way. By the way, the meals I had in San Virgilio were the most interesting I had on my trip. Amazingly enough, there were no mosquitoes! (Because I am older than 58, I chose not to be vaccinated for yellow fever). Rodrigo told me that there are mosquitoes during the “drier” months of July and August.

I feel particularly fortunate to have stayed with my preceptor, his wife and their two children during my two weeks in Guayaquil. They were more than generous hosts. It felt like I was actually part of the family. Guayaquil was warm and humid and it was comfortable to be able to sleep in an air-conditioned room. My hosts for the second two weeks were also very generous and provided a very comfortable home during my two weeks in Puyo.

I had given no thought to weekends before leaving but this turned out to be an important part of the trip. I feel very fortunate that my companion during this month was a young woman who is just graduating from the University of Oregon. She was a courteous, flexible and interesting working/educational partner and traveling companion. We had the opportunity to visit Cuenca and Caja National Park, Latacunga and the crater lake called Quilotoa and of course Banos and the waterfalls (only an hour and one-half away). By the way, at this moment, Ecuador is a great travel bargain.

Thank you and CFHI for helping me have a remarkable experience.

A few additional thoughts:

1. I think a person with at least basic conversational Spanish competence will be able to take best advantage of the opportunities presented in Guayaquil and Puyo. I think a person wishing to be introduced to an “intensive” Spanish instructional experience might be better served at a different site.

2. I think a person interested in population and public health might find this experience exceptional, as I did.

3. This program demonstrated flexibility.

4. I studied almost all the materials provided and I suggest that participants take the time to do this as well. I had realistic expectations going in and this was important.

I participated in a two-week Medical Spanish Intensive course in Cordoba, Argentina. The mornings consisted of rounding with Internal Medicine physicians in the hospital and the late afternoons were Spanish classes. We had plenty of time to explore the city, but also time to learn and improve our Spanish. We had a manual which I was impressed with about Argentinian culture as well as a Medical Spanish practice book. My housing was nice (there was no AC, but that is the case in all of Argentina and I had a fan). The cooking by the host mom was amazing (omg so good). We practiced Spanish every night with our host family (a mother and her 9-year-old daughter) and they were very warm and welcoming.
I worked in an infectious disease hospital and was exposed to diseases such as Guillan Barre, Chagas disease, psittacosis pneumonia. The doctors were all very nice. The hospital was different from US hospitals and it was pretty eye-opening seeing how healthcare is delivered in different settings.