Pediatrics

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International Elective Checklist

Pre-Travel

 

 

 
  Global Health Elective Intro

 

CHOOSING A SITE (begin researching early in your residency training)

  • Email Dr. Moore with countries where you would be interested in completing an elective

  • UA College of Medicine links to international organizations http://globalhealth.arizona.edu/global-health-learning-sites

  • AAP Section on International Child Health: http://www2.aap.org/sections/ich/index.htm

  • AAFP Service Opportunities for Students and Residents
    http://www.aafp.org/about/make-a-difference/global-health/service.html

  • Yale Global Health Scholars Program  http://medicine.yale.edu/intmed/globalhealthscholars/sites/index.aspx

  • IMVA – A practical guide to global health service http://www.imva.org/pages/orgdb/wblstfrm.htm

  • Questions to consider (adapted from APPD content)
    -Who is the preceptor on-site?  Will he or she be present throughout the    elective?
    -What are the expectations of the visiting resident? (i.e. patient load, caring for  children and/or adults, work hours)
    -What are the languages spoken at the site?  Is there access to interpreters?
    -What cultural, economic, or political barriers might affect your elective?
    -What is the clinical environment for the site? (inpatient/outpatient/community-  based; high or low acuity)
    -What are the clinical resources for the site? (lab, radiology, pharmacy, ICU,  specialists, etc.)
    -What are the common diagnoses and medical problems at the site?
    -What are the logistics for the site? (dress code, accommodations, internet,  transportation, food, water, safety)
    -What have been the experiences of prior visiting residents at the site?

 

DETERMINE YOUR SITE (at least 6 months before travel)

 

SCHEDULE REQUEST
(Spring)

  • Alert the residency program of your plans for an international elective – and request which block you would prefer

  • Complete UA Travel Authorization (use the Travel Authorization link under Policies and Procedures) http://www.fso.arizona.edu/travel
     

 

MEDICAL LICENSE (begin as soon as you pass Step 3)

  • Determine whether your site requires a medical license to practice in the destination country and begin application process for this. Usually the site coordinator on the international side assists with this. Most nations require at least a U.S. medical license.

 

PASSPORT + VISA (prepare 6 months before travel)

 

LEARN ABOUT YOUR TRAVEL DESTINATION

 

REGION-SPECIFIC DISEASES

 

PRE-PLANNING WORKSHEET (complete 4 months before)

  • Make contact with the overseas site liaison, if this has not already happened.

  • Complete UA Outside Request Template document and turn into Nicole Paredes. Alert Dr. Moore after form has been submitted

 

ADDITIONAL FUNDING IDEAS

 

PRE-TRIP MODULES (complete prior to pre-trip meeting)

 

PRE-TRIP MEETING (do 2 months before trip)

  • Meeting with Dr. Moore. Communicate with site preceptor to make sure that no changes have occurred with your elective.

 

BOOK FLIGHTS

  • Preferably select US-Based/affiliated airlines (as it may be easier to work with them to change your flight) – and sign up for their frequent flier program

 

TRAVEL CLINIC/VACCINES (1-2 months before trip)

Make travel clinic appointment to complete required vaccinations. Consider visit for annual physical, dental, and eye also if haven’t done in awhile

 

TRAVEL INSURANCE (book 1 month before)

 

TURN IN PRE-TRAVEL DOCS (2 weeks before travel)

  • Submit to Dr. Moore copies (paper or electronic) of: passport/visa, flight itinerary, proof of travel insurance, updated emergency contact info, destination contact info (med site/preceptor, housing), US embassy site, copy of medical license, travel itinerary.

  • http://usembassy.state.gov/ - Lists US embassies in countries throughout the world. 

 

REGISTER INTENT TO TRAVEL

 

PACK (1 week before travel)

 

CONFIRM ROTATION (1-2 weeks before)

  • Check with hotel, site preceptor, and transport reservations. Should have ride at the airport arranged. Be sure Dr. Moore has your up-to-date travel and emergency contact info.

 

During the Elective

 

 

NOTES

 

BOOKS FOR ROTATION

  • Oxford Handbook of Tropical Medicine, WHO Pocket Book of Hospital Care for Children

 

DISEASE RECORD

  • See UA Disease record document. Please track diseases that you see during the rotation. Can fill out in journal if you don’t want to complete document on a daily basis.

 

DRIVING

  • Avoid driving and nighttime travel if possible

 

JOURNALING

  • I recommend writing daily about your travel and medical experiences – this will help in developing an essay and presentation on your return.  And, it helps with coping with the culture shock

 

EVALUATION

 

Post-Travel: Within 2 Months of Return

 

 

NOTES

 

DEBRIEFING MEETING

  • Meet with Dr. Moore to complete debriefing worksheet

 

SUBMIT DISEASE RECORD

 

COMPLETE SITE EVALUATION

 

COMPLETE ESSAY AND SUBMIT PHOTOS

  • Use guided questions in the International Elective Essay. Comments from this essay may be accessible to other residents.
  • Comment on why you chose the elective, if it met your learning objectives, whether this will influence your future career choices, whether or not you would  recommend it to others. You are not required to answer all of the questions but they are helpful in thinking about your experience. 

 

PREPARE PRESENTATION

  • Prepare and deliver presentation at at a global health monthly session.

 

PPD TESTING

  • Consider 3 months after travel