Tag: global health

Austin Wesevich Austin Wesevich (5 Posts)

Columnist

Washington University in St. Louis


Austin is an MD/MPH candidate at Washington University in St. Louis (WashU) who is taking a year off of medical school to complete a Doris Duke research fellowship in Malawi through UNC - Chapel Hill. After spending the last eight years in St. Louis as a WashU undergrad (chemistry, music) and graduate student, Austin is loving the opportunity to experience a new culture and explore his interests in global health. His column seeks to illustrate a raw, human, vulnerable lens on the joys and struggles of working abroad.

Lessons in Lilongwe

Global health work can seem glamorous, exotic, and noble. Lessons in Lilongwe presents introspection and critical observations to illustrate what global health research and living in Africa are really like. Come join Austin on his year off of medical school for a research fellowship in Lilongwe, Malawi.




Whiteness

Before my year abroad, I decided to pursue a masters of public health at the Brown School of Social Work at Washington University. During the weeklong MPH orientation last fall, we had an eight-hour mandatory session on cultural awareness, which included drawing our cultures with crayons on blank sheets of paper and sharing them with the group. Throughout the day, one of the students kept emphasizing how much she has been grappling with her white privilege lately. At the time, I had trouble appreciating what she was referring to, but after almost four months in Africa, my “whiteness” is part of my daily thoughts.

Presence

One of my housemates and I decided early on in my time in Malawi that we needed a code word that would mean, “Austin, stop worrying about money and schedules. Just enjoy the experience and let go.” We decided that “chocolate chips” would be our secret phrase for capturing this sentiment. That way, regardless of the social situation, my housemate could remind me to let go of control and just be.

Uncertainty

In undergrad chemistry lab, you likely were introduced to the terms accuracy and precision, often represented visually by the spread of darts on a dartboard. You were told to keep track of significant figures based on how well the various graduated cylinders and titration pipettes could measure volumes. The goal was to express the answer with as much certainty as possible, given the tools at your disposal.

What Does the Refugee Crisis Mean for Medicine?

Over the past few months, a recurring topic in news conversation has been the plight of refugees from Syria. Recently, European nations such as Germany have contemplated whether to extend asylum to many of the estimated 6.5 million individuals displaced within Syria, and the 3.5 million who have fled to neighboring nations. The Syrian Civil War began in 2011, and with growing instability in the region due to the growth of groups such as ISIS, much of the previous infrastructure has eroded, including the country’s health care and public health systems. There are a number of concerns for the health of refugees trapped in Syria, and for those who have found asylum in countries across the globe.

Dr. Tom Catena: The Man the Nuba Call Jesus Christ

In the Gospel of Matthew, a man walks up to Jesus and asks him, “What good thing must I do to get eternal life?” Jesus replied by saying to uphold the commandments. The young man assured Jesus that he has kept all of the commandments and asked what else is required from him. In turn, Jesus replied, “If you want to be perfect, go, sell your possessions and give to the poor, and you will have treasure in heaven. Then come, follow me.”

Global Health at Home: Fourth-Year Elective with Burmese Refugees

As medical students across the country enter their fourth year, many will travel thousands of miles to acquire global health experiences from the far reaches of the globe. While much can be learned by exposure to the stark differences among health systems in other countries, there is no doubt that such health disparities also affect the lives of vulnerable populations in our own communities. As a fourth-year medical student, I spent four weeks conducting a community health needs assessment of Burmese refugees in my hometown of Waterloo, Iowa, where I began to learn the meaning of global health at home.

Do You Really Have Global Health Experience? The Problems with Assigning Social and Professional Capital to Part-Time Global Health Practitioners

There is little doubt that many in the world lack access to adequate public health systems, and we know that good global health work can help these individuals. Fortunately, institutions and individuals are becoming increasingly interested in contributing to the field of global health. In fact, global health has become increasingly integrated into medical schools, so even tertiary care centers with little-to-no public health offerings afford their students opportunities to go abroad.

Medical Tourism and the Definition of Helping

“Puedo tomar su presión? Puedo tomar su pulso?” I butchered in Spanish, over and over again. Sometimes I received a smile and laugh in return, sometimes a look of confusion, sometimes a placid unfolding of the patient’s arm. I pumped the cuff up repeatedly and listened intently over the screams of playing children and the chatting of a long line of patients.

Perspectives from the Bike: A Look at an Ecuadorian Hospital

The gray pickup truck rattled along the rocky path, careening back and forth on a steep incline that reached for the snow-capped peak masked by clouds. While tires slid and kicked up trails of dust that diffused into the mist surrounding us, I was still able to catch a glimpse of Chimborazo, a volcanic pyramid of Ecuador, through pockets of clarity in that atmosphere. Soaring at breathtaking elevations of over 20 thousand feet, Chimborazo is a point near the equator where one can be closest to the sun while standing on Earth.

Brian Lefchak, MD, MPH Brian Lefchak, MD, MPH (1 Posts)

Contributing Writer

Children's Minnesota


Brian Lefchak graduated summa cum laude in biology from Drexel University in Philadelphia and from the MD/MPH program at Drexel University College of Medicine. He completed pediatric residency at NewYork-Presbyterian Weill Cornell Medical Center and is currently a fellow in pediatric emergency medicine at Children's Minnesota. In addition to a career interest in bioinformatics, he is a lifelong musician and performer with hobbies including photography, history, foreign travels and soccer.

The views and opinions expressed in these articles are those of the author alone and do not necessarily reflect the position of associated organizations.