In partnership with Rwandan Ministry of Health and a consortium of US academic medical centers, the Division of Global Emergency Medicine at Brown University has developed the first sustainable graduate medical education programs in Internal Medicine, Family Medicine, Pediatrics and Emergency Medicine in the country of Rwanda. Brown University is the lead US institution for establishing the emergency medicine component of the program and sponsors full-time emergency physicians in Kigali, Rwanda. In addition to supporting the training of Rwandan emergency medicine residents through EM education and curriculum development, the division also collaborates with the prehospital care system known as SAMU as well as the Accident and Emergency Department in Rwanda in conducting ongoing data collection focused on improving prehospital and emergency care.
Medical students, physician assistants, residents and fellows are offered the opportunity to understand the unique management of emergent conditions on an island. The LBJ Tropical Medical Center in Pago Pago is the single health care authority for the population of 75,000 territory inhabitants. Participants can take part in understanding EMS care, flight transportation, and emergency preparedness in a developing nation. The elective focuses on emotional and cultural intelligence, traditional healing intersecting with Western Medicine, obesity among Samoans, and tropical diseases such as Hansen’s disease, filariasis, elephantiasis, leptospirosis, dengue fever, Zika, Chikungunya, and TB/HIV. Participants can also take part in developing medical education for emergency physicians, nurses and technicians. Past experiences have included the development of CME programs, quality improvement projects, emergency preparedness, palliative care as well as morbidity and mortality programs. They also have the opportunity to utilize the EMR system for efficient data mining during research projects.
The division partners with the Universidad Nacional Automa de Nicaragua (UNAN) School of Medicine and emergency medicine training programs at Hospital Lenin Fonseca and Hospital Roberto Calderon in Managua, Nicaragua to help improve health care capacity by providing education to emergency medicine health care providers. We continue to deliver trauma training programs for emergency medicine residents and physicians at these hospitals. Educational opportunities focus on Spanish language immersion, EM development, education, regional tropical disease, ultrasound, and emergency preparedness.
The International Center for Diarrheal Disease Research, Bangladesh (icddr,b) is the premier research center for cholera and other diarrheal diseases in the developing world. In existence since 1960, icddr,b treats over 150,000 patients each year with diarrheal disease, including significant numbers of children and adults with severe dehydration from cholera. From the perspective of global emergency medicine, icddr,b offers a unique opportunity to study better methods for assessing dehydration and resuscitating children and adults with severe dehydration in a resource-limited setting. In addition, icddr,b offers the opportunity to work with talented researchers from around the world with significant clinical and laboratory research experience, as well as attend seminars on the scientific and ethical conduct of research in the developing world.
In collaboration with Aga Khan University in Nairobi, the Department of Global Emergency Medicine at Brown University will assist with the development of the emergency medicine residency program in Kenya. This will include support in program development, resident training, clinical care and research The division will also provide trauma training courses in Eldoret, Kenya.
The Division of Global Emergency Medicine partners with Pontificia Universidad Javeriana in Bogotá, Colombia. Residents spend half days in the busy urban emergency department of San Ignacio Hospital and half days in spanish language immersion classes. In addition, the division collaborates with the Ministry of Health, Pontificia Universidad Javeriana, ASCOFAME: the national dean's council, and the national medical student association on several research initiatives to improve emergency care nationwide.