Information Session for Yale/Stanford Global Health Scholars Program 2020 - Uganda

Transcript

• 00:00Once again, I'm Melissa Yeager.
• 00:02I was a 30 year traditional Medicine
• 00:04resident last year when I went to Uganda.
• 00:07Now I work at Jefferson and
• 00:09Philly as a hospitalist.
• 00:11That's my email.
• 00:12If you have any questions.
• 00:14This background is one of the many
• 00:16beautiful places you can visit and you
• 00:18got into the Forbidden forest and windy,
• 00:21which is where you could go gorilla trekking.
• 00:25So I also put a location map just in case you
• 00:28have no idea where you Gonda it's in Africa.
• 00:30Most people do that probably,
• 00:32but that's where it is.
• 00:33They call it the Pearl of Africa.
• 00:36And I don't.
• 00:37I didn't take as many pictures as it
• 00:40seemed like everybody else did, but I.
• 00:43This is the picture I have to
• 00:45represent the clinical work.
• 00:47This is true.
• 00:48Do hospital, which is where most of the
• 00:51internal medicine floor rotations are.
• 00:53They've been moved from the main campus,
• 00:56Mulago 'cause they've been doing
• 00:57some renovations for many years.
• 00:59I think at this point,
• 01:01but they're still working on that.
• 01:04There are some some rotations.
• 01:05The emergency Department.
• 01:07And I think some of the human clinics,
• 01:10maybe cardiology or over by Mulago,
• 01:12which is closer to downtown
• 01:14Kepala where we were living.
• 01:16But anyway,
• 01:17we gotta ride out here to this hospital
• 01:20every day by our drivers who are
• 01:22excellent is about a 30 minute ride.
• 01:25I think one of the interesting things
• 01:27about the rotation in Uganda is that
• 01:30you get to select two subspecialty
• 01:32rotations of your interest,
• 01:34and so I was there.
• 01:36I did infectious disease.
• 01:38Angie I.
• 01:39Both of those were kind of split two
• 01:41and a half 2 1/2 weeks based on the
• 01:44time I was there and you know got to
• 01:47rotate through the floors and kind of
• 01:49experience what subspecialty care is like.
• 01:51Ann and I third World Country,
• 01:53and so there's a lot of autonomy
• 01:56like other people have said.
• 01:57And you know, kind of gets a jump right in.
• 02:00There are others.
• 02:01Sort of, you know, traditional teams.
• 02:03There's a senior resident.
• 02:04There are what we would
• 02:06think of as interns there,
• 02:08and there's a lot of medical students there
• 02:10that you'll round with the attendings.
• 02:12Depending on the service,
• 02:13may or may not be there everyday,
• 02:16and so there really is a lot of
• 02:19independent decision making.
• 02:21You know there's a lot of
• 02:23opportunities for teaching and
• 02:24teaching us kind of expected an
• 02:26there are so many students you know.
• 02:28Usually we have one or two on a rotation.
• 02:31There might be 10 rotating through at a time,
• 02:34and so plenty of learning of
• 02:36teaching opportunities and there's
• 02:37learning opportunities as well.
• 02:39There's weekly sort of case
• 02:41conferences in the morning.
• 02:42I know when I was on GI they did
• 02:45their own sort of case presentations.
• 02:48And I got to do my own presentations there,
• 02:51and there's grand rounds.
• 02:53So lots of educational opportunities,
• 02:55both first year teaching and for learning.
• 03:00I wanna talk about so the
• 03:01the patient population so
• 03:03it is a national referral hospital.
• 03:05So a lot of the patients that come out,
• 03:08sort of the sickest of the sick before
• 03:10they end up there and there's a lot of
• 03:12patients that will seize or traditional
• 03:14healers and traditional pursue traditional
• 03:16medicine before they come to the hospital.
• 03:18And so that's kind of an interesting aspect.
• 03:21You get to see patients
• 03:23with very advanced disease.
• 03:24A lot of what I saw at least an infectious
• 03:27disease was a lot of HIV complications.
• 03:30Pneumocystis pneumonia crypto meningitis.
• 03:33TB meningitis.
• 03:34Alot of TV complications in general some tax.
• 03:37Oh Gee, I was a lot of shifts
• 03:40to a lot of hepatitis,
• 03:42advanced cirrhosis.
• 03:43So really a mixture of things like
• 03:46Schiff said there's a lot of focus
• 03:49on the clinical exam because a lot
• 03:51of the data just isn't available
• 03:53either patients can afford it.
• 03:56I had to read my own Mris sometime
• 03:58which is a new experience for me because
• 04:01there was just not a radiologist read,
• 04:03so you're depending a lot on your
• 04:05clinical acumen and the residents and
• 04:07students there get really good at it,
• 04:09so they're really good teachers,
• 04:11and that's a good opportunity to learn.
• 04:14My next slide is just some pictures
• 04:16of the city of Kampala itself,
• 04:18so the top one is actually where
• 04:21I stayed while I was there.
• 04:22It's one of the few locations
• 04:24you can stay at.
• 04:25It's on the Mac Urary campus,
• 04:27which is a University there and it
• 04:29was kind of a small apartment where
• 04:31I stayed with another resident and
• 04:34for part of the time a couple of PA
• 04:36students and then just to show you,
• 04:38you know.
• 04:39Whenever I've been to Africa couple times,
• 04:41whenever I go and like,
• 04:43is it going to be rural?
• 04:45Is it going to be a city?
• 04:47It's very much a city so down here
• 04:49on the lower left is a market
• 04:51that's down the street on the walk,
• 04:53from Akureyri to Mulago Hospital,
• 04:54and they sell amazing fresh fruit
• 04:56and then here is the mall that's
• 04:58kind of across the street,
• 04:59which has a movie theater and you can see
• 05:02all the traffic and some of the boat,
• 05:04a boat's,
• 05:05which are the scooters there which we are
• 05:08not advised to to ride and I did not ride.
• 05:11And then this was just more of the fun stuff.
• 05:14So they do.
• 05:15The program does a really good
• 05:16job of sort of introducing you
• 05:18to cultural experiences there,
• 05:19so there's sort of planned activities.
• 05:21The bottom left here was a cultural
• 05:24dance night that we went to.
• 05:26We gotta play some instruments and dance.
• 05:30This was a wedding that I
• 05:32actually got invited to buy.
• 05:34One of the staff members there and so
• 05:36that's means the traditional garb.
• 05:38And that was a really good time.
• 05:41And there's other sort of language
• 05:43lessons and sort of culturally
• 05:44specific opportunities to get
• 05:46to know the people of Uganda in
• 05:48the place that you're in.
• 05:50And then obviously I have
• 05:51some animal pictures,
• 05:52so this was from Gorilla trekking,
• 05:55not quite as up, close as ship's photo was,
• 05:58with still a really good experience.
• 06:00And then the so far it was
• 06:02actually really excellent.
• 06:03They have a rhino preserve there,
• 06:04which is where this picture was taken,
• 06:06and I'm pretty sure that's the
• 06:08closest that you can get to
• 06:10a rhino outside of the zoo.
• 06:12And that's about it.
• 06:16Go back to my
• 06:17email case. Anybody needs it.
• 06:23Thanks so much Alyssa. I hadn't seen
• 06:24that picture of you at the wedding.
• 06:26You look great in there. They get.