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

December 03, 2020

ID5961

To CiteDCA Citation Guide

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.