Information Session for Yale/Stanford Global Health Scholars Program 2020 - RwandaDecember 03, 2020
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- 00:00Hey everyone, I'm Jeff.
- 00:02I just graduated from the trad
- 00:05program this past year and actually
- 00:08did the distinction pathway.
- 00:10Map which. I did.
- 00:13It was definitely one of the
- 00:15highlights of my residency experience,
- 00:18so if anyone's interested in that,
- 00:20has any questions,
- 00:21feel free to reach out.
- 00:23I was very glad that I
- 00:26did it during residency.
- 00:27I went to Rwanda during
- 00:29November of my third year,
- 00:31so right before covid happened and
- 00:33I chose were Wanda mainly because
- 00:36I was interested in development
- 00:38of their health care system after
- 00:41genocide and really wanted to see.
- 00:43What things have looked like in the decade?
- 00:46Plus since that happened?
- 00:49And was really happy that I did.
- 00:53Let me share my screen.
- 01:21Sorry, one second.
- 01:28There we go. So Rwanda is in East Africa.
- 01:32It is bordered by the DRC
- 01:34and Uganda to the North,
- 01:36and then Burundi and Tanzania to the South,
- 01:39and southeast Kigali,
- 01:40which is where at the Central Hospital,
- 01:42is that I rotated at is kind of
- 01:44in the middle.
- 01:46There is another site that you can
- 01:48go to in Butare and they actually
- 01:50have a large Cancer Center which is
- 01:53pretty well known there and in the
- 01:55North you can see the room mountains,
- 01:57which is where a lot of people.
- 02:01During their trips,
- 02:02will go to see the gorillas,
- 02:04which is pretty cool.
- 02:08Like we talked about,
- 02:09the genocide had a huge impact on
- 02:12health care in Rwanda in the early 90s.
- 02:14They actually had the lowest life
- 02:17expectancy out of any country in the world.
- 02:20And the rates of infectious disease and
- 02:23unsafe Earth skyrocketed as a result of this.
- 02:26In the mid 90s. Since then,
- 02:30they've actually developed quite a bit.
- 02:32Paul Kagame is the current president
- 02:34who actually led the Rwandan Patriotic
- 02:37Front during the genocide and became,
- 02:39I think there's six president,
- 02:42and he's done a lot for them in terms of
- 02:45their economy and healthcare development.
- 02:48Part of this was the human resources
- 02:51for health Program, or HRH.
- 02:53It was launched in 2012 and was seven
- 02:56years in duration and they basically.
- 02:59Sent over a lot of US faculty
- 03:02members to collaborate with.
- 03:04The faculty there and train a
- 03:06lot of their medical students,
- 03:08senior residents and attendings
- 03:10based basically just strengthen their
- 03:12own health care infrastructure so
- 03:14that when the US presence was gone,
- 03:16they'd be able to still sustain that.
- 03:22This is the entrance to the hospital.
- 03:26Where you came in every day and
- 03:28there is one of the ambulances.
- 03:31All of the buildings or kind of
- 03:33these small one story buildings,
- 03:35which are the wards?
- 03:37And there's one male Ward,
- 03:39one female warden, then one word for
- 03:41TB patients for internal medicine,
- 03:43and then there is opian
- 03:45surgical wards as well,
- 03:47and this is their OB pavilion,
- 03:49which is really nice.
- 03:50I'd go here during my lunch
- 03:53breaks throughout the day,
- 03:54and they're all.
- 04:25Teaching if you're interested in
- 04:27that and mentorship their own,
- 04:29residents are frequently busy,
- 04:31and so they will rely on you a lot
- 04:34to help lead noon conferences for the
- 04:37Med students and morning reports.
- 04:39And that was actually probably one
- 04:41of the highlights of the experience
- 04:44is going to work really closely
- 04:46with these students who are highly
- 04:49motivated and really just sweet.
- 04:52Because there is a,
- 04:53you know, limited resources,
- 04:55and you can't always rely on
- 04:57advanced diagnostic techniques.
- 04:58You really have to rely on
- 05:00physical exam skills,
- 05:01which is something we learned from
- 05:03one of their senior physicians there.
- 05:06This was a cool case of a patient
- 05:08whose family members had said that
- 05:11his Palmer Skinhead darkened a lot,
- 05:13which was unusual.
- 05:14It was more the color of his
- 05:17wife skin that you can see in
- 05:20the picture next to him and.
- 05:22Based on just a physical exam
- 05:24and his hypo tension,
- 05:26the like senior doctors basically
- 05:28like the equipment doctor Duffy.
- 05:31There was able to make a
- 05:33diagnosis of Addison's disease,
- 05:35adrenal crisis which was really cool
- 05:38because the skin hyperpigmentation.
- 05:40so that was really neat and something
- 05:43definitely that I got to work on.
- 05:45I think the bedside,
- 05:46rounding and interaction with
- 05:48patients was far more than like
- 05:50any other experience I've had.
- 05:52This this is a picture of me
- 05:54with all the Med students after
- 05:56one of our like lunch meetings.
- 05:58We did a lot of different topics like DKA,
- 06:01diabetic emergencies,
- 06:02just basic bread and butter medicine topics.
- 06:05On another picture, they were all very sweet.
- 06:09An in Kigali.
- 06:10At the time there was also the
- 06:12women leaders in Global Health
- 06:13Conference which I had to attend,
- 06:15which was a cool experience.
- 06:17There's always a lot of different
- 06:19lectures on educational opportunities to,
- 06:20I think because there are a lot of.
- 06:24Faculty that are always coming.
- 06:25This is actually Jeanette Kagame.
- 06:27She works very closely with
- 06:29the Ministry of Health.
- 06:30She's their first lady,
- 06:31so it was really cool to get to
- 06:34hear her speak at this event.
- 06:36Kigali also has a lot of coffee shop,
- 06:39so I tried to go to at least each of them.
- 06:43This is one of my favorite
- 06:45called Question Coffee.
- 06:46It's sourced locally from women in nearby
- 06:48areas that are their own coffee beans.
- 06:51This is another one of my
- 06:53favorite cafes you can have.
- 06:55You see a really nice view
- 06:58of the city around it.
- 07:00This is an example of a typical Rwandan meal.
- 07:03They'll eat a lot of green bananas,
- 07:05which was new to me and cook.
- 07:08It can taste like potatoes.
- 07:09A lot of fish different like
- 07:12rice and spinach and stuff.
- 07:15This is a picture of a girl I
- 07:16saw at the Volcanoes National
- 07:17Park which was also a highlight
- 07:19and if you're into the outdoors,
- 07:21there's a lot of great hikes.
- 07:23There's like IBEW as well,
- 07:24so every weekend we were trying to
- 07:26do a trip to one of these period.
- 07:29This is at the entrance of the park.
- 07:32And this is just another picture.
- 07:34Rwanda is known as the Land of 1000 Hills,
- 07:38and so it's super scenic
- 07:40and very picturesque.
- 07:41There's always a bunch of
- 07:43rolling Hills everywhere.
- 07:44This is actually the view from
- 07:47my apartment balcony during the
- 07:49last sunset that I was there.
- 07:51If you have any questions,
- 07:53my email is right there, thank you.
- 07:59Great, thanks so much.
- 08:00If A and I see Andre is
- 08:02here as well. If folks have questions,
- 08:05feel free to put them in the chat
- 08:07or you know we have a minute or two.
- 08:09If anybody wants to ask
- 08:11a question now or Andre,
- 08:12I don't know if you wanted to add
- 08:15anything to that presentation.
- 08:17Well, I can ask you for a question and
- 08:19then if there's time I can talk after.
- 08:21But what was your living
- 08:23arrangement like and how did
- 08:24you find getting around Kigali?
- 08:26I'm getting around is really easy.
- 08:28I looked within walking distance to the
- 08:31hospital and kind of in the downtown area.
- 08:33There are a few apartment complexes
- 08:35and a lot of expats live there
- 08:37and so I found them through this
- 08:40like living in Kigali website. So
- 08:42it was about like half a mile walk
- 08:44to the hospital in a nice
- 08:47like furnished apartment.
- 08:49Yeah, there's definitely
- 08:50a lot of living options,
- 08:51and you work primarily
- 08:52in the inpatient setting.
- 08:53It sounds like.
- 08:54Did you do anything in
- 08:56the outpatient setting?
- 08:56No, I worked only in the wards. Kay? Thanks.
- 09:03Read. Alright, thank you so
- 09:06much for much appreciated.