The Global Pulse Journal Blog

In today’s guest post, recent medical graduate Laura Janneck, MD, MPH reflects on an elective course in social medicine she took in Uganda. Dr. Janneck is an AMSA alum, and now a resident in Emergency Medicine at Brigham & Women’s Hospital, Boston. For further information about the course, see details below.

Over the course of my involvement in global health during medical school, I began to narrow my interests toward humanitarian assistance and global health delivery in post-conflict settings. Last year, during my fourth year of medical school, I participated in a new course on social medicine being taught in Gulu, northern Uganda, a region that is recently recovering from a 20 year civil conflict. This course, called Beyond the Biological Basis of Disease: The Social and Economic Causation of Illness was very well organized, with didactics on a range of topics from the health consequences of internal displacement, to the portrayal of Africans in the Western media. We also were able to spend time on the wards seeing patients with a range of diseases and syndromes common in the region. The keystone of this course, however, is the international student body. Half of the medical students study at Gulu University and hailed from around Uganda. The other half were American and European. This enabled fantastic discussions with different perspectives on the issues we were studying, and planted the seeds of long-term friendships between colleagues from around the world. I enjoyed my time there so much that I went back to Gulu for another clinical rotation later that semester.

If you have any questions about the course or are interested in applying, please email the course directors at: social.medicine@yahoo.com. Applications are due July 30, 2010.

Many news articles have been written recently on the increase in the prevalence in chronic diseases across the globe.  Rapid economic development is seen as one possible cause of the swift spread of chronic diseases in the developing world.

Let’s take the increase in the prevalence of Diabetes Type II for example. China has nearly 250 million and India has about 50 million people with Diabetes and prediabetes.  It is estimated that by 2030, 366 million or 6% or the world’s population will have Diabetes. This condition has two different modes of contraction, one for the wealthy, mainly being obesity resulting from over-nutrition, and another for the poor via changes in the amount of exercise and diet that once consisted mainly of vegetables but now has switched to foods that are high in sugar, salt and fat.    The change of diet is a direct result of the increase in the numbers of people moving from villages to cities in search of work.  A study found that the influence of urbanization and change of living habits have a greater influence than genetic predisposition for  determining whether a person develops Diabetes Type II, these migrants were twice more likely to have hypertension and to have higher blood sugar than villagers.

Read the rest of this entry →

Join Commit in September @ commitinseptember.com

This is my first blog post on the Global Pulse Blog.  My name is Sam Vaghar and I manage the Millennium Campus Network (www.mcnpartners.org), a national non-profit network of university student organizations working to reduce extreme poverty and achieve the UN Millennium Development Goals.  The network spans 17 campuses across four cities and counts Dr. Paul Farmer, Dr. Jeffrey Sachs, and musician John Legend among its Board of Advisors.

I’ll save an explanation of my passion for student activism for another time.

Right now I want to invite you to add your name at www.commitinseptember.com, a new national petition to President Obama and Congress urging action on the UN Millennium Development Goals (MDGs).  We have put in specific asks on global education, global health, and long-term development in Haiti.  Our goal is to generate 25,000 signatures by the end of July and present them to White House and Congressional staff ahead of the UN MDGs Summit this September.

Why this matters: This generation is passionate about global health and development.  When you walk onto most college campuses, you will find a student organization (or five!) committed to raising awareness, fundraising, or engaging in service work overseas in solidarity with the world’s poorest communities.  But our leaders in Washington aren’t always aware of our generation’s passion.  Commit in September is one powerful way for all of us to show them what we stand for. We are calling on students to partner with us this year, signing the national petition, writing a letter to the editor, becoming a Campaign Ambassador (visit the site for info.), and joining with us, the United Nations Foundation, 1,000 peers and leading advocates at our conference this September at Columbia University on the eve of the UN MDGs Summit.

Together, our generation can build a grassroots movement for global development.  But we’ve got to get personal, reach out across our networks, and use all means available to create both social and political change.  I know many members of AMSA are leading the charge for global health equity, and I hope you will partner with us in this effort.  Please leave a comment so I can connect with you in the days and weeks ahead!

PS- It is a real pleasure to be joining this blog community.  I have been impressed by AMSA’s commitment, particularly in the advocacy arena, and the opportunity to connect with all of you means so much to me.  Hana, thanks for the invite!

This is the second in a series of posts for the American Public Health Association’s National Public Health Week.

Today, Wednesday April 7th marks World Health Day 2010. This year, the UN Secretary-General’s Message for World Health Day centers on the theme of urbanization and health with the campaign “1000 cities – 1000 lives.” The theme of Urban Health was chosen in the setting of a world in which the majority of the population is living in urban versus rural areas for the first time in history. At the same time, poverty is also shifting from sparsely-populated rural areas to urban areas especially in developing countries.

Disparities in people’s income, opportunities, living conditions and access to services along with numerous threats to public health including inadequate sanitation and refuse collection; industrial and traffic pollution; infectious diseases that thrive on squalor and crowded conditions; high rates of tobacco use; physical inactivity; unhealthy diets; crime, violence and the use of harmful substances are complex issues depending not only on public health measures but also social policy and governmental structures.

We are very proud of GP editor Jennifer Weinberg, who was the theme editor for the current issue of the AMA’s Virtual Mentor journal!   The theme for the March 2010  issue is global health ethics in practice.  Read the full issue here, or start with any of the following:

• Jennifer’s introduction: Global Health Ethics at Home and Abroad
• The WHO Staging System for HIV/AIDS by Jennifer Weinberg and Carrie Kovarik
• The Physician-Researcher’s Dilemma by Hana Akselrod
• Global Health Ethics and Professionalism Education at Medical Schools by Sujal Parikh

This is a guest post by Vanessa Coleman, coordinator of the International Women’s Health Leadership Institute and the International Women’s Health Working Group.

This New Year as you set down and make resolutions, we at AMSA urge you to make another one. Ghandi once said “Be the change you want to see in the world.” Imagine how much of a difference we could make in our practices, medical schools and in our communities if each of us 30,000 AMSA members made this resolution? Apply for AMSA’s inaugural International Women’s Leadership Institute and BE THE CHANGE.

Read on for details. Read the rest of this entry →

The following article was first published on the PLoS Medicine Blog, “Speaking of Medicine“, and is cross-posted here.

The role of medical students in limiting the spread of antimicrobial resistance

Adam Castaño‡, Sujal Parikh‡ and Eunice Yu, medical students at the University of Michigan Medical School, Ann Arbor, Michigan, USA (‡ These authors contributed equally to this post). Contact Adam Castano on acastano@umich.edu.

Nowhere in the world is free from the spread of drug-resistant bacteria, parasites and viruses.  The World Health Organization (WHO) Global Alliance for Patient Safety has recognized the dual problems posed by the increasing incidence of drug-resistant bacteria and the decline in antibiotic innovation.  For the past two years, a working group of policy makers, scientists, epidemiologists, and economists have assembled at several international meetings to outline an international strategy to address antimicrobial resistance (1). Policy recommendations, to be launched in 2010, will establish new roles for governments, public health departments, industry, and physicians as primary stakeholders in AMR prevention and alleviation.  Physicians prescribe antimicrobials, contribute to the spread of pathogens (particularly hospital-acquired infections), educate patients about appropriate use of antimicrobials, perform research, and set research agendas.  Medical students are being trained in an era where the toll of antimicrobial resistant infections is evident on a daily basis.  As future physicians, they have the potential to help to address this problem.  Here, we describe new leadership roles for medical students within their medical schools, hospitals, communities, states, and countries to alleviate the problem of AMR.

The role of medical students in medical schools Read the rest of this entry →

This month’s issue of Academic Medicine includes a series of essays addressing the question, “How should academic medicine contribute to peace-building efforts around the world?” This timely question is especially compelling in the United States, as national discourse continues about troop levels in Afghanistan, military strategy in Iraq, and whether and how the US should help stop the genocide in Darfur. Read the rest of this entry →

Are you interested in Global Health or International Medicine?  The AMA’s student ethics journal, Virtual Mentor recently published a worthwhile article called “Beyond Medical Tourism: Authentic Engagement in Global Health” which provides good advice on how to approach Global Health from a medical student perspective.  This short article is a good read for anyone considering going abroad for a ‘medical mission’ or other international health project.

Good morning on this May 1st, 2009, and good bye debt! Does the burden of debt loom over your head and weigh you down more than your book-laden backpack? Do you wish that the price of going to school didn’t cost you your dreams of being a family doc? Do you want to contribute your skills as a physician and serve your local and global communities, but just can’t afford to take the time off???? Make your voice heard, and email your congressman. Let them know we’re drowning in debt, and will not take it anymore.  Below is an action alert from Mary-Carol at AMSA.

Dear AMSA,

This last March, a few of our Representatives and Senators stood up to decrease the educational debt burden for future physicians by introducing a bill that would reinstate a pathway to defer loan repayment until after residency for the majority of medical residents.

This May, Congress is writing a huge piece of legislation that will reform our health care system – and impact our chosen career field for decades to come.

Your Senators and Representative need to hear from you that the cost of medical education must be addressed in this legislation.

Click here to send an email to your Congressperson.

Sound pretty good to be able to defer your loans during residency if you’re having trouble paying them? Well, don’t get used to it – as your school’s financial offices should have told you, last summer, the passage of the College Cost Reduction Act terminated this pathway for loan deferment.

As AMSA members, we have a responsibility to do everything we can to make medicine a feasible field for students from all walks of life – we need to remove the burden of intimidating student debt from the equation. Congress needs to hear from you that reinstating the economic hardship deferral pathway is a good thing, and that including comprehensive measures to decrease the cost of medical education in this month’s health reform legislation will be even better.

Thanks – let’s see this through!

– Mary Carol

Click here to send an email to your Congressperson.

Do your part to include medical school debt in the upcoming health care reform.