Visitors - Faculty / Students - Global Health / International Exchange


2012

Cory Fielding

Comments:-My goals in coming to MediCiti were to learn more about the Indian healthcare system, learn how MediCiti functions as a hospital, and learn how MediCiti is meeting the needs of its community.  This well organized global health program has helped me attain all of those goals.  I thank the coordinators of the program for providing me with the opportunity to see another perspective on the delivery of healthcare.

Our schedule had a good balance of days within the hospital and days in the community.  It was important to me to learn about how MediCiti reaches out to the community and meets their needs.  Also, I wanted to learn about how MediCiti promotes healthy living in the community.  By spending time with the REACH, MILES, and LIFE studies, I was able to see first-hand how MediCiti is improving the lives of the whole community instead of only focusing on patients who enter the hospital.  The REACH study provides a great database of demographic information of the community through which MediCiti can identify needs in the community.  MILES and LIFE are natural extensions of REACH, each providing care at different ends of the age spectrum.  With my interest in Internal Medicine, I was glad to see the steps that the MILES study is taking to encourage healthy living habits and preventative measures to prolong one’s health.  By visiting the Rural Health Training Center we were able to learn more about the Indian government’s efforts to address the needs of rural populations.

Dr. Kyle

Comments:-My name is Kyle Buchanan and I am a resident physician in my second year of training at the University of Pittsburgh Medical Center in Pittsburgh, Pennsylvania.  I spent seven weeks during the winter of 2012 at the MediCiti Institute of Medical Sciences in Hyderabad, India as part of a Medical Exchange Program.  The purpose of my visit was three fold: to continue training in the field of internal medicine within a foreign medical system and rural setting, to conduct a research project in the area of coronary artery disease, and to learn and explore the Indian culture.
 
            My colleague and I spent our weekday mornings carrying out our proposed research project.  The objective of the study was to investigate differences in cardiovascular risk factors within South Asian youth living in the United States and India.  Specifically, we are interested in comparing the fasting lipid profiles of each group of participants in order to possibly uncover a genetic predisposition to unfavorable lipid profiles. 

            We spent the afternoons in the hospital with rotating medical students and resident physicians.  During this time, we joined in on teaching rounds on the floor or ICU and helped assess patients in the emergency room alongside MediCiti residents.  The faculty in the hospital was extremely welcoming and engaging, creating a great educational experience.  The residents were also helpful throughout our stay and we were fortunate enough to become friends outside the hospital.  Aside from the above medical experiences, my colleague and I had the chance to visit surrounding rural villages with the community nurses and community medicine staff.  This provided us the opportunity to see the public health system at work first hand and meet with the people of Hyderabad in their everyday lives.

Natalie Kay Wallis

Comments:-I have learned a lot from this experience. We started out in Internal Medicine, the specialty that we are going into.  It was nice spending seven days in IM because it gave a chance to get to know some of the people well and experience a diversity of hospital situations.  The striking difference between here and the US is that the patients here come into the physician’s office in a steady stream, spending a few minutes each.  There is little paper work involved as the physician makes a quick note on a sheet of paper.  The total charge is R20 or 40¢. In the US the physician comes into each patient’s room, usually spends more time with the patient and a lot more time on paperwork and the bill to the patient is usually $20-40 even with insurance. 

           

The last portion of our time at Mediciti was spent with the REACH, LIFE, and MILES studies.  Visiting the local communities with REACH was probably my favorite day.  We observed the vaccination program at a school. It is good to see that the country is investing in resources to vaccinate everyone in the community and that these vaccinations are free to the public.  The REACH program also collects data from each family through the help of community worker. The data is used to track vaccination records and family statistics like health, living situation, job and education.  When vaccination rates of a particular community are low, the REACH team goes to the community and provides the vaccinations in person.  The first group of children we saw were about 4-6 years old and they were very cute and interactive but the older kids were the best.  They wanted to talk to Cory and I, be in our photos and shake our hands.  They got very excited with our visit and it made it a very fun experience for us.  We also heard about the program to provide free lunch for all the children at school and how this has improved attendance and the general health status of many children in India.

Chelsea Pallatino

Comments:-SHARE INDIA: Global Health Rotation: Statement of Learning My interests in working this summer with SHARE INDIA originated from my commitment to addressing risk factors for maternal and child mortality in underserved populations. Throughout my academics in public health, I have been educated on limits to health care access, but I wish to further my understanding of the barriers of healthcare in addressing indigenous self-care practices that influence the hygienic environment in the home. I hope to learn more about the relationship between maternal age and number of children, related to sanitation levels and the overall health of the mother and children. Through our in home meetings with mothers, I will be able to observe traditional behaviors related to hygiene and become more aware of how different women’s role in the family influences relevant practices. Assisting in the facilitation of focus groups with the women will help me to gain a better understanding of the interactions between family members and how these relationships influence priorities in hygienic routines and actions related to health prevention. Meeting with the women in a small and intimate setting will enable us to discuss influential risk factors and their emergence in the home environment. Addressing knowledge and barriers to proper sanitation resources will give us further insight into the education and support systems available to these women. Working on the LIFE Study will allow me to further develop my research skills and help me to learn how to establish rapport with participating women. I hope that through the activities of our research study that we can create a mutually beneficial and didactic relationship with these women. By discussing the hygienic routines of women, we can begin to identify obstacles to receiving optimal resources for proper sanitation and evaluate possible channels to educate women who do not have prior knowledge of effective public health practices, in hopes of decreasing the development of infections and other preventable health outcomes. 

2011

Ravi Patel

Comments:-My project sought to gather information regarding the training, education, and practice of Registered Medical Practitioners (RMP’s) in rural Hyderabad. I accomplished this objective through the creation and administration of a survey instrument. I administered this survey to RMPs with the aid of translation and transportation services provided by an individual who himself was an RMP in the area. Overall, the project’s objective to learn about healthcare provided to rural populations through these RMPs was a success on a personal level through the help of SHARE/MIMS. I hoped to make this project a success at the local level through my presentation of this information to the faculty/staff and at the healthcare-wide level through publication of the information in scholarly literature. Any further manuscripts or official publications can be added to this report as an addendum or finalized presentation of data analysis. The support of SHARE/MIMS was absolutely essential to the success of this project. The administrative staff was easy to contact and reliable when setting up the logistics and planning the technical details of my visit. The faculty of the medical school was very receptive to my project. They offered useful insight on how my survey could address the concerns that were specific for the rural population I wished to learn about and help through this project. The administrative staff and faculty were also very helpful in checking on the progress of my project. I found this especially helpful because my project’s timeline was of great concern to its planning and construction.

Sowmya Sanapala

Comments:-The eight weeks I spent at SHARE INDIA – MIMS were a very unique and educational experience for me. I spent half the time commuting and one month in the Girls Hostel on campus. My experience in the hostel was very pleasant and any issues that arose were dealt with in a swift manner. I was very thankful for all the help and guidance I received from the administrative staff of both SHARE INDIA and MIMS. They directed me to the right individuals when I needed assistance and were willing to share their resources

 

Shruti Ramchandran
Jessie Burke
Maggie Whelan
Niranjani Thuppal
Shruti Ramchandran
Nitin Aggarwal

 

Rebecca Durest
Rekha Vaitla
T.O'Malley
Zoe

2010

Brian Maser

Comments:-Our rotations at MediCiti was a very interesting experience in rural healthcare.  It was educational to see patients in the psychiatry unit with all different presentations and diagnoses.  Working with the psychiatry faculty was great, they were very welcoming and great teachers in getting us oriented to psychiatry in India.  There seemed to be little differences in the diagnosis and management of patients, except that the style was more authoritative, with patients appearing very respectful and intimidated with the doctors.  It was difficult because of the language barrier, as none of the patients spoke English and in psychiatry, it is very difficult to get a sense of the patient when you can’t communicate with them.  During a short experience in the MICU, we saw a varied cases that were mostly similar to the U.S. – heart failure, alcoholism, attempted suicides – the equipment was much more basic than in the States, but management was very similar.At Asha Hospital, the facilities were noticeably nice and the patients were more proficient in English.  This made our experience enhanced, because at least some of the time we could understand what the patients were saying, and even had the opportunity to interview some of the patients.  Working with the attending physicians and residents at Asha was a wonderful experience, we really felt included as part of the community there.  We learned that the teaching format is quite different , in that residents are often asked to present learning discussions and cases, and the attendings will intervene or add information as appropriate.  In the U.S., the core teaching is mostly conducted by attendings, and residents are only asked to present cases or short learning topics on occasion.  There was significantly more family involvement in patient care in India as a whole, which was very nice to see.

Dawn Sung

Comments:-Our rotations at Mediciti was a very interesting experience in rural healthcare.  It was great to see patients in the psychiatry unit with all different presentations and diagnoses.  Working with the psychiatry faculty was great, they were very welcoming and great teachers in getting us oriented to psychiatry in India.  There seemed to be little differences in the diagnosis and management of patients, except that the style was more authoritative, with patients appearing very respectful and intimidated with the doctors.  During a short experience in the MICU, we saw a varied cases that were mostly similar to the U.S. – heart failure, alcoholism, attempted suicides – the equipment was much more basic than in the States, but management was very similar.  Overall we had very interesting and memorable experiences in Hyderabad and India as a whole.  I hope to return someday as a physician and visit

Kate Scott

Comments:-I arrived at MediCiti on the 31st of January 2010 to the bright smile of Annie, the guardian of the Girls’ Hostel that would become my home for the month.  Coming from Chicago, I was mildly apprehensive about what my next four weeks would entail, who I would meet, what I would learn. 
The first week was spent with SHARE India, specifically with the LIFE (Longitudinal Indian Family health) project.  We attended research meetings with the primary investigators and research team to better understand the protocol and rationale for the project.  I learned that infant mortality is influenced by a number of factors, including maternal nutrition and infection, and possibly environmental exposures, such as pesticides.  We traveled to the village of Muneerabad to see how couples were selected for and counseled about the study and how samples of blood, urine, and vaginal cells were collected.  The health workers were extremely gracious (even placing flowers in my hair) and took the extra time to answer my questions and translate patient responses into English.  I began to understand some of the struggles people in the village were facing working on their farms, managing their finances, and raising their children.  Women, in particular, noted many hardships

Because of a personal interest in pediatric HIV, I requested that I spend the third week in Hyderabad working with APAIDSCON (Andhra Pradesh AIDS Consortium).  Here, I studied the project’s goals and strategies of spreading awareness about HIV, sensitizing all health care workers from doctors to housekeeping about the virus and its transmission, and building lasting partnerships between private and public health centers.  Every day, I was inspired by the passion with which participants spoke of the project and their individual role.  Researchers were measuring the effectiveness of Nevirapine regimens at preventing maternal to child transmission of HIV, doctors at CHEST and Niloufer Hospitals were dedicated to treating the infected and exposed in their communities, regardless of their ability to pay, and committee members were debating the current techniques and critiquing their own guidelines.  All of these efforts were aimed at a single mission: caring for people with HIV. 

All that I have learned here will be forever imprinted on my heart and I cannot thank everyone I have met here for this experience.  For the past month, you have gone out of your way to educate and share your piece of India with me.  You have lived for me, and I hope to live for others in your example.  My only contribution has been sharing some of what I have learned thus far, what I have encountered here, and a few helpful hints for the Step 2, CS Examination for the interns.  My goal is to take what you have taught me and continue the spread of ideas, challenges and successes, cultures and history.  If it is true that “they alone live who live for others,” then those I have encountered here are truly blessed with the gift of life.

Ruben Frescas

Comments:-Several projects here grabbed my attention.  The first project was the LIFE Study (Longitudinal Indian Family & Health) which is a pilot study that will look at a multivariate approach to determinants of antenatal care and environmental exposures as they relate to fetal well being and infant morbidity and mortality.  This study mirrors a similar study underway in the US, the Children’s Study.  The second program that grabbed my attention was the mission of the group APAIDSCON (Andhra Pradesh AIDS Consortium).  This is a non-governmental organization that focuses on HIV/AIDS prevention, screening and management.  The group works closely with other NGO’s and the state and national governments- APSACS and NACO, respectively.  The final presentation that grabbed my attention was the REACH (Rural Effective Affordable Comprehensive Health Care) project.  This database combined a number of demographics and trends on several villages in the Rangareddy district along with linking it to GPS drawn maps.  This was particularly interesting because I investigated a similar database approach while in Washington DC at the Robert Graham Center.

 

Lily Shapiro
Dr.Sameer Vohra
Viral Patel

2009

Helena Pasieka

Comments:-I truly enjoyed my clinical time at MIMS and found it to be very good experience overall.  I structured my time to rotate through three different departments - Medicine, Ob/Gyn and Community Medicine.  Community Medicine was hands-down the best experience at MediCiti.  I went out into the villages to see what the resources were and how they were distributed.  We saw child development centers, community heath centers, and HIV and leprosy treatment center, and a satellite clinic and hospital run by MediCiti.  This provided me with a wealth of information not only about the needs of the rural community but also about the Indian Government programs as well as the cultural and religious basis for some of the practices.  This was my favorite way to spend my time at MediCiti and I am very grateful for the exposure.

Helena Pasieka

Comments:-I had a wonderful experience at Sir Ronald Ross Institute for Tropical and Communicable Diseases (Fever Hospital) during the month of May, 2009.  In addition to the time I spent there, I also spent one day at Osmania University’s dermatology clinic and one day at Sivananda Rehabilitation Home.  Each of these experiences was unique but extremely beneficial to my training as an Infectious Disease Physician. At Fever Hospital, I saw a wide variety of vaccine preventable illnesses as well as those secondary to contaminated water.  All of these infections are rare in the US and therefore observing these illnesses was a new experience for me.  I also was present at Fever Hospital during a Cholera outbreak and was able to observe how these outbreaks are managed on a large scale in a resource limited setting.  This was also a valuable experience to me as I will be doing epidemiology work at the Center for Disease Control (CDC) in the US and therefore observing how outbreaks are managed in India was useful to me.I benefited greatly from observing how various infections are managed.  In many cases, the management style is different from that in the US, particularly owing to the scarcity of resources. Overall, I had a wonderful experience rotating through these hospitals.  I am very grateful for this opportunity and would like to thank Drs. PS Reddy and Dr. Surindar Reddy of Mediciti for kindly arranging this rotation for me.  I expect to draw upon these experiences for years to come.

Monica Grover

Comments:-I completed the global health rotation in February of 2008.  In general, I found the faculty, staff and students all to be extremely welcoming and friendly, and, as much as my educational experience, they were definitely the best part of my stay.  Here are some of my impressions that I hope will be helpful to future students.During my rotation, I attended public health classes and received an introduction to the health care structure in India, which I found to be very valuable in giving me a broader perspective beyond seeing individual patients. I also completed a small research project under the guidance of the family medicine department.  My project entailed assessing malnutrition in the preschools in the rural villages.  With the assistance of a few amazing medical students and a rural health center worker, I had the opportunity to see the villages and interact with the children first hand, doing physical exams and height and weight measurements that would allow me quantify the degree of malnutrition.In addition to my research, as my interest is in pediatrics, I rotated through the pediatric general wards, NICU and outpatient clinic. I was very impressed by the professionalism, level of knowledge and enthusiasm of all the attending and residents. I felt I learned many things, particularly regarding physical exams skills and honing my clinical acumen, which, in a sense, is perhaps not as well-developed in the United States, given the frequent use of expensive laboratory tests and imaging studies.

Shalini Ravella and Soumya Brahmamdam

Comments:-We are two medical students from Chicago, and this is our story.  
From a young age, we grew up and were educated in Chicago.  We completed high school, college, and are now in our last year of Medical School.  During our first two years of medical school we studied, attended lectures and tried to retain as much as we could out of medical textbooks and over the last two years we spent time in hospitals on the wards taking care of patients, trying to apply everything we learned from books to real life.  But though we had thorough training under some extremely intelligent, talented teaching doctors we felt there was yet one more avenue we needed to explore before we could start our residency and become MDs. 

We started at Mediciti Institute of Medical Science on February 2nd, 2009.  Our experiences over the past few weeks were revelating. Some say “ignorance is bliss,” however in a field such as ours knowledge and awareness are powerful tools. We feel privileged and humbled to have experienced a healthcare system so unlike our own. We hoped to have shared experiences valuable to us with those who we have met in the past four weeks. We will be able to return to Chicago with a new perspective and fresh outlook on approaching the field of medicine. We have realized the importance of our role in medicine to so many, both privileged and under-privileged. We are grateful for having had the opportunity to make connections with those who’ve been involved in promoting international health care ties. We, without a doubt, have had a life changing experience. We plan to return at a future date as trained physicians to further contribute knowledge and time to those who have greatly impacted our experiences in India.

 

Abid Fakhri
Adam Robert Macgregor
Aruna Raman
Shiv Dev

 

 

 

 

2008

Photo N/A
Sierra Beck
Bharati Kalasipudi
Agneiska Ewa Witkowski
Lindsay Andrus
James E Quinn
Brain Muthyala

 

Sharon Pham

Comments:-We appreciated the opportunity to travel into the field with the Reach team. It was a great opportunity to see a rural area, learn about village life, and see how a grassroots health program functions at the ground level.  We were particularly impressed by the way the program involved village volunteers for collecting data. We believe that this would be an excellent program for international students to visit in the future, particularly students with an interest in public health research.

Sarah Kitchen

Comments:-Much of my month at Mediciti was spent coordinating and researching a pilot sero-survey of dengue fever (DF) prevalence. The project is collaboration between SHARE and the University of Pittsburgh’s Graduate School of Education. As part of this I spent some time with REACH and seeing the villages and homes with REACH’s community coordinators was enormously valuable. The modes and extent of water storage was helpful in understanding that vector control, if desirable, would not be an easy achievement.One of SHARE’s stated goals is to educate health care professionals from other countries so that they can apply some of REACH’s methods in their own countries, but I am afraid that, like me, they may end up just wanting to stay in India.I admire SHARE’s dedication to those who do not have enough, and thank you for the reminder in the hospital lobby:  that the world is divided into two groups - those of us who are fortunate to be able to give, and those who have a need to receive.  I truly loved every minute I was there and want nothing more than to return to India as part of my work

Sarah Kitchen

Comments:-I truly enjoyed my clinical time at MIMS and found it to be very worthwhile. I structured my time to rotate through the different departments- Medicine, Surgery, Ob/Gyn and Pediatrics.  Take the time to talk with the medical students while you are at MediCiti. It was fascinating to see how medical school is structured in India and discuss training and life in the US and India with the students.

2007

Anitha Katikaneni
Annie Dude
Arun Nagaraju
Asima Ahmad
Brandi Nicole Fender
Danielle N. Mianzo

 

Elizabeth Brown
Erik Stolen Berg
Josephine Kim
Rajiv Patel
Nithya Natarajan
Sachin Kale

 

Sarah Sobotka
Sherry Brooks
Shilpa Ravella
Shruthi Ramachandran
Wesley Gibbert
Rebecca Harris

 

Zachary Zator
Kumar Ilangovan

 

2006

Neeta K. Makhija
Giulia Hines
Lauren Sinnott
Janaki Gokhale
Kartik Patel
Radha Ram