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OHSU IM Residency Profile picture
@OHSUIMRes
Sep 17, 2020 • 10 tweets • 6 min read • Read on X
1/ Curriculum #Medthread about our Global Health Track & Scholars Program!

The OHSU IM Global Health Program endorses a broad definition of #GlobalHealth rooted in interdisciplinary collaboration to promote better health for all

ohsu.edu/school-of-medi…

2/ As the program has grown over the years, one of the highlights of the program was a rotation at Scottish Livingstone Hospital in Molepolole, Botswana through our Harvard/Beth Israel Deaconess partnership

3/ Program alumnus @AdamRodmanMD (host of @BedsideRounds) was a program participant, and then completed a #GlobalHealth fellowship!

Watch him talk about his experience at Scottish Livingstone Hospital here:

4/ Dr. Katie Ferguson, who graduated from our program this past June, is a current #GlobalHealth fellow!

(ps--photo from her GH rotation in Alaska--more on that to come!)

5/ One of the core tenants of our track is that “global health begins at home” & isn’t only about international rotations but services to underserved communities

According to Dr. Nyendak, APD until she relocated to Delhi, India, who was instrumental in the creation of the track: Image
6/ GH track R2s rotate "locally", with options such as...

-an Indian Health Service clinical rotation, options including:

🗺️sites in Round Valley, California
🗺️Chemawa Health Center, in Salem, OR
🗺️Alaska Native Medical Center in Anchorage, Alaska

7/ other local rotation sites include:
✅corrections medicine
✅@VirginiaGarcia (provides medical care to migrant and farm workers & those with barriers to care)
✅@care_bridges (OHSU student run free clinic)
✅Community Resource and Referral Center (focused on homeless Veterans)
8/ #GlobalHealth and #PrimaryCare naturally overlap in many areas, including the focus on rural health and underserved care

We find there is natural synergy between the two programs in teaching topics, outreach to vulnerable populations, and interdisciplinary collaborations
9/ our partnerships also bring multidisciplinary collaboration with other learners at OHSU, including those rotating at the same sites plus innovative noon conferences, like one held with @OHSUradchiefs @OHSURadiology on chest xray findings during the Botswana rotation
FIN/ while COVID has changed rotations in the short term, the big picture remains:

a #GH skill set is widely transferrable & involves:
🌎reasoning w limited resources
🌎understanding social determinants of health
🌎humility to always be willing to learn

• • •

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More from @OHSUIMRes

OHSU IM Residency Profile picture
Sep 15, 2020
We are eager to learn from this #GrandRounds by @OHSU_ID faculty @lstrnad5 and @SikkaMon regarding the overlap between complex bacterial infections and SDOH ImageImage
Looking at rates of IUD-associated bacterial infection versus other Oregon demographics.

These infections are more common in poorer and more rural areas Image
Racial disparities also exist in Oregon. Black individuals accord for a disproportionate % of IUD infection related admissions versus the 2% of general population Image
Read 4 tweets
OHSU IM Residency Profile picture
Sep 10, 2020
1/ We are going to start a series of threads, starting with this #tweetorial, to share more info about our program & curriculum. We will collate in a Twitter moment!

First topic—our Social Medicine Curriculum & Block:

ohsu.edu/school-of-medi… Image
2/ Why is this such a valued part of our residency program curriculum for > a decade?

Healthcare & health outcomes are about far more than just access to medical care and treatments. Social determinants of health (SDoH) are crucial to these outcomes

annals.org/aim/fullarticl…
3/ Our Social Medicine curriculum includes an ambulatory block rotation & longitudinal learning across 3 years

We aim to:
⬆️resident knowledge of health disparities & system gaps
⬆️sociocultural awareness of SDoH
✅provide culturally responsive care for stigmatized patients
Read 9 tweets
OHSU IM Residency Profile picture
Aug 4, 2020
#GrandRounds today by @vaportland faculty Dr. Kate Mackey (and alumna/former chief resident) about evidence synthesis in the era of covid19 including overview of the VA Evidence Synthesis Program (ESP). Many thanks also for the mentorship of TEN residents working with the project ImageImageImage
here's the link to the website:

covid19reviews.org
One of the research/writing teams including resident @DrLiederbauer and recent grad (& incoming faculty) @kieferm2 leading to this publication in @AnnalsofIM !

acpjournals.org/doi/10.7326/M2… Image
Read 5 tweets
OHSU IM Residency Profile picture
Jun 2, 2020
#OHSUscholarship #GrandRounds—if it’s been happening for over 5 years, we can call it a long standing tradition!
Celebrating the scholarly work of our residents today ~ through knowledge and curiosity, may we work to help our communities, patients, and profession! Image
Dr. Jenna Anderson shared her multidisciplinary work on developing an acute pancreatitis care guideline across the OHSU enterprise and partner hospitals #OHSUscholarship @OHSUsurgery @OHSU_DHM Image
Dr. @DrSimoneDekker sharing her research critical illness, traumatic injury, and gene expression Image
Read 7 tweets
OHSU IM Residency Profile picture
Jun 1, 2020
We’re proud to see residency training programs like @UofMPesRes stand up for health, justice, and the safety of their trainees and their community on. 1/x
In this week’s case, this means speaking out against racism. Too often, speaking up for justice and safety of human beings means speaking out against racism. 2/x
We at @OHSUIMRes believe that #blacklivesmatter. 3/x
Read 9 tweets
OHSU IM Residency Profile picture
Apr 28, 2020
Our chiefs laid out 3 broad strategies, with some specific actions we can take to remove remaining barriers for women in leadership.
1) Address Bias
2) Improve Work/Life Balance
3) Consciously Advance Women
Address bias: women at our institution have more concerns about not being acknowledged at conference, not being credited for their work. Image
Improve Work Life/Balance:
Women at our institution are more concerned than men about criticism taking time off for the more than 7 years!! of unpaid work they will perform over their lifetimes. Image
Read 4 tweets

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