Diagnostic Radiology Residency Humanitarian Efforts

Where We've Been

2017

2016

2015

  • Rwanda 
    Nikunj Chauhan and Jeffrey Chick

2014

2012

  • BWH Indian Health Services, Navajo Medical Center, Shiprock, New Mexico 
    Chris Selhorst
    Faculty Supervisor/Mentor: Stacy E. Smith, MD

2011

  • Bangladesh 
    Pete Lokken
  • Rwanda 
    Pete Lokken
    Faculty Supervisor: Corrado Cancedda, MD, MPH
Internal Medicine Morning Report
Internal Medicine Morning Report Hospital Universitaire de Mirebalais, Haiti
Internal Medicine Morning Report
Nikunj R. Chauhan performing a computed tomography-guided biopsy on an 11-year-old female with large predominately fat containing abdominal mass concerning for liposarcoma or desmoid
Internal Medicine Morning Report
Nikunj R. Chauhan performing an ultrasound-guided biopsy on a 4-year-old female with multiloculated cystic mass arising from the right adnexa suspicious for ovarian malignancy with pseudomyxoma peritonei
Internal Medicine Morning Report
Jeffrey F. B. Chick preparing for a hip aspiration on a 3-year-old-male with fever, left hip and thigh collections, left pleural effusion, and pericardial effusion concerning for disseminated staphylococcus aureus infection
Local Efforts
  • Sunday Bread Food Pantry
  • BWH Radiology Annual Coat Drive
  • BWH Boston Marathon
    Team member, John Gilbert, raised over $8,000
Boston Marathon Sunday Bread Food Pantry
Humanitarian Awards

Resident

2018 - Sharath Bhagavatula

2017 - Oren Johnson was selected to participate in the 2017 Humanitarian Response Intensive Course offered through the Harvard Humanitarian Initiative

2015 - Nikunj Chauhan, Jeffrey Chick

2014 - Shreya Sood, Alexandra Fairchild

Staff

2015 - Barbara Weissman, MD, Stacy Smith, MD, Sandra Duran Medicuti, MD 

Links of Interest

Websites of Interest:

  1. Partners in Health - Our mission is to provide a preferential option for the poor in health care. By establishing long-term relationships with sister organizations based in settings of poverty, Partners In Health strives to achieve two overarching goals: to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair. http://www.pih.org//
  2. RAD-AID International - RAD-AID is dedicated to the mission of increasing international radiology services in developing countries and optimizing radiology for public health initiatives. In 2013, Brigham and Women’s Hospital started a RAD-AID chapter. Yearly conference takes place in October in Baltimore, MD. Visit the website for more information if interested. The conference is free to attend, but a donation is welcomed. http://www.rad-aid.org/
  3. ACR International Outreach Program – An overview of ACR members are contributing to Global Health Radiology. http://www.acr.org/Membership/Volunteering/International-Outreach
  4. ACR International Facilities Profile - Gives a map and short description of international sites with radiologic capabilities with contact information for the site. https://internationalservice.acr.org/fpp/
  5. Harvard Global Health Institute – A multidisciplinary page dedicated to building and strengthening the field of global health. http://globalhealth.harvard.edu/
  6. Radiologists Without Borders - Mission statement: To bring life saving diagnostic imaging solutions to medically underserved populations worldwide. Website gives great information about various projects and volunteer opportunities. http://www.rwborders.org/
  7. MGH Global Health Seminars - Great videos of past seminars on various global health topics.
    http://massgeneralcenterforglobalhealth.org/resources/cgh-seminar-videos/

Papers of Interest:

  1. Panosian, Claire. Courting Danger while Doing Good – Protecting Global Health Workers from Harm. Perspective, New England Journal of Medicine, December 23, 2010. 363:26.
  2. Mohan, Shaulnie; Sarfaty, Suzanne; Hamer, Davidson. Human Immunodeficiency Virus Postexposure Prophylaxis for Medical Trainees on International Rotations. Journal of Travel Medicine, 2010, volume 17, issue 4: 264-268.
  3. Sekhar, A et al.  Enhancing the resident experience with global health electives. AJR: 2012 Feb;  198(2):W118-21.
  4. Lungren MP et al. Global health training in radiology residency programs. Acad Radiol. 2011 Jun;18(6):782-91.

Books of Interest:

  1. Manual of Ultrasound for Resource-Limited Settings. www.pih.org/publications/entry/manual-of-ultrasound-for-resource-limited-settings
  2. Diagnostic Imaging for Global Health: Implementation and Optimization of Radiology in the Developing World. Daniel Mollura. (Pre-order only at this time)
  3. To Repair the World: Paul Farmer Speaks to the Next Generation. Paul Farmer.
  4. Mountains Beyond Mountains. Tracy Kidder.

Traveling Checklist

Site and Project:

  1. Connect with someone who has been to the site that you are interested in or the country you plan to visit. They can give you valuable insight on what to expect and how to prepare.
  2. Have a CLEAR project or plan of how you will utilize your time abroad.
  3. A written proposal must be submitted to Dr. Weissman and Dr. Smith for approval. The proposal must include the following:
    1. Explicit goals and objectives
    2. Clear plan for the experience
    3. Designated faculty member responsible for evaluation and feedback
    4. Name and contact information of an on-site clinical supervisor. This person must agree in writing to be your supervisor.
  4. Funding - A limited number of grants are available through Partners and ACR to help offset the cost of traveling. Please check these out early so you don't miss the deadlines!
    1. http://www.partners.org/Graduate-Medical-Education/Centers-Of-Expertise/Global-And-Humanitarian-Health/Funding-And-Resources/Global-Travel-Grants.aspx
    2. http://www.acr.org/Membership/Residents-and-Fellows/ACR-Fellowships/International-Travel-Grant-Fellowship

Passport and Visa:

  1. Passport - Make sure yours is up-to-date, will not expire in the next 3 months, has 4 empty pages, and is not damaged. If you need a new passport give yourself at least 2 months prior to departure to get a new one. http://travel.state.gov/passport/passport_1738.html
  2. Every country is different. Check early if you will need a Visa. http://travel.state.gov/visa/visa_1750.html

Insurance:

  1. Health Insurance: Check with your health insurance policy regarding worldwide claims. If you find that your policy does not cover you while out of the country, a list of companies who will can be found at http://travel.state.gov/travel/cis_pa_tw/cis/cis_1470.html
  2. Medical Evacuation Insurance: In the event that you do become ill or injured while abroad, it is important to be able to get back to the US and to Brigham when YOU feel it is necessary. Medjet Assist provides this service at a discount for Partners employees with plan #1770. http://medjetassist.com/
  3. Malpractice Insurance: CRICO International provides coverage for clinicians if they are already individually bound by CRICO and it is within the scope of your duties. CRICO is the current insurance provider for Partners physicians. Please contact to confirm coverage before departure: 617-679-1300.
  4. Still have questions about insurance? Contact Tim Murray at 617-726-8195 or temurray@partners.org.

Immunizations:

  1. Each region has its own unique health concerns. Please check the CDC website for the most up-to-date information as to what immunizations are recommended before you depart. http://wwwnc.cdc.gov/travel
  2. Some countries require a “Yellow Card” or PHS 731 to enter the country. This is documentation that you have received your yellow fever vaccine. This information can be found on the CDC website and this is available at the BWH Global Travel Clinic.
  3. Brigham and Women’s Global Travel Clinic can help you with your immunizations and travel medications. Call early! 617-732-8881. http://www.brighamandwomens.org/Departments_and_Services/medicine/services/travelclinic/default.aspx

Medications and Supplies:

  1. Malaria is a huge concern in many regions of the world. Check the CDC website if it a concern for where you are going and the sensitivities of the regional malaria. A good bug repellant is also key.
  2. A First Aid Kit is smart. Include medications and supplies such as: antibiotics (Ciprofloxacin) for travelers diarrhea, pepto-bismol, lomotil, tylenol, ibuprofen, triple antibiotic ointment, band-aids, blister covers (mole skin), and alcohol swabs. Otherwise you can purchase a pre-made one http://www.adventuremedicalkits.com/product.php?catname=Travel&prodname=World%20Travel%20&product=194#.
  3. The BWH Global Travel Clinic can help you obtain these medications and advice on what is specifically good for your needs.

Emergency Contact Information:

  1. Please send Ryan, Dr. Smith and Dr. Weissman an email including your flight information, a copy of your passport, where you will be staying, contact information for while you are out of the country, and an emergency contact person in the United States.
  2. Smart Traveler Enrollment Program (STEP) is a program run by the Department of State which will provide you with up-to-date information about weather and security warnings about the area to which you are traveling. Register your trip at https://step.state.gov/step/.
  3. Find and keep on you the contact information of the nearest US Embassy or consulate in case or medical or security emergency. http://www.usembassy.gov/

Communication:

  1. Internet - Find out what kind of internet access you will have. Can you give daily, every other day updates to someone at home? Can you Skype with the residency while you are away?
  2. Phone - Some carriers will work abroad. Always good to find out if yours will and at what cost. Often it is cheaper and easier to buy an inexpensive cell phone in country and buy minutes as needed for texting internationally and calling locally. This is best to find out from your local contact.

Organization:

  1. Tripit is a great way to organize multiple flights and will give you automatic updates if delays or flight changes occur. It has a lot of features and is worth checking out - plus you can link it to other people (Dr. Weissman, Dr. Smith, your parents, spouse etc) so they can get automatic updates too! https://www.tripit.com/

Miscellaneous:

  1. Make copies of your passport and keep in a place SEPARATE from your actual passport.
  2. Money. Carry at least 2 credit cards (MC and VISA are the most widely accepted worldwide) and cash. It is always good practice to have several new, crisp $50 bills on you as they get the best exchange rate abroad. Also keep a few smaller bills on you. In many countries banks and ATMs may be dangerous as you might be targeted leaving the bank, however large grocery stores will often exchange US dollars at a fair rate and in a safe environment. These same grocery stores may have a safe ATM for your use.
  3. Be prepared to present your experience. Pictures are great!

Funding Opportunities

ACR Goldberg-Reeder International Travel Grant

Deadline: June 30
Amount: $1500 (4 are awarded annually)
Description: In 2005 the American College of Radiology began an international service program to connect those in radiology interested in international volunteer work with facilities and organizations abroad in need of volunteers in radiology. The program expanded as part of the merger of the former Radiology Outreach Foundation and the ACR International Service program. The new entity became part of the ACR Foundation in January 2009. To further encourage international volunteer service among members-in-training, the ACR Foundation established the ACR Goldberg-Reeder Travel Grant. The ACR Goldberg-Reeder Travel Grant will provide travel grants in the amount of $1500 for selected radiology residents or fellows each year.

Website: http://www.acr.org/Membership/Residents-and-Fellows/ACR-Fellowships/International-Travel-Grant-Fellowship

Partner’s Global and Humanitarian Health Travel Scholarship Program

Deadline: September 15 (Fall cycle) and March 1 (Spring cycle)
Amount: $2000 (20 awarded annually)
Description: The COE International Travel Scholarship program offers twenty $2,000 travel awards annually to eligible Partners residents and fellows. Applications are due semi-annually and grants will be awarded based on review by the leadership of the Global Health Center of Expertise.

The Travel Scholarship grant promotes engagement of Partners residents and fellows in meaningful global health activities, including clinical education programs and field research. The grant is meant to offer a meaningful, well-structured educational experience.

Recipients may apply funds retrospectively within three months of past travel and funds can be applied for nine months after date of award.

Website: http://www.partners.org/Graduate-Medical-Education/Centers-Of-Expertise/Global-And-Humanitarian-Health/Funding-And-Resources/Global-Travel-Grants.aspx

Diagnostic Radiology Residency Humanitarian Effort

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