January 2020

Pediatric Global Health Newsletter

Photo by TREAT and Company

Note From Dr. Howard

Hi Everyone!

Happy, Hopeful New Year!

Hope to see you soon - on Tuesday night, January 14th if not before,

Cindy

Upcoming Events

Monthly Pediatric Global Health Track Dinner Meeting

Date & Time: Tuesday, January 14 — 6:30 p.m.—8:30 p.m.

Location: Dr. Cindy Howard's House

Topic: Global Burden of Childhood Cancer presented by Dr. Scott Howard

 GPEDS Presentation: Pediatric Oncology: A Global Health Priority

Before attending this event, please log into Canvas.umn.edu, click on the Global Pediatrics Education Series 2.0 course, take the pre-test, then click on A. Fundamentals of Global Child Health, click on Pediatric Oncology: A Global Health Priority. Watch the video, take the quiz, and come prepared to discuss.

Click here to order your dinner

Pediatric Grand Rounds

Date & Time: Wednesday, January 15 — 7:30 a.m.—8:30 a.m.

Location: Wilf Auditorium

Topic: Global Burden of Childhood Cancer presented by Dr. Scott Howard

Monthly Pediatric Global Health Track Dinner Meeting

Date & Time: Thursday, February 6 — 6:30 p.m.—8:30 p.m.

Location: Wilf 1

Topic: Neonatal Survival and Maternal Health

GPEDS Presentations: Markers of Child and Neonatal Mortality & Maternal Mortality

Before attending this event, please log into Canvas.umn.edu, click on the Global Pediatrics Education Series 2.0 course, take the pre-test, then click on A. Fundamentals of Global Child Health, click on Markers of Child and Neonatal Mortality. Watch the video, take the quiz, and come prepared to discuss.

Before attending this event, please log into Canvas.umn.edu, click on the Global Pediatrics Education Series 2.0 course, take the pre-test, then click on A. Fundamentals of Global Child Health, click on Maternal Mortality: The Promise of Progress. Watch the video, take the quiz, and come prepared to discuss.

Elective Selection for 2020-2021

Elective Selection is due Friday, January 17, 2020 for the 2020-2021 Academic Year.

In our January 2020 newsletter we will ask residents to fill out the Pediatric Global Health Elective Application. If you intend to do a pediatric global health elective in 2020-2021, you must fill out this application in January 2020. Failure to fill out the application will make you ineligible to do an elective, including local and domestic pediatric global health electives.  

Visit our Global Health Elective Planning page to see the overviews of each site. Once you have an idea about the sites you may want to visit, please reach out to Risha Moskalewicz or Cindy Howard to discuss your top choices.


 

Resident Electives

Heidi Moline, MD, MPH - In-person Global Health Course

I entered residency with an interest in public and global health, and the strong pediatric global health program was one of the reasons I chose the University of Minnesota. The Clinical Tropical Medicine Course & Online Global Health Curriculum seemed like a fun opportunity to combine my interest in clinical medicine and infectious disease with public health. I was also fortunate to be able to take the course in the Spring of 2018, prior to my global health field work in Tanzania. 

Prior to the start of the course, there were approximately 400 hours of required video modules. With a busy resident schedule, it was a logistical challenge to watch all the content, however the topics were varied and provided a nice foundation for the in-person lecture part of the course. Many of the videos echoed topics I had learned about when studying public health and epidemiology in graduate school, and the pathogen-specific content was new and exciting.

One of the interesting aspects of the course is that the participants are from varied fields. In addition to the three categorical pediatrics residents, there were EM residents, Family Med residents, but most were internal medicine residents. As a pediatrician, there was a fair amount of content that wasn’t relevant to my patient population -- as we discussed diseases and infections that present much later in life. But being in this learning environment was a fun challenge, and helped broaden my understanding of global health. 

I believe the greatest value in the course is the model of learning. The last two weeks of the course are designed to be hands-on, applied skill-based sessions. This meant that every day we would have an hour or two of lecture, followed by practice in the lab. For example, one afternoon had a two hour lecture about the different stages of the malaria parasite life cycle. Then we went to the lab and actually looked at various blood samples under a microscope to identify the parasite stages. We had a similar learning experience with learning to use ultrasounds -- first we had a high-yield lecture, followed with immediate hands-on practice. I found this an incredibly inspiring model of learning, and appreciated the effort that goes into making this happen. 

Because of the course content, I was more familiar with tropical illness and methods of treatment during my time in Arusha, Tanzania, and felt comfortable developing a geographically appropriate differential diagnosis with my patients. I do believe there is a need for more pediatric-specific content within the course, but I think the organizers do an appropriate job prioritizing content for a wide array of clinicians. Overall, it was a great learning experience and provided a solid foundation to my global health work. 

Rheumatic heart disease screening team from Soddo Christian Hospital assess the image quality and performance of the Phillips Lumify hand held ultrasound device in a school-based screening program

Faculty's Corner

Note from Dr. Zachary Kaltenborn and Dr. Anteneh Zewde

Rheumatic heart disease (RHD) is the leading cause of cardiovascular death among children and young adults globally. Progression to heart failure is common and in 2010, there were an estimated 220,000 deaths concentrated within low and middle-income countries. Early identification and initiation of secondary prophylaxis with penicillin helps prevent progression of disease. Innovative handheld ultrasound (HHU) technology now provides a feasible avenue for large-scale echocardiographic screening programs through reduced cost, ease of use, and transportability. Through their shared interest in global health and the use of bedside ultrasound, Dr. Zach Kaltenborn (Pediatric hospitalist) and Dr. Anteneh Zewde (Internal Medicine hospitalist) have been setting the foundations for a rheumatic heart disease screening program in Adama, Ethiopia using handheld ultrasound technology.

They were recently awarded a travel grant through the Center for Global Health and Social Responsibility Faculty Travel Awards Program to establish a research team and obtain pilot data through collaboration with an ongoing program operating out of Soddo Christian Hospital in Soddo, Ethiopia. Dr. Kaltenborn returned from Ethiopia in early December after a two week trip of networking, relationship building, and learning. Dr. Zewde will be traveling with one of our local collaborators, Dr. Godana Jarso, to Soddo, Ethiopia where they will continue to build regional connections and foster collaboration around our shared interest in reducing the burden of RHD related morbidity and mortality.

Drs. Kaltenborn and Zewde have built a collaborative research team that includes experts in pediatric cardiology, adult cardiology, handheld ultrasound, and ultrasound education. Dr. Zewde has also be able to secure support from the regional health minister as well as the Cardiac Center of Ethiopia. The first phase of the project will involve establishing the sensitivity and specificity of the hand held ultrasound device in a real world school-based screening program. The second phase of the project will be the delivery of an online and in-person ultrasound training program tailored towards non-physician users and will be based out of the Adama Hospital Medical College. Dr. Zewde has spearheaded an MOU between the University of Minnesota and Adama Hospital Medical College establishing it as an official global health site.  

Resident Spotlight

Kendra Martinez, MD - Pediatric Resident PL2

Kendra Martinez was raised in Texas (just north of Houston to be specific). She attended Texas A&M for her undergraduate education before pursuing medical school at UT Southwestern in Dallas, Texas. During her medical education, Kendra worked in rural Papua New Guinea (PNG) where she taught village midwives how to perform neonatal resuscitation using the "Helping Babies Breathe" curriculum. Kendra's clinical interest is in neonatology, which she discovered while working in PNG. Most recently, Kendra spent 2 months in Arusha, Tanzania for an international elective. Kendra was focused on educating interns and registrars about how to care for small and sick infants. As such, she revised and drafted many protocols for a NICU guidebook designed for low resource settings. Additionally, Kendra was able to travel to other hospitals in Tanzania with the purpose of training their staff how to provide essential newborn care. She plans to return to Arusha in March to help teach at the first ever neonatology conference in Northern Tanzania.

Favorite quote: "To be deeply loved by someone gives you strength, but to love someone deeply gives you courage." ~Esther Huertas

Favorite travel destination: Varadero, Cuba

What the world needs more of: Laughter

If you weren't a physician you would be: Chef and food blogger

News and Highlights in Global Child Health Literature 

If you're interested in reading more about Dr. Scott Howard's work, see the article below.

Science and health for all children with cancer

Science. 2019 Mar 15;363(6432):1182-1186. doi: 10.1126/science.aaw4892.

Lam CG1,2, Howard SC2,3,4, Bouffet E4,5, Pritchard-Jones K4,6.


Reporters Pick Their Favorite Global Stories Of The Decade

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