Global Pediatrics Program Newsletter

September 2020


Note from the Director of Global Pediatrics Education

Risha Moskalewicz, MD

Autumn is the quintessential change of season in Minnesota.  Cold weather is often touted to bring about creativity in the artists community, as it's a time of quiet and focus. As we continue to pass through all the changes that this year has brought, and will bring, we unite across oceans and specialties in our mission "To improve the health and development of the world’s most vulnerable children in partnership with health professionals at home and abroad to ensure that every child reaches his or her full potential."

Upcoming Events

Research Zoom Meeting

Date & Time: Friday, September 11 — 12:00 p.m.—1:00 p.m.

Location: Register for the webinar

Topic: Understudied but Urgent: Childhood cancer in LMIC's

Monthly Global Pediatrics Track Meeting

Date & Time: Thursday, October 8 — 6:00 p.m.—7:30 p.m.

Location: Register for the meeting

Topic: Vote Like Children's Futures Depend on It Presentation and Discussion with: Mandy Slutsker

Research Zoom Meeting

Date & Time: Friday, October 23 — 12:00 p.m.—1:00 p.m.

Location: Register for the webinar

Topic: Microbiological Surveillance in a Resource-Limited Setting with Dr. Beth Thielen

Dr. White in Malawi

New Faculty Member!

Dr. Anne White

I’m a newborn ICU doctor and enjoy taking care of newborns and their families. I am from Ohio and completed my medical training there prior to my recent move to the University of Minnesota. I am excited to be here! 

My research is aimed at decreasing neonatal infections in low-resource settings. I have more than a decade of experience in global health and work with partners in Kenya and Malawi to develop strategies to reduce neonatal infections.

Our visitors had just presented at Lunch and Learn July 2019Left to right: Dr. Cindy Howard, Dr. Victor Urio (visiting from Uganda), Reugba Bekibele (visiting from Nigeria - current UMN, Pediatric Resident), Dr. Lucy Amaniyo (visiting from Uganda), Dr. Pathana Panyaviseth (visiting from Laos), Dr. Vanida Bounthavy (visiting from Laos), Emily Danich, and Dr. Emily Borman-Shoap
Dr. Lucy Amaniyo (L) and Dr. Victor Urio (R) on the day they did their final Clinical examination at the Department of Pediatrics and Child Health, Makerere University. 
Dr. Lucy Amaniyo (L) and Dr. Victor Urio (R) on the day they did their final Clinical examination at the Department of Pediatrics and Child Health, Makerere University. 
Dr. Lucy Amaniyo (3rd from R) with the rest of the final year Residents on the day they did their final Clinical examination at the Department of Pediatrics and Child Health, Makerere University. 

Update from Pediatric Residents from Uganda

Written by: Dr. Lucy Amaniyo

Words cannot fully describe the joy we felt when we received the news that we had been selected for the highly competitive opportunity to do our elective placement at the University of Minnesota in the summer of 2019. We left Uganda full of hopes and dreams, knowing that we were about to embark on a journey that would change our lives forever. Our expectations were exceeded beyond our imagination, and we returned to Uganda, ready to start our third and final year of residency at Makerere University. Victor’s passion for pediatric cardiology was refreshed and I returned full of dreams of becoming Uganda’s first geneticist and setting up the first newborn screening program in the country. 

Upon our return, we initially experienced a sort of cultural shock. After rotating in a high resource medical setting for the past few months, it was humbling to return to a low resource setting where improvisation was the norm. We were disheartened to see conditions that were easily managed in Minnesota killing children on our Ugandan wards. It took us some time to re-adjust, but after doing so, we delved into the first semester with enthusiasm and gusto, knowing our journey to become pediatricians was nearing the end. We carried out research, wrote dissertations, did clinical work, taught undergraduate students, provided clinical care for both in- and out-patients, participated in tutorials, journal clubs and mini-rounds, and sat for our final semester exams in December 2019, before breaking off briefly for the holidays. We returned in January, 2020, anxious to successfully conclude a three-year course in the next 3 months. By this time, we had already heard about a new virus that started in Wuhan, China but thought “China is so far away, let us pray for them to get through this successfully”. Little did we know that in less than 2 months, Uganda would confirm its first COVID-19 case, leading to the President declaring a full lockdown. The months that followed were filled with confusion, anxiety and lots of uncertainty. No one could predict what was going to happen, and when or if we could ever get a chance to complete our residency. After months of uncertainty, the Department of Pediatrics decided that we would have online tutorials and presentations. These kept us busy for some time as we waited to hear about our final examination schedule. 

The impact of COVID-19 on our personal, economic and professional lives has been profound. Victor, a Tanzanian National, has had to incur extra expenses to stay in Uganda while I have had to continue providing clinical care under highly risky circumstances. Our mental health has deteriorated, with thoughts revolving around what would happen to us and/or our loved ones if we got infected, and how further closure of the university would continue to affect us and Victor being separated from his family for longer than he had anticipated. The complete lockdown meant that he could not travel, and has not seen them since this year began. We were meant to have completed our residency in May 2020, and we were expected to report back to our duty stations by August 2020, when our respective ‘study leave’ periods would expire. Most of our classmates have already received notifications about the expiration of their study leave. In addition, we were in the process of identifying further opportunities to advance our careers by doing fellowships in cardiology (Victor) and Neonatology/Genetics (Lucy). All these have been put on hold due to COVID-19 and we are not sure when, or if these will be possible. There has also been uncertainty concerning our final exams, with certain course units being rescheduled due to the risks involved. Furthermore, if not for COVID-19, we would have been employed as pediatricians and earning a salary. As it stands, we are still considered residents, a non-paying position. 

Thankfully, we have finally been able to do part of our final examinations, which started on August 10th, following the opening of the College of Health Sciences. We have managed to do 4 out of 7 examinations, and are still waiting to complete the remaining 3. We are currently waiting for communication on when these will be done. Makerere University usually holds its graduation ceremony in January, but the possibility of this happening next year is quite slim.

Despite all the challenges that have come with the COVID-19 pandemic, we are grateful to be alive, and are looking forward to the future with hope. We hope that our dreams of becoming a pediatric cardiologist (Victor) and Uganda’s first geneticist and pioneer of newborn screening (Lucy) will be realized by God’s grace.

Jason hiking in Idaho with his wife, Anna
Jason with his host family in El Salvador – Juan, Jonatan, and Yesica

Resident Spotlight

Jason Hoard , MD - Pediatric Resident MP2

Dr. Jason Hoard is a 2nd year internal medicine–pediatrics resident at the University of Minnesota. He was born in Indianapolis, Indiana, and attended Indiana University School of Medicine. During his time there, he participated in a longitudinal Spanish bilingual provider curriculum, conducted research on Hispanic-Latino health disparities, and traveled to El Salvador during his fourth year in partnership with a local community development organization. His work in El Salvador included investigating the use of systemic antibiotics for skin and soft tissue infections. He says building relationships across languages and cultures is what he enjoys most about global health work. 

At the University of Minnesota, Jason’s current research interests focus on studying ring phototherapy devices for neonatal hyperbilirubinemia and evaluating access to PrEP for HIV prevention in the Twin Cities metro area. His hobbies are camping, running, vegetarian cooking, and bicycle repair. He hopes that his career as general internist–pediatrician involves hospital medicine and global health work that focuses on immigrant and refugee health.

Favorite quote: “The best way to find yourself is to lose yourself in the service of others.” Mahatma Gandhi

Favorite travel destination:  Antigua, Guatemala 

What the world needs more of: Free, accessible, high-quality health care. Also time spent with community eating s’mores over a campfire. 

If you weren't a physician you would be: Teacher + cross country coach + summer camp director

Fellowship Opportunities

Acute Care Global Health Fellowship at CHOP

This two-year non-ACGME accredited fellowship aimed at American Board of Pediatrics board-eligible and board-certified pediatricians intends to train leaders in global health. Dividing their time between Philadelphia and international sites, fellows will hone the clinical skills needed to provide acute health care in both high- and low-resource settings and pursue clinical, research, advocacy and educational opportunities locally and internationally.

In Philadelphia, the fellow will work in a busy, quaternary care emergency department where they will care for higher acuity patients as a front-line pediatrician with supervision, and as a preceptor for medical students and residents when caring for lower acuity patients. Fellows may also work at an affiliated community site as an urgent care attending. International sites will be determined by the fellow and the fellow’s mentorship committee.

At the conclusion of their fellowship, fellows are expected to have produced a mentored scholarly project that carefully considers the needs and interests of their international site. Additionally, as part of their global health curriculum, fellows will have the opportunity to take relevant coursework including a Diploma of Tropical Medicine.

For information or questions, please contact Alexandra Vinograd, MD, MSHP, DTM&H at vinograda@email.chop.edu.  Applications must be submitted by October 15, 2020.  Interviews will be offered on a rolling basis and will take place virtually.  


David N. Pincus Global Health Fellowship at CHOP

The vision of this fellowship is to train leaders in global child health. This educationally rich and exciting three-year, fully funded academic pediatric global health fellowship seeks outstanding pediatric or pediatric subspecialist candidates who will work primarily in one of our partner countries: Botswana or the Dominican Republic. The three-year global health training model combines clinical service, teaching, and research (50 percent effort) in a global setting.

Fellows benefit from funding, protected time and mentorship to acquire a master’s degree (e.g., MPH or MSCE through the London School of Hygiene and Tropical Medicine). Fellows also design, implement, analyze, present and publish a research project working with experienced global health faculty members in the Department of Pediatrics at CHOP, the Perelman School of Medicine of the University of Pennsylvania and at our partner sites.

Learn more about the David N. Pincus Global Health Fellowship here: https://www.chop.edu/pediatric-fellowships/global-health-center/fellowship

We encourage you to explore this link to learn about the work over the past decade of prior CHOP David N. Pincus Global Health Fellows: 

https://www.chop.edu/news/chop-and-pincus-family-foundation-partnership-fostering-10-years-breakthroughs-around-world

For information or questions, please contact the Fellowship Director, Andrew Steenhoff, MBBCh, DCH at globalhealthcenter@email.chop.edu

Applications for fellows to start in Botswana in July 2021must be submitted by September 23, 2020 to Aimee Ortega at ortegaa@email.chop.edu Online interviews will occur in September and October 2020.  

News and Highlights in Global Child Health Literature

Volunteer Spotlight: Viviane Leuche, MD Committed to Improving Health Care in Sub-Saharan Africa

The World Health Organization Declares Africa Polio-Free

Africans Mourn Chadwick Boseman: 'A Great Tree Has Fallen'

American Academy of Pediatrics Election 2020 webinar link

A Doctor's View On the Covid-19 Front Lines While Summer is in Full Swing - Featuring Dr. Ben Trappey

Running on Fumes - by Dr. Ben Trappey


12th Annual Children's Hospital of Philadelphia (CHOP) Virtual Global Health Conference is free this year

Power, Politics and Pediatrics: Assessing the Impact of Governance on Global Child Health

Friday, October 9, and Saturday, October 10, 2020


Refusing to 'Go Back to Normal' Addressing Structural Racism in Policing, Healthcare, and Other Institutions

More Information

Wednesday, September 16, 2020 | 1:00-2:00 p.m.

Click on Welcome on the left hand side to get to the Pediatric Global Health Home page.