Thursday, February 21, 2019

Improving Access to Emergency Care in Colombia

Jeffrey Chen, M.D.
Resident in Emergency Medicine at MGH/BWH
PGY 2

February 6, 2019


Emergency medicine was first recognized as a specialty in Colombia in 2005. Since then, there have been 7 EM residencies founded throughout the country. Many of these EM-trained providers stay in urban hospitals. However, in Colombia and many other Latin American countries, there is a huge gap between care in densely-populated cities and rural areas.

Rather than the system here in the US, where medical students typically start residency straight after medical school, in Colombia, graduates freshly out of medical school perform a year of Servicio Social Obligatorio (SSO) where they are placed in rural sites. These hospitals are often less well-staffed and have far fewer resources than are available in urban hospitals.

One of my goals in going to Colombia was to help evaluate the knowledge and level of comfort of last-year medical students with the management of emergency conditions – just before they are sent off to practice on their own or with relatively less supervision in these rural areas with more vulnerable patient populations. This is for the preparation of the rollout of the Basic Emergency Care Course developed by the World Health Organization, which teaches knowledge and skills like airway management, resuscitation of shock, trauma evaluation and care, and other fundamental life-saving skills.


Working with emergency medicine residents and medical students to improve our survey regarding comfort and knowledge with emergency medical conditions.


Another project I’m helping out with here is with the Harvard Humanitarian Initiative. In 2016, Colombia ended a decades-long conflict between the government, paramilitary, and guerrilla groups. In my time here already, I’ve met many healthcare professionals who had stories about how this conflict affected their medical and nursing education as well as their ability to provide good care. Stories of different armed groups coming to hospitals were not uncommon, as well as changes both positive and negative made to the curricula as a result of these conflicts. These were especially common in rural areas, and many of the doctors I’ve met have surmounted incredible challenges in the past.



Being involved in these academic projects has been inspirational. To meet so many people here in Colombia working to improve the healthcare system and access to emergency care is incredible. I look forward to watching this evolution.


10 comments:

  1. Hello everyone out there,the joy in me wouldn't just let me keep this to myself i was diagnosed of being herpes virus 1 & 2 positive in 2016,i was totally down,emotionally,i have been using the recommended drugs,i have spent so much money on trying to get rid of this disease from my system through medical attention,but all to no avail,all hope was lost cause i knew without me my family is nothing so i started doing research online on how to get this virus outta my body and i came across testimonies on how a certain DR RAZOR have been saving lives with his herbal medicine,i decided to contact him through the details that the testifiers provided and i was so lucky that he replied me and he asked me what i needed from him and i told him everything that i wanted him to do for me and he said no problem that there are some things that i needed to do which i did,and on the 2nd day of it i received a package from the UPS delivery service from the herbal DR RAZOR he told me how i was going to take the medication,after 18 days of taking it,he told me to go for a check up which i did,and that was when i got the overwhelming news of my life that am now HERPES 1&2 NEGATIVE.i recommend you all to contact this herbal doctor sent by GOD/ALLAH liberate all who is suffering from different disease or virus contact him on his clinic email address ;drrazorherbalhome@gmail.com  or whatsapp/call +2349065420442..thank you DR RAZOR

    ReplyDelete
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    ReplyDelete
  4. I am so happy, i never believe i will be this happy again in life, I was working as an air-holster ( cabby crew ) for 4 years but early this year, i loose my job because of this deadly disease called Herpes virus (HSV), I never felt sick or have any symptom, till all workers were ask to bring their doctors report, that was how i got tested and i found out that am HSV positive that make me loose my job, because it was consider as an STD and is incurable disease, i was so depress was thinking of committing suicide, till i explain to a friend of mine, who always said to me a problem share is a problem solved, that was how she directed me to Dr Razor, that was how i contacted him and get the medication from this doctor and i got cured for real, I just went back to my work and they also carry out the test to be real sure and i was negative. Please contact this doctor if you are herpes positive or any STD diseases his email is: drrazorherbalhome@gmail.com or you can call or whatsApp his mobile number on +2349065420442

    ReplyDelete
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    ReplyDelete
  6. Good day viewer, I am Nurse Sonia kuffin from Austria . It has happened the way you said it will sir. Daddy am very happy today for your help in my life, doctor Chukwu Madu herbal home you cured me finally from Herpes virus, I was infected with this deadly virus in the year 2012 and i was
    taking my medications, I wasn't satisfied i needed to get the HERPES out of my system, I searched about some possible cure for HERPES i saw a comment about Dr CHUKWU MADU HERBALHOME how he cured HERPES with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through UPS delivery company. I took the medicine as prescribed by him and 11 days later i tested negative for HERPES, Dr.CHUKWU MADU truly you are great,It's Good for herpes patient to please read my testimony becuase People think herpes is really a minor skin irritation,herpes has a long term effects on health and The stigma attached to this virus by ignorant people is ridiculous. do you need his help also? Why don't you contact him through his email (dr.chukwumaduherbalhome@gmail.com) .
    or call him on +2347030936239.
    DOCTOR CHUKWU MADU CAN AS WELL CURE THE FOLLOWING VIRUS:-
    1. HIV/AIDS .
    2. HERPES .
    3. CANCER .
    4. Hepatitis B AND C.
    5. Diabetes.
    6. Athrux,
    7. hydrophobia
    8.hpv .
    9 pregnancy spell and bring back your ex back .
    10 scabies .
    He cures any kind if viruses and diseases.

    ReplyDelete
  7. Six weeks previously, I had attended my primary care doctor (PCD) with dysuria and was treated for a urinary tract infection, however, symptoms persisted. Several days later I noticed an acute onset of bilateral vulvar blisters. I was clinically diagnosed with genital herpes and commenced taking valacyclovir 500 mg bd for one week as instructed by my  PCD. The blisters resolved within five days, however, I developed burning and exquisite sensitivity to touch in both inner thighs and in my left buttock extending down my left leg and including the sole of my left foot and toes. I found that at times, I was unable to walk and sit. So returned to her PCD who told me to continue taking valacyclovir for another week, however, the burning persisted. And I knew this was never going to cure me. I sorted for Natural Herbs And Gos so good i came across doctor razor's Details,I contacted him and we spoke and he assured me everything is going to be permanently fine. Few days after I reached out to him he sent me herbal medicine to take for 18 days. after completing the dosage for 18 days. I started noticing some changes in my Genital Area. so i told the herbalist about it, he asked me to go for a medical test, which i did. Lo and behold, My PCD was surprised to see my result out Negative,. I was overwhelmed with joy, I waited for 2 weeks to make sure the Virus was not laying dormant in my Nerve Cells, So i went for another test After the two months, And it had the same Negative result. I am forever indebted to you Doctor Razor. If you are having hard times with this same virus or you do know of anyone with herpes virus, i kindly recommend you to him. Email drrazorherbalhome@gmail.com
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    ReplyDelete
  8. TO EVERYONE BATTLING WITH HERPES INFECTION ,I want to quickly drop my life story on how a specialized healer called DR RAZOR cured me from HERPES virus, A good man who have used his herbal roots and herbs to cure all kind of deadly disease. I was infected with HERPES virus and I never thought HERPES virus could be cured,but with the medication DR RAZOR sent to me i was cured,I saw his email on web page by a patient he has cured from HERPES,who dropped the email and phone contact of the doctor.I really thank FLORENCE for sharing her testimony on how she was cured When I contacted him he prepared the herbal medication for my HERPES cure and send it to me via DHL And i got cured within 18 days of using the herbal medicine,Contact him through E-MAIL drrazorherbalhome@gmail.com or for easy communication you can WHATSAPP/CALL him via his mobile number +2349065420442. He can Also cure Infections like :HSV 1 & HSV 2ASTHMADIABETESEPILEPSYCANCERINFERTILITYSTAPHYLOCOCCUS.BARRENNESSHIV /AIDSHEPATITIS B Kidney?

    ReplyDelete
  9. I want to use this medium to let everyone know that Herpes Simplex Virus has a complete and Permanent cure and that Dr Razor Herbal Medicine is the solution. I was Diagnosed with Herpes Virus type 1 in January 16, 2015, I have made several Research Hoping to see a true Cure or Healer, Fortunately for me i saw on a blog site how Dr Razor has been saving different lives and marriages with his herbal medicine, At first i did not believe but on a second thought, i decided to give him a try, I contacted him and he assured me of a cure, he prepared the herbal medication for me, which i took for 18 days, he told me to go for a medical check up, could you believe that i was confirm Herpes type 1 Negative after the test, and i went to a different hospital and it was also Negative, I became very happy and decided to write my appreciation article about this Good man. If you are battling with this same Infection or you know of a person who is infected with any disease like Herpes, HIV, Cancer, Syphilis, Hepatitis A,B,C, all types of Cancer, Gonorrhea, life's problems that you might have etc. kindly Reach out to Doctor Razor on Email : drrazorherbalhome@gmail.com. Whatsapp/Call him on +2349065420442. You can Also Visit His website : https://drrazorherbalhome.wixsite.com/drrazorherbalhome . My Sincere Gratitude to you Sir, God will surely Keep you safe from harms way. Please share so Other lives can be saved

    ReplyDelete
  10. few week ago I felt some pains and I went to the hospital my doc told me I had hpv about 1 yr and I need to start the treatment early, he gave me some medicine to be taking and I told him no I’ll not, because I hated taking medicine when I won’t not see cure for the purpose. After I got home I started getting worried searching for strong advice and I found valid natural treatment online lot people says they got hpv cure from Dr onokun and I email Dr Onokun 3 days passed, I purchase his cure online some weeks after the process taking his treatment i got cured. I went for checkup twice after taking the natural treatment from the herbalist called Dr onokun and i tested negative. contact him on email: Dronokunherbalcure@gmail.com

    ReplyDelete