March 18, 2013: "Cow Dung, Charcoal and Cook Smoke: Household Air Pollution and the Developing Fetus"
with Blair Wylie, MD, MPH
Half of the world’s households and over 80 percent of households in sub-Saharan Africa cook with solid biomass fuels (charcoal, wood, crop residues), generating smoke that is a complex mixture of harmful gases and particles. Women and children face the greatest health risks from such household air pollution and preliminary studies suggest that biomass smoke may be especially damaging during pregnancy.
Dr. Wylie's K23 research focuses on characterizing prenatal risks of biomass smoke so that interventions can be designed to adequately reduce exposure and thereby improve the health of pregnant women and their babies. Come hear about the challenges of exposure measurement and how confounding complicates the cook smoke-pregnancy outcome relationship! Blair Wylie, MD, MPH is a board-certified maternal-fetal medicine specialist with international field experience in the conduct of pregnancy studies. She has served as the co-investigator for two studies of the epidemiology of malaria in pregnancy in rural India and collaborated with the Blantyre Malaria Project in Malawi to provide ultrasound oversight to their molecular epidemiology studies of malaria in pregnancy. Her interests have evolved from malaria to the prenatal effects of exposure to biomass cook smoke during pregnancy. She is the obstetrics co-investigator to an NIH funded randomized trial in rural Ghana assessing the impact of introducing an improved cook stove during pregnancy on birth weight and infant pneumonia. She was recently awarded a K23 career development grant to pursue additional training in obstetric environmental health with a focus on placental and perinatal outcomes of household air pollution in Africa.
Monday, January 28, 2013: "Intra-Residency Opportunities in Global Health"
Presenters: Stephanie Kayden, MD, MPH, Kristian Olson, MD, and Daniel Palazuelos, MD, MPH
An interactive discussion on intra-residency global health opportunities available, what to look for / what to avoid in a program, and what to expect. Panelists gave an overview of their experiences, including:
HSI Humanitarian Studies Course - http://humanitarianstudiescourse.org
Mass General Consortium for Affordable Medical Technologies (CAMTech)
MGH Dept of Medicine's Global Primary Care Program
Partners in Health projects in Mexico & Guatemala
and reflected on major influences and lessons, and answered trainee questions.
The panel included:
Stephanie Kayden, MD, MPH is the Director of the International Emergency Medicine Fellowship at Brigham and Women’s Hospital in Boston and an Instructor in Emergency Medicine at Harvard Medical School. As Director of the Lavine Family Humanitarian Studies Initiative at the Harvard Humanitarian Initiative, she trains professionals in global health and humanitarian work. Dr. Kayden is Co-Director of the International Emergency Department Leadership Institute. She serves on the editorial board of the American Medical Association’s Journal of Disaster Medicine and Public Health Preparedness. She has worked to improve emergency medical systems, humanitarian aid and disaster response in more than 20 countries in Europe, Asia, Africa and Latin America. Dr. Kayden received her undergraduate degree in Philosophy from Harvard University and her medical degree from the Albert Einstein College of Medicine in New York. She completed residency training in Emergency Medicine at Yale, then a fellowship in International Emergency Medicine at Harvard. She has a Master of Public Health (MPH) degree from the Harvard School of Public Health. Dr. Kayden trained in humanitarian work with the International Committee of the Red Cross in Geneva.
Dr. Kayden helped develop emergency medical care in Bhutan, Fiji, Nepal, Germany, Serbia, El Salvador, Ethiopia, and Israel and the Palestinian Territories. She provided disaster relief to survivors of the 2005 Kashmir earthquake in Pakistan, helped rebuild health systems for Burundian refugees in Tanzania, and led a team to improve rural public health in Uganda, and published research on the effects of conflict on health in Liberia and Cameroon. She has taught health and human rights issues in more than a dozen countries. Dr. Kayden helped establish the largest field hospital for survivors of the 2010 earthquake in Haiti. More recently, Dr. Kayden helped coordinate the response to the Great East Japan Earthquake of 2011 and has returned to Japan to help the Japan Medical Association build its country’s disaster response capability.
Kristian Olson, MD, MPH is both an Pediatrician and Internist and serves as a Clinician Educator at the Massachusetts General Hospital. He is the Medical Director of the Consortium for Affordable Medical Technology (CAMTech) and the Associate Director of Education at the MGH Center for Global Health. He attended medical school at Vanderbilt University and was a Fulbright Scholar to Australia where he completed a Masters of Public Health. Dr. Olson was the first Durant Fellow in Refugee Medicine during which he obtained a Diploma in Tropical Medicine in London before working in refugee camps along the Thai-Burmese Border. He has also worked in Darfur, Indonesia, Cambodia, Ethiopia, and Uganda. He continues to integrate novel technology innovation projects into care programs he helps to manage overseas. In 2009, he was named to the Scientific American Top 10 Honor Roll as an individual who has demonstrated leadership in applying new technologies and biomedical discoveries for the benefit of humanity.
Daniel Palazuelos, MD, MPH is an Associate Physician at the Brigham and Women’s Hospital and an Instructor of Medicine at Harvard Medical School. He graduated from Brown Medical School and completed a residency in Internal Medicine and Global Health Equity at BWH. Dr. Palazuelos' professional activities have centered on clinical and educational work at the Brigham and Women’s Hospital (BWH), in Partners In Health (PIH) projects in Chiapas, Mexico and Huehuetenango, Guatemala, where he is the Clinical Director of the PIH-supported projects, and with the PIH Community Health Worker (CHW) Quality Improvement Task Force. He lives for over half of the year in isolated communities in the Sierra Madre Mountains, training local Community Health Promoters, assisting in medical care, conducting research, hosting medical student projects, and creating original curricula. The projects in Mexico and Guatemala are sites where residents and medical students from both the US and Mexico work in conjunction with well-organized research and service projects that aim to strengthen local health care delivery systems. For the other half of the year, he lives in Boston and practices inpatient medicine with the Hospitalist Group at BWH.
November 19, 2012: Post-Residency Opportunities in Global Health
Presenters: Hilarie Cranmer, MD, MPH; Ingrid Katz, MD, MSC; and Regan Marsh, MD, MPH
An interactive discussion on the variety of post-residency global health opportunities available, what to look for/what to avoid in a program, and what to expect. Panelists will give an overview of their experiences and reflect on major influences and lessons, and answer trainee questions.
Hilarie Cranmer, MD, MPH is an Assistant Professor at Harvard Medical School and Harvard School of Public Health, and clinical faculty in the Department of Emergency Medicine at Massachusetts General Hospital. Prior to being hired as the first Director of Disaster Response at the CGH, she was the Director of Education for the Harvard Humanitarian Initiative, where she founded and directed the Humanitarian Studies Initiative and the Global Women’s Health Fellowship. In its first 10 years, over 500 graduate students, medical residents, nurses, and physicians have completed these training programs. Her alumni have gone on to hold leadership positions in some of the premier humanitarian agencies in the world.
Dr. Cranmer’s research focus has been on educational initiatives to train future humanitarian providers. Her path towards program building began in post war Kosovo doing human rights investigations for Physicians for Human Rights. Her work in a mission hospital in Malawi concentrated on providing emergency obstetrical care for women, and especially those affected by AIDS. Responding to the Indian Ocean tsunami in 2004 with International Rescue Committee, and subsequently to Hurricane Katrina in 2005, her growing expertise in disaster relief was recognized in that she led the public health effort for the American Red Cross in Louisiana. Her most recent work after the earthquake in January 2010 was to build the largest field hospital in Haiti. In caring for over 5000 patients and their families with more than 700 international volunteers, this hospital was recognized by the UN and the US Government as being the best field hospital post disaster in the last 25 years. Her latest work includes the professionalization of humanitarian response, with a particular focus in simulation-based training, as evidenced by her recent directorship of a comprehensive simulation in Tunisia for the World Health Organization.
Ingrid Katz, MD, MSC is a physician-scientist whose research focuses on the social and behavioral determinants of health promotion in sub-Saharan Africa. In particular, she is studying sexually transmitted infections, such as HIV and HPV, that disproportionately impact women globally. She obtained a B.A. from Amherst College (Magna Cum Laude), and a Master's Degree in Health Science (MHS) from Johns Hopkins Bloomberg School of Public Health before pursuing her degree in Medicine at University of California at San Francisco (AOA). She developed her interest in Global Women's Health while working at the Ministry of Women's Rights in Paris, and subsequently with the Population Council and UNICEF in Vietnam, where she focused on reproductive health research. After medical school, Dr. Katz completed her training in Internal Medicine at Brigham and Women's Hospital (BWH, 2006), and did an Infectious Disease Fellowship at Beth Israel Deaconess Medical Center (2009) while concurrently doing a Global Women's Health Fellowship at BWH (2009). During the period of medical training, she did research at the HIV Division at the World Health Organization, and was an Editorial Fellow at the New England Journal of Medicine. She has presented at the Conference on Retroviruses and Opportunistic Infections (CROI) and the International AIDS Society Conference.
Dr. Katz's research is focused on factors driving health seeking behavior related to HPV and HIV in South Africa. She has been working at the Perinatal HIV Research Unit in Soweto for the past four years, under the mentorship of Dr. David Bangsberg, focusing on two primary research projects – the first focusing on factors affecting refusal to participate in HIV treatment programs among HIV-infected, treatment eligible adults presenting for testing. The second is examining the factors impacting HPV vaccine adherence among adolescents. She has been the recipient of the Harvard Catalyst KL2 Medical Research Investigator Training (MeRIT) Award, the Harvard Global Health Institute Travel Award, the Eleanor and Miles Shore Award, the CROI Young Investigator Award, the Center for AIDS Prevention Scholar Award, and most recently a K23 Career Development Award from the NIH.
Regan Marsh, MD, MPH is Instructor in Medicine at Harvard Medical School and clinical faculty in the Department of Emergency Medicine at Brigham & Women's and Faulkner Hospitals. Dr. Marsh graduated from Princeton University in 1999 and then received her medical degree from the University of Pennsylvania School of Medicine. She completed her emergency medicine training at the Harvard-Affiliated Emergency Medicine Residency at Brigham and Women’s and Massachusetts General Hospitals, where she was chief resident. After finishing residency, she moved to rural Malawi to work for Partners In Health (PIH), developing emergency care services and a women’s health program. She returned home to Boston in 2009 to complete a Master in Public in Global Health and Population at the Harvard School of Public Health. Currently, she works half-time in Haiti, where she is the Director of Clinical Operations Planning, part of PIH’s leadership team preparing to open l’Hôpital Universitaire Mirebalais, a state-of-the-art referral hospital, and the lead for emergency medicine development and capacity building. Her clinical and research interests are in the development of emergency medicine systems and health systems strengthening in resource-poor settings.
October 15, 2012: Center of Expertise in Global and Humanitarian Health: Why Community Health?
Presenter: Derri Shtasel, MD, MPH
"Why Community Health?" links the philosophical underpinnings and values shared by global health and community health, and focus on the role of Community Health Centers in the United States in providing care to underserved and vulnerable populations. The new Kraft Center for Community Health will be described as an approach to developing Community Health Leadership. Dr. Shtasel will also share her own background and career evolution, and welcomes learning more about your ideas and interests.
Derri Shtasel, MD, MPH is the Executive Director of the Kraft Family National Center for Leadership and Training in Community Health, and the Director of the Division of Public and Community Psychiatry at the Massachusetts General Hospital. She has dedicated her psychiatric career to providing direct clinical care for underserved and marginalized patients, teaching medical students and psychiatry residents, providing clinical, administrative and educational leadership at academic institutions, and creating academic-community collaborations as a platform for integrated service delivery models.
A graduate of Swarthmore College, Dr. Shtasel completed her medical training at Temple University School of Medicine and residency training at New York University / Bellevue where she served as Chief Resident in Psychiatry. In addition, she completed a Masters in Public Health degree at the Harvard School of Public Health.
Dr. Shtasel was on the faculty at The University of Pennsylvania for approximately 15 years, holding a number of key leadership positions that worked to strengthen partnerships between academia and the community. More recently, Dr. Shtasel was the Chief of Adult Psychiatry at the Cambridge Health Alliance, a major safety net hospital and among the largest providers of mental health and substance abuse services in Massachusetts, and Harvard’s public sector teaching hospital.
In 2009 Dr. Shtasel joined the Massachusetts General Hospital Department of Psychiatry to lead their new Division of Public and Community Psychiatry. In this position she focuses on strengthening relationships among community providers and hospital-based programs, enhancing resident and medical student education in community psychiatry, and increasing access to care for underserved populations. In 2012, Dr. Shtasel was appointed Executive Director of the Kraft Family National Center for Leadership and Training in Community Health. The Kraft Center is committed to increasing access to healthcare for vulnerable populations through creating new career paths for the next generation of community health leaders and providers. This will be accomplished by marrying the great assets of academic medicine and community health, so that young clinician leaders can maintain dual identities as academic-community providers.
Dr. Shtasel is a recipient of an Exemplary Psychiatrist Award from the National Alliance for the Mentally Ill (NAMI) and has been named a Distinguished Fellow of the American Psychiatric Association.
June 18, 2012: Presentations from COE Travel Grant Recipients
Presenters: Drs. Bangberg and VanRooyen led a discussion based on presentations by COE Travel Grant Recipients from AY2010-11 and AY11-12. For application information see COE
May 23, 2012: A case discussion of community health workers in health care delivery: BRAC's Rural TB program
Joe Rhatigan, MD, Global Health Equity Residency Program Director, BWH. Director of Curriculum Development, Global Health Delivery.
April 4, 2012: Sustaining Patient Safety in Global Health through Continuous Process Improvement
Rick Van Pelt, MD, Director, Global program, Partners Medical International
Dr. Van Pelt discussed his work taking the best practices of quality improvement into the global arena. Recognizing the continuous process improvement (CPI) is the foundation for outstanding patient care. Dr. Van Pelt has successfully brought a robust, user-friendly CPI approach that extends beyond accreditation to global projects where leadership is interested and committed to pushing the CPI envelope.
March 19, 2012: Career Pathways Keynote: Humanitarian Medicine
Michael Van Rooyen, Executive Director, Harvard Humanitarian Initiative
February 13, 2012: Global Health Service Corps - Building a partnership for international medical service with the Peace Corps
Vanessa Bradford Kerry, Associate Director of Partnerships and Global Initiatives, MGH Center for Global Health and Director of the Global Public Policy and Social Change Program in the Department of Global Health and Social Medicine at Harvard Medical School.
January 23, 2012: Center of Expertise in Global Health: A case discussion of community health workers in health care delivery: BRAC's Rural TB program
Joe Rhatigan, MD, Global Health Equity Residency Program Director, BWH. Director of Curriculum Development, Global Health Delivery.
December 12, 2011: Presentations from CoE Travel Grant Recipients
Drs. Bangberg and VanRooyen will lead a discussion based on presentations by CoE Travel Grant Recipients from AY10-11 and AY11-12.
October 17, 2011: Sustaining Patient Safety in Global Health through Continuous Process Improvement
Rick Van Pelt, MD, Director, Global Program, Partners Medical International
Dr. Van Pelt discussed his work taking the best practices of quality improvement into the global arena. Recognizing that continuous process improvement (CPI) is the foundation for outstanding patient care, Dr. Van Pelt has successfully brought a robust, user-friendly CPI approach that extends beyond accreditation to global projects where leadership is interested and committed to pushing the CPI envelope.
September 12, 2011: Global Primary Care Training
Pat Lee, Director, Global Primary Care Training, MGH
Dr. Lee discussed the concept of global primary care curriculum, its development and accessibility to trainees. The Global Primary Care Program at MGH integrates the principles and practice of global health and primary care in order to develop future leaders with the skils, experience, and commitment to advance health equity and strengthen health systems in the U.S. and around the world. Dr. Lee discussed the program development proces and broad strategic goals for global primary care education.
June 6, 2011: Leadership in Global Health
Joia Mukerjee, Chief Medical Officer, Partners in Health
May 16, 2011: Global Health Research and Care Delivery
Bruce Walker, Director of the Ragon Institute, MGH, MIT, Harvard
April 4, 2011: Understanding the Indian Health Service
Dennis Norman, Chair, Harvard Native American Initiative
March 7, 2011: Global Health
Jennifer Leaning, Director FXB Center for Health and Human Rights, Harvard University
February 7, 2011: Humanitarian Health: Care Delivery for the Homeless
Jim O'Connell, Executive Director, Boston Healthcare for the Homeless
January 10, 2011: Creating Health Programs Internationally: Responsibility and Innovation
Uzma Shah, MD, Medical Director, Pediatric Liver Transplant Program
November 1, 2010: Developing a Cardiology Program in Rwanda
Gene Bukhman, MD, PhD, BWH, and Partners in Health Director of Cardiology
October 14, 2010: Global Health opportunitie--Recent trainees and their work
Vanessa Bradford Kerry, MD, Associate Director of Education for the MGH Center for Global Health and Amy Sievers, MD, Medical Oncology Fellow
June 15 and June 22, 2010: Roundtable Reports from Global Health Scholarship Awardees
David Bangsberg, MD, Director of MGH Center for Global Health and Michael Vanrooyen, Director, Harvard Humanitarian Initiative
May 13, 2010: AIDS Prevention Programs in Uganda
David Bangsberg, MD, Director of MGH Center for Global Health
April 15, 2010: Partners Medical International
Gilbert Mudge, MD Senior Cardiologist and Senior Medical Advisor to Partners International
March 4, 2010: Building Mental Health Services in Africa -The Ethiopian Example
Greg Fricchione, MD, Associate Chief of Psychiatry, MGH and authority on public and international mental health issues and policy
February 11, 2010: Delivery of Health Care in Resource Poor Settings
Joe Rhatigan, MD, Director of the Global Health Equity Residency Program
January 14, 2010: A Career in Health Research - Enteric Infections
Steve Calderwood MD, Chief of Infectious Diseases, MGH
A Career in Global Health Research- Enteric Infections
Current Center of Expertise program listings: A description of upcoming speakers and topics offered as evening sessions, alternating monthly between BWH and MGH. For additional information contact CentersofExpertise@partners.org.
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