Support of a New Paradigm of Medical Education: MEDICC’s Mentoring Programf or US Students Studying Medicine in Cuba

1. Mentoring Program for US Students at the Latin American School of Medicine Diane Appelbaum, RN, MS Richard Quint, MD, MPH Global Health Education Consortium Seattle, Washington April 4, 2009

2. Bodenheimer T. N Engl J Med 2006;355:861-864 Family Medicine Residency Positions Filled by U.S. Medical School Graduates

3. Federal HRSA Title VII Health Professions Program Funding -64.7% $11.9 $33.6 Centers of Excellence (COE) -53.5% $41.3 $88.8 Primary Care -88.9% $4.0 $35.6 Health Careers Opportunity Program (HCOP) % Change FY 2006 ($million) FY 2005 ($million) Program

4. Cost of Iraq War to US $275 million per day

6. US Students and the Latin American School of Medicine (ELAM)

9. 2007 ELAM Graduates

10. FIN

11. From Emergency Response to Sustainability Hundreds of Cuban health professionals sent to Central America and Haiti in the wake of Hurricanes Georges and Mitch 1998:

13. Cuba’s Internationalism Lessons From the Cuban Experience Diane Appelbaum, RN, MS,FNP US Director, MEDICC Wing Wu, MD ELAM Graduate

15. Don Bernardo and grandson Waldino Amubri, Talamanca Costa Rica

16. Jose Luis Vargas Rojas age 10

19. International Cooperation 2006 - 28,664 Cuban health professionals serve in all these countries. Region Countries Africa 32 Americas 36 Europe 9 Asia/Mideast 14 TOTAL 91

20. Benefits Largest Possible Population Cuba operates at an institutional, government level, which tends to benefit large populations. Example: Operacion Milagro 25 countries eye surgeries

21. Response To Acute Disaster 1960 - 2000 1960 Chile Earthquake, 5,000 dead Medical team 1970 Peru Earthquake, 60,000 dead Medical team, 6 rural hospitals, 106,000 blood donations 1972 Nicaragua Earthquake, 5,000 dead Medical team, food, medicines 1974 Honduras Hurricane Fifi, 2,000 dead Medical team 1990 Soviet Union Chernobyl disaster program 17,733 children treated in Cuba through October, 2004 Date Brazil Radiation poisoning 52 patients treated in Cuba 1998 Central America Hurricane Mitch, 30,000 dead and disappeared Medical teams 1998 Haiti Hurricane Georges Medical team 1999 Venezuela Torrential rains, mudslides, 9,000 dead Medical team 2000 El Salvador Dengue epidemic, 10,000 cases over 16 wks. Medical team, advisors and equipment