Global Health Partnerships, A Panel Discussion: Trials and Synergies Between Academic Centers and International Non- Governmental Organizations Panelists: Jeff Hall MD, Emily Harrison MD MPH, and Katie McKenzie BA Facilitator: Mark Humphrey MD, MPH

2 Activity Disclaimer ACTIVITY DISCLAIMER It is the policy of the AAFP that all individuals in a position to control content disclose any relationships with commercial interests upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflicts of interest (COI), and if identified, conflicts are resolved prior to confirmation of participation. Only those participants who had no conflict of interest or who agreed to an identified resolution process prior to their participation were involved in this CME activity. Jeff Hall MD, Emily Harrison MD MPH, Mark Humphrey MD, MPH and Katie McKenzie have indicated they have no relevant financial relationships to disclose.

Objectives 1.Members participating in short term medical brigades will appreciate the value in partnering with NGO’s that have a longitudinal and relational presence in the global health arena. 2.Members will be able to formulate a list of important criteria needed in partnerships between academic centers and NGO’s 3.Members will be able to discern the opposite points of view when working in academic and NGO partnerships. 3

Panelist Introductions Jeff Hall, MD Department of Family and Preventive Medicine University of South Carolina Global Health Senior Elective Advisor Global Health Fellowship Director* USC Travel Clinic Director 4

Panelist Introductions Emily Harrison MD, MPH Dept. of Family Medicine, Warren Alpert Medical School Executive Director, Shoulder to Shoulder, Medical Director, Shoulder to Shoulder 5

Panelist Introductions Katie McKenzie BA Director of Volunteers at Palmetto Medical Initiative (PMI) PMI is an international NGO that exists to provide quality, affordable healthcare to people in need. 6

Partner Selection What does an academic program look for in a global health partner? 7

Partner Selection What does a volunteer/NGO organization expect from an academic institution? –Solid understanding of and commitment to the mission and goals on the ground –Patience and flexibility; tolerance for change –Cultural humility –Culturally appropriate, professional behavior 8

Partner Selection What does a volunteer/NGO organization expect from an academic institution? –Options: Different life cycles of engagement –Short-term engagement can result in long-term change –General desire characteristics Technical Ability Core Competency Pursuit of Cross-Cultural Relevance Passion for Transfer of Knowledge and Teaching Research Quality Control/Care Audits throughout the year 9

Meeting Expectations Experiences: The Good, Bad and the Ugly 10

Logistical Struggles NGO PMI: –Establishing Relationship with Ministry of Health –Pre-approving Doctors and Supplies –Standard Team Logistics –Experts in Efficiency and Quality Control and Experience –Managing Volunteers in a Cross-Cultural Context 11

Logistical Struggles NGO Shoulder to Shoulder: –Moving people and supplies is costly and complex –Changing plans is difficult –Vehicles are expensive –Internet is not easily available 12

Logistical Struggles Academic Centers Universities increasingly worry about student/resident safety and institutional liability Travel Oversight Committees Lists of “approved logistics providers” University may have more experience with undergraduate study abroad programs than graduate global health work. 13

Research and Scholarly Activities Academic Centers Medical Schools usually have a three-part mission: Education, Research, and Service Global Health programs need to fit into those missions for institutional support –Faculty members’ time to participate –Resident’s time for participation –Material resources for in-country activities Research/Scholarly activity does carry significant weight for many schools 14

Research and Scholarly Activities NGO Adds great value to the credibility of the NGO Must enter with regard for cross-cultural relevance or it won’t matter –Listen –Work with, not for Effects on permanent staff –Takes staff resources and time –Presents an opportunity for staff development/education 15

Questions/Discussion 16