Vietnam Revisited Surendra K. Varma, M.D. Associate Dean For Graduate Medical Education & Resident Affairs Ted Hartman Endowed Chair in Medical Education University Distinguished Professor and Vice-Chairman of Pediatrics Professor of Physiology and Health Organization Management Residency Program Director Emeritus Department of Pediatrics

Vietnam Initiative In 2007 the TTUHSC Delegation went to Vietnam to explore the possibility of establishing exchange program for TTUHSC faculty and students

Delegation Surendra K. Varma, MD, (SOM), Head Myrna Armstrong, RN, Ph.D., (SON) Steve Maxner, Ph.D., Director Vietnam Center Khanh Le, Associate Director, Vietnam Center Kamlesh Varma, MD, OB/GYN

Visits Ho Chi Minh City Vietnam University School of Medicine Ho Chi Minh University of Medicine & Pharmacy Can Tho Can Tho University of Medicine & Pharmacy

General Observations Unstructured curriculum Admission to medical school & nursing school after Grade XII Language- students know very little English - faculty – language has an issue as well Hospitals- crowded - patient care – less than ideal

Graduate Medical Education General Observations Not a requirement to practice medicine Can be fully licensed after the completion of undergraduate medical education GME- 4-5 years of training in a specialty - Ph.D. is awarded in lieu of certification - No national standard of examinations

Visit 2010 Surendra K. Varma, MD Steve Maxner, PhD Khanh Le Visited Vietnam University School of Medicine

Advised them to structure their curriculum Advised early exposure to clinical medicine No exchange program established

Vietnam Revisited January 25 – February 2, 2013

Surendra K. Varma, MD (Associate Dean for GME & Resident Affairs, Vice-Chair of Pediatrics), Head of Delegation Diane Nguyen, MD (Department of Internal Medicine/Oncology) Tam Nguyen, MD (Department of Surgery/Otorhinolaryngology) Bich-Thy Ngo, MD (Department of Internal Medicine/Geriatrics) Richard Lampe, MD (Chair, Department of Pediatrics) Kerren Lampe, EdD (Psychologist), Wife of Dr. Lampe Ed Yeomans, MD (Chair, Department of Obstetrics & Gynecology) Thuy Yeomans (Nurse), wife of Dr. Yeomans Kamlesh Varma, MD (Obstetrics & Gynecology), wife of Dr. Varma Stephen Maxner, PhD (Director, The Vietnam Center and Archive, TTU) Khanh Le (Associate Director, The Vietnam Center and Archive, TTU)

Curriculum- More traditional - Six years after high school - Clinical experience does not start until the beginning of fourth year - Rotations at local hospitals University of Medicine & Pharmacy Ho Chi Minh City (UMP-HCMC)

Delegates at UMP-HCMC Ho Chi Minh City January 28, 2013

Meeting at UMP-HCMC Ho Chi Minh City January 28, 2013

Teaching Hospital Very crowded with patients waiting in the hall There may be more than one patient on a bed Emergency room- not very crowded - not well organized

Patients at UMP-HCMC (Crowded with more than one person per bed) Ho Chi Minh City January 28, 2013

Patients in Waiting Area UMP-HCMC Ho Chi Minh City January 28, 2013

Emergency Room UMP-HCMC Ho Chi Minh City January 28, 2013

Teaching Hospital Due to the very crowded conditions in the outpatient and hospital, the learning environment may not be very conducive Language may be a barrier

HCMC Children’s Hospital #2 (There is HCMC Children’s Hospital #1 also) Facilities were better than expected NICU & PICU – fair facilities Faculty – dedicated Communication – a big barrier

Children’s Hospital #2 Ho Chi Minh City January 29, 2013

Children’s Hospital #2 Ho Chi Minh City January 29, 2013

NICU, Children’s Hospital #2 Ho Chi Minh City January 29, 2013

NICU, Children’s Hospital #2 Ho Chi Minh City January 29, 2013

Children’s Hospital #2 Ho Chi Minh City January 29, 2013

Children’s Hospital #2 Ho Chi Minh City January 29, 2013

HCMC Cancer Hospital Ho Chi Minh City Overcrowded situation Lack of good facilities These will not be very conducive for our students/fellows/faculty learning experience

Cancer Hospital Ho Chi Minh City January 29, 2013

Patients in Lobby at Cancer Hospital Ho Chi Minh City January 29, 2013

Patients at Cancer Hospital Ho Chi Minh City January 29, 2013

Patients at Cancer Hospital Ho Chi Minh City January 29, 2013

Delegates at Cancer Hospital Ho Chi Minh City January 29, 2013

University of Medicine & Pharmacy Ho Chi Minh City (UMP-HCMC) Overcrowded situation and the lack of good facilities are not very conducive for our students/residents/fellows/faculty learning experience.

Vietnam University School of Medicine Ho Chi Minh City (UNU-HCMC SOM)) I had visited this university in 2010 and I had suggested that they consider incorporating clinical exposure in early years of undergraduate medical education It seems that they have incorporated some exposure to clinical medicine in early part of undergraduate medical education The new leadership is not ready to commit any exchange program.

Delegates at VNU-HCMC Medical University Ho Chi Minh City January 28, 2013

Can Tho University of Medicine & Pharmacy Can Tho (CT-UMP) Banners displaying welcome for TTUHSC Physicians from UK, Australia, & USA have come here to participate in this University’s International activities Congenial environment Communication skills – fair Over all operation - impressive

Welcome Banner for TTUHSC CT-UMP Can Tho January 30, 2013

Delegates at CT-UMP (TTUHSC welcome banner is at top) Can Tho January 30, 2013

Hospital – Facilities much better than in 2007 The inpatient service was not busy due to incoming TET (Vietnam Lunar New Year)

Labor and Delivery Wing Can Tho General Hospital Can Tho January 31, 2013

Can Tho General Hospital Can Tho Good facilities Labor & delivery facilities have improved since 2007 Newborn Nursery – very good MICU – the physicians appear to master multi- specialties with limited equipment and resources Interested in developing bone marrow transplant service

Newborn Nursery, Can Tho General Hospital Can Tho January 31, 2013

Delegates at Can Tho General Hospital Can To January 31, 2013

Longtuyen Rural Clinic South of Can Tho Run by midwives Services- Family planning - Prenatal care - delivery - prevention and early intervention of multiple diseases - facilities – very clean

List of Services Long Tuyen Rural Clinic South of Can Tho January 31, 2013

We have signed MOU with Can Tho University of Medicine & Pharmacy We expect at least two senior students to go there in February/March 2014

Consulate of USA Ho Chi Minh City Very eager to help in facilitating VISA etc. for Vietnam’s student & faculty They welcome our participation in their CDC activities

Delegates with United States General and His Staff Ho Chi Minh City January 29, 2013

Summary Delegation visited: Three medical schools One children’s hospital One cancer hospital Three general hospitals One rural clinic

Acknowledgements President Mitchell Dean Berk Michelle Ensminger Keino McWhinney Steve Maxner, PhD Khanh Le