1. Building a Life and Career You Love in Family Medicine and Global Health Cynthia Haq M.D. Professor of Family Medicine University of Wisconsin-Madison American Academy of Family Physicians October, 2013 Cynthia Haq M.D. Professor of Family Medicine University of Wisconsin-Madison American Academy of Family Physicians October, 2013

2. Objectives  Identify contributions of family medicine to global health  Review career pathway and critical decisions  Reflect on personal rewards and challenges  Discuss the impact of global health on family and loved ones  Identify contributions of family medicine to global health  Review career pathway and critical decisions  Reflect on personal rewards and challenges  Discuss the impact of global health on family and loved ones

3. Stages of Life; Critical Choices  Early  Relationships, family, home  Skill building, early networking  Middle  Family-professional balance  Generativity and expansion  Late  Transitions, empty nest  Mentoring, refinement, consolidation  Early  Relationships, family, home  Skill building, early networking  Middle  Family-professional balance  Generativity and expansion  Late  Transitions, empty nest  Mentoring, refinement, consolidation

4. Find and follow your passion What do you enjoy? What are you good at? What is needed? What gets you excited and energized? Who do you love?

5. Early Career  Relationships, family, home  Support from my husband  Childbirth and care  Sufficient income  Stable home foundation  Skill building, early networking  Seek opportunities  Build capacity and skills  Develop professional networks  Relationships, family, home  Support from my husband  Childbirth and care  Sufficient income  Stable home foundation  Skill building, early networking  Seek opportunities  Build capacity and skills  Develop professional networks

6. Early mishaps  Post-war conflict zone  Lack of electricity, clean water  Risky transport and living conditions  Accident, febrile illness  Unexpected job outcomes  Post-war conflict zone  Lack of electricity, clean water  Risky transport and living conditions  Accident, febrile illness  Unexpected job outcomes

7. Education for Health for All

8. Clarify values- what are your drivers?  Equity  Programs focused on those in greatest need  Integrity  Self, family, doctor and teacher  Integration  Biopsychosocial, culturally relevant, comprehensive, community and team based  Sustainability  Creating teams, building capacity for long- lasting impacts  Equity  Programs focused on those in greatest need  Integrity  Self, family, doctor and teacher  Integration  Biopsychosocial, culturally relevant, comprehensive, community and team based  Sustainability  Creating teams, building capacity for long- lasting impacts

9. Middle Career Family needs Negotiation for ‘part-time’ Child bearing, rearing, Selecting a home Education and adventure Professional growth Demonstrate value Extend networks Create products

10. Develop and demonstrate expertise  Family physician-clinician  Teacher-social accountability and global health  Primary health care-human resources for health  Health systems strengthening  Family physician-clinician  Teacher-social accountability and global health  Primary health care-human resources for health  Health systems strengthening

11. Seek opportunities for learning, growth and development  Continue to network  Take careful risks  Expect failures  Produce tangible benefits  Share and celebrate successes  Keep going !  Continue to network  Take careful risks  Expect failures  Produce tangible benefits  Share and celebrate successes  Keep going !

12. Primary Health Care Declaration of Alma Ata 1978  Health, which is a state of complete physical, mental and social well-being....is a fundamental human right...  The attainment of the highest possible level of health is a most important world-wide social goal.....  Governments have a responsibility for the health of their people...  Primary health care is the key to attaining this target as part of development in the spirit of social justice.  Health, which is a state of complete physical, mental and social well-being....is a fundamental human right...  The attainment of the highest possible level of health is a most important world-wide social goal.....  Governments have a responsibility for the health of their people...  Primary health care is the key to attaining this target as part of development in the spirit of social justice.

13. Improving Health Systems, the Contribution of Family Medicine

14. Managing Mishaps  Ensuring children’s education  Managing illness during travel  Ensuring children’s education  Managing illness during travel

15. Middle-Late Career Family considerations  Celebrations, graduations  Losses  Transition to empty nest  New relationships Professional considerations  Leadership, mentoring  Refinement, consolidation  Letting go, making space  Global and local efforts Family considerations  Celebrations, graduations  Losses  Transition to empty nest  New relationships Professional considerations  Leadership, mentoring  Refinement, consolidation  Letting go, making space  Global and local efforts

16. UW Global Health Center-Institute 2005-2013 Graduate Global Health Courses >150 students enrolled/yr Undergraduate Courses >300 students enrolled/yr Field Courses >200 undergrad and UW health professional students study abroad each year Graduate and Undergraduate Certificate in Global Health >300 graduates; >400 students enrolled/yr Global Health Tracks > 50 UW Hospital Residents and Fellows Faculty and Staff Affiliates >400 members Graduate Global Health Courses >150 students enrolled/yr Undergraduate Courses >300 students enrolled/yr Field Courses >200 undergrad and UW health professional students study abroad each year Graduate and Undergraduate Certificate in Global Health >300 graduates; >400 students enrolled/yr Global Health Tracks > 50 UW Hospital Residents and Fellows Faculty and Staff Affiliates >400 members

17. Serving Wisconsin and Uganda

18. Training in Urban Medicine and Public Health Community health in Milwaukee Social determinants Reduce health disparities Focus on assets Build local capacities Engage students Community health in Milwaukee Social determinants Reduce health disparities Focus on assets Build local capacities Engage students

20. Time for New Relationships

21. Manage mishaps  Broken heart  Broken arm  Broken leg  Losses  Moves  Transitions  Broken heart  Broken arm  Broken leg  Losses  Moves  Transitions

22. Enjoy life!  Work hard, seek balance and sustain loving relationships  Take time for self-care and renewal  You don’t need to do it all at once  Discover and explore, have fun!  Learn when to say YES and NO!  Work hard, seek balance and sustain loving relationships  Take time for self-care and renewal  You don’t need to do it all at once  Discover and explore, have fun!  Learn when to say YES and NO!

23. One family doctor-many roles  Mother-wife-daughter  Child survival in Uganda  Consultant to Afghanistan  Visiting professor in Pakistan, Uganda, Ethiopia  Consultant to WHO  Founding director of UW Center for Global Health  Teacher  Grateful human !  Mother-wife-daughter  Child survival in Uganda  Consultant to Afghanistan  Visiting professor in Pakistan, Uganda, Ethiopia  Consultant to WHO  Founding director of UW Center for Global Health  Teacher  Grateful human !