Exposing young doctors to locales lacking in modern medicine is especially crucial now given the healthcare crisis in rural America, experts say.
IQUITOS, PERU — Deep in the Amazon rainforest, at a jungle hospital teeming with patients, two U.S. medical students are racing to save a man's life.
“I was expecting to have the resource limitation,” Gorin, 29, said as he and Partida, 26, waited for a bed to open up. “It’s still extremely difficult to see it in reality and experience it emotionally.”Jake Whitman / NBC News ”I have no question that they’ll be better doctors. It changes who they are,” said Dr. Kelsey Martin, the dean of UCLA’s David Geffen School of Medicine. “This is a critical period where they can experience something that is going to blow their mind.”
Craig Kennedy, the executive director of the Association of Clinicians for the Underserved, said large swaths of the U.S. are starving for the kind of doctors who emerge from overseas experiences having learned how to do more with less. “I hate to say it,” Cullen added, “but having that experience would lend itself very well in the U.S. It’s a sad commentary on where things are at right now, but there is so much need in rural America.”
The Regional Hospital of Loredo receives crowds of patients every day, some of whom arrive by boat after journeys spanning weeks. One woman arrived with a severe bacterial infection and failing liver. She needed the kind of care only available in the ICU. But she was denied a bed. The reason: she was too sick.
Dr. Salazar and his colleagues don’t have the luxury of relying on high-tech equipment to identify a patient’s ailments. Neither do they have an array of medicines to treat their patients. Salizar impresses upon the students the importance of performing careful and comprehensive physical exams and poring over a patient’s medical history – skills that the UCLA students said aren’t always emphasized back home.
Green quickly discovered that her heart rate was elevated. The team had by now moved on to other patients, but Green hung back.Within moments, the woman lost consciousness. She was suffering from internal bleeding and going into septic shock. Green called for help and soon a team of staffers were in the room working to resuscitate the patient.
Wendy wouldn’t make it into the ICU, but that didn’t stop her mother from racing back and forth between the hospital pharmacy and her room ferrying medicines for her ailing daughter and supplies for the doctors. “There were 2,000 deaths a day,” Miller recalled. “I walked through fields with limited amount of clean water, having to decide which children to give the clean water to, rolling over children to see if they were alive. It was a living nightmare.”,” the program at UCLA that sends students to countries where modern medicine is scarce.
“I’m hoping that this is a big deal for family medicine,” Iroku-Malize added, “in terms of trying to find a way to build the next generation of family physicians who are going to serve these underserved communities.”
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