Global Medicine

Four-Week Elective Rotation in Maputo, Mozambique

 

Overview | Objectives | Faculty and Administration | Institutions

Disease Spectrum | Research Opportunities | Length of Rotation

 Logistics | News | About Maputo and Mozambique | Links

  

 

Overview

The UC San Diego Internal Medicine Residency Program's Global Medicine elective offers second- and third-year residents the opportunity to engage in clinical and research activities at a UC San Diego-affiliated medical center in Maputo, Mozambique.

During their rotation in Maputo, UC San Diego residents work alongside the residents and faculty of the internal medicine residency program at the Maputo Central Hospital, the major teaching hospital for the Universidade Eduardo Mondlane (UEM) School of Medicine.

For the 2013-2014 academic year, Dr. Kevan Akrami is residing in Maputo to serve as the UC San Diego faculty attending physician and supervisor of the UC San Diego residents.

Dr. Kevan Akrami

Dr. Akrami, pictured at left, is a former UC San Diego internal medicine resident and chief medical resident.

Residents on Global Medicine rotation also receive guidance from other Department of Medicine faculty members and fellows who spend 3- to 4-week periods in Maputo on a volunteer basis.

The residents share a weekly teleconference between UC San Diego Medical Center in Hillcrest, the Veterans Affairs San Diego Healthcare System and Maputo.

Global Medicine rotation program faculty and administrators are listed below.

 

Objectives

  1. To provide UC San Diego internal medicine residents with additional training opportunities in diseases disproportionately affecting resource limited populations.
     
  2. To promote collaborative research studies in global health.

Since the elective was first offered in July 2009, over 70 UC San Diego internal medicine residents have completed the Maputo rotation. In the bilateral exchange of residents and faculty, over 20 Mozambican internal medicine residents have completed rotations at UC San Diego.

In addition, UCSD has hosted numerous faculty members from the UEM Department of Medicine as well as surgeons, the director of pathology, three pathology technicians and parasitology laboratory technicians from UEM.

 

To Apply

Residents who are interested in this elective should complete and submit an Elective Research Rotation – Global Medicine Form by the middle of the year prior to the year of requested participation in the rotation. 

To be eligible for this elective rotation, residents must be in excellent standing within the residency program. 

All applicants will be considered.
 

Support Our Work

For information about philanthropy and the Department of Medicine's international programs, please contact Kristin Bertell, Associate Vice Chancellor, Health Sciences Development, 858-534-2178.

Faculty and Administration

Program Faculty

UC San Diego

 

Wolfgang H. Dillmann, MD

Helen M. Ranney Distinguished Professor and Chair

Department of Medicine

Chip Schooley, MD

Professor of Medicine

Vice Chair, Department of Medicine

Chief, Division of Infectious Diseases

Constance A. Benson, MD

Professor of Medicine

Division of Infectious Diseases

 

 

UC San Diego Attending Faculty in Maputo

 

Kevan Akrami, MD
Health Sciences Assistant Clinical Professor
Division of Infectious Diseases

 

Maputo

 

Emilia Noormahomed, MD, PhD

Head, Parasitology Division

Department of Microbiology

Faculty of Medicine

Principal Investigator, Medical Education
Partnership Initiative

Universidade Eduardo Mondlane
School of Medicine
Associate Professor of Medicine
UC San Diego School of Medicine

Sam Patel, MD

Professor of Medicine
Co-Principal Investigator, Medical
Education Partnership Initiative

Universidade Eduardo Mondlane
School of Medicine
Member, Medical Council of Mozambique

Professor of Medicine
UC San Diego School of Medicine

 

 Program Administration

Alexis Sexton

Division Administrator (Interim)

Division of Infectious Diseases

Telephone (858) 822-0333

arsexton@ucsd.edu

 

Jesus Vera

Program Coordinator

Department of Medicine

Telephone (619) 543-2896

jevera@ucsd.edu

Institutions



Dr. Sam Patel  Maputo Central Hospital exterior.  Dialysis unit at Maputo Central Hospital

Left, Sam Patel, MD, Professor of Medicine and MEPI Co-Principal Investigatoor, Universidade Eduardo
Mondlane School of Medicine; center, Maputo Central Hospital exterior; right, the hospital's
hemodialysis unit.  Photos: Alexis Sexton.

Maputo Central Hospital.  Photographs: Chip Schooley, MD

 

Drs. Marisa Magaña and Emilia Noormahomed.

During the elective rotation in Maputo, UC San Diego residents receive instruction and medical practice opportunities as integrated members of the internal medicine residency training program in the School of Medicine of the Universidade Eduardo Mondlane

The School of Medicine, founded in 1963, is the primary medical school in Mozambique. Universidade Eduardo Mondlane is the country’s major national university. |  More about the UCSD-UEM medical education partnership 

The university medical center, Maputo Central Hospital, is located adjacent to the School of Medicine.  It is an 1100-bed acute care hospital with 350 medical beds.

Drs. Noormahomed and Patel are the Maputo coordinators for the UCSD Global Medicine rotation.  Both are also members of the UC San Diego Department of Medicine faculty.

 

About Dr. Patel

 

Dr. Patel graduated from the UEM School of Medicine in 1976. He received his internal medicine training in Berlin before returning to Mozambique in 1992 to serve as Professor and Chair of the UEM Department of Medicine.

He is now professor of medicine, co-principal investigator of the UEM Medical Education Partnership Initiative, and a member of the Medical Council of Mozambique.

 

About Dr. Noormahomed

A graduate of the UEM School of Medicine, Dr. Noormahomed received a PhD in parasitology from the University of Grenada. She has been on the faculty of UEM School of Medicine since 1992 and served as its dean from 2002 to 2007.

Dr. Noormahomed is principal investigator of the UEM Medical Education Partnership Initiative. 

At left, Dr. Noormahomed is pictured with Dr. Marisa Magaña, 2007 graduate and former Chief Medical Resident in the UC San Diego Internal Medicine Residency Training Program.

Dr. Magaña is now a Health Sciences assistant clinical professor in the UCSD Division of Pulmonary and Critical Care Medicine.

 

The Internal Medicine Residency Program trainees at Maputo Central Hospital. 
Photograph: Alexis Sexton.

Disease Spectrum

 

At Maputo Central Hospital, a broad range of general internal medical diseases and disorders are seen in the patient population. 

Infectious diseases in Mozambique include bacterial and protozoal diarrhea, hepatitis A, typhoid fever, malaria, plague, schistosomiasis, cholera, tuberculosis, and HIV/AIDS (prevalence 12.2%).

Research Opportunities

 

Carly Guthrie, UCSD medical student in Dr. Noormahomed’s laboratory.

Photograph: Carly Guthrie.

Research opportunities including investigations in malaria, tuberculosis and HIV are available under the direction of Emilia Virginia Noormahomed, MD, PhD.

The UC San Diego Division of Infectious Diseases has an ongoing research collaboration with Dr. Noormahomed’s laboratory. 

 

Research team at Maputo Central Hospital.

The research team at Maputo Central Hospital. 
Photograph: Chip Schooley, MD

Length of Rotation

 

Four weeks including a 1-2-week overlap with the UC San Diego residents who are in rotation in Maputo immediately prior and immediately following. 

  

Logistics

 

  • Lodging: Housing is provided for residents and their guests in a UC San Diego-supported residential facility within walking distance of Maputo Central Hospital.
  • Transportation: Airfare is provided by UC San Diego. Cars are not needed within Maputo; rental cars are available for excursions outside the city.
  • Languages: English is widely spoken at the medical center and in Maputo proper; Portuguese, the primary language of Mozambique, is helpful.
  • Time Zone: GMT/UTC+2 (10 hours ahead of San Diego during Standard Time)
  • Currency: Metical (MT)

About Maputo and Mozambique

    

Map: CIA Factbook Online.

 

Maputo.

 

Maputo International Airport. 

Beline, Mozambique.

 

Market in Maputo.
Photographs above: Chip Schooley, MD

The republic of Mozambique is located on the southeastern coast of Africa between South Africa and Tanzania.  Its population was approximately 24 million as of July 2013.

A former colony of Portugal, Mozambique gained its independence in 1975 and ended years of civil war in 1992.  In recent years, it has established a free market economy and multi-party elections. 

Mozambique is an agricultural nation.  Despite strong economic growth since the end of its civil war, it remains one of the poorest countries in the world. As of 2012, the gross domestic product per capita was $1200 US. 

The infant mortality rate in Mozambique is 7.5%, 13th highest in the world.  The life expectancy at birth is 52 years.

Mozambique is a tropical-subtropical land with 1800 km of coastline on the Indian Ocean.  Its rainy season extends from November to April, and its dry season from April to November.

 

Maputo

The port city of Maputo, population 1.4 million, is the capital of the country and the home of its major cultural institutions.

Maputo is located 75 minutes by car from Kruger National Park in South Africa and 90 minutes by air from Johannesburg. 

The coast of Mozambique attracts international visitors to its resort hotels, unspoiled beaches, and excellent scuba diving and snorkeling.

The Indian Ocean seaside resort of Beline is two hours north of Maputo by car.

 

Language and Culture

The official written and spoken language of Mozambique is Portuguese; the business languages are Portuguese and English.  English is spoken widely in the Mondlane School of Medicine and in Maputo.

Most of the nation’s citizens speak Bantu-family African languages and practice traditional religions.

In the 1997 census, 28.4% of the country’s citizens identified themselves as Catholic, 27.7% as Protestant, 17.9% as Muslim and 7.2% as belonging to other religions, with the remainder declaring no religious affiliation.

 

Craftsman, Mozambique. 
Photograph: Kenneth Kaushansky, MD, MACP

Traditional houses in Mocambique.  

Traditional houses, Mozambique. 

Photograph: Ken Kaushansky, MD, MACP

 

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