Rappold, Thomas

School of Medicine

Kenya

In Kenya, I will travel with a team from the Johns Hopkins Pediatrics Emergency Medicine Department. We will work at multiple clinic and hospital sites in and around Nairobi operating mobile clinics, conducting school physicals, screening for and participating in cardiac surgeries, and providing care to children living in Nairobi slums. On previous visits, the team screened over 1000 children for cardiac disease in one clinic day. The various clinic sites will also expose me to disease processes not normally encountered in the United States such as complicated malaria, typhoid fever, and severe malnutrition.


What I learn about process improvement and optimizing care delivery in the United States will only take me so far in underdeveloped nations. Kenya operates under different political, social, and economic constraints, and it would be detrimental to pediatric care to think that what works here could be retrofitted there. This elective will lay a foundation for understanding new diseases and surgical dilemmas not normally encountered in developed countries. Also, the elective will help me to see how foreign physicians may assist in their healthcare system while maintaining cultural awareness and humility. Learning the tools, processes, and medicines used by patients, technicians, nurses, and physicians will allow me to understand the ground rules under which basic and complex healthcare can be delivered. My hope is that this foundation will be a scaffold on which I can develop ideas with collaborators in Kenya as well as Johns Hopkins for improving pediatric preventative and perioperative healthcare delivery.

Johns Hopkins Department of Pediatrics

Karen Schnelder, RSM, MD

People

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases
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July 2018

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