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My GEMx Elective Added Value to My Medical Career

Filed under: GEMx Regional Exchanges GEMx Student Reflections

Stephen Odiwuor

Post by Stephen Odiwuor, a medical student at Jomo Kenyatta University of Agriculture and Technology, Kenya [MEPI]

I was born around the mid-90s as a son to John Ochieng and Janet Ochieng at home in the middle of the night, with the assistance of a traditional midwife as the only complementary and alternative medicine provider on standby at that critical hour of my birth. My name, Odiwuor, means born at midnight.  I thank God that neither my mother nor I developed perinatal and post-natal complications because had my mother experienced any obstetrics complications, there would be either no ambulance or vehicle to rush us to the nearest health facility except for an old, poorly maintained wheelbarrow that could be easily accessed from the nearest neighbor.

This meant that I had to catch up with the immunizations the vaccines that I should have received at birth, at 6 weeks, at 10 weeks and at 14 weeks later on in the course of my infancy period. In the course of my neonatal period, my mother reports that she developed breast disease, which, after literature review and medical knowledge, I concluded could be either mastitis or breast abscess. I then had to be shifted from exclusive breastfeeding to completely cow milk and that was the end of me with breastfeeding at that tender age before the recommended six months period had elapsed. My parents could not afford the infant formula milk because we were wallowing in the mud and mire of poverty.

At the Zimbabwe Medical Students’ Association annual general meeting (AGM)

In our village, I had to put up with a life that meant learning how to live with malnutrition and, occasionally acute malnutrition and severe malaria due to lack of untreated mosquito nets. My passion to pursue a bachelors in medicine and  a bachelors in surgery course is being driven by these health concerns that I had to survive right from my perinatal period, the immunizations I did not receive according to schedule, the exclusive breastfeeding that I did not get a chance to enjoy, the malnutrition I suffered among other health risks that I faced.  I, therefore, acknowledge the Education Commission for Foreign Medical Graduates (ECFMG) for their Global Educational Exchange in Medicine and the health professions (GEMx) that sponsored my electives at the University of Zimbabwe College of Health Sciences, Parirenyatwa Hospital, that would help me realize my dream of giving back to the community as a doctor by addressing the health challenges that I faced.

It was in early 2017 as I was going about my normal academic obligations at the Jomo Kenyatta University of Agriculture and Technology (JKUAT) school of medicine as a fourth-year bachelor of medicine and bachelor of surgery (MBChB) student when, a bachelor of pharmacy student, whose lecturer is Dr. Karara, the JKUAT GEMx Coordinator, sent me a link about GEMx electives. It was my first time to hear about GEMx so I did not take it with a lot of seriousness that it deserved. After a period of contemplation, I decided to give it a trial. I opened a student account on the website and requested Dr. Karara to confirm my details and accept me in the system since she is the JKUAT GEMx Coordinator which, she did. I then proceeded to start my applications for elective. I applied to Kwame Nkrumah University of Ghana, the University of KwaZulu Natal and the University of Zimbabwe. My electives would be in August and September 2018. University of Zimbabwe College of health sciences accepted my applications after uploading all the requirements for the elective on the system and submitting my applications.

At the Medical and Dental Practitioners’ Council of Zimbabwe (MDPCZ)

I arrived in Zimbabwe on 20th of August 2018 at around midday and went straight to the University of Zimbabwe College of health sciences. To my amazement, the elective department had been waiting for me. After a few minutes of engagement and introduction, I was taken to the building at which I would be hosted for the 42-day period that I would be at Parirenyatwa Hospital for my elective. The awesome reception, the transport around the city and the orientation that I received from the elective department on the first day are among the many things I cannot fail to highlight in bold when talking about my elective experience. I did my clinical elective rotation in internal medicine. Among the things I learned were: The good attitude of the consultants towards both students and patients, the awesome reception by the nursing staff, the interactive sessions we had with the junior registered medical officers, the healthy discussions we had with the final year MBChB students, the vast medical knowledge that I gained during ward rounds and enjoyed the beautiful culture of the Shona community. Generally, it was such a life-changing experience for me. Moreover, I was also able to attend the Zimbabwe Medical Students’ Association (ZiMSA) annual general meeting and Dinner and the Family medicine conference at the University of Zimbabwe College of Health Sciences, Gellfand hall.

GEMx sponsored everything during my elective period. GEMx sponsored my accommodation, my upkeep, my flights to and from Zimbabwe and all other expenses. Special thanks to Mrs. Faith Nawagi, the GEMx Africa Coordinator for the constant counsel and help that she provided for me at every stage of my application, Mrs. Chuma Vunganayi, the elective coordinator at University of Zimbabwe College of Health Sciences and Dr. Monica Karara, the GEMx JKUAT coordinator. I also want to acknowledge and appreciate Dr. Reuben W. Thuo, the Dean school of medicine (SoMED) JKUAT, for the recommendation letters and the support he accorded me towards the application for my elective attachment.

Thank you GEMx, you have added a lot of value to my medical career.

 

 

 

 

My Elective Exchange at The University of Zimbabwe College of Health Sciences

Filed under: GEMx Regional Exchanges GEMx Student Reflections

Joy Kinya Kimathi

Post by Joy Kinya Kimathi, a 5th-year medical student at Jomo Kenyatta University of Agriculture and Technology in Kenya who has completed an elective exchange at the University of Zimbabwe College of Health Sciences.

I was granted an opportunity to participate in an elective program in the University of Zimbabwe at the Parirenyatwa Group of Hospitals in Zimbabwe, from the 20th of August to 30th September, 2018 by GEMx. I found this as a great opportunity to learn, a stupendous chance to mingle with new people, explore a new culture, food, and new places. It’s worth noting that Zimbabwe is a vibrant country whose occupants mainly speak Shona and Ndebele, and are amazingly hospitable.

 

Reception and Accommodation

On arrival at Zimbabwe, I was treated to a very warm reception by the University of Zimbabwe elective office. We were 2 students from Kenya at the time of my elective. Throughout my stay in Zimbabwe, I was accommodated at the Medical residence elective flat within Parirenyatwa hospital grounds. This was a very convenient spot to access the hospital, and I wish to pass my gratitude to the Accommodation office at the University of Zimbabwe for this consideration.

At the Medical and Dental Practitioners Council of Zimbabwe (MPCZ).

Academics

As a prerequisite to working in any clinical area within Zimbabwe, one needs to register with the Medical and Dental Practitioners Council of Zimbabwe (MPCZ). This was one of the first exercises that I embarked on just after settling down. The elective office was kind enough to offer transport to the Board’s premises to register with them.

Clinical Areas

Being a very adventurous person, I explored various departments within the hospital during my elective. These included: Medical Ward, Hematology Department, Urology Department, Oncology Department. I have to admit that I had an awesome learning experience within the institution. The consultants were very enthusiastic and more than ready to impart their knowledge and skills to me. Special thanks to Dr. Marejela (Consultant Physician), for his well-researched discussions crowned with a special sense of humor. Being in your ward round was something each of us looked forward to every single day.

Special thanks to Dr. Mberi (Hematologist Consultant) together with the whole Hematology team, for your dedication to teaching me. Lots of gratitude Dr. Chikore for teaching me how to administer Chemotherapy.

At the Hematology Laboratory

It was a great honor to work with Mr. Dube (Consultant Urologist). His austereness kept us on our toes bringing out the best in us. A shout out to the Oncology team for being one of the most amazing teams to ever work with. I was able to participate in cancer diagnosis, staging, planning of management, radiotherapy, brachytherapy and chemotherapy sessions. Above all the team got to include me in most of their social events making me feel at home.

The junior doctors (JrMOs) in all the departments I rotated in, occupy a special part in my heart. They were not only colleagues but also mentors and probably the greatest friends I’ll ever make within such a short period of time. They shared with me tips on how to navigate around Zimbabwe and were really great chaperones.

In a nutshell, the academic part of my elective was marked with new amazing and interesting exposures. Of special note is the fact that the whole experience sparked in me, a special interest in oncology, a field that I had never ever considered prior to my elective.

Interacting with local students ZiMSA dinner

Social

Over my stay in Zimbabwe, I got to visit many astounding places. It all began with a tour around the University of Zimbabwe main campus. The institution is located in a vast piece of land, in an exquisitely serene environment at Harare.

Some of my major highlights were: A visit to the agricultural showground, visiting the National Gallery of Zimbabwe, Grabbing lunch and dinner with the Zimbabwe Medical Students Associations (ZiMSA), and visiting the Bally Vaughn Animal Sanctuary

Challenges

Zimbabwe cash crises:

I found myself in the middle of a Zimbabwe Cash crisis right from the time I landed at the airport. The challenge was brought by the fact that I couldn’t withdraw any money from the banks due to acute cash shortage within the country. This was a very unique challenge that I had never anticipated at all. To add insult to injury, some of the swipe machines in the country were not compatible with my visa cards making it almost impossible to pay for accommodation as well as the Board fee. However, I would like to take this chance to thank the UZ elective office for being patient and resourceful in handling any new challenge that came up.

At this juncture, I would also like to pass my heartfelt gratitude to the Kenyan Embassy in Zimbabwe. They went out of their way to enable us to get Hard Cash when all our efforts had hit the wall. God bless you richly.

Photo at the Kenyan Embassy

Lesson Learnt

To any student planning to travel out of their country, make a habit of getting in touch with your embassy on the intended country of travel before leaving your country. Let your embassy advise you accordingly pertaining your travel expectations and expected challenges. This will help with your planning and cushion you from any unanticipated shock.

Conclusion

My trip was amazing. In the beginning, I faced a few strains, but I still got the best out of this elective both academically, socially, and culturally. I greatly appreciate the opportunity afforded to me by GEMx team. I wish to thank everyone who went out of their way to ensure that I had the time of my life. The GEMx initiative is a great one, and I take this opportunity to encourage more and more students to enroll and be part of it.

Get to know Mercy Muhadia Okova

Filed under: GEMx Regional Exchanges

Post by Mercy Muhadia Okova, a 5th-year medical student at Jomo Kenyatta University of Agriculture and Technology. 

I spent most of my childhood days in the rural area, the western part of Kenya and my high school and college days in the capital city Nairobi. I have a taste of both rural and urban life which makes life easier for me because I know how to deal with people from both sides.

When I was young I would sing the common song of many children that when I grow up I would like to be a doctor. However, that dream made sense when my dad fell critically ill and I wanted to understand what was happening to him and help where I can. I was also motivated by a young lady: a medical doctor who was in her second year of residency in Neurosurgery. That made me believe young ladies can also excel in the field of medicine. I excelled in my final high school examination and got admitted to study medicine.

Unfortunately, my dad passed away while I was in my first year of study before I could barely understand what made him unwell. Later on, I understood and this fueled my passion to fight Non-communicable diseases(NCDs) by creating awareness on healthy lifestyle practices for prevention of Non-communicable diseases. I write articles concerning NCDs on my blog mercyokovaonncds.wordpress.com

I learned of the GEMx electives through my classmate and we met the coordinator in my school who guided me in applying for an elective at University of KwaZulu-Natal, South Africa and got accepted to rotate in the Department of Family Medicine. I am glad to have met a very pleasant team lead by Professor Mergan Naidoo. The program is quite busy already learning a lot in the first week. I hope to share more experiences as the elective goes on.

GEMx Elective Reflections – GEMx African Regional Exchange Experience

Filed under: GEMx Regional Exchanges GEMx Student Reflections

Post by Kennedy Omondi Ogutu, BScN Student at Jomo Kenyatta University of Agriculture and Technology (KENYA) in 2nd week of GEMx elective at University of Zimbabwe (ZIMBABWE)

PRE-DEPARTURE

GEMx student steps off plan for exchange

Indeed, I lack words to express my sincere gratitudes to the GEMx committee represented by Carol Noel Russo, the host coordinator at the University of Zimbabwe, Mrs. Hope Chuma Vunganayi and my school GEMx coordinator at Jomo Kenyatta University of Agriculture and Technology, Dr.Monicah Karara.

It is my pleasure to thank you all for your commitment and determination made to ensure my elective at University of Zimbabwe attached at Parirenyatwa Group of Hospitals become a success.

As a medical student, it was always my dream to participate in an exchange program outside my country in order for me to learn and gain skills on how healthcare systems workout in other countries.It was with much joy and happiness when I received an email congratulating me for being elected to participate in GEMx elective at the University of Zimbabwe (MEPI), to me the medical elective was a golden opportunity which only comes once in a lifetime. I was prepared both psychologically and physically to participate in the elective and make it a success.

ACCOMODATION AND ORIENTATION ACCOMODATION.

GEMx Student in housing accomodations

The day I arrived at Harare International Airport, I was received warmly, I felt at home. Later on, I was taken to the place of residence within the University. Indeed it is a well-furnished guest house meant for visitors who come for elective at the University of Zimbabwe. The house is conducive for learning activities and well secured. Indeed it is nice and comfortable.

CULTURE

The main languages spoken in Zimbabwe is Shona and English. I found it quite a challenge adapting the language because most of the places, the commonly used language is Shona. This led to some communication barriers at times but I was able to cope through the interpreters.

ORIENTATION TO PARIRENYATWA HOSPITAL.

In front of Parirenyatwa
My 2nd day in Zimbabwe, I was taken to Parirenyatwa Hospital located near University of Zimbabwe, College of Health Sciences.  It is the largest referral hospital in Zimbabwe, with well-equipped facilities and personnel. I was privileged to be oriented by one of the students at Parirenyatwa School of Nursing. It was a very nice learning exposure while at the hospital. I got the opportunity of visiting almost all the departments in Parirenyatwa Hospital despite the largeness of the hospital. Among the departments I visited were the paediatrics ward, surgical ward, medical ward, the oncology ward, the Intensive Care Unit, the labour and delivery ward, the accident and emergency department among the very many departments in it.

CLINICAL ROTATION AT THE LABOUR AND DELIVERY WARD.

Based on the elective that I chose, majorly dealing with obstetrics and gynaecology, I was attached to the labour and delivery ward for a two week experience

I report to the labour and delivery ward at 7am, where reports from the nightshift duty staff is given to the staff starting of the duty. The reports on the patient was given inform of case presentation.It was a very nice learning session to me during the ward rounds and giving off the patients report. Ward rounds were conducted with the presence of the Obstetrics consultants, the midwives, interns and the students. Different aspects on different patients were discussed based on their condition. The staff were able to teach us the very many obstetrics emergencies and complications and their management. Being a referral hospital, I was able to witness most of the complications related to labour and delivery and their management. Among the complications I came across was post-partum haemorrhage, breech presentation, retained placenta among many others emergencies and complications.

View of Parirenyatwa Hospital

View of Parirenyatwa Hospital

KNOWLEDGE AND SKILLS OBTAINED

For the duration less than 2 weeks that I was attached to the department, I have been able to meet my objectives in the labour and delivery ward.  Among the very many objectives set and which have been achieved include; the assessment of a pregnant woman, prevention of mother to child transmission of HIV/AIDS, management of women with post-partum haemorrhage, eclampsia etc, management of babies with special needs, performing and suturing of an episiotomy, administration of medication used during labour and delivery. Finally, was conducting labour and delivery.

IT IS AN AMAZING EXPERIENCE.

LESSONS LEARNT

GEMx exchange student in hospital
GEMx Exchange Student in front of university sign
I believe in improving and prolonging the lives of human beings through a holistic approach of healthcare services to humanity. It feels good when a patient who was critically ill, bed-ridden and was not be able to do activities of daily living, gets well as a result of good health care service offered to them. I learnt that medical practice is similar globally, and it needs teamwork, sharing of knowledge and empathy to patients in order to ensure holistic approach of care to patients.

From the deeper recess of my heart,/ express my sincere gratitude to GEMx for giving me this wonderful “golden opportunity”

 

GOD BLESS

 

 

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