CIMCC - INTERNATIONAL STUDIES PROGRAM

WVSOM students are offered opportunities to experientially learn about practical and specialized global medicine through hands-on programs in all four years of their osteopathic medical training.

PAX Club Dominican Republic

International rotations are offered during the latter half of 3rd year and on through 4th –year.

Students in all four years can join the WVSOM clubs: PAX (Peace-International) or CMDA (Christian, Medical, Dental Association; a national association) and participate in a spring break medical service or mission trip.

3rd & 4th year students can receive 1-week Family Medicine rotation credit for the PAX and CMDA trips with approval from their Regional Associate Dean and formal application to CIMCC.

Where in the world can a DO practice?

2010-2012 2013-2014

In 2012 Adrienne Biesemeyer, MA and Dr. Karen Steele, DO, completed a dream by having Dr. Karen become the first DO registered to practice medicine in South Africa

WHERE WE HAVE BEEN SINCE 2009 & WHERE YOU CAN GO NOW(WVSOM-CIMCC HAS AN ESTABLISHED ROTATION RELATIONSHIP) Bangladesh Bolivia Cambodia Costa Rica Dominican Republic, Caribbean Ecuador Germany Ghana Guatemala Himalaya/India India Italy Jamaica Malawi, Southeastern Central Africa

(Residency only) Mexico Nicaragua Peru Poland Romania Republic of Georgia Sierra Leone, West Africa

South Africa SwazilandSouth KoreaTanzania, East AfricaViet Nam Zambia, Southern Africa (Residency only)

Where can a WVSOM 3rd-4th year Student Go?

CIMCC RelationshipDominican Republic

Family orInfectious Disease/Public Health

Sierra Leone Family Med. (with OB-Gyn and Peds. Experience) or

Infectious Disease South Africa

Family Med. or Infectious Disease

SwazilandFamily Med.

Outsourced Arrangements

BoliviaCambodiaChinaCosta RicaEcuadorEthiopiaGhanaIndiaJamaicaMoldovaMongoliaMorocco

*MexicoNepalPeru*PhilippinesRomaniaTanzaniaTogoVietnam(* by special

permission)

Self ArrangementsAnywhere that is not

on the USA State Departments Warning

List andApproved by

WVSOM CIMCC

Approved Outsource:

Projects Abroad: http://www.projects-abroad.org/volunteer-projects/medicine-and-healthcare/

Child Family Health International: https://www.cfhi.org/

Health Volunteers Overseas: http://www.hvousa.org/index.shtml

Himalayan Health Exchangehttp://www.himalayanhealth.com/

DOCARE: http://www.docareintl.org/upcoming.html

Where & When Can’t you go?

WVSOM Students can basically volunteer/rotate anywhere in the world with pre approval by CIMCC and the Associate Dean of Predoctoral Clinical Education/Department of Clinical Sciences

CIMCC checks each countries status as listed on the USA State Department travel warning list http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html , in addition we check the UK Travel Warning List and Canada’s. In the circumstance of an Alert on any travel warning site, CIMCC reviews the situation and risk factors are weighed. After CIMCC has screened a country, approval must be gained from the Associate Dean of Predoctoral Clinical Education before a student can travel there under WVSOM educational recognition.

Other limitations to receiving WVSOM educational approval: Countries where the PEACE Corps may have recently pulled out of or is planning

to pulling out of. Travel to countries in the news identified as having social, political or natural

disruption and the CIMCC Director, or a student’s Regional Associate Dean, or the Associate Dean of Predoctoral Clinical Education/Department of Clinical Sciences or the VP/Dean of Academic Affairs deems an area is potentially unsafe for student travel.

Warning, Alerts & Advisory

Travel WarningsA travel Warning is considered a long term unstable event and means you want to consider very carefully whether you should go to that country at all. Examples of reasons for issuing a Travel Warning might include unstable government, civil war, ongoing intense crime or violence, or frequent terrorist attacks, severe weather conditions like earth quakes or tsunami. Meaning there is a high risks of traveling to these places and to strongly consider not going to them at all. Travel Warnings remain in place until the situation changes; some have been in effect for years. Travel AlertsA Travel Alert is issued for short-term events like an election season that is bound to have many strikes, demonstrations, or disturbances; a health alert like an outbreak of H1N1; or evidence of an elevated risk of terrorist attacks. When these short-term events are over, the Travel Alert is cancel. In the instant of an Alert, CIMCC reviews the situation and risk factors.Travel Advisory A Travel Advisory usually has to do with weather meaning there is a good chance something is going to happen but it hasn’t happened yet.

Language Requirement

All Spanish and French speaking rotations require students be conversational in the host language

Other countries such as India and non-francophone African countries where English is the “business” language but there are other local languages, students may need to add the cost of hiring a translator

Other international locations where English is not the “business” language students will need to add the cost of hiring a translator

VISAS

It is the rotating students responsibility to find out in a timely fashion if they need a visitors visa – DO NOT apply for a work visa in any country,; any questions contact CIMCC

If working with a 3rd party to arrange rotations, checked with provider about visas and other necessary documents

RotationsProcedures and Requirements

Procedures

3rd year international rotations cannot start before February 1 of your 3rd year and can only be for 2-4-weeks if the host program is agreeable

4th year rotations can start anytime you wish to add them to your schedule and can run for 2-8-weeks if the host program is agreeable

As soon as you have your SWC location, inform your Director that you are considering an international rotation and make sure you are scheduled for the prerequisites

You must have completed all prerequisites, passed COMLEX and be in good academic and professional standing before you can go on an international rotation

What you need to know What you need to do

Perquisites and Requirements

Family Med I Internal I OB-GYN I Peds I Surgery I or Emergency I

Let your Director know the evening of site selection if you want to schedule a rotation during 3rd year so that all 5 prerequisites are scheduled before February 1 of your 3rd

year

Prerequisites What you need to do

Process

Request information Submit a pre-application

o By hand or by e-mailo You will then receive by e-mail

a checklist to follow in regards to full application procedure

Main application form in by September 1 before your date of departure

Required supplemental materials are due in to CIMCC 60-days before departure

At anytime from to-day forward Time sensitive

Follow the Student-ChecklistWhich will be e-mailed to you upon request

What kind of rotation are you looking for?Be realistic about your personal stamina and expectations

First world:

o Canada

o Western Europe

First world living but underserved population

– very different culture:

o South Africa

o India

Rustic (running water but limited internet)

very different culture:o Dominican Republico Sierra Leoneo Swaziland

In the bush (no running water, pit latrines, no internet) o Himalayao Tanzaniao Swaziland

Non-stressful living examples Drs. w/o Bordersesc examples

CIMCC - Living Conditions 1, 2

Class 1-2: A location in a developed nation (South Africa, Australia and Europe) with cosmopolitan living conditions: three-star B&B or apartment, shared room with classmate (or pay extra for private room) hot & cold water, private bath & toilets, 24/7 electricity and internet access laundry & maid service, air con & heat

Class 3: A location in a developing nation or community (some African countries, the Caribbean, Eastern Europe and India)

guesthouse or apartment, warm/cold water, private or shared bath & toilets, 24/7 electricity and possible internet access, self service, possibly no air con or heat

CIMCC - Living Conditions 3, 4

Class 5-6: Local living conditions: in the bush or township with a family, no toilets (bush latrine) no showers (bucket bath), limited to no electricity, no internet access except for trips to town. At this moment no first time rotations to a class 5/6 location except with Himalayan Health Exchange.

Class 5-6 for 4th year and resident students only.

Class 4: Local living conditions: guest house or group hostel, toilets or latrines, cold showers or bucket bath, electricity certain times of the day very limited to no internet access

Living Conditions on Rotation

2

1

6

3

4 or 5

It is strongly advised that outside reading and video viewing, especially if traveling to developing nations and HIV/AIDS related rotations

VideoTED Talk William Kamkwamba: How I harnessed the wind | Talk ...https://www.ted.com/talks/william_kamkwamba_how_i_harnessed_the_wind

Photos by students on an international rotation

Dominican Republic

CIMCC – Dominican RepublicCaribbean: Year-round opportunity

Living Condition Class: 3 or 4Usually with a family or clinic housing

Travel Opportunities: Club (PAX) and/or individual rotations, 4 slots per rotation block

Study opportunities: clinical and research in Family Medicine and Infectious Med/Public Health

Partnership with Community Service Alliance (CSA) HIV/AIDS Clinics in Santo Domingo and El Seibo Home visits to over 50 families affected by HIV/AIDS. Language requirement: Conversational Spanish

Sierra Leone

CIMCC - Sierra LeoneWest Africa: Year-round rotation opportunity

Living Condition Class: 3, 4 or 5 Travel Opportunities: 3-4 rotation slots Family MedicineStudy opportunities: Clinical family medicine with OB-Gyn (deliveries) and

pediatric experiences, research on malaria, ophthalmology issues in the rural villages

In partnership with WVSOM alumni Dr. Tom Asher and his wife Dr. Karen Asher, DO, this is the only international Stookey rotation at present

Extremely rural clinics and the Kamakwie Wesleyan Hospital in Freetown, Bombali District, Sierra Leone.

102 bed full service hospital servicing 600,000 people. Ten additional clinics gives students both rural and urban opportunities. Recommended language requirement: English

“God called the Asher family to go to Sierra Leone. We went to Kamakwie to work along side the Wesleyan Church of Sierra Leone and to treat patients…”

In a country that loses 1 out of every 5 woman during pregnancy or delivery, Kamakwie Wesleyan Hospital had only 4 maternal deaths in 2009. The doctors and the staff benefited from an excellent training program in obstetric care called Safe Passages, a Pro-Life Response to the Tragedy of Maternal Deaths in Africa.

Tom Asher, WVSOM graduate, 1987 , Karen Asher, DO graduate Ohio University

Sierra Leone presently our only DO international rotation

South Africa

Distance from Freetown to Cape Town –same distance as WV from Peru…No documented cases of Ebola 2014 in South Africa – 11 cases in the USA…

Living Condition Class: 2 –BnB: Breakfast, laundry & maid service Heaters -Winter June-Aug can be cold 70-40Fans - Summer Dec – Mar Hot – 75-95

Rotation Opportunities: Clinical: 4 slots per rotation with SHAWCO (University of Cape Town Student Health And Welfare Community Organization) student do family medicine and pediatrics in townships and with refugee populations. 8 slots in specially arranged group rotation in rural location and with SHAWCO http://www.shawco.org/index.php/health

Study opportunities: Public Health/Epidemiology, Infectious Disease –HIV & AIDS, and TB

Recommended language requirement: English

South Africa: Year-round Rotation opportunity

South Africa SHAWCO

Swaziland expected open February 2017

Living Condition Class: 2-3

Cabin, self service Winter June-Aug can be cold 70-35Fireplace heat

Summer Dec – Mar Hot – 75-95

Rotation Opportunities: Clinical, Family Medicine: 2 slots per rotation, rural - 45min. from the Capitol, Mbabane

Recommended language requirement: English

Swaziland

India Reorganizing - hope to reopen in 2018

India via Child Family Health International or Projects Abroad

Year-round rotation opportunity

Living Condition Class: 3 above the clinic, shared room with same gender intern

All meals, laundry, housekeeping, air con

Travel Opportunities: 2 Slots per rotation block

Study opportunities: OB/GYN, Family Med., Peds, GP

Recommended language requirement: English

Rotation Recap:What you need to know

First, request a Pre-application from CIMCC Second, As soon as you know what region you are in, let your

regional director know that you would like to plan an international rotation and if it is for 3rd or 4th year or both.

Note: international rotations can start no sooner than February 1 of 3rd year.

You must have completed and passed the following BEFOREyou can do an international rotation:

COMLEX, Family Med 1, Internal Med 1, Peds 1, OB-GYN 1, Surgery or Emergency Med 1 and best if you have completed both surgery and emergency.

After we receive your Pre-Application…

You will receive a checklist to follow in regards to full application procedure

Pre-application can be requested anytime Rotation full-application can be started anytime,

but must be COMPLETED by the September 1before your rotation. The full application packet must be completed no less than 60 days before departure date.

If you are planning on using a 3rd-party or creating your own international rotation you still have to complete the CIMCC rotation process.

QUESTIONS????????

Contact:Adrienne B. Biesemeyer or Leah Stone

cimcc@osteo.wvsom.eduWVSOM-CIMCC

400 N. Lee StreetSWC B113

Lewisburg, WV 24901Adrienne +1-304-647-6423

Leah: +1-304-647-6318