SUNY Downstate Medical Center
SCHOOL OF PUBLIC HEALTH
Global Health Elective
Global Health Elective for Medical Students
PUBH 4540: Health Care in Developing Countries
This elective is offered to fourth year medical students who have satisfactorily completed all academic requirements for the third year.
About the Elective
The School of Public Health's Global Health Elective, Health Care in Developing Countries, was initiated in 1980 by the Dean, Dr. Pascal James Imperato, who has been its course director throughout its history. Beginning in the academic year 2007-2008, Dr. Denise Bruno assumed the role of co-director of the elective with Dr. Imperato. The objectives of this elective are to provide fourth year students with an opportunity to observe and study public health and health care delivery systems, or some aspects thereof, in a resource poor country, to be of service to disadvantaged populations in a resource poor country, and to have a cross-cultural experience.
As of 2012-2013, some 361 students have participated in this elective in some 40 countries in Africa, Asia, Central and South America, the Caribbean, and Oceania. Most have spent six to eight weeks at overseas sites arranged by the course directors. The program at Downstate is one of the largest and most successful in the country. Some of its procedures and practices have been adopted by a number of other medical school programs, and by the International Health Medical Educational Consortium (IHMEC).
Admission to this elective is highly competitive. Annually, some 50 students compete for approximately twenty places. The admission process includes an examination of the academic record to date, a personal interview with a member of the Global Health Elective Screening Committee, and reference checking with faculty familiar with applicants. Students who have a commitment to a career in preventive medicine, public health, or primary care are given preference. Each student admitted is carefully advised by the course directors, who also arrange the overseas placements.
Our program has always had stringent policies and procedures regarding selection of overseas sites and health maintenance. Students are not permitted to travel to countries which the Department of State considers risky. Country-specific information is regularly updated from the Department of State, and in certain instances, the course directors speak directly with the country-specific desk officer at the State Department. In addition, the course directors regularly update local conditions through contact with in-country preceptors, some of whom have collaborated with us for many years.
Financial Assistance for the Global Health Elective
The School of Public Health provides partial financial assistance to medical student participants in the Global Health Elective. Applicants to the elective should be aware that this financial assistance is not intended to cover all of the possible expenses that a participant may incur. The stipends given to the participants are only intended to help defray expenses. Therefore, students should be prepared to pay for some expenses from their own funds. Depending on overseas location and unforeseen circumstances that may arise before, during, and after the elective, these might be considerable. Financial assistance for this elective is largely provided from several extramural sources including the LSK Foundation, the Alumni Fund of the College of Medicine, and by other donors. Some of the Alumni Fund support has been provided through specific bequests to the Fund. In 1983, Mrs. Lona B. Kennéy donated a significant sum to support the elective in memory of her husband, Dr. Michael Kennéy, a renowned pathoparasitologist and Clinical Professor of Pathology at Downstate. In 1998, Dr. Joshua H. Weiner, a graduate of the Class of 1941, read of the overseas elective. Having spent time studying tropical medicine in Puerto Rico in his senior year, he expressed a desire to financially support the program. In early 1999, Dr. Weiner donated a significant sum to the Alumni Fund of the College of Medicine to help defray the travel expenses of students participating in the elective. Applicants for this elective should keep in mind that student stipends provided for this elective are only intended to assist in defraying expenses and not to cover them entirely.
Medical students may apply for Health Care in Developing Countries in the fall of their third year. An application in .pdf form is available. Guidelines are provided in the tab at the top of the page.