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https://images.squarespace-cdn.com/content/v1/5ec321c2af33de48734cc929/1607694583486-2PQT0LQ193RL7MCB6DX4/20140228_Trade+151_0046.jpg Home https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/7de4fe39-7967-4208-b2d1-cb71e59120e5/Copy+of+Black+Simple+Daily+Podcast+Cover+%284%29.png Home Episode 43: Dr. Aziza Dhalai & Dr. Alana Bryant https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1730989657516-H4T8UFS9K66LSMB10C3C/Copy+of+Black+Simple+Daily+Podcast+Cover+%283%29.png Home Episode 42: Dr. Armitage Harper III, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1725703806738-R4FDEK9WVHXL90OJOHPF/Copy+of+Black+Simple+Daily+Podcast+Cover+%282%29.png Home Episode 41: Dr. Lloyd Williams, MD PhD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/ffdcaa55-70b0-4d40-a716-719ff56518ee/Copy+of+Black+Simple+Daily+Podcast+Cover+%281%29.png Home Episode 40: Dr. Gladys Atto, MB ChB, MMed, Ophth, MSc https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/fd70e674-5867-4327-9eea-45c80f654c51/Black+Simple+Daily+Podcast+Cover+%281%29.png Home Episode 39: Dr. Bryce St Claire, OD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/5a57e690-ac17-4b64-b8ab-dd2fd5c81a11/Black+Simple+Daily+Podcast+Cover+%284%29.png Home Episode 38: Dr. John Buchan MBBS, MRCOphth MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1692367415672-GW6Y7SFQXC0I02LKB8T3/Black%2BSimple%2BDaily%2BPodcast%2BCover%2B%25283%2529.jpg Home Episode 37: Tommy Bui, Zoha Mian, Nikhita Yadlapalli https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1685767490418-P67R4EJXK1QTF00NXY9A/Black%252BSimple%252BDaily%252BPodcast%252BCover.jpg Home Episode 35: Dr. Eve Higginbotham, SM, MD, ML https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1683173602800-EOM182SF59JZ2FVACFIM/Screenshot%2B2023-05-03%2B221316.jpg Home Episode 35: Dr. Ike Ahmed, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/194e2ad3-892c-4a73-9705-7e6b7496139e/rosdahl.png Home Episode 34: Dr. Jullia A. Rosdahl, MD PhD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1675043207305-W7AGAXIBKCODD1G91EJ8/chaya.jpg Home Episode 33: Dr. Craig Chaya, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1671131692888-AMS9ICJSJKUFAP4OZAPQ/udovs.jpg Home Episode 32: Dr. Tetyana Schneider, PhD & Mrs. Hannah Baker, MA https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1666772104936-PIC9EIDKTR7E7GHYPEA5/blog%2B2.jpg Home Blog 2: Dr. Rizul Naithani, DO https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1664059099380-M9C0HAL0W0YIEPYGA4A4/osmith.jpg Home Episode 31: Dr. Oluwatosin U Smith, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/8c298e8d-25f3-45f8-ba83-2342a8e98e73/Wroblewski.jpg Home Episode 30: Dr. Keith J Wroblewski, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/33c60d69-d174-4908-af7a-c58b1ef9e028/Dr.+Adrian+Fung.jpg Home Episode 29: Dr. Adrian Fung, MBBS, MMed https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1659293837774-UMKVFW5H1CZD6ZXJLLHS/Dr.+Uday+devgan.jpg Home Episode 28: Dr. Uday Devgan, MD https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1656120916152-J41G6XNHKPBIXAF6XH6B/assal.jpg Home Episode 27: Dr. Sila Bal, MD MPH https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/2bcce918-ffd6-48f6-a8ae-0db2d07e453b/Copy+of+Black+Simple+Daily+Podcast+Cover+%281%29.png https://www.openglobetk.com/epresources daily 0.75 2023-12-10 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1625284393279-JZD7AUBRCP98LH2GJF9Q/LVPEI.PNG Resources - Make it stand out Opportunities in International Ophthalmology. EyeRounds.org - Ophthalmology - The University of Iowa (uiowa.edu) https://www.openglobetk.com/rizul daily 0.75 2024-06-13 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/f826f15e-786d-4cf9-b87a-29865e8195c6/Professional+Picture_Gillings_RAW.JPG https://www.openglobetk.com/about daily 0.75 2023-05-04 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1243b940-1233-41b9-9d2d-b258c7698b05/Professional+Picture+_+Gillings+Retouched.jpg About - RIZUL NAITHANI, D.O. Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. 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Stanford University https://www.openglobetk.com/training-programs/emoryfellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624487423430-AF4VP1B7YWPZZQBEZWUE/emory-logo.png Global Fellowship - Emory University https://www.openglobetk.com/training-programs/willsfellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624506673144-FEAE5D78AXT0WY17Y6JT/image-asset.png Global Fellowship - Wills Eye https://www.openglobetk.com/training-programs/uillinoisfellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624510150684-OL00LG51DCGQHIEJ9BL3/1200px-University_of_Illinois_at_Chicago_circle_logo.svg.png Global Fellowship - University of Illinois https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624511093043-CSSBP0URBZUR0H5GZ1FJ/UIC+video.PNG Global Fellowship - University of Illinois - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.openglobetk.com/training-programs/umichiganfellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624511563108-E2GRZE752KZU2D269AJ4/Kellogg-Eye-Center.png Global Fellowship - University of Michigan https://www.openglobetk.com/training-programs/utahfellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624488447210-0Z154MO49FEMV6KBVW96/moran.jpg Global Fellowship - The University of Utah https://www.openglobetk.com/training-programs/uoklahomafellow monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624486312766-U3C45ELYAYZWGT5E0OB8/dean+mcgee.png Global Fellowship - The University of Oklahoma https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624511241980-B4SCCI1A2FA06PXC640S/deen+mcgee_video.PNG Global Fellowship - The University of Oklahoma - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.openglobetk.com/global-residency daily 0.75 2022-12-30 https://www.openglobetk.com/global-residency/duke monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624685393726-FLWK90OHV3KSGTYU3V3U/dh_horz_blue.png Global Residency - Duke University Hospital - Duke University Hospital Description: Third year residents have elective rotation which can include international work. Previous residents have gone to places such as Tanzania and East Africa. Length: 8 weeks elective rotation (cannot ascertain if all 8 weeks can be used for international work based on online information) https://www.openglobetk.com/global-residency/masseye monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624691117217-C2T7WKGB27FZK8U4W7RM/5e29388a07556e3876fde468_MassEyeAndEar_v1_006.png Global Residency - Massachusetts Eye and Ear Infirmary/Harvard Medical School - Massachusetts Eye and Ear Infirmary/Harvard Medical School Description: Senior residents (PGY4) have opportunity to conduct international rotation at Aravind Eye Hospital (India). Residents gain experience in cornea, glaucoma, and uveitis clinics. Also learn management of end-stage inflammatory and infectious diseases uncommon in the United States. Residents spend each half-day in the operating room and are primary surgeons for cataract surgeries (extra-capsular, small-incision cataract surgery and phaco-emulsification). Length: 1 elective https://www.openglobetk.com/global-residency/montefiore monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624693335580-EU0VKV2RKXH4V8TA4AUO/3b9ffde73ebbb0fd0a7a8f8c83aa838d.jpeg Global Residency - Montefiore Medical Center/Albert Einstein College of Medicine - Montefiore Medical Center/Albert Einstein College of Medicine Description: First year residents have option to conduct international trip in Queretaro (Mexico), where the mexican medical system is comprehended. Length: One week https://www.openglobetk.com/global-residency/ukentucky monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624700453648-XEIE70FFXU30RSOZSKHH/College-of-Medicine-286.png Global Residency - University of Kentucky - University of Kentucky Description: Select residents are chosen for a residency track (UK GO) focused on global ophthalmology. Scholarly projects and international outreach work is fully funded during the residency and at completion, residents receive certification. First of its kind program. Partner institutes are located in India, Ecuador and Haiti. Local: Diabetic retinopathy screening in underserved settings Length: Throughout residency (unknown international length) https://www.openglobetk.com/global-residency/wills monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624695811724-9ZI5BX0E4RPNXSUGHPK3/WEH_Hospital_BelievingSeeing_Lockup-Maraschino.png Global Residency - Sidney Kimmel Medical College/Wills Eye Hospital - Sidney Kimmel Medical College/Wills Eye Hospital Description: Senior residents can learn, teach, and serve in high-needs communities internationally through WIRE program (Wills Eye International Resident Experience). Length: Two weeks https://www.openglobetk.com/global-residency/unc monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624702446969-P0UATOWACK4QGVZR758V/Ophthalmology_logo.png Global Residency - University of North Carolina - University of North Carolina Description: PGY3 have opportunity to conduct international elective. Funding provided by Lions Club and the Office of Global Health. Choice of trip can be based off of faculty or independent venture. Prior residents have conducted rotation in China, Vietnam, Ghana. Independent ventures have included countries like India, Thailand, Belgium, and Peru. Length: 2 weeks https://www.openglobetk.com/global-residency/ucsf monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624698755207-I5RS2UMJVDKBDSWZMO9H/UCSF_logo_black_RGB.jpg Global Residency - University of California (San Francisco) - University of California (San Francisco) Description: Second year residents have dedicated research time but this period can be devoted to international outreach work. Francis I. Proctor Foundation specializes in infectious and inflammatory ocular diseases. Many sites, please see Proctor foundation list of sites. Length: 5 week block https://www.openglobetk.com/global-residency/ohsu monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624694822986-D9Q9PD4EQH6IMGWG2EU2/ohsu.png Global Residency - Oregon Health & Science University/Casey Eye - Oregon Health & Science University Description: Residents have option to do international trip. Recent work sites include Myanmar, South Africa, Angola, and locally in rural Oregon. Length: Two week https://www.openglobetk.com/global-residency/lomalinda monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624690402969-5TQLE6RU4KLQCZIGJGNI/logo-lluh-color_0_1.png Global Residency - Loma Linda University - Loma Linda University Description: Usually PGY4s are typically encouraged to conduct mission surgical work. Prior trips have included Zambia (Lusaka Eye Camp). Length: 2 weeks + extension via vacation time https://www.openglobetk.com/global-residency/mcgaw monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624691868431-KSDT0FT6XOP95WL3HUJK/1000x1000.png Global Residency - McGaw Medical Center of Northwestern University - McGaw Medical Center of Northwestern University Description: Optional surgical elective in Grewal Eye Institute in Chandigarh (India). Includes strong cataract surgical experience. Length: 2 weeks https://www.openglobetk.com/global-residency/emory monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624686015548-Y9JRAX6IPB0XOHQX3RI3/emory-logo.png Global Residency - Emory University - Emory University Description: Restricted to trainees (includes fellows) that are atleast PGY3 or higher. Interested residents apply to Emory Global Health Residency Scholars Program (GHRSP) which is a year-long curriculum consisting of monthly seminars and lectures. Main site is Ethiopia (major partner is Addis Ababa University/Black Lion Hospital). A short presentation is required at the end. Length: One month clinical work abroad https://www.openglobetk.com/global-residency/medstar monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624692779791-AX3928N8DKL9NJK40XC2/nKsML9xO.jpg Global Residency - MedStar Health/Georgetown-Washington Hospital Center (Copy) - MedStar Health/Georgetown-Washington Hospital Center Description: Optional surgical international elective during last year of residency. Length: One week https://www.openglobetk.com/global-residency/uiowa monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624699474915-7D0XJC1RBMW2P9IOB0J5/health2c-ophthy_copy_1.png Global Residency - University of Iowa - University of Iowa Description: PGY4 residents travel internationally and sometimes with Iowa alumni. Residents have worked in countries like Nigeria, Philippines, India, Peru and the Dominican Republic. Local initiatives Free Eye clinic Operation HawkEyeSight provides free cataract surgeries for local underserved populations Iowa KidSight Length: 2 weeks (Information received directly from informational webinar 8/2022) https://www.openglobetk.com/global-residency/cwru monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624682156331-R76GUAIGTX9JLM45EZXL/university_hospital_full.png Global Residency - Case Western Reserve University/University Hospitals Cleveland Medical Center - Case Western Reserve University/University of Hospitals Cleveland Medical Center Description: Senior residents work in the L.V. Prasad Eye institute (Hyderabad, India). Include both medical and surgical experience in all ophthalmic subspecialties. Length: 3 weeks elective rotation https://www.openglobetk.com/global-residency/ucla monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624697091024-1YONQR0CNP4TVNNRKELG/247636_UCLA_Health_logo_70b626d7-6bde-4d4f-8e65-684d357fde3c-prv.jpg Global Residency - UCLA Medical Center - UCLA Medical Center Description: Third year residents have fully funded international rotation at Aravind Eye Care (Madurai, India). Other residents have designed electives in China. Faculty have also traveled for 1-2 weeks to teach advanced cornea surgeries in Thailand and India. Additional resource besides department is the UCLA center for World Health. Local underserved: UCLA Mobile Eye Clinic (over 77,000 preschool students screened) Length: 4 weeks elective https://www.openglobetk.com/global-residency/uarizona monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624697811168-N78GD7EDNHQXTVN6HHEK/ophthalmology_web_logo_2x.png Global Residency - University of Arizona - University of Arizona Description: PGY2 take the “Immersion Ophthalmic Spanish” course for 1-2 weeks. Then PGY3 residents travel internationally to gain exposure. Length: 1 week https://www.openglobetk.com/global-residency/dmc monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624684917219-JO9JLGOFB28B6UOWI6DT/1200px-Detroit_Medical_Center_logo.svg.png Global Residency - Detroit Medical Center/Wayne State University - Detroit Medical Center/Wayne State University Description: Third year residents have option to take a customizable elective. One of these includes international rotations in India where they perform cataract surgeries. Length: Unknown but equivalent to 1 elective length possibly https://www.openglobetk.com/global-residency/stanford monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624696538640-OR4OIJPDNKONR9SYCI7L/Stanford-Logo.png Global Residency - Stanford University/Byers - Stanford University/Byers Description: Senior residents can use a flex/elective block to conduct international rotation at countries such as Belize, Nepal, China, India, Ghana, and Ethiopia. Opportunities available in Nepal and Africa through Himalayan Cataract Project. Stanford Belize Vision Clinic provides another site. Residents have also visited and conducted cataract surgeries in Gautemala. Length: flex/elective block https://www.openglobetk.com/global-residency/uams monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624698160631-IF5C77A337ZU5TRBJNAW/711cd6d9d762b4049f571dd915ffe499.png Global Residency - University of Arkansas for Medical Sciences - University of Arkansas for Medical Sciences Description: Fully funded international rotation. Site in either Honduras or Guatemala. Length: 1 rotation (unknown length) https://www.openglobetk.com/global-residency/uwisconsin monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624704527064-PQS1L94TPKGAZB4ZXPBE/download+%281%29.png Global Residency - University of Wisconsin - University of Wisconsin Description: 3rd year residents have intensive exposure to global ophthalmology at Shroff’s Charity Hospital (Delhi, India). Additionally a program has 5-week Brazil resident observership. DOVS GO program describes multiple other partners. Local community: Monthly resident-run community clinic for underserved to receive free eye check-up and treatment. Length: 2 weeks https://www.openglobetk.com/global-residency/dartmouth monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624684143964-4V6FNOU1MHN9TPTBX2LF/aaaa.png Global Residency - Dartmouth Hitchcock/Mary Hitchcock Memorial Hospital - Dartmouth Hitchcock/Mary Hitchcock Memorial Hospital Description: No formal elective is set up for resident BUT ability to rotate through partner international institutes/organizations. These include Orbis International, Aravind Eye Hospital (Madurai, India), and other international organizations. Length: Unknown https://www.openglobetk.com/global-residency/gwu monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624687881160-11TB5M6VLM852IXQRGRQ/gw.png Global Residency - George Washington University - George Washington University Description: 3rd year resident has option to go with one attending to an international location where surgical exposure and work can be completed. Previous locations have included Ecuador, Guatemala, Panama, Honduras, and the Philippines. Length: One week https://www.openglobetk.com/global-residency/utah monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624704221548-U991NJGUKZA5W7W8BW9G/moran.jpg Global Residency - University of Utah - University of Utah Description: Residents can take international elective. The program has a robust global ophthalmology fellowship. Please refer to partner institutions and resources there. Length: Unknown https://www.openglobetk.com/global-residency/jhu monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624690127337-MSGUIDDW9JCY3S3Q6CWU/jhu.png Global Residency - Johns Hopkins University, Wilmer Eye - Johns Hopkins University/Wilmer Eye Description: Mentions international elective for PGY4 with stipend. Length: 4 weeks https://www.openglobetk.com/global-residency/nymc monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624694335711-SP40GFU3XEL7FQ5WOMW1/logo+%281%29.png Global Residency - New York Medical College - New York Medical College Description: Second or third year residents can conduct mission trip to Dominican Republic. Length: One week https://www.openglobetk.com/global-residency/umichigan monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624701790664-6S4STET0KAAGOKB7XLJG/1200px-Michigan_Medicine_logo.svg.png Global Residency - University of Michigan - University of Michigan Description: Second year residents can spend international rotation with global partners while coordinating with Kellogg mentors. Length: 4 weeks https://www.openglobetk.com/global-residency/urochester monthly 0.5 2021-08-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624703117054-2W2KK0JU2GH4B5A6R7QL/download.png Global Residency - University of Rochester - University of Rochester Description: Senior residents can spend rotation at L.V. Prasad Eye Institute (Hyderabad, India). Length: 4 weeks https://www.openglobetk.com/global-residency/vanderbilt monthly 0.5 2021-08-11 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1624720331151-UTL6UPEHYENN8U93JHM0/vumcFINAL4_c.png Global Residency - Vanderbilt University - Vanderbilt University Description: PGY4 residents have funded international rotation option to Guyana. Length: rotation block (unknown length) https://www.openglobetk.com/global-residency/ohiostate monthly 0.5 2021-08-11 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1628646287820-4DEWP9HLO5IA2RSQ891F/OIP+%281%29.jpg Global Residency - Ohio State University - Ohio State University Description: Initiative for preventing blindness in countries such as Ghana, Nicaragua, Peru, Ethiopia, Haiti and India. Robust program that provides endowment funds to medical students, residents, and fellows. Program link below leads one to OSU webpage dedicated to medical work in mentioned countries. Additionally, page contains detailed funding information. Length: unknown https://www.openglobetk.com/global-residency/loyola monthly 0.5 2021-10-11 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1633917574290-3U7XP9GDYEPZMFA37T4L/LUCPlaceholder.jpg Global Residency - Loyola University - Loyola University Description: 2 electives offered per year for international outreach with Dr. Charles Bouchard (especially Guatemala where opportunity to complete cataract cases and treating pterygiums) & Dr. Anya Gushchin (Himalayan Cataract Project). If trainees have other countries and organizations in mind to work with, program is supportive as well. Funding available. Length: Unknown https://www.openglobetk.com/global-residency/mayo monthly 0.5 2021-10-11 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1633916751798-IQT4WBEKWWFV8NR7P0QT/Mayo-Clinic-Logo.jpg Global Residency - Mayo Clinic - Mayo Clinic Description: Senior residents (PGY4) have opportunity to conduct international rotation. Trainees have options to go to their preferred international location. The Mayo International Health Program is a great resource with funding support to help with travel and basic living expenses (up to $2,500). Approximately 35-40 scholarships are awarded annually to trainees across various specialties. Length: 1 elective https://www.openglobetk.com/global-residency/wakeforest monthly 0.5 2022-08-22 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/4e6a94f5-8db9-4468-a6f8-b69001bd8ed2/Wake_Forest_School_of_Medicine_Logo.jpg Global Residency - Wake Forest University - Wake Forest University Description: WakeECHO Global Ophthalmology Program takes teams of senior residents, fellows, and experienced faculty surgeons to San Pedro Sula, Honduras for a week of cataract surgery. The experience occurs at the Lion’s Club Eye Hospital Fraternidad which involves a fully functional eye clinic and outpatient OR that is staffed by local ophthalmologists. It is noted that up to 200 MSICS and phacoemulsification procedures are performed. Additionally, participants can also do cornea transplants. Other opportunities exist in India and El Salvador. Subspecialty exposure inclusive of retina and glaucoma are also in the pipeline. Length: 1 week https://www.openglobetk.com/global-residency/usc monthly 0.5 2022-08-22 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/2da56483-4621-41de-b3a1-9298e2b48634/usc.jfif Global Residency - University of Southern California - University of Southern California Description: International rotation at Srikiran Institute of Ophthalmology (India) for the purposes of exposing resident trainees to global ophthalmology. Voluntary rotation that is optimally pursued between late October/early November and late February/early March by third year residents. Resident Objectives: Attendance of comprehensive and subspecialty clinics Gain MSICS experience via graded responsibility and mentorship Cataract vision screening camp in rural Andhra Pradesh Requirement of brief written report of experience with presentation given to USC team back home in the States Length: 2 weeks https://www.openglobetk.com/global-residency/upenn monthly 0.5 2022-08-24 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/0c862517-2e38-4e3f-aa8c-c61a2b67fde9/Upenn.png Global Residency - University of Pennsylvania - University of Pennsylvania Description: The program has multiple outreach organizations: Penn Sight Savers = student-run organization providing regular eye exams and glaucoma screenings across Philadelphia Puentes de Salud = Clinic for latino community of Philadelophia Community Screening Events Vision Loss Support Group Opportunities to go abroad are present. Third year residents can use up to 5 weeks to coordinate international work. Faculty have been to over 30 countries providing international network. Length: Depends on resident interest (up to 5 weeks) https://www.openglobetk.com/global-residency/cornell monthly 0.5 2022-09-06 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/d54382f5-97d1-4695-b3c6-62d75ba63989/cornell.png Global Residency - Weill Cornell Medicine - Weill Cornell Medicine Description: Senior residents get the chance to go abroad and complete international rotations. Previous international healthcare experiences have been received from Tanzania, Qatar, Mexico, Thailand, Austria, the Dominican Republic, Mauritius, Vietnam and Kenya. Due to no resident clinic, residents also have the possibility to do international work prior to final year. Local Community Outreach: Kress Vision Program: Grant funded clinic for uninsured and underserved community members. Heart to Heart Community Outreach Campaign: Brings clinic to community. Also allows the residents and medical students to identify candidates who may need follow-up at the Crest Vision Program. Utilizes portable OPTOS. Length: unknown (flexible) https://www.openglobetk.com/global-residency/yale monthly 0.5 2022-09-06 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/3609b983-8aed-4337-9ffc-cc1fbf7b575e/Logo-Yale-1080x608.png Global Residency - Yale University - Yale University Description: Senior residents have the opportunity to conduct an international elective wherein lessons about capacity-building as well as lessons about equitable care are learned. Global The subspecialty/area is led by 3 faculty members: Dr. Ninani Kombo, MD Excerpt from program website (link below): Dr. Kombo “…volunteered in Nassau, Bahamas, at Princess Margaret Hospital for 6 years, providing resident teaching and helping in the care of the underinsured and underserved Bahamian population. She hopes to continue working in other international settings and is currently working with Drs. Martone and Alden Mead to secure a partnership with LV Prasad Institute in Hyderabad, India.” Dr. James Martone, MD MPH Excerpt from program website (link below): Dr. Martone “…He was Medical Director of ORBIS International, a global nongovernmental organization dedicated to fighting blindness worldwide, and, through this, oversaw teaching of clinical and surgical ophthalmology in countries around the world. He has personally worked in over 100 locations in more than eighty countries. He has worked extensively in countries such as China, Cuba, Cameroon, India, and Mongolia. He was also Director of the Eye Clinic, Victoria Hospital, Castries, St. Lucia and Consultant Ophthalmologist to the Ministry of Health, St Lucia.” Dr. Alden Mead, JD Excerpt from program website (link below): Dr. Mead “…has a diverse and comprehensive background in the international and business arenas of ophthalmology. He served as the Director of Technology Resources and Clinical Engineering of ORBIS International, a global nongovernmental organization dedicated to fighting blindness worldwide, working with numerous ophthalmologists, organizations, and governments around the globe. He has significant on-the-ground ophthalmology-related experience in countries that include Myanmar, Mongolia, India, Vietnam, Ethiopia, Cuba, El Salvador, China, among others…He was also the United States Guest Scientist to the International Whaling Commission serving in Albany, Australia and on the Southern Ocean. As an intern during law school, he personally handling numerous refugee and immigration cases for the Chairman (Bruce Morrison) of the Immigration Committee of the United States House of Representatives.” Local care: Cornell-Scott Hill Health Center: Provides comprehensive and specialty care for low-income and underserved populations. Length: 4 weeks https://www.openglobetk.com/podcast-episodes daily 0.75 2024-12-16 https://www.openglobetk.com/podcast-episodes/ep1 monthly 0.5 2021-07-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1625256652115-02HNTBCKO6I49TO5R3LD/Ep.1+Ansari.PNG Podcast Episodes - Episode 1: Dr. Zubair Ansari, MD - Dr. Zubair Ansari, MD As our first guest speaker, we had the pleasure of talking with Dr. Zubair Ansari, MD who is a Global Ophthalmologist. He is currently an associate professor at Bascom Palmer where he is working on incorporating an innovative curriculum in Global Ophthalmology. Key discussion points: -What is Global Ophthalmology and how is “Academic Global Ophthalmology” different? -Other parts of the world are innovating ahead of what we may find at home. Learning from other systems can be useful back home. Keep an open mind and be humble. -LV Prasad Eye Institute -What is MSICS technique and why is it popular for under-resourced settings? -Training in Global Ophthalmology at Wills Eye -3 elements of learning or innovating in Global Ophthalmology as a medical student -How is Bascom different in its Global Ophthalmology offerings to trainees? -You don’t have to travel abroad if you are interested in Global Ophthalmology. Ways to be involved at home. Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep2 monthly 0.5 2021-07-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1627067108959-SDWOUWT6C4WBDQHOKZI0/alward_.JPG Podcast Episodes - Episode 2: Dr. Wallace Alward, MD - Dr. Wallace Alward, MD In this episode, we have the pleasure of talking with Dr. Wallace Alward, MD, a renowned Glaucoma specialist and Professor Emeritus at the University of Iowa Department of Ophthalmology. He was recently recognized as an Orbis Hero for his service work. His recorded lectures have been especially useful during the pandemic when Orbis went virtual. Please join us as we discuss his remarkable journey and get to know some important lessons he has learned along the way. Key discussion points: - Dr. Alward’s unique path into Ophthalmology and why he chose Glaucoma specifically as his specialty - Discussing his team’s discovery of the first gene involved in open angle glaucoma He was involved in the discovery of the myocilin gene for primary open angle glaucoma, the PITX2 and FOXC1 genes for Axenfeld-Rieger syndrome, and the TBK1 gene for normal tension glaucoma -Sharing the quote “You can contribute by asking the right questions even if you are just an observer” -His reason and story for creating gonioscopy.org (founded year 2007) -His journey with Orbis and Global Ophthalmology -How is the experience like training both in-person and virtually in a Global Ophthalmology setting? -What makes a great clinical instructor? His support of a flipped-classroom setting. He was one of the 2012 recipients of the Regents Award for Faculty Excellence 2016 American Glaucoma Society Outstanding Educator Award Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep3 monthly 0.5 2021-07-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1626476661159-A25MBSHZMJ3SDU69VUX1/Dr_raju.JPG Podcast Episodes - Episode 3: Dr. Leela Raju, MD - Dr. Leela Raju, MD In this episode of Open Globe Talk, we introduce Dr. Leela Raju, MD who is a Clinical Associate Professor & Director of International Ophthalmology at NYU Grossman School of Medicine. As an Ophthalmologist, she specializes in Cornea, External Disease & Refractive Surgery. Dr. Raju is also currently the chairperson of the 'Eye-Bank of New York' and serves as the secretary and education coordinator of the Eye Foundation of America, a legacy started by her father Dr. VK Raju, MD, who is also an ophthalmologist. In this wonderful session we discuss with Dr. Raju her journey into Ophthalmology and how her work internationally has shaped her perspective on practicing the specialty. Key discussion points: - Dr. Raju’s early exposure of international work in ophthalmology that sparked her interest in the field -Eye Foundation of America, a legacy started by Dr. VK Raju, MD. His early start in global ophthalmology service in the late 1970s. -International training through Goutami Eye Institute -What are eye camps and how are they set up? -What eye diseases are prevalent in resource-poor regions and how do they differ between regions? -Most common issues associated with international service work? -Issues surrounding women’s eye health in global ophthalmology? -A brief introduction to the start of the book “Musings on Medicine, Myth, and History: India’s Legacy” (More on that soon!) -Importance of appreciating history of what you are doing in ophthalmology -"If anyone tells you there is only one way to do medicine, don’t take it with a grain of salt but with a bucket of salt” -International exposure during NYU Langone’s Ophthalmology Residency Program -Dr. Raju’s research focus and how that relates and transfers into the international setting. The partnership between the Eye Foundation of America and Goutami in making international collaborations possible. -How can medical students or early trainees get involved in global ophthalmology? The Guerilla Eye Service, The Eye Foundation of America Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep4 monthly 0.5 2021-07-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1627014474232-GOGQK196J1W0CEUH2OOY/Dr_Rao.JPG Podcast Episodes - Episode 4: Dr. Gullapalli N. Rao, MD - Dr. Gullapalli N. Rao, MD In this episode of Open Globe Talk, we are joined by our esteemed guest Dr. Gullapalli N. Rao, MD. This episode is incredibly unique because not only is Dr. Rao our first international guest speaker but also a founder of one of the top eye institutes in India. Dr. Rao is an Indian ophthalmologist specializing in cornea and is the founder and chair of the world-renowned LV Prasad Eye Institute located in Hyderabad, India. With hundreds of published papers, Dr. Rao’s vision is unlike many ophthalmologists in the country and even the world. Among the many honors he has been awarded, some of them include the induction into ‘Ophthalmology Hall of Fame’ by ASCRS, National award Padma Shri, and most recently the prestigious Greenberg Prize in 2020. Key discussion points: -How did Dr. Rao select Ophthalmology as his career and what was his journey like as he progressed through the specialty? -The impact his US training had on him in his academic endeavors and specialization in cornea -His motivation and inspiration to start an innovative eyecare health system in India. Dr. Rao’s 4 requirements to make the system meaningful. First eye institute in the world to incorporate rehabilitation of vision in reversible vision loss patients as an active component of the eye institute -Pyramidal model of eyecare development: to meet the most rural/underserved populations. Providing comprehensive eye care addressing Prevention/diagnosis/treatment/rehabilitation. Model of high quality care that is sustainable -Primary care provided by vision technicians recruited from rural areas Command centers allowing telemedicine with ophthalmologists Door-to-Door screening service Each primary care center provides eyecare to 50,000 people -Teleophthalmology, “ConnectCare” -Training programs by LVPEI for trainees around the globe -The unique issue surrounding eye banking in India -Delineate care to different levels to achieve equity via the 5 C’s: Principle of comprehensive care, noncompromising quality, closer to the doorsteps of the patients, community participation, compassion -What LVPEI did to overcome hurdles of the pandemic? The very unique and methodical steps the institute took to navigate through the pandemic environment. -Launch and utilization of Home care. Program in rural area/communities deprived of technicians: “Silver Sight” -Institute of Excellence initiative in niche areas to create global centers of eye care for the elderly -Myopia Initiative -LVPEI rotation opportunities for medical students/residents/fellows Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep6 monthly 0.5 2021-08-13 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1628266580128-3L748KWD70G82MHM6HUK/Khorram.JPG Podcast Episodes - Episode 6: Dr. David Khorram, MD - Dr. David Khorram, MD In this episode we talk with Dr. David Khorram, MD who is the Director and Lecturer for the Global Ophthalmology Division at The University of Virginia Department of Ophthalmology. He is also the Co-founder & Medical Director of Marianas Eye Institute in Saipan. Dr. Khorram has spent over 20 years in Saipan, serving as its first full-time Ophthalmologist. As part of his career in eyecare, Dr. Khorram has been to numerous countries via organizations such as the Himalayan Cataract Project and has been a dedicated surgeon and educator in the field of global ophthalmology. He is an avid writer and currently publishes his columns for the Ocular Surgery News on topics such as global ophthalmology and the fight against global blindness. This episode is a must-listen for anyone considering global ophthalmology! Key discussion points: -Dr. Khorram’s unique reason for pursuing Ophthalmology -What influenced him to pursue Global Ophthalmology? -Global Ophthalmology vs. International Ophthalmology vs. Public Health Ophthalmology -Serving the communities in island nations such as Samoa and Saipan. The specific issues encountered in establishing and improving the care Tough aspects of equipment and navigating with governments Common eye conditions in the island How the eyecare has changed during the decades you have been in Saipan? -Key aspects to cover in a formal Global Ophthalmology education: Experience is very important to recognize what needs emphasis Direct Care ➡️ Capacity building Health System Strengthening Data Gathering, Research Empowerment of trained individuals to be an agent of change in their own communities Approach of Accompaniment Realize that no matter how much you develop a health system and do the above, there are global systemic reasons why inequity exists -Experience of traveling and working with the healthcare workers of places like Tajikistan and Macedonia -“High Volume Cataract Campaign: A system to combat blindness” - Himalayan Cataract Project -Column “Better Living” for Saipan Tribute “World Peace, a Blind Wife, and Gecko Tails” -Some important pearls you would give to medical students/resident trainees who aspire to follow in your footsteps and become global ophthalmologists? (Excellent advice!) Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep7 monthly 0.5 2021-10-01 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1628895474775-1BC0M4PTRZL2Z1MTZFXG/Vk.JPG Podcast Episodes - Episode 7: Dr. Vadrevu K Raju, MD - Dr. Vadrevu K Raju, MD In this episode we talk with Dr. VK Raju, MD, a renowned ophthalmologist who has served many roles at the international level. He is a clinical professor of Ophthalmology at West Virginia University and is also an adjunct professor of Wilmer eye institute, JHU. He serves as the director of International Ocular Surface Society. Additionally, Dr. Raju is the founding chairman of Goutami Eye Institute in Rajahmundry, Andra Pradesh and is the President and founder of the Eye Foundation of America, a non-profit organization dedicated to preventing and curing childhood blindness. Some of the many awards he has won include being a four time awardee by the American Academy of Ophthalmology. He also received the President’s Lifetime Achievement Award from President Barack Obama. Dr. Raju has had over 100 publications and is the author of multiple books, one of which we will be discussing in today’s episode. Key discussion points: -The decision to pursue ophthalmology The journey from the United Kingdom to the United States (West Virginia) -How The Eye Foundation of America came to be? Following up the lead of Dr. Govindappa Venkataswamy’s eye camp model in India The role of medication companies in delivering treatment How has India changed in receptiveness to global ophthalmology work since the time Dr. Raju began his service work? Eyecare in Uzbekistan “Reach them, don’t wait for them to come to you” -Nanabhoy Palkhivala: “We the people” book “We need American culture for standard of living & Indian culture for standard of life” -What hardships were encountered in starting the Eye Foundation of America? What are some hardships you continue encountering in delivering care in India? -”Musings on Medicine, Myth, and History: India’s Legacy” book Principles of the original Ayurveda (not to be confused with currently practiced Ayurveda) Treating patients should not be limited to eye pathology. Rather focusing on systemic reasons for eye pathology is very important Moderation + Balance should be important in health of patients. Described in original Ayurveda How did the book came to be? 2nd edition of book will address advancement in cataract surgery and much more! ‘Sushruta Samhita’- A text well ahead of its time What does the following quote mean? “A physician well versed in the principles of the science of medicine (Ayurveda) but unskillful in his art through want of practice, loses his wit at the bedside of his patient, just as a coward…in the ranks of a contending army. On the other hand a physician, experience in his art but deficient in the knowledge of the Ayurveda, is condemned by all good men as a quack, and deserves punishment at the hands of the king” -Sushruta What can we learn from Sushruta’s teaching in modern medicine? -Health management for our souls in different stages: naturopathy (ex: right diet, good mental health), Allopathy (without a doubt, you must consult here and not skip), Homeopathy (ex. if nothing works), Tirupati (spiritual healing) When you can cure, then cure. When you cannot cure, then treat. When you can neither cure nor treat, then CARE Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep5 monthly 0.5 2021-08-06 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1627681092280-7U0HNCR29GMXOBZFIRYE/Bernhisel_.JPG Podcast Episodes - Episode 5: Dr. Ashlie Bernhisel, MD MSc - Dr. Ashlie Bernhisel, MD MSc In this episode of Open Globe Talk, we are joined by Dr. Ashlie Benhisel who is a specialty trained ophthalmologist. She recently completed her global ophthalmology fellowship at the Moran Eye Center in Utah. Her medical school training and residency training were both obtained from the University of Utah. She got her subspecialty training in cornea and refractive surgery from The Shiley Eye Center at the University of California, San Diego. In addition to her global ophthalmology fellowship, she also maintains additional training in global eye care through the Masters program at London School of Hygiene and Tropical Medicine. With several papers published in peer reviewed journals, Dr. Bernhisel is an accomplished global ophthalmologist who started obtaining global health exposure very early in her training career. We are excited to share her journey in ophthalmology and how she utilized this past year to advance her knowledge and research work in global ophthalmology! If you have any questions related to global ophthalmology for Dr. Bernhisel, please contact: ashlie.bernhisel@gmail.com Key discussion points: -What led your interests in ophthalmology? -Doris Duke Fellowship (which has now expanded into the “Child Well-Being Research Network”) How did the fellowship affect her view of impactful global health? -Her incredible year obtaining MPH in Eye Care at the London School of Hygiene & Tropical Medicine How was the program unique from others? Changing perspectives on how to tackle global blindness -Eye Banking and Corneal Transplantation issues in Sub-Saharan Africa -How was the experience of the NHS system during your time learning eye health through a UK program? -The ‘World Report on Vision’ (WHO) Countries need to deliver integrated patient-centered eye care -The unique decision to subspecialize in cornea -What is Global Ophthalmology Fellowship and what’s unique about the training at The Moran Eye Center? How is the fellowship structured at Moran? How is the fellowship like in a non-pandemic year vs. this past year during the pandemic? Dr. Bernhisel’s unique background in global eye care research and how that allowed her to adapt during the year -Dr. Bernhisel’s continuous work in Ethiopia and Haiti -Local outreach at Moran Eye Center Rates of astigmatism in pediatric population -Young Eye Surgeons International Service Grant (specifically for global ophthalmology) The ownership of creating projects out of personal interests in global eye care -“International Council of Ophthalmology” accreditation program for countries without an Ophthalmology Board to certify them -Pros & Cons to doing surgical subspecialty before a Global Ophthalmology fellowship -The importance of following your passions to be able to balance all aspects of ones life -Advice for any medical students/trainees thinking about a career such as global ophthalmology. Free resources from the London School of Hygiene & Tropical Medicine to get started. Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep8 monthly 0.5 2021-09-03 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1630057630184-G1X47419CU8HJY88UHTX/JPettey.JPG Podcast Episodes - Episode 8: Dr. Jeff Pettey, MD MBA - Dr. Jeff Pettey, MD MBA In this episode I am joined by much anticipated guest and global leader, Dr. Jeff Pettey MD MBA, who serves as the vice chair of education and is the associate professor at the University of Utah Department of Ophthalmology. His love for Utah shines through in his academic journey where he obtained his BA from the University of Utah. And while he got his medical degree from the Ohio state university college of medicine he decided to return back to the university of Utah to complete his residency in ophthalmology where he also completed his executive MBA and fellowship training in anterior segment. Dr. Pettey specializes in complex cataract surgery and complex anterior segment surgery. He is prominently known for his health policy and international outreach work in ophthalmology. He lectures nationally and internationally on cataract surgery and global ophthalmology. In 2017, Dr. Pettey was awarded with the Artemis Award in recognition for his international and local work. Key discussion points: -Addressing the disconnection in the global ophthalmology field -How did Dr. Pettey get interested in global ophthalmology? Importance of mentorship How does one obtain great mentorship in global ophthalmology? Activities one can do to engage with the community -Moran Eye “Operation Sight” How did it get started? The “how do we do it” attitude of Moran Eye Center ASCRS -“Doing something is always better than doing nothing” -How do global ophthalmology fellowship programs decide on countries and partners for collaborations? Setting up fellows to interact with global leaders to carry discussions forward as the fellows carve their career in the field -Order of pursuing global ophthalmology training? -Unique factors of seeking global ophthalmology training at the University of Utah -What is advocacy and what are topics in global ophthalmology that are important to advocate for in the foreseeable future? -Green Ophthalmology (Aravind) Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep9 monthly 0.5 2021-09-15 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1630669067334-P7FGMRK80VR6OU92WR0F/Obanion.JPG Podcast Episodes - Episode 9: Dr. Jacquelyn O'Banion, MD MSc - Dr. Jacquelyn O’Banion, MD MSc In this episode, we are excited to host Dr. Jacquelyn O'Banion, MD MSc, the director of Global Ophthalmology at Emory (GO-Emory). She is also an assistant professor of Ophthalmology who practices Comprehensive Ophthalmology. Dr. O'Banion received her MD from University of Texas Health Science Center, San Antonio and subsequently pursued a residency in Ophthalmology from the University of Oklahoma where she also did her Global Eye Care fellowship training. Following this, she then went on to pursue a Masters in Public Health, MSc, at the world-renowned London School of Hygiene and Tropical Medicine. Her research interests include pediatric vision screening and improving access to address health care disparities for underserved communities. Dr. O'Banion has had experience working in countries such as Peru and Eswatini where she has worked with local hospitals, clinics and ministries to establish national eye care plans. Having been an invited lecturer for global eye care, we are excited to host Dr. O'Banion today to share her experience! Key discussion points: -How did you get started with Ophthalmology and specifically Global Ophthalmology? Importance of purposefully selecting your training programs based on your interests -MSc in London vs. Fellowship in Global Ophthalmology Each has its strengths that must be assessed -The biggest changes in Global Ophthalmology training Community of collaboration Focus on long-term sustainability and training other people -Eswatini (former Swaziland) The country’s major barriers and needs in eyecare The burden on its population based on age -Challenge of eyecare between South America vs. Africa Public system vs. the Private system Recruitment challenges -How to have a larger and sustaining impact in eyecare when working with underserved communities in countries abroad? Health system assessments Increasing no. of local Ophthalmologists Importance of having professional partners to work in a team -Minimum amount of time needed to understand a community -GO-Emory Countries emphasized (Ethiopia, Jordan, Liberia and Sierra Leone, DRC, Malawi, Mexico and India, Peru) Structure (varies year-to-year based on fellow’s interest, partnership with Fogarty for funding) Balancing family needs and global ophthalmology training Local work in Georgia Uninsured population Bimonthly clinic in Clarkston, GA Refugee eye care Rural vs. Urban eyecare issues Migrant farmers population in South Georgia -How do medical students and trainees get started in Global Ophthalmology? Don’t just look for global exposure in Ophthalmology Follow up questions important to ask your training institute in order to select best training program for global ophthalmology exposure Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep10 monthly 0.5 2021-09-24 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1631716915676-SML539XMD40JJHD4RCSG/aorb.JPG Podcast Episodes - Episode 10: Dr. Hunter Cherwek, MD - Dr. Hunter Cherwek, MD In this episode of Open Globe Talk, we are incredibly excited to host Dr. Hunter Cherwek, MD who is the Vice President of Clinical Services of Orbis International! He received his undergraduate degree in biology from the University of North Carolina (UNC) Chapel Hill and his medical degree from Duke University. After his transitional year at Scripps Hospital, he completed his residency in ophthalmology at Emory University, where he was elected Chief Resident. Immediately upon graduating from Emory, Dr. Cherwek joined Orbis International, where he was able to lecture and work in over 20 countries aboard the Flying Eye Hospital and help build the organization’s award-winning telemedicine platform, Cybersight. We are excited to host him on the podcast and learn more about the incredible Orbis organization! Key discussion points: What led Dr. Cherwek to pursue Ophthalmology and ultimately Global Ophthalmology? Importance of early mentorship The first experience out of residency with Orbis in Western China Transitioning into the vast learning environment of Orbis after residency Learning more from the local doctors with their highly-developed skills What is Orbis? Nonprofit organization Plane is only a fraction of the overall initiative Multiple initiatives such as in trachoma, diabetic eyecare, and developing vision centers in low-resourced settings Cybersight- Orbis’s solution to the pandemic. Available in almost every part of the world. cybersight.org Soon will be available on phone as app Currently, top country using Cybersight is Mongolia Has resources for multiple different fields, not just Ophthalmology How does the Orbis plane select the locations to skill transfer? It is a very meticulous process with the intention of a 2-4 week conference. Emphasis on Pediatrics Orbis classroom Now turned into a broadcast studio as well! Remote Surgical Mentorship Orbis Team on the Flying Eye Hospital Recruitment: Always more than 10 countries represented Nursing team is the largest Teddy bear by Omega used as teaching device for kids undergoing eye surgery Nursing team strongly advocates for patients! Patient case preparation (starts before the plane lands) Detailed procedure for patient care and teaching Counseling Patient Bill of Rights 3 different consent by patient Every patient comes with an attendant Surgical Case Review Comprehensive Orbis Electronic Medical Record Using Artificial Intelligence for teaching Machine Mentoring How has Orbis changed your perspective on life as an ophthalmologist? Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep11 monthly 0.5 2021-10-01 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1632450895840-70CQO2RIKXFC551HDB2L/amcabe.JPG Podcast Episodes - Episode 11: Dr. Cathleen McCabe, MD - Dr. Cathleen McCabe, MD In this episode of Open Globe Talk, we talk with renowned ophthalmologist, Dr. Cathleen McCabe, MD, who is the Chief medical officer at Eye health America. She specializes in bladeless laser cataract surgery and LASIK at the Eye Associates of Manatee. Dr. McCabe received her medical degree from the Medical College of Wisconsin and did residency training in Ophthalmology from the Bascom Palmer Eye Institute at the University of Miami School of Medicine. Along with being named a Castle Connolly Top Doctor for Ophthalmology, she was also listed in the premier surgeon 300 List as a surgeon innovator for refractive surgery. She has performed over 40,000 cataract surgeries and more than 17,000 LASIK procedures. She has transferred these skills to the international level through her multiple mission trips and we can’t wait to hear from her today! Key discussion points: How did Dr. McCabe get involved in Ophthalmology? Her inclination to incorporate global work in her specialty. How did she get started with medical mission work? Mayan Mountains in Western Belize 1 month general medical clinic exposure St. Vincent and the Grenadines and other medical mission works What is the length of time for medical mission work and how do you make medical mission work sustainable? Importance of partnering with local ophthalmologists How can we incorporate families into medical missions? Sustainable infrastructure being made in St. Vincent Find a mission that is safe and comfortable enough Try to have a guardian/supervisor for younger children Dr. McCabe’s medical mission work in Kenya Kenya Relief Organization (specifically Western Kenya) What sorts of eye issues are encountered in the region? Large Tumors, Melanoma of the conjunctiva, Eye trauma in kids (stick-poke), cataracts…etc. How does one select a locality to conduct medical mission trips and what are some organizations to seek involvement through? Medical ministry international, surgical eye expeditions, ASCRS website (Orbis, Mercy Ships…etc.) Please contact Dr. McCabe if you are interested in helping with efforts at St. Vincent Advice for women ophthalmologists interested in medical mission work Reach out and envision the person of the future you want to be! Goals for proper mentorship: Imagine who you want to be Look for examples of people doing those things you want to do or atleast are on the path of achieving the goals you desire Reach out to those connections to find out your next steps Importance of creative outlet to feed your soul! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep12 monthly 0.5 2021-10-08 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1633099061749-52YIVJJ204QWPVWTB0UQ/Alan+Robin.JPG Podcast Episodes - Episode 12: Dr. Alan L Robin, MD - Dr. Alan L. Robin, MD In this episode of Open Globe Talk, we feature Dr. Alan L. Robin, MD, a leader in global ophthalmology and glaucoma. Dr. Robin currently serves as the Executive Vice President of the American Glaucoma Society. He also holds joint Associate Professorships in Ophthalmology and in International Health at the Johns Hopkins University and is an adjunct Professor at the University of Michigan. Dr. Robin attended his undergraduate at Yale College and obtained his medical education from Tufts University School of Medicine. Thereafter, he completed his residency in Ophthalmology from The Greater Baltimore Medical Center and received his glaucoma fellowship training at the Johns Hopkins Medicine Wilmer Eye Institute. Dr. Robin is a member of 2 prestigious and highly selective organizations: the American Ophthalmological Society and the Glaucoma Research Society. Among the many awards he has received, he has been recognized with the Outstanding Humanitarian Service award by the AAO, and the Humanitarian award by the American Glaucoma Society. Today, we are excited to discuss his journey in global ophthalmology and his glaucoma work at the Aravind Eye Care System! Key discussion points: How did Dr. Robin get interested in Ophthalmology? His link with Art History How did Dr. Robin choose Glaucoma as his sub-specialty? “Field where a great amount of service can be done” Inspiration from ophthalmic missionary work of Dr. Norwell Christie Social marketing, appreciating different cultures Work with Dr. IP Pollack & Dr. Harry Quigley Work in Laser research to cure Angle-Closure Glaucoma disease. Prevalence study in Northern Alaska for Angle-Closure Glaucoma disease Managing and financing global ophthalmology work Initial trips abroad were longer Importance of family support Aravind’s ophthalmic technicians that are trained to serve multiple roles “Sisters” = young high school female students who are empowered by work to afford their dreams and future while preparing them for the social and professional worlds. Allowed the development of ‘Vision Centers’ with synchronous telemedicine. Located more than 45 minutes from a major hospital. The Aravind Eye Care System In what ways can we incorporate this system in the United States? Innovating “If someone is knocking on the door, open the door, see who it is and if it’s something good, try to take advantage of it!” Have a good sense for things that you don’t know and things that you DO know. How did Dr. Robin help start the glaucoma department with Dr. Krishnadas and Dr. Ramakrishnan at Aravind? First publication proving ability to do extra capsular cataract surgery with intraocular lenses in the developing world During this period in Nepal, Dr. Robin met Dr. Govindappa Venkataswamy, founder of Aravind Eye Hospital Importance of developing warm and close relations with the people you work with abroad Infrastructure in India was very good even at the early times of Aravind Advantages of the Indian Healthcare System Green Ophthalmology Carbon footprint in Aravind is much less compared to the US Ravilla D. Thulasiraj, MBA Looking at every process from a business perspective to decrease waste Biodegradable bag for holding intraocular lenses and much more How does Aravind address Glaucoma? Cataracts have good social marketing compared to glaucoma Glaucoma treatment that may or may not work can be expensive. Aravind created a similar device for treating glaucoma with the help of Dr. George Baerveldt Costs around $50 USD A real service to developing countries Starting the Prevalence Study in Aravind Included cataracts, trauma, uveitis, retinal diseases, pseudoexfoliation, glaucoma and much more! Please check out the Resources page (link below! or click on Resources tab above) Low-cost budget Ongoing work to become center of excellence for promoting research in under-developed countries Global Ophthalmology Training and guiding ones career successfully “Be Community-savvy and Community-oriented” Considerations for pursuing MPH? Ask yourself “Where do you get the biggest bang for the buck where you help the most number of people and harm the least?” “Always have a Niche!” Make sure you do a fellowship so that someone knows you have a talent to share. Also best part of global ophthalmology is you develop new talents! Episode-based Resources: This episode’s resources are key and a must for anyone considering Global Ophthalmology. Please check them out through the link below. Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep13 monthly 0.5 2021-10-15 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1633672307020-NRT442V20L9Z179HLWKP/Padmanabhan.JPG Podcast Episodes - Episode 13: Dr. Sriranjani Padmanabhan, MD - Dr. Sriranjani Padmanabhan, MD In this episode of Open Globe Talk, we feature Dr. Sriranjani Padmanabhan, a glaucoma specialist and a global ophthalmology-trained surgeon at the University of California at San Francisco. Dr. Padmanabhan earned her medical degree at the University of Rochester School of Medicine and Dentistry and completed her residency in ophthalmology at the Scheie Eye Institute at University of Pennsylvania. Soon after completing her glaucoma fellowship at Emory Eye Center, she completed a fellowship in international ophthalmology and global blindness prevention at the University of Nebraska Medical Center’s Stanley M. Truhlsen Eye Institute. Hear about her wonderful journey and the tips she shares on how to approach global ophthalmology as a career practicing it to serve under-resourced populations! Key discussion points: What made Dr. Padmanabhan specialize in Ophthalmology,? Why specifically glaucoma as a sub-specialty? Dr. Padmanabhan’s current practice setting serving the underserved at San Francisco General Hospital The unique underserved population in San Francisco Homeless and housing-insecure What propelled Dr. Padmanabhan to pursue a global ophthalmology fellowship? The importance of recognizing individual pursuits Influence of global ophthalmology training into current practice Similarities and differences of eyecare disparities affecting underserved communities in the US and in LMICs Continued usage of Manual small incision cataract surgery (MSICS) Options to continue global ophthalmology training education post-fellowship? Focusing on safety-net hospitals, rural settings in the US for those considering practice locally Influencing personal factors The things to look out for when considering global ophthalmology fellowship training? Financial preparation (some programs may already consider these into the funding for fellows but keep in mind) The importance of early consultation from other global leaders to shape career and target the skills you want to develop and mature The importance of planning ahead in terms of international partners and maximizing the time abroad Advice on work-life balance in practicing global ophthalmology locally Surrounding yourself with a support system Put yourself in the best position with institutions that accommodate for your specific needs and support you through your career You can serve underserved populations and do it very well, the opportunities exist! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep14 monthly 0.5 2021-12-08 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1634313334380-P3A0LF7X8VIUTCVMJHED/Emily+Cole.JPG Podcast Episodes - Episode 14: Dr. Emily Cole, MD MPH - Dr. Emily Cole, MD MPH In this episode of Open Globe Talk, we are joined by Dr. Emily Cole, MD MPH who is the Assistant Chief of Service and a current global ophthalmology fellow at the University of Illinois Chicago. Dr. Cole attended Brown University for her undergraduate and then went on to obtain her dual MD MPH degrees at Tufts University School of Medicine. Most recently, she completed her ophthalmology residency from the University of Illinois at Chicago. As she applies to Retina fellowship, we discuss with Dr. Cole how she is preparing to be a global ophthalmologist in the field of retina as well as her tips for training as a global ophthalmologist! Key discussion points: What made you decide to pursue Ophthalmology? Global background Teach for China Fieldwork in Nepal Draw to Retina specialty? Research Fellowship in Retina prior to Residency How has the global experience helped Dr. Cole mature through her career as a global ophthalmologist? Teamwork with culturally diverse team members What was the benefit of an MPH prior to the Global Ophthalmology fellowship? “Not losing the forest in the trees of medical school” Exposure and social networking with multiple other specialists outside and within medicine Thoughts on MPH and what would be suggestions for someone thinking about it? Build the mentorship and skills you want. Don’t consider it as a checkbox! Perhaps consider when it would be the best time to get the degree. Maybe later down the road into residency or after, one may find benefit of doing the degree then as they know more about the skills they want to build on The decision to conduct global ophthalmology fellowship at UIC? Continued research from residency Faculty mentors in every specialty that encompass global ophthalmology sphere The relationships with global partners What is global ophthalmology training like in a pandemic setting? Strengthening telemedicine and telementoring relationships that fellows can build on Building data management systems is an area currently being worked on Maintaining streams of communication while working with global partners in various time zones What lessons have been learned during these months doing the GO fellowship? Being aware of resources available online (AAO, LSHTM) Forming a network of other global ophthalmology fellows Monthly journal clubs Utah retreat What type of global sites do fellows learn from while doing their GO fellowship at UIC? (please note: the fellowship was started around the time that pandemic struck) MSICS in Chicago for fellows interested in anterior segment work to work around the pandemic situation Neuro-ophthalmology at Aravind Eye Hospital, India Keio University in Tokyo, Japan Previous fellow (and first of program) went to Ghana with Orbis Thammasat Eye Center in Bangkok, Thailand Federal University in Sao Paolo, Brazil And many more! The fellowship can be based on what the fellow wants to focus on Primary research interest in academic global ophthalmology? Retinopathy of Prematurity: working with partners in Nepal, Mongolia, India Plans for incorporating retina and global ophthalmology in the near future Applying for K funding Thoughts on doing global ophthalmology fellowship before Retina fellowship? Tips for those thinking about applying to global ophthalmology fellowships and specifically for those who want to incorporate it with Retina subspecialty training? Reach out sooner to mentors! Cold email speakers at conferences who practice academic global ophthalmology and ask advice for shaping career in the field of Retina Ask: What does your week/month look like? How do you balance competing interests with global travel? Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep15 monthly 0.5 2022-01-01 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/5ba0769d-7458-4213-a6be-c6d640657de8/Myers.JPG Podcast Episodes - Episode 15: Dr. William Myers, MD - Dr. William Myers, MD In this episode we are traveling to Haiti with Dr. William Myers who is an incredible global ophthalmologist as we will come to hear of his exemplary service work. He obtained his MD from Dartmouth Medical School and did his ophthalmology residency at Northwestern University where he is also faculty. Dr. Myers then did an orbit and oculoplastics fellowship at Medical College Wisconsin and since then he has performed over 30,000 cataract surgeries. Among his many contributions to the field of ophthalmology which include co-developing dropless cataract surgery in 2006, he is the co- instructor of the annual ASCRS and AAO courses on intracameral (inside the eye) agents for anterior segment surgery, featuring leading international ophthalmic researchers from 4 continents. Dr. Myers also serves on the ASCRS Foundation’s International Division committee and is on the board of FOCUS (1focus.org). Key discussion points: Interest in Ophthalmology and the journey to global ophthalmology Appeal of cataract surgery Working with a pioneer in the field Evolution intracapsular cataract surgery (no implant) to extracapsular cataract surgery (nonphaco/phaco) Advantage in global ophthalmology: MSICS Transition from private practice to hospital system Work with Northwestern VA experience Pursuing global ophthalmology post-retirement Finding networks that could enable access to global initiatives Haiti Working at ‘Double Harvest’ Medical clinic Help ~100 people over 5-day period Dr. Matt Thompson from FOCUS Self-Sustainable solution to address ophthalmic disparities in the country Matt Thompson and Dr. Daniel Alter on their trip to HUEH (Hôpital d l'Universite d'Etat d'Haiti) Method of residency selection Process of attracting the brightest minds for Ophthalmology residency Process of building an Ophthalmology residency program: better equipment Real-time monitoring of surgery Development of a wet lab Silicone model eyes from Orbis and SEE International in places where refrigeration of animal eyes is not practical Ophthalmology residency in Haiti Length of training: designed after the US system Working around obstacles Dr. Ana Bastos de Carvalho to help with communication/learning in didactic setting Close captioning for lecture series ICO exams for certifications (like the OKAPs) Wet lab Development of ophthalmology fellowships 1 USAID grant: ROP screening program Active work with Dr. RV Paul Chan, Dr. David Chan & many more Plan to get graduates set up practice outside of Port-au-Prince Partners in Health Building a surgery center Connecting with Aravind Eye Center Description of Haiti Geopolitical Safety What is the general eye health in Haiti like? Continuation of medical education training programs currently Telemedicine Monitoring surgical cases On the topic of global ophthalmology: “If you have these periods of respite where you are using your skills to the maximum…that can make you a much better person and a much happier person!” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep16 monthly 0.5 2022-01-05 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/3c87990d-51a7-4003-9a90-3cd46b187a0c/Yu.jpg Podcast Episodes - Episode 16: Dr. Jenny Yu, MD - Dr. Jenny Yu, MD In this incredible episode, we are joined by Dr. Jenny Yu, who is an Oculoplastics specialist and the co-founder of Project Theia, a global oculoplastics nonprofit organization. Dr. Yu attended the Ohio State University where she received a BS with distinction, honoring in biochemistry. She later obtained her MD through OSU’s College of Medicine and Public Health before embarking on a residency in Ophthalmology at St. Vincent Hospital and the University of Pittsburgh where she also fellowship trained in Oculoplastics. Listen to this enriching conversation as we explore multiple trainee-level topics as well as the strong work Dr. Yu has been doing for women in ophthalmology and medicine as a whole! Key discussion points: What made Dr. Yu decide on Ophthalmology? Specialization in Oculoplastics Working with other surgical teams Finding mentors early and staying engaged with all Ophthalmology subspecialties Co-founding Project Theia with Dr. Katie Duncan, MD Origin story Surveying Ophthalmologists to assess need in global ophthalmology meetings All the global settings have a common thread Long term goals: Providing education and assessing needs (microscopes, surgical lights…etc.) Building an organization to give back to the community and collaborating with colleagues to learn from one another Hardships Paperwork, funding, etc., Valuable outcomes: Skills acquired by the surgeons at the global site so that patients can continue to be treated when Project Theia surgeons are not there Education in the pandemic setting “Always bring levity in a situation…” In trying to educate “I lead with humor, lead with vulnerability so that people know it’s ok to admit to going through various emotions during this pandemic time…It is ok to talk through this in the right settings” Patent technology work “There are times when you are in surgery, and something doesn’t make sense, or this is the way we do it or it’s always been the way we do it…then there is always opportunity to make it better…and you always have to remain curious!” Taking inspiration from other specialties that may require taking macro-scale to micro-scale Development of OcuDERM: Partner with Dr. Morgan V. Fedorchak, PhD Strong interdisciplinary collaboration and leadership Benefits of academic setting and resources Women in Science Women Leading Women Partnership with Dana Hanna Hosted 600+ virtual attendees Dr. Jennifer Ashton, MD What keeps Dr. Yu in the space of Global Ophthalmology? “When you do Global Medicine…it’s the purest form of practice” Patients traveling 4+ hours to see you who have waited for 2+ years for care Reminds you of why we go into medicine in the first place Lessons of adaptability Starting Well-Founded Platform for educating people on aesthetics and aging gracefully Wide range of practicing oculoplastics and the incredible stories of patients that accompany the cases What type of individual should consider specializing in Oculoplastics? Least predictable of schedules Always dealing with traumas, possible emergencies Need to be adaptable and able to pivot Variations in private practice vs. Academic setting Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep17 monthly 0.5 2022-02-05 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/6435601a-9664-4ca0-8755-b8549befdbd2/Ifantides.jpg Podcast Episodes - Episode 17: Dr. Cristos Ifantides, MD MBA - Dr. Cristos Ifantides, MD MBA Welcome back to another episode of Open globe talk. We are joined today by Dr. Cristos Ifantides who is the Director of Ophthalmic Global Outreach and Assistant professor of Ophthalmology at the University of Colorado. Dr. Ifantides obtained his MD and MBA from the University of Florida college of medicine and subsequently did his ophthalmology residency training at Icahn School of Medicine at Mount Sinai. He then did his fellowship training at Thomas Jefferson University/Wills Eye Institute in Academic Global Ophthalmology and Anterior segment. Listen in on this episode as Dr. Ifantides shares his journey and the incredible lessons he has learned, and goals accomplished as a physician innovator and global ophthalmologist! Key discussion points: Interest in Ophthalmology Cross-over of vascular biology research and retinal biology research Quality of life impact, ability to help patients in multiple ways AmeriCorps Experience Pre-medical advice Highlighted the minimal resources some folks in our own country have and the unmet needs we need to address locally Encourage the mindset: “Just not feel like you have to get done with something”. Preach the saying of having the journey be the most important and valuable life lesson for personal development Use skillsets at present to help in any way and don’t rush into anything! Implementing creative solutions from Global Ophthalmology training in current clinical practice in the US Doing more with less Medical waste and excessive instrumentation Dropping cost, helping more people MSICS training at The University of Colorado Much less costly and less waste-producing Incorporating Global Ophthalmology procedures in a large healthcare network Comparing outcomes of non-phacoemulsification procedures to phaco Spending time for research and education of the techniques being proposed for implementation are necessary Changing perceptions Patient Selection is also key Time to build referral base Research work in academia focused on underserved populations Collaboration is key in both academic and private practice! Academic focus: evaporative dry eye disease, mask-wear in vulnerable populations, addressing surgical complications in patients with poor dilation Research on quality-of-care delivery based on languages spoken Trauma database White cataracts Recent Global Ophthalmology work in Mexico Dr. Ivo Ferreira Rios, MD Common thread: “There are bright people everywhere and we need to reach them with educational opportunities” Formalized training is imperative in: Global Ophthalmology Public Health Two aspects to consider for innovation in the specialty: 1. Clinical outcomes 2. How financially sound the model is? Requirements for Global Ophthalmology Fellowships Multiple avenues should be offered tailored to a certain type of applicant (ie epidemiology route, surgically heavy in one country or in multiple countries, not surgically heavy…etc.) Common pillars Mirror local and global conditions Inventing the rotary chop method Early career advice for residents and fellows The biggest thing you must know during your global training is that you cannot help by doing surgery abroad. The surgical part is you learning. What you can do to help is gain skills in residency. Learn supply chain issues which can be an obstacle for people working abroad, and also learn how to make clinic run efficiently. Benefits of obtaining an MBA Get a good understanding of cost during residency! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep18 monthly 0.5 2022-02-21 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/f9c46665-2a6e-4181-805a-343ec84f8a5e/acu.jpg Podcast Episodes - Episode 18: Dr. Ciku Mathenge, MD PhD - Dr. Ciku Mathenge, MD PhD It is our esteemed pleasure to host Dr. Ciku Mathenge, MD PhD, an eyecare leader in Africa (specifically Rwanda) who has earned adulation and respect among her patients and the global ophthalmology community for her clinical care as well as research. She is currently a medical advisor for the global programs (Africa) at Orbis International. She is also the founder and Director of training and research at the Rwanda International Institute of Ophthalmology. Dr. Mathenge obtained her Medicine and Ophthalmology training at the University of Nairobi, an Msc in Public Health for Ophthalmology from University College London (UCL), and a PhD at the London School of Hygiene and Tropical Medicine, U. of London. She completed a fellowship in Medical Retina from the Retina Foundation Chennai. Dr. Mathenge originally spent many years as an ophthalmologist in Nakuru Eye Unit at Rift Valley Provincial Hospital in Kenya where she transformed care. She served as the Regional Medical Advisor for the Fred Hollows Foundation (FHF) and started programs in Kenya, Rwanda, and Burundi. She was awarded the first Sir John Wilson Fellowship by the British Council for Prevention of Blindness and received her PhD from the acclaimed London School of Hygiene and Tropical Medicine where she conducted research in glaucoma, diabetic retinopathy and ARMD in Africa. She has over 30 scientific papers in peer reviewed journals. Currently, Dr. Mathenge has been working diligently on developing the Rwanda International Institute of Ophthalmology (RIIO), a center that aims to become the top center for training and research for all eyecare specialists in the region. Among the many committees Dr. Mathenge has served on, some of them include the ICO advisory committee as well as the ICO Diabetic Retinopathy Task Force. We have much to learn from this episode as Dr. Mathenge narrates her journey and shares the incredible path that is forged with hard work, integrity, and a pursuit to make her residence a place of progress and ingenuity! Key discussion points: Growing up in Nairobi, Kenya Moving to Nakuru Interest in Ophthalmology Journey as a general practitioner to specialization Being full-time in academia Kenya vs. Rwanda Kenya: Only country with 2 UN headquarters, over 40 different tribes and multiple languages, educated majority & high amount of natural resources Rwanda: Smaller land-locked country with only 1 national language. Cleanest and most secure country in Africa. Invites innovation and conservation efforts. Increasing importance in education and attention to strengthen workforce. Rwandans can also speak English and French. Eyecare in Rwanda. The positives and negatives Access to eyecare in African countries is often hampered by 3 things: Geographic access: distance to services Cost of services Lack of personnel/staff Rwandans tackle first 2 by: universal health coverage (must past referral pathway in right way) and first country to train primary eyecare to all nurses and primary level services. Unfortunately, not enough ophthalmologists Cataract is leading cause of blindness 1 in 16 ophthalmologists are trained out of country and have varied skills that may require further training. Due to physician shortage, specialized surgeries can only occur in tertiary level care! Accessibility issue. Prefer access to eyecare at district level. Dr. Mathenge inaugurated residency training program to address shortage. Biggest support came from ministry of health in Rwanda. RIIO: physicians recruited also from Kenya and Burundi as well Many foundations and institutes have supported training Research in Nakuru First rapid assessment of avoidable blindness (RAAB) was done in Nakuru Assessing retinal disease in African eyes Fred Hollows Foundation Microsurgery program Program that changed the face of ophthalmology in Africa forever! Expanded from Kenya to Rwanda and then Burundi Orbis International Focus on education and technology Cybersight Rwanda International Institute of Ophthalmology (RIIO) Partnership with Dr. Agarwal Hospital network and multiple other partners that support by providing visiting faculty. Took first resident in 2018 Operates as 3 units: school of ophthalmology, community services, research center Diabetic retinopathy AI research project with Orbis Support 6 district hospitals with no ophthalmologists: perform cataract surgeries as an outreach project Currently 14 ophthalmologists in training from 4 different countries Early life lessons Overcoming hardships: “I just worked harder than my colleagues because I needed to” To young female doctors: “Be clear on where you want to go, block out distractions, stereotypes and compete only with yourself!” Personal research journey Ocular complications in Rheumatoid Arthritis MSc in Public Health for Ophthalmology from University College London (UCL) changed perspective Chose to study prisoners at Nakuru Eye Clinic for Vit A deficiency and its association with general eye health/morbidity (mentor: Dr. Allen Foster MD). Results changed dietary regimen and demonstrated value of research Relation with ICH: Through them Nakuru became first center to do RAAB. Helped immensely with data study for blindness. Now time for younger ophthalmologists in Africa to move from basic research/clinical trials to testing new technologies. Completed a randomized trial using AI for DR. Uphill battles: Publication in good journals and their accessibilities Currently working on having country’s own journals to initiate more research output and encourage scholarly discussion Africa is moving rapidly in the right direction of eyecare Vision for Africa, 2-fold: Demand side of eyecare Early eye treatment and prevention of blindness. Need massive campaigns for raising awareness. Supply side of eyecare Well trained eyecare force from nurses to optometrists, orthoptists, all specialties in ophthalmology in all country of Africa Need good local programs for training! “Proudest moment will be when my first resident will graduate!” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep19 monthly 0.5 2022-02-19 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/b8644130-06e3-463d-ab08-03c23563f03c/Finklea.JPG Podcast Episodes - Episode 19: Dr. Brenton D Finklea, MD - Dr. Brenton Finklea, MD In this exciting episode, we are joined by Dr. Brenton Finklea who is the co-director with Dr. John Anhalt of the Wills Eye Center for Academic Global Ophthalmology. He obtained his medical education from the University of Virginia and then subsequently conducted ophthalmology residency training at the Wills Eye Hospital. Post-residency, he obtained fellowship training in 2 areas. One in Cornea, External Diseases, and refractive surgery from Duke University and the other in Academic Global Ophthalmology from the Wills Eye Hospital. As a trainee he has received multiple awards for his outstanding performance, ranging from intern of the year and the James Shipman Award for best resident paper presentation. We are very fortunate to have a guest like him share the program-related aspects of a global ophthalmology fellowship. In previous episodes, we have explored global partners such as RIIO and Orbis. This time we have a chance to hear from their US partner institute at Wills! Key discussion points: Journey to ophthalmology and global health Shadowing a pediatric ophthalmologist during medical school Unite for Sight work in Ghana Domestic service work WIRE: Wills International resident experience PGY4 engage in health care projects globally Importance of starting early! Making the choice of fellowship Importance for subspecialty training Order of pursuing subspecialty training and global ophthalmology Pros and cons How was the process like having to apply for cornea fellowship concurrently while completing the global ophthalmology fellowship first? Just be very open about your passions, pursuits. Possible virtual meetings and meetings at academy when able to be in the States Wills eye Global Ophthalmology residency program 6 months at Wills and 6 months abroad Country partners in places such as: Rwanda, Burundi, Sierra Leone, India, and Haiti Flexible fellowship: depends on projects and what fellows want to achieve in the career they want to pursue Global Health is a small community. Make connections globally and locally Global Ophthalmology Fellowship Peer groups Meeting all global ophthalmology fellows in the US for the first time in-person Starting the position as a co-director shortly after fellowship, what are some things for others who would like to start a fellowship program at other programs? Financial sustainability Partner sites with real clearly defined goals for viability Program should center around partners Fellow goal: acquire skills that are coveted and not easily obtained in the States Accountability for influence gradient Fellows should act as supporting role to the lead role which is the partner institute Importance of checks and balances Clear line of communication between fellowship program director and partner institute director Feedback and open communication without fear of repercussions Communication with fellows Contingency plans in case cell signal and such are hard to access Innovations in Global health What type of fellow would fit best in a global ophthalmology fellowship (specifically at Wills)? Hit the ground running Independent, motivated, passionate, creative, and confident Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep20 monthly 0.5 2022-02-19 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/96b3cbbe-2a95-47ed-b768-4aa5f5f997b7/comprehensive.png Podcast Episodes - Episode 20: Dr. Alessandro A Jammal, MD PhD - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/9d4d6b7e-db45-4b09-ad59-f52820552faf/aa.jpg Podcast Episodes - Episode 20: Dr. Alessandro A Jammal, MD PhD - Dr. Alessandro A Jammal, MD PhD In this episode of Open globe talk, we have the esteemed pleasure of speaking with Dr. Alessandro Jammal who is a glaucoma specialist from Brazil and a current research scientist at Duke University. Dr. Jammal completed his medical school at Universidade de Uberaba (Uniube) and his Ophthalmology residency at Universidade Federal do Triângulo Mineiro (UFTM). He then completed a glaucoma fellowship at the prestigious Universidade Estadual de Campinas (UNICAMP, in Campinas, São Paulo) and a research glaucoma fellowship at the Duke University in conjunction with his PhD through Universidade Estadual de Campinas (UNICAMP, in Campinas, São Paulo). Dr. Jammal has helped organize and create the Duke Ophthalmic Registry, a foundation for several exciting artificial intelligence studies and through which he has worked on and published several high impact research articles. Not only has Dr. Jammal excelled in academia, but he is also a compassionate global ophthalmologist. He has worked as a glaucoma surgeon in countries such as Nigeria, Kenya, Brazil and Haiti. With his incredible insight today, we will come to learn of a new perspective on eyecare in Latin America. Key discussion points: The decision to pursue Ophthalmology Brazilian education system No optometrists. Ophthalmologists work up all aspects of patient eye care Getting started as a volunteer ophthalmologist for treating indigenous populations in the Amazon Rainforest EDS: Brazilian Health Expeditionary Healthcare mission work done once every 3-4 months Started since 2003 and completed close to 9000 surgeries and over 100,000 procedures First trip was a triage trip Surgical expedition Tribal diversity Over 400 different tribes with different languages During each expedition, EDS chooses tribes based on certain similarities Communication with the tribes Translator available These are members of the tribe themselves that have been trained by the government to help communicate in basic Portuguese Cultural sensitivity Tribes have different costumes and ways to be approached Prior to surgical expedition, community health workers to contact chiefs of tribe to receive approval Can take months. Trust and understanding needs are key! Unmet needs still in progress of being addressed Geographically isolated tribes Tertiary care hospitals are very far Brazil has a public healthcare that has gaps in budget i.e., cataract surgery needs very expensive devices Compliance of indigenous populations Extremely receptive Excellent vaccination rates Indigenous public health worker is able to relay any tribal healthcare needs over radio to help continue communication Mobile surgical center Force you to go back to simplest principles of medicine: Importance of trust in clinician, giving best care to patient, & doctor-patient relationship Pre-op room and post-op rooms have hammocks instead of hospital beds Topics of indigenous eyecare needed to be addressed/studied further: Cannot generalize: Tribes are culturally and geographically distinct Diseases more prevalent: Trachoma Cataracts Refractive errors Distributing eyeglasses Portable cameras for screening Prevalence studies for eye diseases Transformation of eye health post-intervention through the foundation Estimated that in each expedition, all population in the tribe has been treated for cataracts for at least 5 years. Increase life expectancy Complication rates Don’t complete surgeries with high complications Igloos made to prevent any type of infection Continuing global ophthalmology work during COVID Brazilian glaucoma registry Teaching courses in glaucoma tube shunts in countries such as Kenya and Nigeria Important lessons We need to have “a sense of community in a global scale that we really need to help each other” Brazilian culture Importance of knowing multiple languages Gets you closer to the local population and is a humbling experience Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/c2cf4ecb-6150-47fe-ab8a-31c7357321a1/ORtent.jpg Podcast Episodes - Episode 20: Dr. Alessandro A Jammal, MD PhD - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.openglobetk.com/podcast-episodes/ep21 monthly 0.5 2022-04-12 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/4d84b07e-8681-4549-ae14-27a4b6ab044a/MacIntosh.jpg Podcast Episodes - Episode 21: Dr. Peter Macintosh, MD - Dr. Peter MacIntosh, MD In this episode, we have the extreme pleasure of talking with Dr. Peter MacIntosh who is an associate professor of Ophthalmology at the University of Illinois College of Medicine. He is a dual fellowship-trained surgeon in neuro-ophthalmology, Oculoplastic and reconstructive surgery. Dr. MacIntosh obtained his Ophthalmology residency from Stroger Cook County Hospital and did his fellowships at Illinois Eye and Ear Infirmary (Neuro-ophthalmology) and the Massachusetts Eye and Ear infirmary Ophthalmic Plastic and Reconstructive Surgery). He is also the program director at the University of Illinois College of Medicine for its Ophthalmology residency program as well as UIC's global ophthalmology fellowship. We are delighted to have Dr. MacIntosh share his global journey in the field of neuro-ophthalmology, a first for the specialty on our platform! Key discussion points: Journey to ophthalmology and global health Specifically, Neuro-ophthalmology and oculoplastic Neuro-ophthalmology: puzzle-solving field Oculoplastic surgery: gross anatomy Combination of Neuro-ophthalmology with other fields Having a surgical background in neuro-ophthalmology can be helpful to manage patients on both sides Getting into global collaborations Attending a meeting and connecting with Aravind Focus on neuro-ophthalmology Neuro-ophthalmology journal club at Aravind Time difference of 12 hours UIC’s global partners New global ophthalmology fellowship. Currently have 2nd fellow New relationships in the works: State University of Haiti in Port-au-Prince: Capacity-building of residency program Kisii Eye Hospital in Kenya Multiple others Influence of growing up in multiple different places and countries Creating global equity for trainee education in exchange programs UIC’s bilaterality Distinction between residents and fellows Work conducted overseas should be similar to the work you are permitted to conduct in your home country Aravind has a MSICs course for residents Being cognizant of trainee comfort and level of preparedness for procedures/skills and meeting them at their training phase for a better learning environment Global Neuro-ophthalmology Fellowship training Training is sparse overseas for this specialty Understanding: Access to care and available resources to deliver healthcare Importance of mentorship Mentors change as careers develop Importance of mentorship in subspecialty Career Mentoring is very important Dr. R.V. Paul Chan, MD MSc MBA Traveling and experiencing cultures: an important aspect to cultivating good values Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep22 monthly 0.5 2022-05-09 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/f6b5d7c0-3fd6-429b-b252-d7b476f04119/Atabin.jpg Podcast Episodes - Episode 22: Dr. Geoff C Tabin, MD MA - Dr. Geoff C Tabin, MD MA The first episode of season 2 premieres the much-awaited conversation with Dr. Geoff Tabin, MD who is the Fairweather Foundation Professor of Ophthalmology at Stanford University. Featured in the well-acclaimed book “Second Suns”, we walk through his journey partnering with the incredible Dr. Sanduk Ruit in founding the ‘Himalayan Cataract Project - Cure Blindness’. Dr. Tabin did his undergraduate education from Yale University and went on to obtain a MA in Philosophy from Oxford University on the prestigious Marshall Scholarship. After completing medical school from Harvard University, he went on to train in ophthalmology at Brown. Following residency, Dr. Tabin completed a corneal surgery fellowship at Melbourne, Australia. It is our great pleasure that we learn from him his thoughts on global ophthalmology and how eyecare equity can be achieved on a global scale. Key discussion points: Gravitating towards Ophthalmology Passion for rock-climbing Interest in public health - equity in global health Lure to curing blindness in Nepal where practice of lens implant was absent Meeting with Dr. Sanduk Ruit Connection through fellowship in Australia Mentor: Dr. Hugh R Taylor Dr. Fred Hollows: Training local systems Dr. Ruit’s focus in Nepal: Human resource utilization and reducing cost in Kathmandu, Nepal Compassionate Capitalism The Journey Dr. Tabin’s partnership with Dr. Ruit Focusing on the academic side and hoping to arrange western fellowships Starting a full residency and now full subspecialty fellowship in Nepal What led to the success in Nepal? Partnership and teamwork: creating a system where everyone thrives with high volume surgery A combination of passion and care for fellow humans ingrained in the culture Picking the best students out of the crop of medical graduates Financial renumeration: ophthalmology became the most attractive field Focus on quality led to quantity Low-cost cataract surgery: Sustainability Low cost lens factory in Nepal Issue with manufacturing and distribution/marketing to meet the growing masses Surgery kit: $11 for all reusables Green impact Dr. David Chang’s article on comparing waste between different institutes and countries (link in reference page) Initiative at Stanford Core principles to achieving sustainable care Focus on quality Replicating the same quality in the US to the poorest regions of the world The dilemma of increased quality in developing nations Dr. Norval Christy and moving towards the sustainability model of global ophthalmology Attracting and retain global ophthalmology talents Financial incentives to work locally in countries Prospect can be grim in certain countries such as Sudan In several African countries: ophthalmologists are on government salaries and other specialties such as pediatrics and medicine are more sought after. Starting global ophthalmology training early in career Focus on passions and letting them lead you to the essence and spirit of a true physician Negotiating time over money First global ophthalmology fellowship program in 2008 at the University of Utah Idea of making this a major portion of your career Stanford’s focus on global eyecare development World is a very small place and we are actually more and more connected “We still have a long way to rest. Don’t ration the passion!”- Dr. Tabin ‘Second Suns’ Future of global ophthalmology Hope to see Africa going the same direction as Nepal, Bhutan, India in overcoming needless blindness Seeing some really good ophthalmologists in Cambodia, Myanmar, etc. The cost of treating people with needless blindness through cataracts and/or those with refractive error is $14 billion Funding and attention to health disparities around the globe is within our reach but needs to be supported by the right people Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep23 monthly 0.5 2022-05-15 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/69797d93-9674-4923-800a-6d0cec08a95a/ambati.jpg Podcast Episodes - Episode 23: Dr. Bala Ambati, MD PhD MBA - Dr. Bala Ambati, MD PhD MBA In this episode, we have the amazing opportunity to chat with Dr. Bala Ambati, who is a remarkable surgeon at the Pacific ClearVision Institute and also a research professor at the Knight Campus of the University of Oregon. He attended New York University for undergraduate and completed medical school at Mount Sinai School of Medicine. He trained at the prestigious Mass Eye and Ear for ophthalmology residency with a subsequent fellowship in cornea and refractive surgery from Duke University. He has also earned his PhD from the Medical College of Georgia and a MBA at the University of Utah. Having been named as the number 1 eye surgeon in the top ‘40 under 40’ global competition and making the top 100 power list of ophthalmology by The Ophthalmologist magazine, Dr. Ambati is a globally renowned figure who is also an incredible humanitarian. Having worked with ORBIS, Sightlife, Sight for the Sightless, Help Mercy International, and many other service organizations, it is a testament to the contributions he has made to the global ophthalmology community. Today we get to learn about his journey and how his early career has impacted him in the path he leads today. Key discussion points: Why did you choose Ophthalmology? Why specifically cornea as your specialty choice? Starting global ophthalmology early in career 2006 Orbis program: Ghana Mentor: Dr. Roberto Pineda Things to keep in mind Avoid complications and manage complications if they do occur Recognize that when you go overseas, you are not at your best Need to have patience Working in limited-resource settings Improvise Know yourself Do you have the stamina, patience, and expertise, time When are you ready to train and work as a global ophthalmologist? Number of cases: every residency/fellowship is different Indication for readiness in global ophthalmology: ~500 cataracts, low vitreous loss rate, low lens drop rate, and you feel fairly comfortable handling complications Global ophthalmology fellowship thoughts What are you trying to achieve? Skills transfer, knowledge exchange Staying connected with ophthalmologists you work with abroad Convenience of virtual education platform (Cybersight) Reach a lot more people = broader impact Unique cases in cornea abroad Cornea tissue delivery for transplantation Aspect of selecting patients for transplant Trauma PBK Keratoconus Parasitic diseases Founding iVeena: Eye drug delivery company Main focus: Eye drop for keratoconus Technological advances in global ophthalmology Memorable global ophthalmology experiences 8 corneal transplants in one day in Jakarta, Indonesia Power going out in Zambia Calcutta, India Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep24 monthly 0.5 2022-06-07 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/84ac07bd-0852-48ec-a8a6-c194a74e4b8f/GES.jpg Podcast Episodes - Episode 24: Dr. Evan Waxman MD PhD, Sanya Yadav, Amrish Selvam - Guerrilla Eyecare Service Roundtable Panelists In this episode, we conduct our first roundtable discussion featuring Dr. Evan Waxman, MD PhD who is from the University of Pittsburgh Medical Center and his 2 amazing medical trainees who share student perspectives on how GES has impacted them in their pursuit of ophthalmology and serving underserved communities. Dr. Evan Waxman, MD PhD Dr. Waxman is the founder and director of UPMC’s acclaimed Guerrilla Eye Service, a volunteer organization aimed at providing free eyecare to those in underserved communities in Pennsylvania. He is also a professor and residency program director for the ophthalmology residency program at UPMC. He has been a member of the AUPO and a past president. Among the many awards recognizing Dr. Waxman’s dedication to ophthalmology and medical education, some of them include the Straatsma Award for Excellence in Resident Education and also the William I. Cohen Award for excellence in teaching. We are pleased to have Dr. Waxman join us on this segment! Sanya Yadav, BS Sanya is a 4th year medical student at UPMC and an incoming ophthalmology resident at West Virginia University. She completed her BS in computer engineering from University of Delhi after which she completed her post-baccalaureate degree from The Johns Hopkins University Amrish Selvam, BS Amrish is a 2nd year medical student at UPMC. He obtained his BS degree in Biomedical Engineering and Computer Science at Case Western University. Both Amrish and Sanya have been students committed to GES and have had multiple service exposures. We are excited to hear from them as well to go over student impact and experience. Key discussion points: Dr. Waxman: Decision to pursue Ophthalmology Medical education Conceiving Guerrilla Eyecare Service (GES) Student collaborations Resident physicians travel to Honduras for yearly service work but difficulty establishing continuity of care Screenings that did provide completed eyecare Motto: “Travel light, save sight” Equipment included in GES van Includes most all equipment that would be found in ophthalmologist’s office Type of populations served and locations of sites Barriers to care are not the same everywhere Financial, education, transportation, language, and other barriers to consider Amrish: Decision to pursue medical education at UPMC and influence of GES in ophthalmic education Continuity of care with patients from prior years of workup Sanya: The influence of GES: reflections as a senior medical student Productive service work Involvement with community Professional development Growth as a leader: Clinical workflow, recruitment, mentorship etc. Dr. Waxman: What demonstrates sincerity to service? Challenges in local communities? Follow-through: After conducting physical exam, issues navigating complex health care system are encountered by patients Food-desert issues, cultural-trust issues, etc. Solution: full time patient navigator at UPMC Dr. Waxman and Sanya: Study on implementing ophthalmic curriculum in medical school curriculum (link in resources page) Goal: Everyone who is not going into ophthalmology is competent enough to do basic exam on eye or be atleast knowledgeable enough about the eye to be aware of issues regarding the organ Amrish and Sanya: Scheduling service trips throughout medical school Interesting experiences Leading missions, special patient experiences As a senior medical student, lessons learned about caring for underserved populations Cognizance of cost of treatment options Dr. Waxman Changes among population over the course of GES implementation Population has grown Backlog of work to do Glaucoma and diabetic retinopathy are 2 diseases to screen early for and treat Amrish Interest in ophthalmology and global ophthalmology through GES Sanya Prospect of participating in global ophthalmology through GES exposure Interest in making service work more sustainable abroad Dr. Waxman Growth and expansion of GES Identifying new sites More missions that are ‘mission of mercy’ style (full exams from start to finish) Build on it by follow through at physician offices Dr. Sahel’s (chair of UPMC ophthalmology program) support of providing free ophthalmic follow up for individuals with no health/eye insurance Targeting middle schools: meet the eyecare needs of both pediatric and adult populations (have parents join too) Students’ suggestion: Use the opportunity to also do career mentoring and increase awareness about health care careers to young middle schoolers! Don’t forget why you went into medicine; you went into medicine to help people! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep25 monthly 0.5 2022-06-25 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/551605aa-df3b-4073-a716-57cb2948d5c9/Ashiyana+Nariani.jpg Podcast Episodes - Episode 25: Dr. Ashiyana Nariani, MD MPH - Dr. Ashiyana Nariani, MD MPH In this episode of Open Globe Talk, we are excited to welcome Dr. Ashiyana Nariani who is an assistant professor at King Edward Memorial Hospital in Mumbai, India. Her specialties include complex limbal stem cell transplants, corneal transplants, and ocular surface tumors. Dr. Nariani attended Tufts University where she studied Mathematics and Chemistry, graduating summa cum laude. Thereafter, she completed her MD and MPH from Tufts University School of Medicine. Her ophthalmology residency was conducted at the University of Chicago Medical Center where Dr. Nariani served as a chief resident. Dr. Nariani then completed two fellowships: one in Cornea & Refractive Surgery at the Duke University Eye Center and another fellowship in Eye Banking from Miracles in Sight. Inclusive of being the founder of the "2020 Ophthalmology Educational Series", she is on the AAO Cornea Network Committee, is on the Executive Committee for Refractive Surgery Alliance (RSA), and now the Global clinical consultant for the Himalayan Cataract Project! Join us in hearing her background in the US and how she decided to serve patients and practice abroad as a part of her global ophthalmology career! Key discussion points: Pursuit of Ophthalmology as a specialty Cornea and Eye-banking subspecialty choice Interest in heart transplants Gift of sight through organ donation Interest in international work MPH focus on global health Important take-aways from service ventures Dr. Albert Schweitzer’s selfless service and value for life Laid the groundwork for focus The importance to not focus on recognition but rather making a difference and contributing to society Why specifically did you move to India for clinical practice? Home of spiritual mentor: Dr. J. P. Viswani Working in the Indian healthcare system as an American trained physician Cultural discrepancies: Need for knowledge of language is not as important as showing and practicing good intentions! Working at KEM Practicing integrity and standing a mark Pushbacks of gaining licensure The importance of perseverance, dedication, merit, and doing things the right way The inaugural Global Refractive Surgery Summit Uncorrected refractive error is #3 leading cause for blindness globally #1 cause of moderate-severe vision impairment Not doing enough to provide glasses/contact lenses to address the need If that’s the case, how can we provide refractive surgery to aid in this process? Tool for curable blindness! Paradigm shift in how this problem is currently being addressed Systemic changes between Indian and the US: the experience World of eye-banking In India: there is a level of training to prepare tissue and many things from the base up compared to the US Need for improving quality and technique Dr. Nariani’s training in eyebanking benefits her in this field as her prior fellowship allows her to bridge this gap Most important message: Each one of us have a role to improving organ donation: be it through social media or other means to raise awareness and provide encouragement! Addressing the stigma The specialization of India: Spirituality Dr. J. P. Viswani His impact: Everything that we do may it be an offering to others. Every being is all part of one family. How to be an instrument to help those in need Living a life of service, there is so much happiness and that happiness cannot be described in words, cannot be quantified by money Teaching and mentorship at the international level Opportunity for the teacher to learn more from the students Teaching focus should be handled in what makes the students happy and makes them the best in the field they are meant to be in The most important quality: Passion & dedication for what you want to do You can surpass all goals regardless of where you start! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep26 monthly 0.5 2022-07-02 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/0efc6983-3fba-4a3b-94d8-46182e8af566/sila+bal.jpg Podcast Episodes - Episode 26: Dr. Sila Bal, MD MPH - Dr. Sila Bal, MD MPH Join us in this heart-to-heart conversation with soon to be graduating PGY4 Ophthalmology resident Dr. Sila Bal, MD MPH (aka @dr.eyebal) at Massachusetts Eye and Ear Infirmary. Having started her global ophthalmology career incredibly early and serving as a board member of Partners for Andean Community Health (PACH), she has a lot to share regarding sustainable development of both international relations and delivery of care. Dr. Bal completed her undergraduate from Drexel University with a BS in biology, graduating summa cum laude. She then completed her MD and MPH from the University of Pennsylvania. Inclusive of the many awards she has earned at such an early stage of her career, some of them include the United States Public Health Service Excellence Award, Best Clinical Trainee Research Award in Cornea and Refractive Surgery, and the Robert Suskind and Leslie Lewinter-Suskind Excellence in Global Health Award. We are very excited to chat with her and learn about her take on global health and how she got started, along with the use of social media (follow her on insta!) to create awareness. If you are a young ophthalmologist, you don't want to miss this wonderful segment! Key discussion points: Decision to pursue ophthalmology Surgical specialty Instrumental mentors: Dr. Gil Binenbaum, MD MSCE Ranna Jaraha: Cofounder YoungMD Connect Global health experiences Ethical and quality-of-life impact on patient health Growing up as a first generation American. Turkish roots Moving to Turkey briefly for high school Motivation to pursue MPH Always having a plan Original plan was to work in war conflict zones medically MPH was a better path to decide how to incorporate medicine with global health interests Knowing what and how the MPH would be instrumental in the future! That is key! “Probably one of the best years of my life!” Unmet needs regarding refugee eyecare Change in administration made it difficult for resettlement agencies to help these communities Vision health and vision access in refugee populations Trachoma is the leading beast around the word when we talk about infectious diseases Unique problems: health literacy, access to specialists, instable housing, issues of access to basic vision access (especially for eyeglasses) Climate crises is displacing communities What else would you have wanted to do during your MPH that you were not able to? More time in the field and working in diverse settings especially in eyecare Spent summers in Ecuador Incorporating lessons of global health in treating diverse populations in the clinic as a resident Need to figure out how to distribute resources more equitably Look at a person and just try to be there with them. “You feel a real sense of grounding your job” Countries of interest Cape Verde: Dr. Roberto Pineda Why Ecuador during MPH? PACH How to create sustainable global connections? Be mindful of allowing the host country to dictate the needs People misconstrue global health with medical mission trips. We need to be developing relationships and constant communication. Make a collaborative team! How does a student pool resources for global initiatives? First ask medical school for grants and scholarships Donations for products Starting social media Connecting with other doctors during the pandemic Creating awareness and sharing topics of interest Try to post things that are actually meaningful! Navigating medical training as a first-generation ophthalmologist “Not having the support to help guide you initially is challenging but it doesn’t mean that you can’t develop support in other ways!” Parting thoughts “Only thing you need to do is be the best version of yourself and even if you feel like you are not helping anyone, they are helping you.” “If you stay true to yourself, you will make a meaningful impact” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep27 monthly 0.5 2022-07-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/77e450c3-57df-44ba-ba61-5e9c618051de/Dr.+Maria.jpg Podcast Episodes - Episode 27: Dr. Marianeli Rodriguez, MD PhD - Dr. Marianeli Rodriguez, MD PhD Join us for an important discussion with Dr. Marianeli Rodriguez MD PhD, who is a vitreoretinal surgeon. In this episode, we go over the path of vitreoretinal surgery as a woman physician and the significant impact the current ruling has on female ophthalmology patients. It may appear that Ophthalmology is a secluded branch of medicine, unaffected by other organ systems and thus unfazed by many changes of healthcare. But in this episode, we will learn that that assumption cannot be further from the truth. Dr. Rodriguez is a practicing surgeon at Vitreoretinal Associates in Massachusetts. She obtained her MD/PhD from Johns Hopkins University School of Medicine and conducted her ophthalmology residency training at Bascom Palmer Eye Institute. She then completed a Vitreoretinal Disease Fellowship from Massachusetts Eye and Ear Infirmary. We are excited to have Dr. Rodriguez and learn from her! As we cover this important topic, we are thankful to all physicians who have provided support and concern for their patients in advocacy for protection of their health. Key discussion points: Decision to pursue ophthalmology The path to vitreoretinal surgery Early exposure in residency Science Patients Growing up in Cuba and coming to the States for undergraduate Advantages and importance of patient connection Challenges Cuban community Academic vs. Private practice in VR subspecialty The unique factor: Continuation of research in private practice Mentorship, clinical trials Challenges of entering VR as a women physician Never a right time to have children in medicine! Importance of being in a practice that is supportive and values you! Impact of Roe vs. Wade Repeal on Ophthalmology “We don’t practice ophthalmology in a vacuum” Intricate relationship of the eye and systemic issues Diabetic retinopathy worsening in pregnant patients Treatment offering are also limited depending on status of pregnancy (ie., anti-vegf agents are contraindicated in first trimester) Eclampsia, preeclampsia = retinal vein occlusion, hypertensive retinopathy It should be a woman’s choice with regards to their health Impact on low socioeconomic and disadvantaged communities Single working mothers, women of color are more vulnerable How can Ophthalmology as a group advocate for the rights of their patients? Discussion is important. We are physicians first and advocates for our patients first. We chose this path. Cuban physician community Being a cuban in retina What would you have told your younger self pursuing retina? “Do not give up!” “As long as you’re hard working…people are going to appreciate you and will help you.” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep28 monthly 0.5 2022-08-07 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/2d7a8642-2948-404e-bf30-b993e37907dc/Dr.+Uday+devgan.jpg Podcast Episodes - Episode 28: Dr. Uday Devgan, MD - Dr. Uday Devgan, MD In a first for open globe talk, we are incredibly elated to host Dr. Uday Devgan, MD, also known as the ‘cataract coach’. Dr. Devgan is an international expert in ocular surgery, ranked #1 in southern California and #3 in the United States. He specializes in cataract, refractive lens, and LASIK. Dr. Devgan is a private practice surgeon at Devgan Eye Surgery and is full partner at Specialty Surgical Center of Beverly Hills. He has served as clinical professor at Jules Stein Eye Institute UCLA and has been chief of Ophthalmology at Olive View-UCLA Medical Center. Dr. Devgan completed his undergraduate at UCLA. He graduated summa cum laude with his MD from the University of Southern California School of Medicine. He then completed his ophthalmology residency training at UCLA David Geffen School of Medicine. Dr. Devgan has taught in over 60 countries and his ‘Back to Basics’ monthly feature is disbursed to over 80,000 ophthalmologists around the world. His global surgical mission work and his online teaching platform, ‘Cataract Coach’ (cataractcoach.com), which has garnered over 13 million views, have made him a prominent philanthropist and eminent educator in the field of ophthalmology. It is no surprise that the annual ophthalmology faculty teaching award at UCLA has gone to him a record 5 times. We hope our listeners enjoy this segment as we learn about what it takes to achieve personal excellence in ophthalmology! Check out the video collaboration with Dr. Devgan at the cataract coach website! Link below. 1546: The Key to Ophthalmology Residency – Cataract Coach Key discussion points: “It’s the horse not the track that wins the race. It’s the good horse that can race on any track!” 2 questions asked from residency aspirants: What have you taught yourself outside of medicine in the last few years? Describe what an amazing day in residency would be for you? Making connections through virtual platforms Find a residency program that you would do well in. School acts as a foundation It teaches you the discipline to learn Charting one’s own path in medicine Practice makes perfect 10-10-10 rule Put full effort regardless of where you start at. “Your patients are going to see the world every waking moment for the rest of your live…you really have to hold yourself to a much higher standard.” Length of ophthalmology at the international level Residency and fellowship are just the beginning! Teaching during COVID Building cataractcoach.com Holding nothing back “Learning from videos can compress the learning curve” 5-minute video, x1/day! Cataract coach sessions in meetings Managing and editing all videos Finding time and being efficient Ask someone who is busy because they know how to get things done! The choice of not doing fellowship Being a self-learner instead through attending conferences and other resources. Seeking mentorship outside of formal training. Dr. Robert Osher Books: What I say: Conversations that improve the patient-physician relationship The real ABCs, Achievement, Balance, Contentment, A Surgeon’s analysis and a father’s legacy Be your own competition: “You be you” Cataract Coach curriculum Guidance for residency Finding mentorship Advice for residency applications Being purposeful about the programs you apply to Be tenacious Work hard in residency because the learning never stops! Secret to success: “Every surgery I do, I’m giving the same high level of care as if it were my own eye” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep29 monthly 0.5 2022-09-12 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/33c60d69-d174-4908-af7a-c58b1ef9e028/Dr.+Adrian+Fung.jpg Podcast Episodes - Episode 29: Dr. Adrian Fung, MBBS (Hons1), MMed (Ophthal Sci), MMed (Clin Epi), FRANZCO - Dr. Adrian Fung, MBBS (Hons1), MMed (Ophthal Sci), MMed (Clin Epi), FRANZCO Our long-awaited Australia segment is finally here, and we are pleased to host Dr. Adrian Fung, MBBS (Hons1), MMed (Ophthal Sci), MMed (Clin Epi), FRANZCO, one of Australia's leading vitreoretinal surgeon and medical retina specialist! Dr. Fung is currently the head of vitreoretinal unit at Westmead hospital. He also serves as a professor at Macquarie University Hospital and is a clinical associate professor at the University of Sydney. Dr. Fung completed his masters degrees in Ophthalmic Science and Clinical Epidemiology from the University of Sydney. He then completed 4 international fellowships at institutions inclusive of the University of British Columbia, Manhattan Eye and Ear, the Bascom Palmer Eye Institute, and Wills Eye. Over the years, Dr. Fung has also published over 120 international peer-reviewed journal articles and 7 book/book chapters. As someone who invests heavily in education, he was also recognized with the RANZCO Teacher of Excellence Award in 2019. On the tech side, Dr. Fung is the PI for multiple innovative devices and projects such as the Bionic Eye Project, Golden Geographic Atrophy, and Velodrome Port Delivery System trails. In this segment, we will not only learn about Dr. Fung's journey, the Australian medical system pertaining to ophthalmology, but also how Dr. Fung co-founded 'Vitreoretinal Surgery Online', an expansive online textbook addressing growing topics in retina with its international team of co-authors! Join us for this discussion and an opportunity to explore a new continent! Key discussion points: Inspiration for pursuing ophthalmology Growing up in Canberra, Australia Interest in Retina Mayo clinic ophthalmology elective during medical education International electives during medical education and for fellowships Culture of conducting fellowships internationally Useful to learn something different and bring back home Australian ophthalmology residency 5 years: the fifth year is usually reserved for fellowship Medical school 2 forms: 6-year program: head straight from high school to medical school The other is an undergraduate course in biomedical sciences then a 4-year medical school Path to ophthalmology residency in Australia Based on the British system Unlike the US, the Australian system does not directly have candidates select into ophthalmology. 1 year internship 2 more years working in the general hospital Then subspecialty selection occurs - ophthalmology is one of the most competitive Applicants continue to apply until they get into a program This is what is called registrar training program (5 years for ophthalmology) which is equated to US residency Authoring “Vitreoretinal Surgery for trainees” Initiation of an online textbook resource: Vitreoretinal Surgery Online Vitreoretinal Surgery Online | Free Online Textbook (vrsurgeryonline.com) Free for users and constantly gets updated through the compendium of authors contributing Beneficial for those from developing countries Having an international panel of authors Cultural differences in the way people operate in different parts of the world Recognizing that there is more than one way to achieving the solution to a presenting illness Encourage trainees to see many different ways of doing the same thing Story behind selection of an international panel of authors Meeting with Dr. Nicolas Yannuzzi, MD and Dr. Sebastian M. Waldstein, MD PhD Then branching to international connections Aspects of retina education that are still being under-addressed VR surgery is harder to teach because it is based on apprenticeship and is hands-on. Very important to have multiple different mentors during fellowship training It is a lifelong learning process to evolve over time and not fall behind Significant mentors in retina Dr. Lawrence A. Yannuzzi, MD Builds people up. Makes younger trainees feel they could achieve something worthwhile in their career. Makes patients comfortable and leaves them feeling better than when they came in Dr. Peter McCluskey, AO MBBS, FRANZCO in Australia Hobbies outside of ophthalmology in Australia Cooking, scuba diving, used to salsa, family, traveling around the world! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep30 monthly 0.5 2022-09-24 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/8c298e8d-25f3-45f8-ba83-2342a8e98e73/Wroblewski.jpg Podcast Episodes - Episode 30: Dr. Keith J Wroblewski, MD - Dr. Keith J. Wroblewski, MD Episode 30 is a special segment featuring Dr. Keith J Wroblewski, who is a retired colonel from the US Army as well as the Associate Professor and Vice Chair of Education at the George Washington University department of Ophthalmology. As we discuss Dr. Wroblewski’s work in both military medicine and the civilian world, we want to also thank all the armed men and women in uniform who put their lives on the line so that our nation could be safe each and every day. Dr. Wroblewski is originally from Pittsburgh, Pennsylvania. He obtained his undergraduate degree from the United States Military Academy at West Point, New York and served four years with the 4th Infantry Division at Fort Carson, Colorado as an Infantry Officer. Dr. Wroblewski then pursued his medical education from Pennsylvania State University College of Medicine after which he trained in ophthalmology from Madigan Army Medical Center in Washington State. After residency, Dr. Wroblewski trained through 2 fellowship subspecialties: 1) Ocular Inflammation and Uveitis at the National Eye Institute in Bethesda 2) Ocular Pathology at the Armed Forces Institute of Pathology. Dr. Wroblewski has served as the chair of Ophthalmology at the Walter Reed Army/National Military Medical Centers and has been the Chief of Surgery at Fort Meade, Maryland serving in the following countries: Korea, Bosnia, Germany, Iraq, and the states of Colorado and Washington. He has also serviced in multiple medical missions inclusive of countries such as Kenya, Mauritania, El Salvador, Honduras, Peru, Trinidad and Tobago, and Guatemala. With an incredible array of experiences, not surprisingly, Dr. Wroblewski has been endowed with many prestigious awards such as the Saint Lucia Medal from the Society of Military Ophthalmology. Key discussion points: The Daniel Finkelstein MD Charity Eye Clinic How it got started: Dr. Daniel Finkelstein, MD Staffed solely by medical students Some student volunteers recognized in the slides: Jason Desantos, Sinan, Sonia Francone, Allison Hong Some Frailties: Not able to do refractions Most of these patients are uninsured and so even with diagnosis, treatment can be difficult Exposure to global health in medical school: 3-month medical exposure at Tenwek hospital in Bomet, Kenya Path to fellowships Scott Bowers in Wilmer suggested Eye Pathology Decision to do both fellowships at different days of the week! Mentor: Dr. Ahmed Hidayat, MD Publications/Presentations Ocular Tuberculosis: A clinicopathologic and Molecular Study The AFIP History of Ocular Leprosy Dr. Wayne Meyers, MD was the preeminent Leprologists in the US Where is eye pathology training going the US? Ophthalmic Pathology: Important Now and in the Future Author: Dr. John Clarkson, MD 2009 Ukranian combat talk on biological warfare Poison Darts, Pitch, Facials and Gas: Chemical and Biological Injuries of the Eye Available on YouTube (link in resources)! 100-year Cycle of the Armed Forces Institute of Pathology Pearl: Helen Campbell Forester Wilder Histopathology tech who ran the ocular pathology service at the AFIP for multiple years One of the only papers on the ocular injuries from Hiroshima tragedy. Only honorary member in the American Board of Ophthalmology without being an ophthalmologist! Dr. Lawrence Zimmerman, MD Taught ~50 fellows Dr. Robert Nussenblatt, MD at NEI continuing course: The Cherry Blossom Ocular Immunology and Pathology Course Dr. Charles W. Everhart, MD at Wilmer Dr. Sander Dubovy, MD at Bascom Palmer Dr. Tatyana Milman, MD at Wills Eye Dr. Vivian Lee, MD at Scheie Eye Two questions: What’s the difference between an owl eye and a human eye? What do you see in the picture? Monet’s garden when Monet had cataracts Contact lens dilemma at the scrub sink Enjoy yourself in what you do! Cultivate your hobbies and interests Find things you enjoy! The transition from being an army to a civilian physician Chair to staff ophthalmologist Lots of trauma in civilian world as well RVU-based system Not compensated for what makes physicians happy: ie., Teaching the next generation of physicians Teaching style in Military environment Colonel (Retired) Thomas Mader, MD & Colonel Robert Mazzoli, MD (has been very active in the Ukraine issue and the AAO) at the Madigan Army Center Walter Reed was filled with even more incredible individuals and mentors! Dr. Bill Wilson, MD (missionary in Sierra Leone and Papua New Guinea) & Dr. Dan Gradin, MD (now at OHSU) Mission work through the Army Not always safe or felt welcomed A lot of times, it can hurt the local folks by flooding the market with help (ie., eyeglasses) It’s the relationships you build that are most important From Strength to Strength - Book to read “Directions I’m leading: Continue the Cherry Blossom, get down to Haiti, continue teaching residents, and enjoy the wide variety of patients I see in Washington, DC!” Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep31 monthly 0.5 2022-12-15 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/697a130d-7519-4e45-a539-e5e7ade94b91/osmith.png Podcast Episodes - Episode 31: Oluwatosin U Smith, MD - Dr. Oluwatosin U Smith, MD In this exciting episode, we feature the acclaimed glaucoma specialist and global ophthalmologist, Dr. Oluwatosin U Smith, MD. Dr. Smith obtained her medical degree from the University of Ibadan in Nigeria graduating with the Andrew Blair Aitken’s Prize in Surgery. She completed her ophthalmology residency at Howard University where she was recognized as the most outstanding resident in the batch class of 2002. She then went on to specialize in glaucoma, obtaining her subspecialty training at Wills Eye Hospital. Presently, Dr. Smith works as a glaucoma specialist at the Glaucoma Associates of Texas in Dallas, serves on the board of ‘Cure Glaucoma Foundation’, and is an assistant professor of Ophthalmology at the University of Texas Southwestern. In our discussion today, we learn how Dr. Smith got started with the ‘Cure Glaucoma Foundation’ and how her work during these past years have led to its innovation. We also discuss the systemic ways we can address bringing quality glaucoma care to underserved communities both locally and globally. This episode is not the one to miss as we dig deep in exploring how glaucoma is tackled in the global ophthalmology front! Key discussion points: Ophthalmology journey General surgery residency in the UK —> Howard University for Ophthalmology —> Wills Eye for glaucoma The spark for Ophthalmology: growing up in Nigeria Childhood glaucoma Very different from adult glaucoma Building relationship for the rest of the child’s life Moving to the University of Mississippi The experience of starting up its glaucoma division Angle of research in global ophthalmology to address glaucoma Bringing viable sustainable ways of glaucoma treatment to developing countries and studying their economic efficiency How do you convince industry to focus on investing in developing countries? Oftentimes, companies may want to help but don’t know how. The benefit of coming from the African continent is that there is personal experience of the infrastructure and the needs of the community to ensure effective delivery of care. The concern is also often about training of devices despite adequate access to them. The role of Cure Glaucoma Foundation The Cure Glaucoma Foundation How it got started? Research scope Free care to underserved communities International fellowship EyeCare America by the American Association of Ophthalmology AGS CARES The unique benefit of tele-mentoring and teaching that set the Cure Glaucoma Foundation for success during COVID pandemic What’s the next site(s) for training by the Cure Glaucoma Foundation? Classes MIGS conference Incredible Women in Global Ophthalmology Start small in global ophthalmology Do a Zoom lecture! It is possible to get involved and thrive! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep32 monthly 0.5 2023-01-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/088fd96c-7473-468d-813e-5fc3bdd894ee/udovs.png Podcast Episodes - Episode 32: Dr. Tetyana Schneider, PhD & Hannah Baker, MA - Dr. Tetyana Schneider, PhD & Hannah Baker, MA We are excited to host two incredible guests coming from the University of Wisconsin-Madison who have been integral in the management of its Global Ophthalmology curriculum. Please join us in welcoming Dr. Tetyana Schneider, PhD and Hannah Baker, MA! Dr. Schneider obtained her PhD in Education Leadership and Policy Analysis from UW-Madison. Among her many roles, she is part of faculty development, medical student education, residency program education, clinical fellowship programs, global ophthalmology initiatives, faculty pre-promotion oversight, and clinical adjunct faculty oversight. Mrs. Hannah Baker obtained her MA in social innovation and sustainability leadership, Education leadership from Edgewood College. She is also part of multiple programs at DOVS, some of which include the Global ophthalmology initiatives and clinical fellowships. In our discussion today, we will learn about how DOVS is pioneering curriculum for global education during residency and building the essential foundations needed to produce physicians who are equipped to deal with local and global underserved needs. We go over the origins of the program and how it has been shaped by multiple individuals who are authentic to global education. This is a much-awaited episode, and it is just in time for the holidays for your viewership! Key discussion points: How did you get involved with the DOVS GO curriculum? What led to the formalization of the GO curriculum? Origins Two amazing faculty champions who helped found the early global initiatives Dr. Suresh Chandra, MD Pioneer in developing “Combat Blindness Internation” Goal: Establish connection throughout India and a variety of other countries Established OUR labs in Aravind Develop quality low-cost IOLs In 2001 helped found the division of international ophthalmology within UW Dr. Guillermo de Venecia’s free rural eye clinic (FREC) in 1978 (Manila, Philippines) 2016 - division of international ophthalmology became international ophthalmology which later became global ophthalmology. Holistic approach Leadership and strategic leadership of Dr. Terri Young, Dr. Cat Burkat, and Dr. Yasmine Bradfield DOVS curriculum Three years Includes readings, reflections, and projects. Recognizes residents who fulfill requirements and demonstrate competency in the global curriculum. Provides certificate that qualifies residents that they can address underserved needs. It does provide long-term impact. 1) Engagement with long-term alumni and connecting them with residents 2) Advocacy is a big component Global ophthalmology curriculum is still under-developed nationwide. For example: ACGME only indicates elective international experience in its common program requirements but no guidance and nothing about global ophthalmology specifically. It’s an urgent need to be addressed in some cases. Do you need to have prior international experience? No! The program meets different needs Focus on development from first year to the final year Measuring the metrics for resident growth What does growth mean? Difficult to measure to what extent someone is a global citizen Developed qualitative measurements Also looking at core competencies within ACGME and asking about where we are at in interpersonal communications. Supporting global ophthalmology initiatives Providing additional funding to faculty who are interested in developing GO-related curriculum “It’s not extra, it’s a part” “We are clinicians but also educators” Using existing resources and not necessarily adding extra work on residents Bilateral training approach Holistic support for global partners Unique factor about UW DOVS: “We want to ensure equitable offering to all trainees” Tailoring curriculum for residents and acknowledging that there is so much more learn! Further development Create a platform for trainees here and abroad! Fun facts about Madison, Wisconsin Four seasons Variety of food! Dairy: Cheese curds Babcock ice cream Diverse and a family place Outside and weekend activities Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep33 monthly 0.5 2023-03-19 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/8913303e-8680-4c92-a992-056ac360857a/chaya.png Podcast Episodes - Episode 33: Dr. Craig Chaya, MD - Dr. Craig Chaya, MD We are excited to have Dr. Craig Chaya, MD join us today as he shares his remarkable journey of persistence and dedication to global health. Dr. Chaya is an assistant clinical professor at University of Utah and the Division Chief of its Global Ophthalmology Department. He completed medical school at Loma Linda University School of Medicine and an Ophthalmology residency at Texas Tech University. He completed two ophthalmology fellowships. An International ophthalmology fellowship as a Freedom Foundation Fellow through the Himalayan Cataract Project in Nepal. Another in Glaucoma at the University of Utah. Dr. Chaya’s global work has encompassed work in Nepal, Thailand, Haiti, Ghana, Guam, and Micronesia. His research interests are in preventing global blindness and developing novel glaucoma surgery devices with specific attention to customized and holistic care. As one of the prominent leaders in global ophthalmology, we are very glad to have him here with us today and learn about the sustainable approaches to how we can better our healthcare delivery systems. Key discussion points: Journey to becoming an ophthalmologist. Having a later exposure to ophthalmology and being inspired by the ‘restoration of vision’. Internal medicine and its influence on subspecialty selection (glaucoma) Certainly, the patients: longitudinal follow-up and chronic disease aspect of glaucoma Great innovations in the field of glaucoma Glaucoma surgery innovations have been one of the fastest in the recent decade. Major causes of irreversible blindness: cataract and glaucoma How did you choose to pursue a global ophthalmology fellowship even when this was a new concept? Being at the right place at the right time Dr. Geoff Tabin and Dr. Alan Crandall Dr. Michael Feilmeier was one of the first global ophthalmology fellows at Moran. Went to Nepal for 6-7 weeks where he met Dr. Sanduk Ruit, Dr. Suman Thapa (glaucoma specialist), and Dr. Ben Limbu Seeing how systems worked was very formative. Would spending more time abroad have helped? Right after fellowship is perfect time. Experiencing global ophthalmology with family in Nepal Would have helped to understand the scope of the global burden of blindness better. Impressed by system of education and polite obligation in Nepal - trainees feel indebted to give back to the Tilganga institution. The choice of country to focus on for global work. You have to be mindful of country requirements. Some countries require foreign ophthalmologists to sit for boards all over again. It is important to understand that things don’t always happen in the way you plan them. Spent some time in Guam and planned to settle in New Zealand. That was when a chance meeting with Dr. Randall J Olson, MD provided an opportunity to be at Utah to help train and teach global ophthalmology. Glaucoma Even the best surgeries eventually end up failing over time. This is what drives innovation: to make diagnosis and management of glaucoma better! Treatment works best in the setting of early glaucoma. Early diagnosis is key! It’s amazing how much innovation has occurred in the past 5 years. Importance to focus on cost-effectiveness! Challenges in low-resource settings: reproducibility, if it involves a device then you have to figure out manufacturing, resources for research, education of patients with proper informed consent, and having on-the-ground partners that can carry ethical practices! Think about countries where there is no equivalent to FDA or IRB: need to continue with ethical practices as one would want for their own family member. Need to think about the repercussions of delayed care. This is why country partners are so important. Need for utilizing resources properly and think about incorporating office-based surgery (has excellent safety data and cost-effectiveness). We have so much to learn from low-resource settings to create meaningful impact. We have to change our mindset to help low-resourced patients here in the US. Dr. Michael Yeh recognized the significant need of the Navajo nation population. Importance of relationship building and developing trust with providers Understanding culture and context of how preventable blindness affected quality-of-life Number one issue for seeking medical care was access of subspecialists despite having good primary care Creative ways in maintaining contact during covid to prevent complete halt of subspecialty care Online spreadsheet that was updated weekly as a remote triage to help provide care to patients who needed urgent care Many great specialists working on teleophthalmology. Importance of advocacy: an important core competency for fellows to work on! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep34 monthly 0.5 2023-05-04 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/d547f7b6-d8dd-4613-a972-e583e47357c4/rosdahl.jpg Podcast Episodes - Episode 34: Dr. Jullia A. Rosdahl, MD PhD - Dr. Jullia A. Rosdahl, MD PhD We are excited to host Dr. Jullia A Rosdahl, MD PhD today to share a new topic on what it means to be a great patient advocate and medical student mentor. Dr. Rosdahl is a glaucoma specialist and associate professor of ophthalmology at the Duke Eye Center. She obtained her medical degree and PhD from Case Western Reserve University School of Medicine. Thereafter, she attended the prestigious Massachusetts Eye and Ear Infirmary for her Ophthalmology residency training. She was brought to Duke by her glaucoma fellowship and has been a strong Duke supporter ever since! As a glaucoma specialist, Dr. Rosdahl has published in several journals and has focused on health promotions and medical education. She has authored several patient education resources such as ‘Outlook’ which can be found through the National Eye Health Education Program. We are excited to have her! Key discussion points: What attracted you to Ophthalmology? The role of MD/PhD Importance of mentorship Qualities to look for How to navigate your MD/PhD Live in the present and focus on the current step based on your interest and the type of people you like working with It’s a marathon, not a sprint Personal life should continue to evolve. Interests in Ophthalmology Interest in retinal ganglion cells —> led to glaucoma. Patient Education Lifestyle modifications Social determinants of health Clinical side of patient engagement Treat the patient-physician relationship as a partnership. Find strategies that the patients find work well for them. The physician acts as a facilitator. Authorship of ‘Outlook’ NEHEP: National Eye Health Education Program Got involved in 2014, then joined the planning group in 2015. Then 2020, served as chair Involves being a subject-matter expert, doing webinars, and many other social media awareness activities! Podcast with ‘Hadley’ - which develops resources for individuals suffering from low-vision. Monthly glaucoma chats through ‘Brightfocus’ Challenges in glaucoma Lot of medications do have generic options. Programs from drug companies to help low-income patients with some of the newer branded products. Solution: partner with the patient Cost is a big hurdle. EyeCare America Program AGS Cares for surgical assistance Medicare and Medicaid do cover eye exams Getting mentorship in ophthalmology as a medical student Finding people who did things that helped you in unexpected ways. Dr. Suber Wong, MD Dr. Teresa Chen, MD Be ready and lucky Becoming a great doctor for our patients Self-care is important first and foremost. Create a mission statement of what you want to do with your life. Just do it, don’t try to be perfect. Hobby! Yarn work Girl Scout hats Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep35 monthly 0.5 2023-06-03 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/e67909a9-611c-41b1-93e4-2efcb9e47054/Screenshot+2023-05-03+221316.jpg Podcast Episodes - Episode 35: Dr. Ike Ahmed, MD - Dr. Ike Ahmed, MD For our season finale, we have the pleasure of being joined by Dr. Ike Ahmed, a renowned specialist in glaucoma. Dr. Ahmed holds various positions in both academia and private practice, including serving as the director of the Alan S. Crandall Center for Glaucoma Innovation and as the Chief Innovation Officer and former Medical Director of Prism Eye Institute in Canada. His contributions to the field of ophthalmology are widely recognized, particularly for his development of tools and techniques like Micro-Invasive Glaucoma Surgery, which has revolutionized the treatment of glaucoma. We are truly grateful to have innovators like Dr. Ahmed driving progress in this field, and we extend our sincere thanks to him for joining us on the show today! Key discussion points: How did you get interested in Ophthalmology? Always wanted to do surgery, thought about trauma surgery initially. Some key aspects of the field that you thought you could address as you were learning about the field of ophthalmology Thinking in an unconventional way was natural First and only career mentor was Dr. Alan Crandall, who provided the inspiration for glaucoma. How did mentorship help you decide on Glaucoma? Surgical skills were renowned Humble and wanted to help people for the sake of helping them. “As a teacher, he allowed trainees to spread their wings in a safe environment” Tenacity Positive feedback is important but it’s the intention of why people criticize is the problem. It is important to build people’s reputations so that you can foster a good environment for learning. A time when you experienced a setback when developing a technology or product and how did you overcome it? Early in career, lots of pushback for innovation and creativity How innovative technologies have applied in global ophthalmology settings? At Moran, it is recognized to innovate while understanding global implications Low-cost MIGS applied early in disease course Cost is a big deterrent but the bigger issue is training. Which countries have significant needs? The need is everywhere. Screening alone is a big problem. Especially relevant for glaucoma Follow-up is a big challenge in the developing world. Non-invasive procedures have real potential in addressing glaucoma early. Delivering culturally appropriate care Understanding the system and working within that system is important. Be open-minded about learning both ways Education empowers people! The education piece is very important and needs to be addressed. Things happen slowly and maybe surgery may not even be as important at the beginning of the intervention. Be a good neighbor and listen to connect with people! A memorable time as you deliver care in the global space. Trip to Ghana “The impact on an individual life really stood out to me and it still does.” Seeing colleagues amplify their skills and do better! There’s a lot of learning from our patients Learnt particularly going abroad. Involving industry in global ophthalmology to support research. First, always do this ethically. Benefits from collecting data How do you see glaucoma evolving? Interventional glaucoma More active than passive Intervene early not at the end of disease. Nonsurgical (gene therapy, neuroprotection) Glaucoma should be treated at the comprehensive level - democratize the process with proper training Advice you would give to an early trainee interested in glaucoma. Think about your initial reason for entering medicine. Don’t lose that passion. Challenge the norm and do things differently. Put yourself in uncomfortable positions to prove to yourself that passion. We need bright minds in this field Don’t follow the crowd even if it is challenging! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep36 monthly 0.5 2023-08-06 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/6f689cd9-8426-4881-85dd-556d5c169050/Black+Simple+Daily+Podcast+Cover.png Podcast Episodes - Episode 36: Dr. Eve Higginbotham, SM, MD, ML - Dr. Eve Higginbotham, SM, MD, ML The premiere episode for Season 3 features highly regarded and experienced glaucoma specialist, Dr. Eve Higginbotham. As the inaugural Vice Dean for Penn Medicine Office of Inclusion, Diversity, and Equity, Dr. Higginbotham has much to share regarding health inequities and the importance of representation. Education and Training Dr. Higginbotham did her undergraduate and graduate work in Chemical Engineering at the Massachusetts Institute of Technology. She is a graduate of Harvard Medical School with ophthalmology residency training from Louisiana State University Eye Center. She completed her fellowship in glaucoma at the Massachusetts Eye and Ear Institute. Rounding out her education in health equity, Dr. Higginbotham also recently received her Master of Law degree from the University of Pennsylvania Carey Law School. Key discussion points: What led you to transition from chemical engineering to medicine and then ultimately ophthalmology? Mentorship in medical school “Entered Ophthalmology based on the kind of person I met rather than just the discipline” alone (even though the interest was there already in earlier years)! Glaucoma Background and interest in technology Open-mindedness to new ideas Growing up in Louisiana Grew up after Jim Crow Laws in the South where institutions and transport were still segregated “Unless we have people advocating, nothing will change” Family background - growing up in a family of educators Being in the Defense Health Board How did you get started with this position? Was recruited when Dr. Higginbotham was a Senior vice president of health sciences at Howard University Serving at the highest level Serving for “my father” who was in the Tuskegee Airforce Gaps Greatest contribution came from experience as a strategist at the systems level. “How policy should be crafted to have the greatest impact” Prioritizing eye health at the population level Eye issues are associated with multiple morbidities Eye health deserves to be part of normal healthcare! DEI efforts We can always do more but there is progress. Ophthalmology is not a part of the core curriculum at any medical school. Medical students have to go out of their way to learn about the discipline. This is an issue of access. One of the challenges is: maintaining momentum for this effort because not a core function of many organizations Personal achievement: Implementation of measures of accountability for departments if they are not making more progress with respect to diversity. This is key to any DEI work. Why is DEI important? US is becoming more diverse each year Younger generation in marginalized populations have younger populations than the dominant population Life expectancy for underserved populations remains similar around the world. This means that we have issues with health equity around the globe and thus DEI needs to be a global effort. Importance of inclusivity, transparency, respect, and trust within the organization. Everyone can benefit from these attributes. Importance of Law education in medicine Populations impacted by policies that affect eye health (ie., Medicaid) Policy effect on equity Interrogating the legal literature for solutions in the future! Examples of applying how law education applies in medicine. Hear Dr. Higginbotham’s talk at AAO to learn more about population health! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep37 monthly 0.5 2023-12-09 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/aead8d73-7217-417a-b1b3-7a9ab881a944/E2S3.png Podcast Episodes - Episode 37: Tommy Bui, Zoha Mian, Nikhita Yadlapalli - Tommy Bui, Zoha Mian, and Nikhita Yadlapalli Overview In this episode, we are joined by three incredible medical students who are interested in global ophthalmology. As part of the leadership of ‘Open Globe Talk’, they have taken the initiative to fill unique roles in the organization. Tommy Bui is a third-year medical student at Medical College Georgia and is pursuing his Master’s in Public Health. He is excited to innovate on the research side of global health. Zoha Mian is a third-year medical student at the University of Louisville and will be pursuing her Master’s in Public Health this fall at the London School of Hygiene and Tropical Medicine. She is interested in health policy and research surrounding health equity. Nikhita Yadlapalli recently began her third year in medical school at Florida International University and is interested in service dedicated to underserved communities! Key discussion points: Introductions What does global ophthalmology mean to you and how do you imagine practicing it in the future? How did you all hear about global ophthalmology? From a medical student perspective, do you think that medical students get sufficient global mentorship? Geographic hardship and overcoming these barriers. What are the different disciplines within global ophthalmology? For those pursuing an MPH, what are you hoping to gain, and when do you think is a good time to pursue it? Is it beneficial to take time out of your medical education to pursue an additional degree? Conducting a Masters abroad vs. locally How do you think medical students can gain global health experiences without taking a year out of medical education? Planning early to find mentorship. What resources have you specifically clung to when pursuing global ophthalmology? What questions do you have regarding global ophthalmology fellowship training that you would like to know early on? Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep38 monthly 0.5 2024-01-30 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/03fa93bb-1aa4-4c43-817d-56e70b6f6003/Black+Simple+Daily+Podcast+Cover+%284%29.png Podcast Episodes - Episode 38: Dr. John Buchan MBBS, MRCOphth MD - Dr. John Buchan MBBS, MRCOphth MD Overview In this episode, we are joined by Dr. John Buchan who is both the program director for the MSc in Public Health for Eye Care and an assistant professor at the London School of Hygiene and Tropical Medicine (LSHTM). In addition to his many roles, he is also committed to quality assurance by serving as the clinical lead for the RCOphth National Ophthalmology Database (NOD) Cataract Audit. Dr. Buchan maintains an active clinical role as a consultant ophthalmologist at the NHS in Leeds Teaching Hospitals NSH Trust. He is the founding member and former Vice President of the British Emergency Eye Care Society and serves on the Council of the Oxford Ophthalmological Congress. Being that LSHTM is the only program around the world exclusively focusing on teaching public health eye care, this will be a unique episode for those interested in pursuing eye care equity around the world! Key discussion points: What motivated you to specialize in ophthalmology and pursue a career in public health eye care? Caring for the whole community through public health. We need everything, both clinicians caring for one patient at a time and public health-oriented physicians to capture the bigger picture! MSc in public health in eyecare 1-year intensive program set up ~30 years ago. Epidemiology of blindness Preventive efforts International population of students learning at the institute. Disparities in representation in ophthalmology research Location of the program in London and how international teaching works Career outlook after the program Note that many are already practicing clinicians in their respective countries. We train everyone in research 15% of students go onto pursuing a PhD National public health planning Ministry of health Clinical role with outreach work There is still a lot to do if you are coming from a high-income country and want to stay there —> serve a supportive role in research and other aspects to assist in training/education. Memorable stories Prof Hannah Faal in Nigeria Mr. Samuel Coker in Sierra Leone Responsible for supporting the operations of a hospital in Sierra Leone for the past 30 years that has helped cure preventable blindness for thousands of underserved patients! Critical global health challenges in low-middle income country settings Identifying need: If you haven’t done a RAAB in your own country, you can select a country similar to yours. But even a well-organized country that may appear to have it all together will have disparities in equal distribution of eyecare. Solution is to focus on countries that don’t have the means to build their eyecare industry (ie. Sierra Leone) How do we ensure low-income countries don’t get left behind? Stop aggregating low-middle-income countries. In what ways advocacy and policy have helped you as a global ophthalmologist? Those who are not shouting loudly are the ones who need our help the most! In many settings, “people give up on people we can’t help”. Not to forget about the people who have lost their vision beyond rehabilitation, particularly in children. We must empower people to live their full life! Networks to help link underserved patients with access to care internationally. Advocacy helps obtain funding! ROP network Diabetic retinopathy network Retinoblastoma network Glaucoma network The importance of letting a team learn from mistakes in a global health outreach setting. “Without failure, you can’t have success”. We need long-term relationships to create sustainability. Advice for aspiring global ophthalmologists who want to focus on public health. Global health research during the MSc experience Advantage of global partners Long-term relationship that teaches students about partnership with locals and facilitates ethical research practices. What is your vision for global eye health? University public health training in many trainings on eye care. Problem-solving approach to empower people to make a difference in preventable blindness. Keeping the conversation going! Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep39 monthly 0.5 2024-07-12 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/1a37b69a-54f2-4e5b-b526-3485f1a8f566/Black+Simple+Daily+Podcast+Cover+%281%29.png Podcast Episodes - Episode 39: Dr. Bryce St. Clair, OD, FAAO - Dr. Bryce St. Clair, O.D., FAAO Overview In this episode, we are joined by Dr. Bryce St Clair, OD, FAAO. As an optometrist, Dr. St Clair has undertaken many initiatives in serving his community. He graduated from The Ohio State University for his Doctor of Optometry and completed a residency in ocular pathology from the University of Houston. He specializes in public health, retinal dystrophies, inherited optic neuropathies, and retinal electrophysiology at the Wilmer Eye Institute. He also serves as a co-director for the institute’s optometry residency. Among the many awards he has won, he has been recognized for his excellence in clinical outreach in 2019 and was voted among the Top Doctors in Baltimore for the years 2022 and 2023. In this episode, we sit down to chat about how he started his free clinic and how others can do the same! Key discussion points: How did you get interested in optometry? Getting involved in public health and ultimately starting a free vision clinic. Interest in immigrant refugee populations “Converting a storage closet into an exam room.” Anywhere from 40-80 patients Seeing a critical need and meeting it through preventive medicine Obtaining equipment donations from retiring doctors How do you get the word out for accepting donations? Local optometric association Social media Most common vision problems seen in the community. Refractive errors Pathologies: amblyopia, keratoconus (especially immigrant/refugee), glaucoma, cataracts, and less so diabetic retinopathy Partnership with Wilmer to accept referrals. Obstacles to setting up a free clinic. Donation of equipment was relatively easier. The harder part is sustainability. Staffing Scheduling Organization Tip: If you get buy-ins from non-profits who can help in tasks like billing, teamwork will make things much easier! Supporting student volunteerism Importance of incorporating eyecare in underserved clinics. Advocacy What is it like referring patients on Medicare/Medicaid? Many aren’t aware of their eligibility. NGOs provide assistance and guidance. Resident clinic offers reduced-cost services. Working with ophthalmologists in the clinic What to do and avoid in starting a free clinic DO Find need. Find a group to buy in to your clinic. Coordinate equipment. Cover yourself by finding an eyecare provider to validate the examination. DON’T Do this alone! Silo the patient to your preference. Steal patients away from other physicians unless the patient wants you to be their physician. Memorable experience Goals and aspirations for the clinic Goal: make it sustainable Grant funding for optometrist salary Make the clinic a part of a community health clinic atmosphere (more primary health care professions represented) Provide eye care to remote areas globally. Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep40 monthly 0.5 2024-09-07 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/0631e763-3974-4b20-b441-4de53076ea5a/Copy+of+Black+Simple+Daily+Podcast+Cover+%281%29.png Podcast Episodes - Episode 40: Dr. Glayds Atto, MB ChB, MMed Ophth, MSc - Dr. Gladys Atto, MB ChB, MMed Ophth, MSc Overview Dr. Gladys Atto, the first and only female eye doctor in the subregion of Karamoja in Eastern Uganda, shares her journey of becoming a doctor and the challenges she faced growing up during a period of war. She discusses the financial burden of pursuing medicine in a private university and the importance of scholarships for aspiring doctors. Dr. Atto also highlights the need for more ophthalmologists in Uganda and the lack of awareness about eye care in the country. She shares her vision of creating a center of excellence for eye care in Karamoja and the importance of training and mentorship for young ophthalmologists. Keywords: eye care, Uganda, ophthalmology, education, scholarships, remote regions, healthcare, challenges, vision, training, mentorship Topics: 00:00 Introduction to Dr. Gladys Atto and her work in Karamoja 00:59 Growing up during the LRA insurgency and pursuing a medical career 08:18 Choosing ophthalmology and the need for more eye doctors in Uganda 13:45 Working in a remote region like Karamoja 23:41 Gender bias and working as a female ophthalmologist 26:00 A typical week in Dr. Atto's clinic and her strategic plan for eye care 33:44 Training options for ophthalmologists in Uganda 39:45 A patient case that had a profound impact on Dr. Atto Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep41 monthly 0.5 2024-11-07 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/3ee53b3a-6375-431a-9a47-dc4679c95096/Copy+of+Black+Simple+Daily+Podcast+Cover+%282%29.png Podcast Episodes - Episode 41: Dr. Lloyd Williams, MD PhD - Dr. Lloyd Williams, MD PhD Overview Dr. Lloyd Williams, director of the Global Ophthalmology Unit and the Refractive Surgery Department at the Duke Eye Center, discusses his work in global ophthalmology and the establishment of the Duke Global Ophthalmology Fellowship. He shares his journey of becoming an ophthalmologist and his experiences working in underserved communities. Dr. Williams also talks about his nonprofit organization, Help Mercy International, and the impact of corneal transplants in Sierra Leone. He highlights the challenges and benefits of building an infrastructure for corneal transplants in a developing country and the importance of partnerships and long-term commitment in global ophthalmology. Dr. Williams emphasizes the role of creativity and hobbies in his life and the sacrifices involved in pursuing a career in global medicine. Keywords: global ophthalmology, Duke Global Ophthalmology Fellowship, underserved communities, corneal transplants, Sierra Leone, Help Mercy International, infrastructure, partnerships, creativity, sacrifices Topics: Introduction and Background of Dr. Lloyd Williams Establishing Help Mercy International Pioneering Corneal Transplants in Sierra Leone The Challenges of Transporting Corneal Transplants The Importance of Partnerships and Relationships in Global Ophthalmology The Duke Global Ophthalmology Fellowship The Role of Creativity and Hobbies in Dr. Williams' Life The Sacrifices and Fulfillment of Global Medicine Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep42 monthly 0.5 2024-12-16 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/d73c8255-b8bf-47e1-9855-ba1db72ada9d/Copy+of+Black+Simple+Daily+Podcast+Cover+%283%29.png Podcast Episodes - Episode 42: Dr. Armitage Harper III, MD - Dr. Armitage Harper, MD Overview Dr. Armitage Harper III, MD, is a distinguished retina specialist at Austin Retina Associates and serves as the current Chief of Ophthalmology at Ascension Medical Centers in Austin. Renowned for his expertise and compassionate care, Dr. Harper is consistently recognized among the “Best Doctors in Texas,” a testament to his exceptional skill and dedication to patient outcomes. His commitment to advancing the field extends beyond clinical practice, as he generously shares his knowledge by training retina fellows in developing nations. A nationally recognized speaker, Dr. Harper is particularly esteemed for his pioneering work in the treatment of retinopathy of prematurity (ROP) and his research on the role of nutrition in macular degeneration. His contributions to both the medical community and the global healthcare landscape continue to shape the future of retinal care. Keywords: pediatric ophthalmology, retinopathy of prematurity, global health, eye care, advocacy, AI in medicine, Orbis, Small World Vision, healthcare access, neonatal care Topics: Introduction to Pediatric Retina Ophthalmology Dr. Harper's Journey and Milestones Challenges in Treating ROP in the U.S. Global Challenges of ROP in Low-Income Countries Working with Orbis and Global Outreach Establishing Small World Vision and Advocacy Future of Pediatric Retina and AI Innovations Long-term Outcomes of ROP Treatment Episode-based Resources: Resources — Open Globe Talk with Rizul (openglobetk.com) https://www.openglobetk.com/podcast-episodes/ep43 monthly 0.5 2024-12-16 https://images.squarespace-cdn.com/content/v1/60cc00ae7fefa22428909596/82132063-4d08-4ad2-9b0c-ee6de28599a8/Copy+of+Black+Simple+Daily+Podcast+Cover+%284%29.png