Reader Response: Naggalama Hospital Palliative Care Outreach Team

Written by Dr. Randi R. Diamond, Assistant Professor of Medicine in the Division of Geriatrics and Palliative Medicine and Director of the Liz Claiborne Center for Humanism in Medicine at New York-Presbyterian Hospital/Weill Cornell Medical Center


I was delighted to read Dr. MacDougall's reflection “An Amazing First Day in Naggalama” depicting her first few days at Naggalama Hospital. Her experience, as I have heard from other visiting students and residents, fortifies my own impressions and rationale for suggesting Naggalama as a site for the UVMLCOM/WCHN Global Health Program.

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Reader Response: Knowing Your Patients’ Stories

Written by Dr. Mahsheed Khajavi, Associate Professor of Clinical Medicine at Florida State University


I have been practicing medicine for over twenty-five years. I still study every single day, and feel as though I will never learn enough. And that's okay. As long as I can continue knowing my patients and their stories, I will continue caring for them.

“I Hope to Someday Be a Good Doctor”

Written by Katherine Callahan ’21


I have repeated the phrase “Yes, Uganda was amazing”  over and over for the past two weeks. It isn’t a lie, but it also isn’t the full truth. My time in Uganda made me reconsider everything, including why I want to be a doctor and whether I will even be a good doctor. I think I have come out on the side of  “I hope to someday be a good doctor,” but this experience marks the first time in my journey in medicine that I have ever doubted my path. I have wanted to be a doctor for as long as I can remember.

Challenging Moments in Global Health: Inflexible Participants

Written by Professor Harriet Mayanja, previous Dean of Makerere University College of Health Sciences, and Katrin Sara Sadigh, MD, Global Health Fogarty Fellow, Brigham and Women's Hospital Boston/Botswana Harvard Partnership


From a series of discussions about challenging moments in global health, with responses from one global health leader in the Global South and one in the Global North. Please leave us your feedback in the comments section, and send us cases you would like to see discussed.

Wishing You All Happy Holidays and a Prosperous New Year

Written by Sister Jane Frances, Director of St. Francis Naggalama Hospital


St. Francis Naggalama Hospital is honored to be an esteemed partner of the UVMLCOM/WCHN Global Health Program family. Through this partnership, we have felt a burning flame of hope and love as Climb For a Cause raised funds for the Microbiology Unit at Naggalama Hospital. This fundraising effort has not only elevated our facility from national to international recognition, but has also deeply touched our hearts.

An Amazing First Day in Naggalama

Written by Dr. Kira MacDougall, American University College of Medicine Class of 2018


I have had the most incredible first few days here. I am grateful I decided on this elective and could not be happier with my experience thus far. On Tuesday, Gloria and I joined Shaleen on the palliative outreach trip to small villages around Naggalama. Here, palliative care is not just offered to patients with terminal diseases, but also to those with chronic conditions. We went to see our first patient who had what I believe was Burkitt's lymphoma.

Learning from Commonalities and Differences

Written by Dr. Rafael Khalitov, Global Health Scholar from Russia


The differences among healthcare systems around the world is a common topic for observation and research. Several studies have compared the healthcare system in Russia with those in Western countries. Though traditionally ascribed to varying access to resources and technology, differences in healthcare systems are heavily impacted by culture that can define many aspects of health, including disease manifestation, illness perception, treatment receptivity, and level of social support that is often vital for recovery.

Challenging Moments in Global Health: Invitations

Written by Jamidah Nakato, Assistant Lecturer at Makerere University


Challenging moments are an inherent component of global health electives, and can be ascribed to an array of sources including insufficient orientation, unrealistic expectations, unfamiliarity with the culture and way of life, or mismatch between participant and elective. “Challenging Moments in Global Health” aims to address these issues by featuring real cases that have been written by global health coordinators, directors, and leaders over the years. We hope that readers share their responses, thoughts, and personal experiences so that we as a community can learn from each others’ insights.
A participant invited a group of Ugandan doctors out for dinner, but the night took an unexpected turn when he could not settle the humongous bill.

Just a Medical Rotation? Think again! – Part II

Written by Jamidah Nakato, Assistant Lecturer at Makerere University


The Global Health Office once hosted a participant who had difficulty attending the first few clinical and cultural activities because of a physical disability. In the middle of the first week, the office scheduled a cultural excursion to a local witch doctor. Participants were given a background of witch doctors, including how they are perceived, why their services are sought, and what their contribution is to traditional medicine.

Graduation: Part IV

Written by Dr. Judith Lewis, Director of the Psychiatry Residency Training Program at the University of Vermont Larner College of Medicine


The residents were another bright spot to my visit. I met with a dozen of them, and their chatter reminded me of the camaraderie of our own resident group. We had an hour-long discussion about the similarities and differences between our two healthcare systems, them agape at the autonomy and legal rights of our patients to refuse treatment and me agape at their high patient volumes and moonlighting hours needed to “find money” to support themselves.