Rhode Island Hospital

Rhode Island Hospital
A Lifespan,Partner
Emergency Medicine Residents' Association
Local Action Grant SelectionCommittee
Deparimentof Emergency
Medicine
March 11,2012
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To The Emergency Medicine Residents' Association Local Action Grant
SelectionCommittee:
lel 441 144-4247
Fax '1C'l444'6662
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Enclosedpleasefind the proposal for the study, "The Creation of a Trauma
Handbookfor Nicaraguan EmergencyMedicine Residentsat the Lenin
Fonseca and Roberto Calder6n Hospitals. " Over the last year and a half
Dr. Foggle and Dr. Pringle have been in contact with post-graduate
educationalleadersat the Universidad Nacional Aut6noma de Nicaragua Managua. We establisheda formal relationship betweenthe Brown
University Emergency Medicine ResidencyProgram and the Nicaraguan
Emergency Medicine ResidencyProgramsat the Lenin Fonsecaand
Roberto Calder6n Hospitals. Through conversationsand direct clinical
observationboth parties agreethat an initial focus in the areaof trauma
educationwill bring improved medical care to Nicaraguan patients.
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We have already selectedthe trauma topics that will be covered in our
Trauma Handbook; pleaserefer to Appendix A of our proposal. The first
edition of the Trauma Handbook will be a collaborative effort by seven
Brown Emergency Medicine Residents. Each residentwill create 1-3
chaptersof the book by June and will review the contentsof the book with
our project faculty mentors, Drs. Foggle and Partridge. In September,the
book will be translatedto Spanishand bound, and during the last two
weeks of October, Dr. Mackey will formally introduce the handbook to our
Nicaraguan colleagues. We believe that we have the correct amount of
mentorship as well as the perfect number of resident involvement to make
this projecta success.
The creation of educationaltools basedon evidence-basedmedicine also
perfectly aligns with EMRA's mission. Although this grant does not
directly servethe cornmunity where we live, we consider ourselvesto be
global citizens, and believe that this grant applies to this project. We hope
you support us as we help improve emergencymedicine in a global venue
and collaboratewith our Nicaraguan colleaguesin educationalendeavors.
We look forward to your review.
Pringle MD
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Joy Mackey MD
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EMRA Local Action Grant Proposal Template
Please submit along with your application, cover letter and CVs of the primary applicant(s) to the
EMRA Awards Coordinator by mail: 1125 Executive Circle, Irving TX 75038, fax: 972.580.2928, or
email: awards@emra.org
Name of Local Group: Brown Nicaragua Emergency Medicine Committee
Contact Person: Kimberly Pringle MD & Joy Mackey MD
Address: 593 Eddy Street Claverick 271 Providence, RI 02904
Phone Number: (401) 444-6489
E-mail: Kimberly.pringle@gmail.com; mackeyjoy@gmail.com
Brief description of project, budget, and schedule for completion:
Project Title: The Creation of a Trauma Handbook for Nicaraguan Emergency
Medicine Residents at the Lenin Fonseca and Roberto Calderón Hospitals.
Background and Significance:
Nicaragua has a 3-tiered healthcare system: private health care, the Nicaraguan Social Security Institute,
and public facilities. Its healthcare system remains underequipped and understaffed with just 4 doctors
per 10,000 citizens (1). Public facilities treat 90% of the population as the Private and Social Security
facilities serve wealthy or government and salaried individuals (2). Although communicable diseases
are a major cause of morbidity and mortality for low and middle-income countries, the Global Burden of
Disease and Risk Factors study predicts that injuries account for 20% of ill health in the world (3). In
fact, it is estimated that 90% of injury deaths occur in low- and middle-income countries, contributing to
the vicious cycle of poverty where the cost of caring for these victims can be devastating to individuals,
communities, and societies (4).
Disorganized urban growth, man-made disasters and epidemics of violence increasingly produce injured
Nicaraguans. Although incomplete, Nicaraguan Ministry of Health data estimates that injuries account
for 13% of deaths in all age groups (5). An injury surveillance system enrolling children < 15 years of
age stated that falls, blunt force trauma, and transport-related accidents were the top three causes of
trauma (5). An occupational surveillance system identified falls, blunt objects, and stabs/cuts as the
leading mechanisms for work related injuries. (6). Finally, community violence and intra-familiar
violence constituted the most commonly filed medical legal reports with the Nicaraguan police
department (7). Trauma is the top cause for years of productive life lost in Nicaragua (8).
Brown University has a new formally established relationship with two large public emergency
departments, Hospital Lenin Fonseca and Hospital Roberto Calderon, in Managua, Nicaragua. The
purpose of this relationship is to not only give our residents a language immersion and venue to practice
emergency medicine in a resource poor setting, but to also help improve healthcare capacity by
providing education to emergency medicine healthcare providers at these hospitals. Over the course of
two site visits and email correspondence over the last year and a half, hospital leaders have consistently
identified trauma education as an area of need.
Description of Project:
In March 2012 Dr. Pringle will rotate in Nicaragua and perform a resource assessment based on the
World Health Organization Guidelines for Essential Trauma Care (9). With this information along with
a thorough review of Advanced Trauma Life Support guidelines and Rhode Island Hospital’s Trauma
Handbook, and the Emergency Medicine and Trauma literature, the Brown-Nicaragua EM committee,
currently composed of seven residents, will develop a trauma handbook tailored to systematically
identifying and stabilizing injuries with the resources available in the Lenin Fonseca and Roberto
Calderón Hospitals. Please see Appendix A for a list of trauma handbook topics. The Brown Nicaragua
Emergency Medicine Committee’s two faculty mentors, Dr. John Foggle and Robert Partridge, will
review and approve the content in the trauma handbook.
Budget:
Trauma
Manual
Design
&
Implementation
Costs
$0
Translation
into
Spanish
$690
(free,
will
be
volunteer­driven
by
the
Brown­Nicaragua
EM
Committee)
200
words/page
x
20
pages
at
$0.15/word
with
15%
target
word
mark­up
Printing
&
Binding
30
manuals
x
$10/manual
TOTAL
$300
$990
Timeline:
March 2012: Dr Pringle performs a trauma specific site assessment at the Lenin Fonseca and Roberto
Calderon Hospitals.
April 2012: The seven residents in the Brown Nicaragua Emergency Medicine Residency Committee
select 2 trauma topics.
April 2012-June 2012: Residents create their Trauma Handbook Chapter tailored to the resources
available to our Nicaraguan colleagues based upon ATLS, our Rhode Island Hospital Trauma
Handbook, and a thorough literature review.
July-August 2012: The seven Brown Nicaraguan Emergency Medicine Committee members will set up
individual meetings with Drs Foggle and Partridge to review their lecture content.
September 2012: The trauma handbook is translated to Spanish for our Nicaraguan colleagues.
October 14 – 30, 2012: Trauma Handbook will be given to our Nicaraguan Resident-Colleagues when
Dr. Joy Mackey travels to Nicaragua for her second year elective. During her elective period, Dr.
Mackey will also hold a conversation hour at each hospital where Nicaraguan Residents can ask
questions and make suggestions for the next edition of the Trauma Handbook. We would welcome their
involvement in subsequent editions.
How is this project consistent with EMRA's Mission: EMRA promotes excellence in patient
care through the education and development of emergency medicine residency trained physicians.
This project aligns perfectly with EMRA’s mission because it will provide direct education to our
Nicaraguan Emergency Medicine colleagues. Many of the Attending Physicians in the Lenin Fonseca
and Roberto Calderón Emergency Departments received their residency training in Internal Medicine.
Therefore, through conversations with attendings and residents as well as during clinical observations
during our first site assessment, we learned that Trauma Care is an area where we could have a positive
impact on patient care. Nicaraguan physicians were also quick to identify that English literature is much
more advanced than Spanish literature in our specialty. They were very interested in having evidence
based guidelines or rules on how to manage trauma.
Who will be responsible for completing the project?
Dr. Kimberly Pringle and Dr. Joy Mackey will be responsible for getting the project completed. The
resident members of the Brown Nicaragua Emergency Medicine Committee and our faculty mentors,
Dr. Foggle and Partridge will also play an important role to seeing this project to completion. Finally,
our Nicaraguan colleague, Dr. Romero, is aware and supportive of this project.
How will EMRA's support be acknowledged?
EMRA will be noted on the cover and in the acknowledgement section of the Trauma Handbook.
Without funding from EMRA this project will not be possible.
What tax exempt entity will serve as administrator for the grant? Please provide EMRA
with the name of the tax-exempt entity (ACEP Chapter, Residency Program, Medical School, e.g.) who
has indicated their willingness to serve as administrator for these grant funds should the grant be
awarded. This will ensure that income taxes will not apply to your grant funding. Attach a letter from
the organization or complete the information below:
Tax-Exempt Organization (this name will appear in the Payable to: line of your grant check):
Rhode Island Hospital
Contact:
Sara Bomberger
Address (where the grant check will be mailed):
111 Plain St., 2nd floor, Providence, RI 02903
References:
1. CIA World Factbook 2010 https://www.cia.gov/library/publications/the-worldfactbook/geos/nu.html Accessed 1/2/12.
2. Merril, T, ed. Nicaragua: A Country Study. Washington: GPO for the Library of Congress, 1993.
Accessed 1/2/12.
3. Razzak J and Kellermann A. Emergency medical care in developing countries is it worthwhile?
Bulletin of the World Health Organization 2002; 80(1): 900-905.
4. Gosselin R, Spiegel D, Coughlin R, Zirkle L. Bulletin of the World Health Organization.
Injuries: the neglected burden in developing countries.
http://www.who.int/bulletin/volumes/87/4/08-052290/en/index.html Accessed: 1/2/12.
5. Martínez M, Rocha J, Clavel-Arcas C and Mack K. Nonfatal unintentional injuries in children
aged <15 years in Nicaragua. International Journal of Injury Control and Safety Promotion 2010;
17(1): 3-11.
6. Noe R, Rocha J, Clavel-Arcas C, Aleman C, Gonzales ME, Mock C. Occupational injuries
identified by an emergency department based injury surveillance system in Nicaragua. Injury
Prevention 2004; 10: 227-232.
7. Boletín Estadístico Mensual. Corte Suprema de Justicia Instituto de Medicine Legal Nicaragua.
(1) 2009 http://www.poderjudicial.gob.ni/arc-pdf/iml_ene09.pdf Accessed 1/2/12.
8. Gaitan M, Mendez W, Sirker N, Green G. Growing Pains: Status of Emergency Medicine in
Nicaragua. Annals of Emergency Medicine 1998; 31(3): 402-405.
9. Mock C, Lormand JD, Goosen J, Joshipura M, Peden M. Guidelines for essential trauma care.
Geneva,World Health Organization, 2004.
Appendix A:
1. Introduction to pre-hospital care and trauma at Rhode Island Hospital
2. Triage
3. Primary Survey
4. Problem solving road blocks in the Primary Survey
a. Difficult Airway
b. Needle decompression with subsequent chest tube
c. Foley Catheter and Nasogastric tube
d. Chest X-Ray
5. Secondary Survey
a. History
b. Physical Exam
6. Shock Pathophysiology and Management
7. Thoracic Trauma (Blunt and Penetrating)
8. Abdominal and Pelvic Trauma (Blunt and Penetrating)
9. Head Trauma
10. Spine and Spinal Cord trauma
a. C-spine immobilization
b. Clinically clearing C-spine in a resource poor setting
11. Musculoskeltal trauma
12. Ocular Trauma
13. Burns
14. Pediatric Trauma
15. Elderly Trauma
16. Trauma in Women
17. Summary
KIMBERLY PRINGLE
Kimberly.Pringle@gmail.com
(717) 875-4464
Address:
255 Promenade St
Apt 150
Providence, RI 02908
EDUCATION:
2009 – Present Brown University Emergency Medicine Resident: PGY-3
Providence, RI
2004 - 2009
Jefferson Medical College
Philadelphia, PA Doctor of Medicine
2000 – 2004
Cornell University: College of Arts and Sciences
Ithaca, NY
Bachelor of Arts earned May 2004; GPA: 3.73
Double Major: Biology & Society and Psychology
AWARDS:
Feb 2011
University Emergency Medicine Foundation Resident Research
Providence, RI Grant: To study race, ethnicity and language in the RIH ED.
Sept 2009
American College of Emergency Physicians Medical Student
Boston, MA
Service and Professionalism Award: Awarded to a medical student
Who shows outstanding patient care and commitment to the community
May 2009
Philip J. Wolfson, MD Memorial Prize for Leadership: awarded to
Philadelphia, PA one graduating senior who demonstrated outstanding leadership
Feb 2009
O.C. Hubert Student Fellowship in International Health: One of
Egypt
18 students from 90 applicants to work with a CDC mentor studied
Hospital acquired infections in Jordan and Egypt
2007
Infectious Disease Society of American Summer Scholarship
Guatemala
Selected based on a research proposal based on a Cost Analysis of
Diarrhea to the Public Healthcare System in rural Guatemala
2007
Arnold P. Gold Foundation Student Summer Research Fellowship
Guatemala
Selected based a submitted proposal dealing with cultural competency
2006
American Medical Association Scholars Fund Recipient: Award
Philadelphia,PA given to 4 people, nominated and selected by Deans
2005
Excellence in Professionalism: Voted by my class (2008) as the
Philadelphia, PA person who aspires to altruism, accountability, duty, service, honor,
and integrity
2005
Foerderer Scholarship Recipient: Awarded a competitive
Guatemala
scholarship to fund a medical experience abroad to live with a host
family, take medical Spanish and volunteer in the local public health
clinic
2004
Cornell University Baccalaureate Service Award: 45 students in the
Ithaca, NY
Arts and Sciences who have especially demonstrated intellectual
integrity, a commitment to a pluralistic community, excellence in
scholarship and active citizenship.
RESEARCH EXPERIENCE
Spring 2009
Center for Disease Control and Prevention: Mentor: Dr Erica
Cairo, Egypt
Dueger: Assisted in designing and monitoring projects for hospital
Amman, Jordan acquired infections in healthcare workers and in Intensive Care Units.
2007 – 2008
Johns Hopkins Bloomberg School of Public Health and Center for
Guatemala
Disease Control and Prevention: Mentors: Drs Erica Dueger and
Kimberly Lindblade: Clinical Research: I found a public health mentor
abroad, wrote two grants, and took a leave of absence from Jefferson
Medical College to pursue an interest in international medicine, public
health and personal enrichment.
• A cost comparison during seasonal variation of an acute episode of
diarrhea for families and the public health system in rural
Guatemala
• Understanding the Social-Cognitive Factors Related to Compliance
and Non-compliance to Massive Drug Administration of Ivermectin
in Areas Endemic with Oncochercosis (Data Analysis in Progress)
• Follow-up Study of Reported Acute Flaccid Paralysis in the
Department of Santa Rosa, Guatemala
• Community Surveillance Project for Diarrhea, Respiratory and
Febrile Illnesses in the Department of Santa Rosa. (Project
Assistant)
• Epidemiology and Etiology of Acute Flaccid Paralysis in
Guatemala (Project Assistant)
Summer 2003 Cornell Undergraduate Research Training Program in Biodiversity
Brazil
Mentor: Dr Terence Turner: Anthropology Research: spent summer
Living in an indigenous village; learned to create a standardized
Questionnaire, use of a translator, and wrote a research paper:
Integration of Traditional and Western Medical Practices an Ideas
Among the Kayapó.
PUBLICATIONS:
Beaudoin F, Pringle K. Ankle Fractures. 2013 5 Minute Clinical Consult. In Domino, FJ
(Ed), The 5 Minute Clinical Consult. (in Press)
Pringle K. et al. Comparing the accuracy of three popular clinical dehydration scales in
children with diarrhea. International Journal of Emergency Medicine. 2011, 4:58.
Beaudoin F, Pringle K. (2011) Ankle Fractures. In Domino, FJ (Ed), The 5 Minute
Clinical Consult. (70-71). Philadelphia: Lippincott Williams & Wilkins.
Pringle K. In Aschkensy et al (Eds). International Emergency Medicine: A Review of
the Literature from 2010. Academic Emergency Medicine 2011; 18:872-8791.
Pringle K, Daulaire S, et al. Health Care Resources for Rhode Island Immigrants.
Medicine and Health Rhode Island. 2010 93(3): 71 - 73
Daulaire S, Pringle K, et al. Legal and Cultural Resources for Rhode Island Immigrants.
Medicine and Health Rhode Island 93(3): 74 - 76
Pringle K, Studdiford J, Tully A. What is your Diagnosis? Phytophotodermatitis. Cutis.
2010 June; 85(6): 282, 291-2.
Sejvar JJ, Lindblade KA, Arvelo W, Padilla N, Pringle K, Zielinski-Gutierrez E, Farnon
E, Schonberger LB and Dueger E. Clinical Assessment of Self-Reported Acute Flaccide
Paralysis in a Population-Based Setting in Guatemala. Am J Trop Med Hyg April
2010 82:712-716.
Pringle, K. A Commentary on Social Justice and Medical Professionalism. In:
Spandorfer J, Pohl C, Nasca T, Rattner S, eds, Professionalism in Medicine: A CaseBased Guide for Medical Students. New York: Cambridge University Press 2010.
Pringle, K. Descriptions of Angioneurotic Edema, Viral Parotitis and Varicella. In:
Studdiford J, Atlshuler M, Salzman B, Tully A, eds. Images from the Wards: Diagnosis
and Treatment. Philadelphia: Elsevier. 2010
SCIENTIFIC PRESENTATIONS:
October 2011
American College of Emergency Physicians: Poster Is self-perceived
San Francisco,CA HIV Risk congruent with reported HIV risk amont adult emergency
Department patients?
June 2010
Society of Academic Emergency Medicine: Poster The Accuracy of
Boston, MA
The 3 Popular Clinical Dehydration Scales in Children With Diarrhea.
Dec 2008
American Tropical Medicine and Hygiene Conference: Poster
New Orleans, LA Seasonal Variation in Cost of an Acute Episode of Diarrhea in
Children ≤ 5 In Rural Guatemala
Nov 2007
American Tropical Medicine and Hygiene Conference: Follow-up
Philadelphia, PA study regarding acute flaccid paralysis in the Department of Santa
Guatemala was presented by the team leader
Nov 2006
American Public Health Association Conference: I presented work
Boston, MA
from JeffDiabetes entitled “Diabetes Self Management Program in a
Male Homeless Sheltered Population.
LEADERSHIP AND VOLUNTEER EXPERIENCE:
2011 – Present Doctoring Mentor: Teaching and introducing a second year medical
Providence, RI Student to the clinical setting.
2010 – Present Rhode Island Free Clinic Volunteer: Provide healthcare under
Providence, RI attending supervision bimonthly.
2009-2010
Member Emergency Medicine Resident Association: International
Providence, RI Committee: Review and summarize Emergency Medicine
International Medical literature;
Help facilitate desirable EM experiences abroad.
2006 – 2009
Founder and Co-Chair 3rd and 4th Year Liaison Program:
Philadelphia, PA Developed a program to enhance students’ learning experiences by
providing a conduit of communication between clerkship directors and
student liaisons; over see presentations to Curriculum Committee;
Create a comprehensive analysis of the core clerkships in “First Aid for
the 3rd Year” given to upcoming 3rd year students
2005 – 2007
Co-Chair of the Student Portion of the Liaison Committee on
Philadelphia, PA Medical Education (LCME) Report and Site Visit: Lead a group of
11 students in designing, administering and analyzing the responses of
Jefferson Medical Students regarding academics and student life;
Represented Jefferson at the Site Visit lunch
2005 – 2006
Co-Founder JeffDiabetes: Group that designed a diabetes educational
Philadelphia, PA curriculum for homeless shelter residents after holding focus groups;
developed an attitudes and knowledge questionnaire; met with
homeless shelter director; the curriculum was implemented for one
cycle of teaching and the results presented at the American Public
Health Conference
2005—2006
Co-Chair 1st and 2nd Year Liaison Program: Selecting and
Philadelphia, PA organizing the 1st and 2nd year liaisons, assisting with curriculum
committee presentations, providing a conduit for improving student
learning in the pre-clinical years
2005 – Present Member of the Professional Conduct Committee: Composed of 20
Philadelphia, PA students elected by their classmates to promote professionalism within
the school, field complains of professionalism breeches and hold
hearings with the student(s) involved; communicate opinion with
Promotions Committee and Dean’s Office
Spring 2003
Orphanage Outreach: Taught 3rd and 4th grade orphans English near
Dominican Rep. the Haitian border and lived on the roof of the orphanage
EMPLOYMENT:
2005 – 2007
Residential Advisor: Employer; Patricia Cristiano. Selected from a
Philadelphia, PA competitive pool of students after a paper application and 2 interviews;
exercised creativity in building a community at Thomas Jefferson
University; attended weekly RA meetings, took call for 2 weeks each
semester, handled emergencies or conflict among residents/staff
LANGUAGES:
Spanish: Fluent, non-native speaker
JOY M. MACKEY
57 Olney Street Unit 3
Providence, RI 02906
(832) 244-6029
mackeyjoy@gmail.com
EDUCATION
Brown Emergency Medicine Residency Program Providence, RI (2011-Present)
Post-Graduate Training in Emergency Medicine, currently PGY1
Baylor College of Medicine, Houston, TX (2007-2011)
M.D. degree, May 2011 with completion of both the International Health and Care of the Underserved tracks.
Florida State University, Tallahassee, Fl (2005-2007)
Post-Baccalaureate Studies in Biology, President’s List.
Westmont College Santa Barbara, CA (1996-2000)
B.S. in Biology, Chemistry and English, Cum Laude.
HONORS AND AWARDS
Medical School
Nominated to Alpha Omega Alpha (August 2010).
Edgar King Scholarship, Baylor College of Medicine 2010-2011.
Judge E.E. Townes Memorial Scholarship, Baylor College of Medicine 2008-2010.
J.E. Foster Scholarship, Baylor College of Medicine 2007-2010.
Undergraduate & Post-Baccalaureate
American Cancer Society James R. Fisher Summer Research Fellowship, 2006.
Sigma Tau Delta, International English Honors Society, 2000.
Omnicron Delta Kappa, International Leadership Honors Society, 1998.
President’s Scholarship and Honors at Entrance, Westmont College, 1996-2000.
PROFESSIONAL EXPERIENCE
Ecologist, Biological Research Associates, Tallahassee, FL, 2000-2007
• Project manager overseeing the implementation of water quality assessments and environmental
permitting in northwest Florida. My work focused on water quality monitoring in freshwater and
estuarine systems, aquatic restoration, and wetland permitting. This work often involved working long
hours in inclement weather conditions. I also served as the QA/QC manager for several other projects,
led water quality monitoring teams in the field, and trained new staff.
RESEARCH EXPERIENCE
Research Assistant (Post-Baccalaureate), Florida State University 2005-2007
• Characterized filopodia-like structures in Ascaris sperm by immunofluorescence labeling and
pharmacological approaches in combination with quantitative light and confocal microscopy. Advisor:
Thomas Roberts, PhD. Department of Biology, Florida State University.
1
PUBLICATIONS
Miao L, Yi K, Mackey JM, Roberts TM. Reconstitution in vitro of MSP-based filopodium extension in
nematode sperm. Cell Motil Cytoskeleton. 2007 Apr;64(4):235-47.
PROFESSIONAL MEMBERSHIPS
American College of Emergency Physicians, International EM Section (2011-Present)
Emergency Medicine Residents Association (2010-Present)
American Medical Student Association (2007-2011)
American Medical Association (2007-2011)
Florida Association of Environmental Professionals (2005-2007)
ACTIVITIES
Residency
Brown-Nicaragua EM Resident Committee 2011-Present
Brown Residency Advisory Committee 2011-Present
Medical School
International Health Track, 2007-2011
Care of the Underserved Track, 2007-2011
Medical Volunteer, Houston Marathon, January 2010
Professionalism Appraisal and Competency Evaluation (Faculty Committee) at BCM, 2008-2011
Co-Chair, 3rd Annual Community Health Day, September 2008
Medical Volunteer, HOMES Clinic 2007-2008 (free clinic for Houston’s homeless)
Medical Volunteer, 2nd Annual Community Health Day, October 2007
Undergraduate & Post-Baccalaureate
Medical Volunteer, South Georgia Farmworkers Health Project, Bainbridge, GA, 2006-2007 (annual outreach
project providing free medical care to >1500 migrant and seasonal farmworkers)
Medical Volunteer, Gadsden Medical Clinic, Quincy, FL, 2006-2007 (underserved clinic)
Chair, Migrant Health Committee, Alpha Epsilon Delta, Tallahassee, FL 2005-2007
Medical Volunteer, Caribbean American Medical Educational Organization, Belize, June 2005
Volunteer, Big Bend Hospice, Tallahassee, FL 2003-2007
Sexual Assault Advocate and Crisis Counselor, Refuge House, Tallahassee, FL 2002-2007
Maternal & Child Health Internship, Belmopan Hospital Public Health Department, Belmopan, Belize AugDec 1999
SIGNIFICANT COURSEWORK (beyond traditional medical curriculum)
Away Elective in Emergency Medicine, Vanderbilt University School of Medicine (August 2010)
Sports Medicine Clinical Elective at Texas Children’s Hospital (July 2010)
Clinical Surgical Elective at Southern Regional Hospital, Dangriga, Belize (March 2010)
LACE: Underserved Pathway: preceptor component spent at HIV/AIDS clinic for the Harris County Hospital
District (2009-2010)
Outside the Traditional Curriculum: Physician as Advocate (2008)
Wilderness Training-Trauma & Medical Issues (2008)
HOBBIES AND OUTSIDE INTERESTS
Traveling, British theatre, hiking, camping, gardening, cooking, home improvement projects
2
Rhode Island Hospital
A Lifespan Partner
Department
of Emergency
Medicine
EmergencyMedicine Residents' Association
Local Action Grant SelectionCommittee
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P rovi dsnce.
March 7-2012
EmergencyMedicine ResidentAssociation Local Action Grant
SelectionCommittee:
I am writing to communicate my enthusiastic support for Dr.
Kimberly Pringle and Dr. Joy Mackey's reseatchproject, "The
Creation of a Trauma Handbookfor Nicaraguan Emergency
Medicine Residentsat the Lenin Fonsecs and Roberto Calderdn
Hospitals. " I am also the lead physician contact for the budding
Brown-Nicaragua EmergencyMedicine program. I have beento
Nicaraguatwice (November 2010 and 20ll). Through my meetings
with our Nicaraguan colleaguesI can confirm their enthusiasmto
receive trauma training from our faculty. Although the Roberto
Calderon and Lenin FonsecaHospitals, the two public hospitals
where our faculty and residentswill be teaching and training, see
significant amounts of both blunt and penetrating trauma, few of
their attending physicians have formal trauma training.
Tel 4l'i t44-;12.17
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I will be available this summerto meet with residentsfrom the
Brown-Nic araguaEmergencyMedicine eommittee and review their
evidencedbasedtrauma chapters. I hope that with a quick pocket
referencewritten in Spanish,which will be basedon information
collected in the emergencymedicine and trauma surgery literature,
will help Nicaraguanresidentsgive improved care to their trauma
patients. I also hope that future editions will serve as a platform for
future collaboration between the Nicaraguan Emergency Medicine
residentsand the Brown University residents.
Sincerely,
JohnL. Foggle,MD, MBA
Brown
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Creation of a Trauma Handbookfor Nicaraguan Emergency axsisra.nffyre"s2ar
MedicineResidentsat the Lenin Fonsecaand Robertocaiderin
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Hospitals." I am very involved in this program and am visiting
the site MarchL9 - 23,20L2. Duringmy visit I will familiarize
myself with the resourcesavailable,working clinically, and
giving lecturesto Nicaraguanresidentsand medical students.
This will put me in the perfectposition to mentor residentsof
the Brown-NicaraguaEmergencyMedicine Committeein the
creationof their TraumaHandbookChapter.
I will be availablethis summerto meet with individualsand assist
them with their literature searchand summaryof pertinent trauma
literature. We hope that a trauma reference will help our
Nicaraguancolleaguesgive more organized and evidence-based
traumacare.
Drs. Pringle and Mackeyhave my whole-heartedsupport in their
NicaraguanTraumaHandbookendeavor.
Sincerely,
lvR
RobPartridgeMD
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Brown
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