2016 Update: A Lasting Solution for Healthcare in Mozambique

Mozambique highlighted on a map of Africa There is a critical shortage of practicing doctors and medical educators in Mozambique, where the life expectancy is less than 42 years and the rate of HIV infection in adults is 16%. UC San Diego is teaming with the nation’s flagship medical school to create a long-term solution.

Mozambique’s Universidade Eduardo Mondlane (UEM) and UCSD have won a five-year, $12.5-million award from the U.S. Medical Education Partnership Initiative (MEPI). The project will strengthen the nation’s medical education system by building infrastructure in several ways.


“We hope this will be a demonstration project for the rest of Africa.”
— Dr. Robert Schooley


Dr. Emilia Virginia Noormahomed, a co-investigator on the UCSD-UEM MEPI project.UEM’s principal investigator is Emilia Virginia Noormahomed, MD, PhD, a former dean of the UEM School of Medicine. Dr. Noormahomed (pictured at left) is now Assistant Professor of Parasitology at UEM and Assistant Professor of Medicine at UC San Diego.

Sam Patel, MD, Professor of Medicine at UEM and UC San Diego, is a co-investigator. In the photo below, he is pictured on the right.

View photo captions and credits

Dr. Bill Detmer, at left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, M.D., co-investigator on the MEPI project, is Professor of Medicine at UEM and UCSD. Bill Detmer, M.D., M.Sc., a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine.

MEPI is a joint initiative of the National Institutes of Health and the President’s Emergency Plan for AIDS Relief (PEPFAR). Under the MEPI program, UEM receives the bulk of the funding and uses it to build capacity in medical training, research, and technology.

A smaller amount of funding comes directly to UC San Diego, supporting time and travel for the partners and mentors who will help UEM meet its goals.

M. Wilson Tilghman, M.D., UCSD’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UCSD-UEM project goals.“This is an experiment in medical education for UEM and for the U.S. government,” said Robert “Chip” Schooley, MD, who is coordinating the UC San Diego side of the project. “It puts the funding into the hands of the African universities and allows them to invest it in ways that are beneficial to them.”

Dr. Schooley is Professor and Academic Affairs Vice Chair in the Department of Medicine and Chief of the Division of Infectious Diseases.

“I’m hopeful this will become a model for other kinds of aid,” he said.

Dr. Schooley and colleague Constance Benson, MD, have long experience in partnering with Mozambique and other African nations, and they have collaborated with Dr. Noormahomed in research projects for several years. Dr. Benson is Professor of Medicine, Director of the UC San Diego Antiviral Research Center, and Director of the Fellowship Program in Infectious Diseases.

The UEM-UCSD MEPI project expands some of the educational efforts that have been going on since July 2009 in the Internal Medicine Residency Program’s Global Medicine elective.

UC San Diego’s visiting faculty and residents have helped UEM adopt academic medical practices such as morning report and teaching conferences that strengthen the educational program.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

The MEPI partnership relies heavily on biomedical informatics to accomplish its goals. This component of the program is led by Lucila Ohno-Machado, MD, PhD, Professor of Medicine and Chief of UC San Diego’s Division of Biomedical Informatics. The division will provide expertise for the partnership’s information technology projects.

Dr. Kathy Promer, a 2013 graduate of the UC San Diego Internal Medicine Program, is the current infectious diseases fellow at UC San Diego on rotation at UEM’s Maputo Central Hospital. In the photo below, she is standing, second from the right.

Dr. Kathy Promer (standing, second from the right), 2013 Graduate of the UCSD Internal Medicine Program and current infectious diseases fellow at UCSD on rotation at UEM’s Maputo Central Hospital.

Smartphones and iPad mobile digital devices have been deployed on the wards at Maputo Central Hospital, UEM’s primary teaching hospital and the only tertiary care center in Mozambique. With these devices, the Mozambican doctors are able for the first time to consult online medical literature at a patient’s bedside. Soon they will have immediate access to data generated by the hospital’s clinical laboratories.

“These efforts really have changed the character of the residency program at Maputo Central Hospital,” said Dr. Schooley.

Through training and partnership with UC San Diego, UEM will also increase its capacity to do operational, epidemiological, translational and clinical research. Another program goal calls for UEM to set up a biomedical informatics infrastructure and connect with SEACOM, the new fiber optic broadband internet service in South and East Africa.

Students in UEM medical school class.UEM will also take steps to enhance its support of two new medical schools recently established by the Mozambican government in Nampula and Tete. These two new medical schools were launched in the past 3 years to address the profound shortage of physicians in the country.

Another key UC San Diego figure in the project is Stephen Bickler, MD, who will work to improve the nation’s surgical capacity in rural areas via a linked MEPI project, “UEM-UCSD Surgery Partnership.” Dr. Bickler is Associate Professor of Surgery and Pediatrics.

A number of other UC San Diego faculty members will contribute to the MEPI effort as well.

Medical school class   UCSD internal medicine resident Dr. Bethany Karl

Above left, a medical school class at Universidade Eduardo Mondlane. Right, Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital. Dr. Karl graduated from the UC San Diego Internal Medicine Program in 2010 and is currently a nephrology attending. Photo courtesy of Robert T. Schooley, MD

Project leaders expect to double the number of graduating doctors in Mozambique in the next 10 years. They also hope to inspire more doctors to devote their careers to medical education.

With a greater number of highly-trained doctors and a better infrastructure to support them, Mozambique will increase its capacity to deliver health care to its citizens and to fill the faculties of two new medical schools in Nampula and Tete.

The doctors training today in Mozambique will be the specialists, medical school faculty members, and government Ministry of Health policymakers of the future.

“We hope this will be a demonstration project for the rest of Africa,” Dr. Schooley said.

Read the UC San Diego News press release about our MEPI project.

Read about the project in “The Great Beyond,” Nature magazine’s blog
for breaking news in the sciences.


Photo Captions and Credits:

Dr. Emilia Virginia Noormahomed, co-principal investigator on the UCSD-UEM MEPI project.Dr. Emilia Virginia Noormahomed, co-principal investigator on the UC San Diego-UEM MEPI project. Photo courtesy of William M. Detmer, MD, MSc.

Drs. Detmer, Tomás, and PatelDr. Bill Detmer, left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, MD, co-investigator on the MEPI project, is Professor of Medicine at UEM and UC San Diego. William M. Detmer, MD, MSc, a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine. Photo courtesy of Dr. Detmer.

Dr. Tilghman and Mozambican residentM. Wilson Tilghman, MD, UC San Diego’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UC San Diego-UEM project goals. Photo courtesy of Robert T. Schooley, MD.

MEPI biomedical informatics team members at October conference at UEM in Maputo. MEPI biomedical informatics team members at October conference at UEM in Maputo. From left: Lucila Ohno-Machado, MD, PhD; Eli Aronoff-Spencer, MD, senior postdoctoral fellow in infectious diseases at UC San Diego; Eng. David Bila, Network Director for the Informatics Center at UEM; Heimar de Fátima Marin, RN, PhD, Professor of Health Informatics at Universidade Federal de São Paulo; and Eng. Francisco Mabila, Director of the Informatics Center at UEM. Photo courtesy of William M. Detmer, MD, MSc.

Dr. Kathy Promer (standing, second from the right), is a 2013 graduate of the UC San Diego Internal Medicine Program and is the current infectious diseases fellow at UC San Diego on rotation at UEM’s Maputo Central Hospital.

Students in a medical school class at UEM.Students in a medical school class at UEM. Photo courtesy of William M. Detmer, MD, MSc.

A medical school class at UEM.A medical school class at UEM. Photo courtesy of William M. Detmer, MD, MSc.

UCSD internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital.UC San Diego internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital. Photo courtesy of Robert T. Schooley, MD.

Trademark Credit Notices:

iPad is a trademark of Apple Inc., registered in the U.S. and other countries.

A Lasting Solution for Healthcare in Mozambique

Mozambique highlighted on a map of Africa There is a critical shortage of practicing doctors and medical educators in Mozambique, where the life expectancy is less than 42 years and the rate of HIV infection in adults is 16%. Now, UCSD is teaming with the nation’s flagship medical school to create a long-term solution.

Mozambique’s Universidade Eduardo Mondlane (UEM) and UCSD have won a five-year, $12.5-million award from the U.S. Medical Education Partnership Initiative (MEPI). The project will strengthen the nation’s medical education system by building infrastructure in several ways.


“We hope this will be a demonstration project for the rest of Africa.”
— Dr. Robert Schooley


Dr. Emilia Virginia Noormahomed, a co-investigator on the UCSD-UEM MEPI project.UEM’s principal investigator is Emilia Virginia Noormahomed, M.D., Ph.D., a former dean of the UEM School of Medicine. Dr. Noormahomed (pictured at left) is now Assistant Professor of Parasitology at UEM and Assistant Professor of Medicine at UCSD.

Sam Patel, M.D., Professor of Medicine at UEM and UCSD, is a co-investigator. In the photo below, he is pictured on the right.

View photo captions and credits

Dr. Bill Detmer, at left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, M.D., co-investigator on the MEPI project, is Professor of Medicine at UEM and UCSD. Bill Detmer, M.D., M.Sc., a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine.

MEPI is a joint initiative of the National Institutes of Health and the President’s Emergency Plan for AIDS Relief (PEPFAR). Under the MEPI program, UEM receives the bulk of the funding and uses it to build capacity in medical training, research, and technology.

A smaller amount of funding comes directly to UCSD, supporting time and travel for the partners and mentors who will help UEM meet its goals.

M. Wilson Tilghman, M.D., UCSD’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UCSD-UEM project goals.“This is an experiment in medical education for UEM and for the U.S. government,” said Robert “Chip” Schooley, M.D., who is coordinating the UCSD side of the project. “It puts the funding into the hands of the African universities and allows them to invest it in ways that are beneficial to them.”

Dr. Schooley is Professor and Academic Affairs Vice Chair in the Department of Medicine and Chief of the Division of Infectious Diseases.

“I’m hopeful this will become a model for other kinds of aid,” he said.

Dr. Schooley and colleague Constance Benson, M.D., have long experience in partnering with Mozambique and other African nations, and they have collaborated with Dr. Noormahomed in research projects for several years. Dr. Benson is Professor of Medicine, Director of the UCSD Antiviral Research Center, and Director of the Fellowship Program in Infectious Diseases.

The UEM-UCSD MEPI project expands some of the educational efforts that have been going on since July 2009 in the Internal Medicine Residency Program’s Global Medicine elective.

UCSD’s visiting faculty and residents have helped UEM adopt academic medical practices such as morning report and teaching conferences that strengthen the educational program.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

MEPI biomedical informatics team members at October conference at UEM in Maputo.

The MEPI partnership relies heavily on biomedical informatics to accomplish its goals. This component of the program is led by Lucila Ohno-Machado, M.D., Ph.D., Professor of Medicine and Chief of UCSD’s Division of Biomedical Informatics. The division will provide expertise for the partnership’s information technology projects.

UCSD infectious diseases fellow Eli Aronoff-Spencer, MD (left), and Dr. Manuel Joaquim Tomás, UEM internal medicine resident on hospital ward in Maputo.

Smartphones and iPad mobile digital devices have been deployed on the wards at Maputo Central Hospital, UEM’s primary teaching hospital and the only tertiary care center in Mozambique. With these devices, the Mozambican doctors are able for the first time to consult online medical literature at a patient’s bedside. Soon they will have immediate access to data generated by the hospital’s clinical laboratories.

“These efforts really have changed the character of the residency program at Maputo Central Hospital,” said Dr. Schooley.

Elaine Muchmore, M.D., Professor of Medicine and Director of the UCSD Internal Medicine Residency Training Program, will work closely with UEM to strengthen and expand the Mozambican training programs.

Through training and partnership with UCSD, UEM will also increase its capacity to do operational, epidemiological, translational and clinical research. Another program goal calls for UEM to set up a biomedical informatics infrastructure and connect with SEACOM, the new fiber optic broadband internet service in South and East Africa.

Students in UEM medical school class.UEM will also take steps to enhance its support of two new medical schools recently established by the Mozambican government in Nampula and Tete. These two new medical schools were launched in the past 3 years to address the profound shortage of physicians in the country.

Another key UCSD figure in the project is Stephen Bickler, M.D., who will work to improve the nation’s surgical capacity in rural areas via a linked MEPI project, “UEM-UCSD Surgery Partnership.” Dr. Bickler is Associate Professor of Surgery and Pediatrics.

A number of other UCSD faculty members will contribute to the MEPI effort as well.

Medical school class   UCSD internal medicine resident Dr. Bethany Karl

Above left, a medical school class at Universidade Eduardo Mondlane. Right, UCSD internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital in Mozambique.

Project leaders expect to double the number of graduating doctors in Mozambique in the next 10 years. They also hope to inspire more doctors to devote their careers to medical education.

With a greater number of highly-trained doctors and a better infrastructure to support them, Mozambique will increase its capacity to deliver health care to its citizens and to fill the faculties of two new medical schools in Nampula and Tete.

The doctors training today in Mozambique will be the specialists, medical school faculty members, and government Ministry of Health policymakers of the future.

“We hope this will be a demonstration project for the rest of Africa,” Dr. Schooley said.

Read the UCSD News press release about our MEPI project.

Read about the project in “The Great Beyond,” Nature magazine’s blog
for breaking news in the sciences.


Photo Captions and Credits:

Dr. Emilia Virginia Noormahomed, co-principal investigator on the UCSD-UEM MEPI project.Dr. Emilia Virginia Noormahomed, co-principal investigator on the UCSD-UEM MEPI project. Photo courtesy of William M. Detmer, M.D., M.Sc.

Drs. Detmer, Tomás, and PatelDr. Bill Detmer, left, demonstrates iPad mobile digital device preloaded with medical programs for doctors’ use in the hospital. Dr. Manuel Joaquim Tomás is at center and Dr. Sam Patel at right. Sam Patel, M.D., co-investigator on the MEPI project, is Professor of Medicine at UEM and UCSD. William M. Detmer, M.D., M.Sc., a MEPI project consultant, is Assistant Adjunct Professor of Clinical Informatics at the University of Virginia and President and Chief Executive Officer of Unbound Medicine. Photo courtesy of Dr. Detmer.

Dr. Tilghman and Mozambican residentM. Wilson Tilghman, M.D., UCSD’s on-site faculty member in Mozambique, consults with a UEM internal medicine resident at a patient’s bedside. Instituting the use of wirelessly-accessed medical reference material in the hospital is one of the UCSD-UEM project goals. Photo courtesy of Robert T. Schooley, M.D.

MEPI biomedical informatics team members at October conference at UEM in Maputo. MEPI biomedical informatics team members at October conference at UEM in Maputo. From left: Lucila Ohno-Machado, M.D., Ph.D.; Eli Aronoff-Spencer, M.D., senior postdoctoral fellow in infectious diseases at UCSD; Eng. David Bila, Network Director for the Informatics Center at UEM; Heimar de Fátima Marin, RN, PhD, Professor of Health Informatics at Universidade Federal de São Paulo; and Eng. Francisco Mabila, Director of the Informatics Center at UEM. Photo courtesy of William M. Detmer, M.D., M.Sc.

UCSD infectious diseases fellow Eli Aronoff-Spencer, MD (left), and Dr. Manuel Joaquim Tomás, UEM internal medicine resident on hospital ward in Maputo.UCSD infectious diseases fellow Eli Aronoff-Spencer, MD (left), and Dr. Manuel Joaquim Tomás, UEM internal medicine resident on hospital ward in Maputo. Photo courtesy of William M. Detmer, M.D., M.Sc.

Students in a medical school class at UEM.Students in a medical school class at UEM. Photo courtesy of William M. Detmer, M.D., M.Sc.

A medical school class at UEM.A medical school class at UEM. Photo courtesy of William M. Detmer, M.D., M.Sc.

UCSD internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital.UCSD internal medicine resident Dr. Bethany Karl on rotation at UEM’s Maputo Central Hospital. Photo courtesy of Robert T. Schooley, M.D.

Trademark Credit Notices:

iPad is a trademark of Apple Inc., registered in the U.S. and other countries.

Early Successes: Global Medicine Update from Mozambique

Since it began last summer, the Global Medicine Program at UC San Diego has sent 11 internal medicine residents to Mozambique, sparked several new research projects, and stimulated learning on both sides of this unique international partnership.

The Republic of Mozambique. Map from CIA: The World Factbook.

The Republic of Mozambique.
Map from CIA: The World Factbook.

The Global Medicine Program is a two-way exchange of faculty and residents between UCSD and the Universidade Eduardo Mondlane in Maputo, Mozambique. It is part of the Department of Medicine’s efforts to expand its involvement in global health.

“I think the program has made absolutely incredible progress,” said Dr. Constance Benson, Professor of Medicine and Director of UCSD’s Fellowship Training Program in Infectious Diseases.

Dr. Benson is a faculty director of the program.

During their 3-week stay, the UCSD internal medicine residents rotate through four different wards at Maputo General Hospital. Dr. Michael Preziosi, Clinical Director of the program, serves as faculty attending physician on site in Maputo.

Mozambican internal medicine residents

Mozambican internal medicine residents (left to right) Drs. Clotilde Tilwene, Neusa Jessen, Marilia Vida. Photo by Mike Preziosi, MD

Working together with the Mozambican doctors, the UCSD residents are encountering diseases they have never seen before and far more advanced stages of diseases frequently seen in San Diego; schistosomiasis, for example, and full-blown tuberculosis.

In one 24-hour period, Dr. Preziosi said, his patients included one who had tetanus with lockjaw, one with a liver cancer caused by a fungus that grows on peanuts, and one who had an advanced case of pellagra.

Broadening UCSD’s Internal Medicine Residency Training Program is one of the goals of the Global Medicine Program. Promoting collaborative global health research is another.

Mozambican residents at a presentation

U.S. and Mozambican residents at a presentation. Photo by Mike Preziosi, MD.

In the past six months, UCSD residents, fellows, and faculty members have begun to partner with Maputo researchers in new studies of tuberculosis and other endemic diseases.

UCSD is also introducing tools and practices that will strengthen the medical education program at Universidade Eduardo Mondlane.

A weekly journal club, instituted by UCSD residents, has been very well received.

“On the wards with the Mozambican residents, what’s going on has been really inspiring,” said Dr. Preziosi. “We’re seeing them get excited about medicine again.”This, in turn, refreshes the American residents, he said.

“I think they are getting a renewed sense of the purpose and value of the educational activities they are helping to introduce,” Dr. Preziosi said, “and are participating in them with renewed energy.”

Mozambican and American residents

Mozambican resident Marilia Vida (left) with Dr. Sarah Fox, second-year UCSD resident. Photo by Mike Preziosi, MD.

Mozambican residents will begin rotations at UCSD later this year.

“What makes our program unique,” said Dr. Robert “Chip” Schooley, “is that the transfer of capacity is being done in a peer-to-peer fashion by people who are transferring knowledge about jobs they do all the time.“The Mozambican residents see our residents as counterparts who are sharing their own experiences.”

Dr. Schooley, a Faculty Director of the program, is Professor of Medicine and Chief of the Division of Infectious Diseases. “I think this program will break a lot of ground,” he said.

UCSD faculty appointments have been granted to Drs. Emilia Noormahomed and Sam Patel, the faculty leaders on the Universidade Eduardo Mondlane side of the Global Medicine Program.

UCSD is assisting with material needs in Maputo as well.

Last summer, a UCSD team brought a supply of modern tuberculosis protective masks for the Mozambican residents’ workroom at the hospital. There is a great shortage of other basic clinical supplies.

To help meet such needs and to sustain the Global Medicine Program, Dr. Schooley and colleagues are stepping up their fundraising efforts.

“We can make a real impact on the health of this country with a very modest investment,” said Dr. Kenneth Kaushansky. Dr. Kaushansky, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine, is Director of the Global Medicine Program.

As the U.S. and Mozambican residents care for patients and pursue their studies together, they lay groundwork for stronger healthcare systems in both nations. In the face of overwhelming need in Maputo, they press forward with the resources available.

Drs. Benson and Schooley are veterans of many successful efforts to improve healthcare delivery in Africa.

“You overcome,” said Dr. Benson. “One day at a time, one patient at a time.”

* * *

The Global Medicine elective rotation is open to second- and third-year residents and to Department of Medicine faculty members from all specialties.

For more information on the Global Medicine Program,
visit http://imresidency.ucsd.edu/GlobalMed.shtml.

Read our news story about the launch of the Global Medicine Program here.

Give to our Global Medicine Program.

New Global Medicine Program at Work in Mozambique

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital.

UCSD internal medicine resident Seth Goldman, M.D., with Dr. Sam Patel of UEM on the wards at Maputo Central Hospital. Photo by Mike Preziosi, MD.

At Maputo Central Hospital in Mozambique, the patients suffer from diseases that a doctor might never see in the U.S.: malaria, cholera, or drug resistant tuberculosis, for example. Important research takes place despite limited resources. Internal medicine residents divide their time between their clinical duties and the moonlighting jobs that finance their medical education.

Beginning this month, UCSD internal medicine doctors are working side by side with their counterparts in Maputo. The new Global Medicine elective rotation in the UCSD Internal Medicine Residency Training Program is underway.

It’s a bilateral exchange of faculty and residents between UCSD and the Universidade Eduardo Mondlane (UEM) School of Medicine in Maputo. The purpose is to enrich the training programs and the research efforts at both institutions.

Dr. Seth Goldman, a third-year resident in internal medicine, is the first UCSD trainee to take part. He’ll spend almost 4 weeks in Maputo, departing as the next resident arrives from UCSD to take his place.

Dr. Preziosi with Mozambican residents

Global Medicine Program Clinical Director Mike Preziosi, MD (center), with Mozambican internal medicine residents Lucia Chambal (left) and Manuel Tomas (right).

Supervising the residents in Maputo is Michael Preziosi, MD, who graduated from the Internal Medicine Residency Program in June. He’ll spend a full year in Maputo as Assistant Professor of Medicine, and clinical director for the UCSD residents.

“Our research and education presence in Maputo will equip us to prepare our next generation of internal medicine specialists and researchers,” says Ken Kaushansky, MD, MACP, Helen M. Ranney Distinguished Professor and Chair of the Department of Medicine. Dr. Kaushansky directs the Global Medicine program for UCSD.

Drs. Marisa Magaña and Emilia Noormahomed

Dr. Marisa Magaña, former UCSD internal medicine resident, with Dr. Emilia Noormahomed of UEM.

UCSD’s Global Medicine faculty leaders include Robert (Chip) Schooley, MD, Professor of Medicine and Chief of the Division of Infectious Diseases, and colleague Professor Constance Benson, MD, who directs the Fellowship Training Program in Infectious Diseases.

This is an exciting opportunity for UCSD and for UEM,” says Dr. Schooley.

He and Dr. Benson have collaborated with researchers in Mozambique and other African nations since the mid-1990s.

It was their interest in doing research work with Dr. Emilia Noormahomed that brought UEM to the foreground when the UCSD Department of Medicine began its search for potential Global Medicine rotation sites.

Emilia Noormahomed, MD, PhD, a gifted parasitology researcher, is a former dean of the UEM School of Medicine.

She and Sam Patel, MD, Professor of Medicine and, until recently, Chair of the Department of Medicine, are UEM’s participating faculty who have worked closely with Dr. Kaushansky to design this unique partnership.

Both have accepted faculty appointments in UCSD’s Department of Medicine.


“Our long-term goal is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”
— Dr. Schooley


City of Maputo

The city of Maputo is a major port on the Indian Ocean.
Photo by Robert Schooley, MD.

For UCSD, the Global Medicine program reflects the Department of Medicine’s commitment to enlarge its efforts in the field of global medicine. The new elective will broaden the program offered to internal medicine residency trainees.

“Our faculty, residents, and fellows will have the opportunity to see diseases such as TB and malaria that we see much less often here in the U.S.,” Dr. Schooley says, “and actually to take part in revitalizing postgraduate medical education in Moçambique.”

A generation after a civil war that drove all but a few doctors from the country, the government of Moçambique is striving to build a sustainable healthcare system that can meet the nation’s urgent need for physicians and medical leaders.

Children in cane village outside Maputo.

Children in cane village outside Maputo. Photo by Kenneth Kaushansky, MD.

UCSD’s involvement at UEM is part of this effort, as is funding for the UEM departments of parasitology and medicine by the Gilead Foundation, a nonprofit organization of the pharmaceutical company Gilead Sciences, LLC.

The Gilead Foundation contributed along with the UCSD Center for AIDS Research to the refurbishing of Dr. Noormahomed’s laboratory at UEM. It’s also a key sponsor of the UCSD Global Medicine rotation.

It’s hoped that additional philanthropic gifts from other sources will continue to support the Global Medicine exchange and other collaborative projects between UCSD and UEM.

UCSD’s presence at UEM will nourish medical research programs and promote the use of evidence-based medicine and epidemiological methods in patient care.

Maputo Central Hospital

Maputo Central Hospital, the primary teaching hospital for UEM.
Photo by Mike Preziosi, MD.

During the early months of this inaugural year, Dr. Preziosi is focusing on establishing relationships, learning the language, and determining the needs of the UEM medical trainees and researchers.

“I’m really excited,” he says. “It’s clear to me how important my job is as a continuous presence in Maputo.”

He and his UCSD colleagues will work with UEM to establish a more academic day in the medical training program. They’ll also develop a number of research studies.

“We’ll work with their residents and investigators,” he says, “to do the projects that really matter.”

Dr. Preziosi hopes to have launched the first group of new research projects by the end of the year. In June 2010, he will return to UCSD to begin his fellowship training in infectious diseases.

Mozambique shown on map of Africa.

The republic of Mozambique.
Map from CIA: The World Factbook.

The Global Medicine elective rotation is open to second- and third-year residents. During the 2009-2010 academic year, over 20 UCSD internal medicine trainees will complete the Global Medicine rotation in Maputo.

Additional UCSD Department of Medicine faculty will rotate through Maputo for 3-4 week periods over the course of the year, working alongside their Mozambican colleagues to augment the Internal Medicine training program at Maputo Central Hospital. Dr. Randy Taplitz, Clinical Director of the Division of Infectious Diseases, will join Dr. Preziosi in early August.

Department of Medicine faculty rotating through Maputo live in an apartment, located several blocks from the medical school complex, with Dr. Preziosi and the UCSD residents.

Starting later this year, UEM residents will travel to UCSD to spend 2-3-month periods in research and clinical work here.

“Our long-term goal,” says Dr. Schooley, “is to play a critical role in developing sustainable local capacity to lead programs in HIV, tuberculosis, and malaria in southeast Africa.”


Join With Us

We’re building practical, sustainable programs here at home and in our partner nations.

Your gift in any amount will go directly to help train a doctor, continue a key research project, or equip a community with the knowledge it needs to fight the spread of a preventable disease.

For more information about philanthropy and the Department of Medicine’s international programs, please contact Dan Otto, Senior Executive Director of Development, at 858-246-1563.

Give Now

UCSD Faculty Volunteers Welcomed

UCSD Department of Medicine faculty volunteers of all specialties are welcome to participate in the Global Medicine program in Maputo.

To make your interests known or to find out more, please contact:

Jesus Vera
Global Medicine Program Coordinator
Telephone 619-543-2896
Email jevera@ucsd.edu

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