Eldoret, Kenya

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Moi Teaching and Referral Hospital

Moi University

Background

Moi Teaching and Referral Hospital (MTRH) and Moi University have become a key strategic global partner for Duke over the last several years. Since joining the AMPATH Consortium in 2006, the Hubert-Yeargan Center for Global Health has launched a Cardiovascular/Pulmonary Diseases Center of Excellence (COE) in Eldoret, as well as established MTRH as one of our primary Global Health Residency/Fellowship Pathway Training sites. The HYC has also coordinated bilateral educational exchanges for numerous Kenyan and Duke Medical Students and Residents on elective rotations, as well as initiated a number of research programs.

Duke Cardiology Grand Rounds: Talk by Dr. Joe Mamlin 
Physician, humanitarian and global health leader Dr. Joseph Mamlin delivered the Cardiology Grand Rounds lecture “Building Innovative Academic Global Health Partnerships in Western Kenya” on Tuesday, October 23. The event was part of the larger AMPATH Consortium meeting hosted by the Duke Hubert Yeargan-Center for Global Health.  

Cardiovascular/Pulmonary Diseases Center of Excellence (COE) 

Duke’s role as anchor institution for cardiology is helping to improve cardiovascular services at MTRH. Two Moi trainees have already completed Duke’s Nine Month On-Line Clinical Research Training Program in Research Methodology and Biostatistics; two new fellows have been identified for the upcoming academic year. Since October 2010, the Duke Global Health Institute and HYC have jointly supported Adjunct Assistant professior and cardiologist John Lawrence on location to help train young cardiology fellows.


Global Health Residents and Fellows in Eldoret

Under the leadership of Program Director, Nathan Thielman, the Global Health Residency/Fellowship Pathway has established a robust Duke presence on location in Eldoret. Residents/Fellows typically make a site visit for five weeks in the beginning of their training, return stateside to complete the Master of Science in Global Health degree at Duke, followed by 9-12 months in Eldoret to work on their research.

Global Health trainees, Drs. Holland, Bloomfield and Park were each recipients of a Fogarty Fellowship award for their research work in Kenya and are working together with the CVPD Center of Excellence. Dr. Holland’s project is focusing on the Prevalence of Rheumatic Heart Disease in Western Kenya and Dr. Bloomfield’s is studying the Prevalence of Atherosclerotic Markers among Adult Patients with Congestive Heart Failure.

Dr. Erin Dainty, a Global Health Fellow in Obstetrics and Gynecology, spent nine months in Eldoret collaborating with Moi Faculty. She investigated HPV genotyping in HIV positive women and post-abortion complications due to spontaneous and induced abortions.

Global Health Neurosurgery Resident, Dr. Stephen Parker completed his research project, Evaluating biomarkers for mild traumatic brain injury in a triage setting in Western Kenya, in 2011.

Dr. Paul Park will be joining the Global Health Residency/Fellowship Pathway in July 2011. He will be doing his field research in Eldoret after completing his Master of Science in Global Health at Duke. His interests include operational research with respect to community-based primary care delivery models. Unique, original modes of delivery, including community health workers, task shifting, diagnostic and treatment protocols, and tracking/communication technology, need to be implemented and appropriately evaluated for impact.
 

Elective Resident Rotations

For Residents who are interested in global health, but less likely to focus their academic career overseas, the HYC coordinates three-month elective rotations for senior pediatrics, internal medicine, combined medicine and pediatrics, and medicine and psychiatry residents in Eldoret. The elective rotation combines clinical and research activites of the Center of Excellence with in and out-patient experiences at MTRH.
 

Medical Student Exchange

Since 2006, each year the HYC has coordinated a six-week elective rotation at Duke for two medical students from Moi University.