Return to Rwanda: Medical students, faculty serve on medical mission
Posted on March 30, 2023 by Med School Watercooler
For the first time since the pandemic, a group from the Frederick P. Whiddon College of Medicine and USA Health embarked on a month-long medical mission trip to Rwanda in February.
Led by the Christian Medical Ministry of South Alabama (CMMSA), 12 senior medical students and more than 20 clinical faculty members, residents, advanced practice providers and support personnel served on the mission. The volunteers worked alongside the physicians and staff at Kibogora Hospital, a rural referral hospital in southwest Rwanda.
The hospital is so remote, drones deliver blood products needed for transfusions. During the mission, the team caught the packages of lifesaving blood as the boxes parachuted safely to the ground.
Chris Johnson was among the fourth-year medical students on the trip, which is an elective course for senior medical students. In the absence of an official radiologist, he helped perform and interpret X-rays and ultrasounds – a role he was well prepared for thanks to his upbringing, education and training.
Chris Johnson uses needle localization on a patient at Kibogora Hospital.
Johnson learned to interpret images from his mother, Leigh Ann Cashwell, M.D., a 2001 graduate of the Whiddon College of Medicine and a practicing radiologist. As a medical student, he spent three months in USA Health’s interventional radiology department with Zeiad Hussain, M.D., assistant professor of radiology. Under Hussain’s guidance, he participated in ultrasound-guided biopsies and vascular accesses.
These proved to be useful skills at Kibogora Hospital. One of the hospital’s patients had been assaulted and stabbed by attackers with needles, which had broken off in her pelvis and flank. She had three prior surgeries, but they were not able to find all the foreign bodies.
“I went to surgery with her and used ultrasound-guided needle localization to find all the foreign needles. Once I’d find one, they’d prep and use my needle as a guide to remove the foreign object,” Johnson explained. “We repeated that until we got them all.”
He added, “It was very impactful to truly make a difference in a patient’s care and actually be vital to the patient’s outcome.”
Kasey Grant Andrews, a fourth-year medical student and future pediatrician, served in varying capacities on the trip. For example, she worked in the post-anesthesia care unit, assisted in the minor procedure room, and went on home visits to check on paralyzed patients who were unable to travel to the hospital for regular check-ups.
“As a medical student at the Whiddon College of Medicine, I have learned the value of helping in any manner that is beneficial to the team, which made me very comfortable with switching positions day-to-day,” she said. “Additionally, having been exposed to many different hospital settings prepared me to adapt to a setting that was unfamiliar and a group of patients I struggled to communicate with.”
Andrews cultivated many relationships on the trip, including one she cherishes with a 3-year-old burn patient and her mother.
Surgery faculty and residents Harrison Howard, M.D., Alissa Doll, M.D., Elizabeth
Lockett, M.D., Victoria Bouillan, M.D., and Lee Grimm, M.D.
“Being an elementary school teacher, her mother spoke English well, which allowed us to communicate throughout her treatment,” Andrews said. “While she was inpatient, I was able to check on her every day; and when she went home, I was still able to participate in dressing changes every other day.”
She continues to receive regular updates from the patient’s mother via WhatsApp messages.
Andrews said she models her patient interactions after how USA Health providers treat their patients. “Watching several of the physicians and residents care for patients day in and day out with passion and humility has helped me cultivate how I try to treat each patient regardless of who they are or what brought them to seek care,” she said.