Penn Medicine Program in Botswana |
The Department of Medicine has
established a full-time medical presence in Botswana, Africa, including
a Penn inpatient service (or "firm") at the 550+ bed Princess
Marina Hospital, the country's main medical center located in the
capital city of Gaborone.
The Republic of Botswana is situated
in Southern Africa. It is a democratically ruled, progressive nation
with a growing economy and a stable political environment. Nevertheless,
it faces enormous medical and public health challenges; it has the
highest prevalence of HIV infection in the world, with close to
40% of all adults infected. Our department's involvement in Botswana,
currently under the direction of Dr. Stephen Gluckman, was initiated
in 2001 by the Infectious
Disease Division under the leadership of Dr. Harvey Friedman,
Division Chief.
The Department of Medicine presently has two full-time faculty members
residing in Gaborone. Dr. Daniel Baxter is supported by the African
Comprehensive HIV/AIDS Partnership (ACHAP),
a consortium of the Merck and Gates Foundations. Dr. Baxter's activities
are outpatient-based: he provides invaluable expertise and educational
contributions for HIV providers in Botswana. Dr. Jason Kessler,
who completed his Internal Medicine residency training at Penn in
2003, initiated a full-time Penn inpatient service at the Princess
Marina Hospital in January 2004. Other Department of Medicine faculty
members who have spent periods of time working in the Botswana program
include Drs. Harvey Friedman, Stephen Gluckman, Rob Roy MacGregor,
Greg Bisson, and Ron Collman. Funding of the Penn Firm has been
through the Department of Medicine and the School of Medicine. Also,
we expect to receive support from a grant from the President's Emergency
Plan for AIDS Relief (PEPFAR) through the CDC and NIH.
The Penn inpatient service at the Princess Marina Hospital is currently
staffed by Dr. Kessler as the full-time Attending Physician, one
or two Penn Internal Medicine Residents at a time rotating for 4-6
week elective periods on a continuous basis, and several Penn medical
students. We hope to have subspecialty Fellows as well as faculty
and trainees from other Penn departments and schools join the program
in the future. The Department of Medicine of the Princess Marina
Hospital averages over 100 admissions per week; many admitting diagnoses
are related to HIV infection, but our trainees are also exposed
to experience with a rich variety of unrelated diseases, some of
which are rarely encountered in Philadelphia.
A formal Memorandum of Understanding is expected to be signed during
the Summer of 2004 to expand our Department of Medicine and University
of Pennsylvania partnership with the Government of Botswana and
the Princess Marina Hospital to provide patient care, education
and clinical expertise. For further information, go to the ID
web site and contact Dr. Harvey Friedman (email: hfriedma@mail.med.upenn.edu ).
For applicants interested in the Global Health Equities Track, go to Global Health website.
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