I couldn’t help but compare and see the analogy with physicians who become the best at their craft, becoming a doctor’s doctor. Having trained and taught at many top tier USA and Canadian medical schools, both allopathic and osteopathic, I have learned that many of the physicians who went on to become a “doctor’s doctor” did not graduate from ivy league schools, nor in the top ten percent of their class. Most did not have a privileged pedigree, come from wealth or score in the stratosphere on standardized exams such as MCAT or USMLE/COMLEX. Yet, they went on to become a trusted “doctor’s doctor.”
My response, the title of a lecture I deliver yearly is “it’s the doctor in you.” Seth Godin, American Author has stated, “our credential-obsessed society teaches high achievers to equate success with approval from an external authority. Unfortunately, this outlook undermines your ability to trust yourself.
It is a convenient place to hide from our own potential. Godin goes on to question, the fact that you have a degree doesn’t mean you have insight, experience, or concern. You’ve acquired a piece of paper, but that doesn’t mean you care.”
More significantly, are you willing to persevere and do you have compassion. “It’s the doctor in you,”
that will instill a desire, a drive to continue to learn, long after medical school is completed.
This brings to mind the adage, “What do you call the person who graduated last in your medical school class?” Doctor. Medical students and doctors early in their career do not need to be trapped in their past. As TIM Denning states. “The past in your default program.” And to beat the default program, you have to change.
Being a doctors’ doctor has been an enormous privilege and honor. Bearing witness to the relentless and pernicious stigma in the house of medicine and how that ravages the minds and souls of our brothers and sisters in medicine has been a driving force. Through my teaching and mentorship, I know that there are many young and early-career physicians taking up the reins and making a commitment to physician health.

Being a doctors’ doctor can be a worthwhile experience, however it can be a daunting encounter for some. Caring for doctors may for some manifest feelings of inferior professional competence and feel pressured, strained and insecure. There are some doctors who prefer and choose to avoid such encounters. Other qualities of a doctor’s doctor is the ability to listen and be a good communicator.

“Listen to your patient; he is telling you the diagnosis.” Sir William Osler
But what it does mean is that the patient will provide doctors with enough clues to make the diagnosis, sometimes even before we examine them. For years I have taught my medical students when exiting a patient’s room after taking a history, if you are left in a quandary as to what could be possibly wrong with the patient, you need to return to the patient’s bedside and explore the history further, as 80% of the diagnosis is discoverable in the history.
Dr. Lisa Sanders an internist and author stated:” in an interview on NPR about her book, “Every Patient Tells a Story,” she aptly points out that there are two conversations going on at once. One is with the person telling the doctor about their problem. The second is a simultaneous conversation going on in the doctor’s head when they are thinking, “what does it mean and what do I ask next?” This second conversation frequently fogs the patient’s message and leads to the doctor interrupting the patient.”
Over 30 years ago a landmark study published in the Annals of Internal Medicine (Nov. 1984) reported that on average, physicians interrupted their patients after only 18 seconds. It should be noted that not all interruptions are verbal, a knock on the door, beeper interruptions, and computer use all interfered with communication, and increased frequency of interruptions are associated with less favorable patient perceptions of the office visit.”
A more recent study published in the Journal of General Internal Medicine (online, July 2, 2018) assessed 112 doctor-patient interactions between 2008 and 2015. This study reported that the clinician interrupted the patient after a medial of 11 seconds. The authors of this study concluded:
“The medical interview is a pillar of medicine. It allows patients and clinicians to build a relationship. Ideally, this process is inherently therapeutic, allowing the clinician to convey compassion, and be responsive to the needs of each patient. Eliciting and understanding the patient’s agenda enhances and facilitates patient-clinician communication.”
“The good physician treats the disease; the great physician treats the patient with the disease.”
Sir William Osler
Osler’s 19th-century admonitions have enduring relevance even today. Osler’s maxim has been proposed to reflect the realities of modern healthcare:
“Engage the patient; she is not only telling you the diagnosis but is integral to all aspects of her health and healthcare.”

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Dr. Penny’s thoughts for students seeking paths to overcome the obstacles’ faced during their medical education

“The Comeback is Greater than the Setback”

People enjoy a comeback story because it gives them hope that one day they can rise above an obstacle in their own personal struggles.  There is an overwhelming desire deep down that most people want to see redemption, a second chance.  Comebacks are possible and they happen all the time.  Life is full of setbacks, and many times it may seem impossible for you to emerge victoriously.  At one time or another, all people will experience some form of adversity, hardship, or a tough experience. How do people deal with these types of events that change their lives? The death of a loved one, a harrowing combat event, a loss of a job, serious illness, terrorist attacks and other traumatic events: these are all examples of very challenging life experiences

One of the greatest comebacks of all time is the career of Muhammad Ali.  After winning the gold medal in the 1960 Rome Olympic games for light heavyweight boxing, Ali went on to defeat Sonny Liston in February 1964.  Ali after having an initial streak of success was then struck with multiple setbacks.  In April 1967 he was found guilty of draft evasion and stripped of his title.  However, in June 1971 four years after being convicted and sentenced to five years in prison and stripped of his heavyweight championship by the boxing commission, the Supreme Court decided that Ali was improperly drafted in their first place.  This was not Ali’s only comeback, Ali lost his heavy weight championship fight to Joe Frazier in the “fight of the century” at Madison Square Garden in 1971. Once again, Ali overcame his setback and defeated Joe Frazier in January 1974.  After that, Muhammad Ali went on to beat George Foreman in the “Rumble in the Jungle” and finally Joe Frazier once again in 1975 in the “Thrilla in Manilla.”

The message gleaned from this story, you can overcome the obstacles you face, and those created currently by the pandemic.    Personal setbacks including financial, health, loss of loved ones, divorce and academic to name only a few.  With respect to the effects of the pandemic on medical education, it has caused an unprecedented disruption in medical education and healthcare systems worldwide. The disease can cause life-threatening conditions and it presents challenges for medical education, as instructors must deliver lectures safely, while ensuring the integrity and continuity of the medical education process.

As Provost and Dean of Clinical Affairs at the American University of Integrative Sciences, I have witnessed similar disruptions in the delivery of medical education of our students.  I have also communicated with many potential students interested in pursuing a medical education, yet reticent in making the commitment to apply.  My personal discussions with these students have identified many students who have had setbacks academically, past failures forced withdrawals and financial struggles to name a few.

My message to those students who are hesitant, a comeback will always begin with change.  91���� is a medical school that will allow you the chance for a Comeback.  A need to be willing to do things differently from what you have done in the past.  Change will always happen when you choose to be committed, this will result in a change of your future.  With proper personal mentoring, small class size and a successful track record,  91���� can turn it around and put you on the road to future success.

“I did the best I could at the time with what I knew”

The resilience of the human spirit speaks to the character of those who have been setback, it demonstrates their determination, creativity, and vigor.  At a basic level it resorts to what you want to achieve.  Many who have been successful have a strong belief in possibilities; Simon Sinek is one example who has stated:

“My goal is to live in a world where the vast majority of people wake up every single morning inspired to go to work and fulfilled by the work that they do.”

For those of you procrastinating on making the commitment to go to medical school, the time is right, and our next class will begin January 2022.  91���� is accepting students currently and the class is not yet complete.  If further information is required, our admissions officers are available to discuss options.

“We can’t undo, but we can rebuild.” Chaitanya Charon

The American University of Integrative Sciences is proud of our record in training physicians, including those that have been unsuccessful in the past and allowed a second chance.  Come join us and become the comeback that overcame your personal setback!  We would love to share this with you.

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Do I need a Covid-19 Test Before Traveling to Barbados?

Yes, a negative PCR test 3 days prior to your arrival in Barbados is a requirement to travel to Barbados. Your negative PCR test result should be uploaded to the BIMSafe app or

How long will I have to quarantine be if I’m fully vaccinated?

Vaccinated Travelers

A fully Vaccinated person should expect to be quarantined for 2 days. Fully vaccinated travelers are encouraged to book a minimum of 2 days at approved accommodation.

Unvaccinated Travelers

How long will I have to quarantine if I’m not vaccinated?
Unvaccinated travelers should expect be quarantined for 7 days. On the 5th day of quarantine another PCR test would be done and then 1-2 days waiting period on results.

What if I test positive for COVID?

Before arrival: If you test positive for Covid-19 you must wait until you received a positive PCR test before traveling to Barbados
On arrival: If you test positive for Covid-19 on arrival you will first be assessed at a government facility for a minimum of 24 hours after assessment you will able to self-isolate at a government- approved isolation hotel or government facility. Quarantine will usually be until you receive a negative covid-19 PCR test.

What Quarantine apartments are recommended?

Recommendations are based on price (USD) and central location

Adulo
Price: $89.45 per night
https://www.aduloapartmentsbarbados.com/AAB/public/default.asp

Maresol Apartments
Price: $80 per night
https://monteraybarbados.com/

Plum Tree Rockley
Price: $110.64 per night

Angler Apartment
Price: $82 per night

Meridian Inn
Price: $75 per night

Pirates Inn
Price: $79 per night
https://www.piratesinnbarbados.com/

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Date: May 3rd  2021

Time:  10: 00 am Barbados Time   /  10:00 am Eastern Time US and Canada

Agenda

Welcome & Introduction of 91���� Leadership Faculty and Staff, Academic Policies, Schedule of Classes, Overview of 91���� Catalog and Education.

Dr. Alexey Podcheko, Dean Academic Affairs

Welcome, 91���� Student Support System, Non-Academic Policies, Dress Code, Student Organizations

Dr. Frank Kunik, Dean of Student Affairs,

Welcome Speech by SGA Representative

Psychological Support System at 91����, How to Avoid Burning Out in the Medical School

Ms. Brenda Roach, School Counseling Psychologist

Questions & Answers Session

The post May 03, 2021 – 91���� Orientation Basic and Premed Sciences Summer 2021 Semester appeared first on 91���� | Caribbean Medical School.

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As Provost and Clinical Dean for the American University of Integrative Sciences, I would like to take this opportunity to update our faculty and student body, on the ramifications the COVID 19 pandemic has had on our undergraduate medical education curriculum. I would also like to inform you of our continuing efforts to adapt and develop new strategies to educate our medical students.

Let’s face it, COVID 19 has rocked our world as we knew it, the global economy, businesses, health care sector, and our educational system; to name a few. It is a medical education and the path forward I would like to update you on in this post.

In the past, the trajectory to residency after being accepted to a medical school was relatively straight forward. Complete the first two years of undergraduate pre-clinical basic sciences, sit for Step 1 of USMLE Step 1, complete two years of clinical clerkship and successfully taking the USMLE Step 2 CK and CS exams and apply to residency. As a result of the COVID 19 pandemic, this trajectory has been challenged by a number of factors. Classroom lectures have been canceled and replaced by an online lecture format, most clinical clerkships have been forced to be canceled as a result of hospitals attempting to minimize personal interactions and following recommended guidelines of social distancing. Likewise, this policy has also been implemented to minimize student exposure to patients who harbor a potentially lethal virus.

COVID 19 has proven itself as a formidable opponent. The science community is still learning the many aspects and manifestations of this viral disease. Initially, it was thought that patients could only be infected by contact with infected animals, a zoonotic disease, we now recognize that person to person contact is indeed the common mode of transmission. Originally, public health officials reported that infection could be transmitted by symptomatic patients, only to learn that up to 80% of patients with COVID are asymptomatic. Prior to the global outbreak, it was postulated that this was a respiratory virus leading to interstitial pneumonia and had a propensity for the elderly, particularly those with underlying co-morbidities. We now recognize that the COVID 19 virus also affects the GI tract, some with no respiratory symptoms, consistent with the early Chinese reported fecal-oral root of transmission. COVID 19 has been demonstrated to also cause hypercoagulability, associated with elevated d-dimer levels, thrombosis, stroke, cardiac arrhythmias, myocardial infarction, and congestive heart failure. We now understand that younger patients can acquire COVID and that it does not primarily affect only older patients. As this virus continues to wreak carnage, our understanding of the many clinical manifestations has and will continue to evolve.

As a learning institute, faculty at 91���� have explored different educational and learning platforms in our efforts to provide continued medical education to our undergraduate students both preclinical and clinical. Like other stateside medical schools, the number of on-line programs has expanded to meet the need. Many senior medical students are concerned by the disruption and uncertainty of applying for residency. Without rotations in different specialties and have the first-hand experience in that particular discipline, it poses a difficulty for students to be comfortable with a designated area for residency specialization. The following chart illustrates the factors that Residency Program Directors utilize to select students for interviews. Factors were deemed most important if a minimum of 70% of program directors said they used them.

Perusing this list, one can recognize that many factors used in the past for selection are currently not available.  Examples include letters of recommendation in the specialty are not possible if rotations with preceptors are not feasible, generating an MSPE likewise is not possible without completing both core and elective clerkships, USMLE Step 2 CS testing has been put on hold for 12 to 18 months.  In addition, the change of making USMLE Step 1 a pass/fail exam has removed another determinant used in the past in choosing residents based on numerical grade.  However, 91���� students need to be reassured you are not in this alone, and what you are experiencing has permeated all medical schools and universities.  As medical researchers are aggressively attempting to produce a vaccine and bring it to market, likewise educators are identifying and developing educational products that will meet the demands of licensing boards, and residency directors, while abiding federal, state and local laws, obeying guidelines of social distancing and attempting to flatten the curve.  Some are predicting a second wave that could emerge as early as the fall.  As

an educational institute, we need to prepare for a marathon and not a sprint, as I foresee this virus and its many manifestations to continue to alter our life as we previously knew it. 

As Shadi Hamid in the Atlantic reports:

 “In moments of crisis and civil unrest, people always say that things will never be the same.  But the act of living is a bit more circular than we give it credit for.  Things might never be exactly the same as they once were, but they do tend to at least return to some previous and somehow tolerable baseline.  Human beings, facing crisis, find ways to adapt, sometimes ingeniously.  Life, otherwise would be unbearable.” 

Students at 91���� should consider that the US health care system has depended on IMGs to fill residency positions since the 1970s.  Today, 1 in 4 physicians practicing in the US is an IMG.  The changes we are experiencing in medical education are applicable to all stateside schools as well as international medical schools.  The bottom line, there is job security in knowing that the US health care system is heavily dependent on your services and with the retirement of the “baby boomer” generation of physicians there is increased need for physicians, especially in rural locations.

Students should consider that many schools, in fact, the majority of medical students no longer attend preclinical classes in person, but rather watch lectures online. (JAMA 05/2020)  Ultimately, the COVID pandemic will further accelerate the application of this platform of education and even improve its application.  What I am excited about is the fact that medical students are on the cusp of a sweeping overhaul of medical education as we previously knew it. Software developers, educators, and entrepreneurs are rapidly exploring and developing online educational programs that will enhance and not hinder medical education.

91���� is pleased to inform our student body that we are in the final stages of launching a new virtual on-line emergency medicine elective to run over a month for credit, involving multiple virtual case simulations with debriefing and feedback by our Clinical Dean.  This elective will be credited as satisfying one elective rotation in the 80 weeks of required clerkship rotations.

On the horizon, 91���� is exploring other avenues and platforms to provide medical education to our student body.  This includes utilizing social media, particularly Twitter to keep up with biomedical literature and to evaluate clinical practice in the configuration of a medical journal club.  The administration is anticipating and preparing for the USMLE Step 2 CS to begin rescheduling students to take this exam at a future date.   We acknowledge that during periods in which clinical exposure to patients has been curtailed, that student will need to hone their clinical skills and SOAP note writing in preparation for this exam.   We will be offering weekend refresher courses in Atlanta for students to tweak and revivify their clinical skill sets prior to taking the exam.  The format will include a two-day intensive course in our simulation lab with one on one critiquing and training with our clinical dean, Dr. Penney.  Since instituting the Advanced Clinical Medicine program at 91����, we have been successful in reducing the failure rate to less than 1% on this important exam.  More information will be available once FSMB has released a date for scheduling.   

For those students who prefer to maintain their clinical skills throughout the Pandemic period, a two-day weekend course is available for a limited number of students. Following strict guidelines for social distancing and mandatory mask protection, this course will be limited to 6 students or less and held in our Atlanta Simulation Lab.  

Once clearance is obtained from the NIH/CDC to resume classroom teaching the ACM course will be available for the one-month intensive pre-clerkship program with advanced training for the USMLE Step 2 CS exam.

As Hamid reported:

“Things might never be exactly the same as they once were, but they do tend to at least return to some previous and somehow tolerable baseline”

It is my belief and understanding that once the nidus of this pandemic has abated, 91���� will evolve and be stronger, offering medical educational content in multiple formats, allowing for distance learning as well as classroom instruction.  Essentially, COVID 19 has catalyzed a transformation of pedagogical methods, to guide us into the future.

Don W. Penney MD.MSC.FACEP.

Neurological Surgeon

Provost/Dean Clinical Affairs, 91����.

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We’re announcing that an FDA approved, Physician supervised, no-physical contact COVID-19 testing kits with telehealth diagnosis for COVID-19 will be available to consumers starting Monday, 04/27/2020.

The test can be requested and scheduled online by consumers seeking Positive/Negative confirmation of COVID-19 infection. Samples shall be collected by a physician or qualified physician designate. Our COVID-19 lab partners are operating under the use guidelines issued by the FDA.

Upon providing bio-samples for the COVID-19 test, test subjects place samples in the provided approved box and deposit in the designated container for same-day shipment to a participating CLIA-certified laboratory partner. Samples will be processed by partner labs within 24Hrs. Secure digital results will be available online within 48 hours of the lab receipt of the sample. Free follow-up Telehealth consultations with an independent, licensed physician will be available for those with positive results.

Availability, Pricing, and How It Works

To access a COVID-19 test, consumers can go to where they will be directed to complete the mandated CDC screening questionnaire. The test will be available for $189.00 and will be covered and reimbursed by participating insurance carriers.

The testing experience includes:

Overnight sample delivery (a shipping label is included).
Infectious disease sample collection and shipping materials to safely ship your sample, using COVID-19 guidelines set by the CDC and Department of health.
HIPPA compliant private, secure digital results commonly provided to all users within 48 hours.
All users will have telehealth consultation with a state-certified doctor
Results will be communicated to all mandated federal and state reporting agencies.

We are committed to doing everything we can to help stop the spread of Coronavirus.

Stay tuned here for more information.

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“As an international institution, 91���� is taking a proactive approach to handling the COVID-19 pandemic. The health and safety of our students, staff, and faculty is our highest priority and we intend to follow the guidelines for safe instruction from the governing authorities at ECFMG, CDC, and WHO.”

ECFMG communication to schools. Changes to Medical School Programs or Policies Resulting from COVID-19

ECFMG|FAIMER We understand that schools may need to make certain temporary accommodations or other changes to your programs.   ECFMG|FAIMER policy, a medical school must have a physical campus and conduct its main educational operations in the country where it is recognized. However, in light of the unique circumstances brought about by COVID-19, conducting distance learning classes temporarily will not negatively impact the eligibility of current students for ECFMG Certification.

While the Atlanta Administration building is closed to visitors, the staff is available from home.  COVID-19 related questions Email: Covid19@auis.edu  To be routed to Debbie, Milo, Rich, Nic

Admissions 1-678-269-4707 Ext 432

Registrar: 1-678-269-4707 Ext 137

Bursar: 1-678-269-4707 Ext 132

More information can also be found in the following downloadable attachments.

Date: Tuesday, April 7th, 2020

Dear Students,

Please note the following.

To all students attending under the Merit Scholarship.  

The Merit scholarship will continue to be offered to all incoming and current students during Summer 2020.

Some students currently receiving the scholarship may fail to maintain the minimum GPA required to maintain the award.  Given the added stress and emotional demands caused by changes to the 91���� academic program; principally attributable to the global COVID-19 threat impacting Barbados, 91���� school has elected to suspend the minimum Merit Scholarship GPA requirement for the Summer 2020 semester.  Students offered the Merit scholarship in the Winter 2020 semester will continue to hold the scholarship in the Summer 2020 semester while they restore their GPA to the minimum maintenance threshold.  

Students who fail to restore their GPA will lose their Merit scholarship for Fall 2020.

Students who withdraw from the program will be obligated to pay the full, non-scholarship tuition rate for all semesters completed during Basic Sciences.

Repeating Courses

Students in the Basic Sciences program repeating previously attempted course(s) during Summer 2020 will receive a COVID-19 tuition concession for the semester on a case by case basis. The change will be reflected in their updated invoices at the end of the current semester. Students may contact the bursar’s office to discuss the options available to them.

Library Duties

91���� will not offer Library assistant positions for the Summer 2020 semester.

Teaching Assistantships

All TA positions will continue to be offered at standard rates of compensation. Eligible students may apply to Campus Registrar beginning April 15th, 2020 until May 12th, 2020, by writing to juliawilliams@auis.edu. TAs will receive up to a maximum of USD$ 300 tuition credit each semester for their services.

Covid19 Response – Basic Sciences Student Instructions 3.30

COVID 19 Response Financial Info for 91���� Basic Sciences Students 4.7.2020

91���� Basic Sciences Summer 2020 Semester Calendar

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We will continue as such until further notice. We are currently selecting the best option for remote testing and the optimal schedule of examinations based on recommendations from NBME and AAMC. Online/remote teaching and learning is now widely (indeed globally), accepted as a valid educational technology. We are seizing this opportunity in the face of adversity, to integrate this technology into an already robust and comprehensive medical curriculum. As this situation with COVID-19 evolves, we too will evolve. Intrinsic in this evolution is our ability as an academic medical institution to ‘adapt’ – and adaptation is what drives evolution. Hence, we all must adapt together as an academic community. The 91���� Curriculum Committee in conjunction with our Administration will dedicate a significant effort to ensure that you, our students, continue your education in an effective manner until COVID-19 situation will be completely resolved and we can return to usual live classroom/hospital teaching. That is our priority and, of course, our immediate objective in view of the COVID-19 situation. In summary, the 91���� academic and administrative community will be working hour-by-hour to ensure that this university maintains a high standard of academic excellence. 

Sincerely, On behalf of the Curriculum Committee

Dr. Peter Roger (Chair of Curriculum Committee)

Dr. Alexey Podcheko (Dean of Basic Sciences) 

CC: D. Lecher (Human Resource Officer and CFO) 

O’Dell Leverette (Registrar, 91����)

Dr. Podcheko (Dean Basic Sciences)

Dr. Penney (Provost)

Julia Williams

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The Centre for Counselling Addiction Support Alternatives (CASA) is a non-profit, non-governmental (NGO) community-based Substance Abuse Treatment Centre established in 2000 with the purpose of helping individuals and families experiencing substance abuse and related and other problems.

It is a non-residential facility and caters to children, adolescents and adults ages 10 and upwards who are experiencing difficulties with legal drugs such as alcohol and illegal drugs such e.g. marijuana, cocaine or other.

 (C.A.S.A) is providing crisis intervention community-based prevention, treatment and rehabilitation to persons experiencing substance abuse and related problems regardless of culture, ethnic origin, religion, age, sexual preference, disability or social status in Barbados.

After the initial visit of CASA headquarters in the last week of January 2020, the Dean of Basic Sciences Dr.Alexey Podcheko invited CASA representatives to meet with 91���� faculty and students.  On Feb 5th 2020, representatives of CASA (Ms. J. Maynard – Chairman; Mr. O. Jones; Mr. Smith –Directors of Board of Trustees and Counselors, Volunteers Ms. Omega Cox and Ms. Kimmel Harper) have visited 91����. After an initial tour of the campus, faculty and SGA representatives had a one hour talk on how 91���� can help CASA . Mr. O.Jones outlined that CASA is looking for:

1. Volunteer support: currently they need volunteers for participation in 
2. counseling sessions (time slots available for morning, afternoon and evening sessions, as well as some of Saturdays). Mr. Smith mentioned that this is a unique opportunity for students to learn how to interview and perform an initial assessment of patients with drug addiction problems. Volunteers will be shadowing of counselors and helping them keeping notes of counseling sessions and participate in the discussion of the treatment and management of patients. 
3. CASA is looking for volunteers who can help to maintain and improve CASA website (casa.bb)
4. Fundraising for CASA 
5. The help of 91���� faculty to initiate research projects based on the data accumulated in CASA for the last 20 years.

Pictures: CASA representatives, 91���� professors and SGA representative discussing how 91���� can contribute to CASA.

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