APPENDIX A

LISTING OF INTERNATIONAL ACTIVITIES OF THE SCHOOL OF MEDICINE

Listing by Department

Other Programs: Appendix B

DEPARTMENT OF ANATOMY

Ghana
The Anatomy Departments of the University of Ghana Medical School and the Tulane University Medical School have enjoyed a mutually productive informal link for the past six and one half years. It is proposed to expand the link to include all the basic medical science departments.
Purposes:
To facilitate the interchange of ideas, personnel, resources, and research activities and

To assist students through doctoral and post-doctoral training programs

Since 1988, through the use of medical school and departmental funds, the anatomy departments have exchanged eight faculty members and four students.

PROGRAM IN COMMUNITY MEDICINE

Belize
Ministry of Health, Government of Belize
Colombia
Universidad del Valle, Cali
Costa Rica
Universidad de Costa Rica
Ghana
University of Ghana
Guatemala
  1. Behrhorst Foundation
  2. Agrosalud de Guatemala
  3. Universidad de Francisco Marroquin
  4. Guatesalud de Guatemala
Guyana
University of Guyana
Jamaica
Ministry of Health, Government of Jamaica and the University of the West Indies
South Africa
University of the Witwaterstrand and Baragwanath Hospital
U.S. Virgin Islands
Department of Community Health, Government of the Commonwealth of the U.S. Virgin
The programs provide an ambulatory, community oriented, curative and preventive health care experience (except South Africa which is in-hospital) for fourth year medical students of Tulane University and the LCME accredited medical schools in the U.S.A. and Canada. About 70 students are enrolled yearly; 60% being Tulane students. Administrative costs are met through the Program in Community Medicine budget.

FORMAL INTERNATIONAL STUDENT EXCHANGE

The Universities of:
  1. Grenoble, France
  2. Heidelberg, Germany
  3. Madeburg, Germany
  4. Keio, Japan
  5. Monterrey, Mexico
Standing student exchange programs have allowed medical students (37 over the past two years) to participate in in-hospital services.

DEPARTMENT OF MEDICINE - INFECTIOUS DISEASE SECTION

Brazil, India, New Zealand

This is a clinical rotation site for a training program which has been funded by the Infectious Diseases Society of America (IDSA) to provide AIDS clinical experiences to foreign physicians. During the academic year 1991-1992, it hosted 3 physicians from India for a 5-week clinical rotation through this program. During the 1992-1993 academic year, it hosted one physician from Brazil for a 3-week clinical experience, and one physician from New Zealand for a 2-week clinical experience, also through this lDSA-sponsored program. It is anticipated that it will be invited to host WHO fellowship recipients who have requested clinical AIDS training, and expect that this will become an ongoing international training activity.

DEPARTMENT OF UROLOGY

  1. Egypt -Alexandria University
  2. Germany -Berlin
  3. Sweden -Karolinska Institute
Two members of the department are involved in collaborative research. The programs with the Karolinska involves a four year granted project ($857,000) and a second project with $63,000 of funding from the Astra Arcus pharmaceutical firm of Sweden.

DEPARTMENT OF RADIOLOGY

Cali, Colombia
Fundacion Valle del Lili
The Department of Radiology has had initial contact and discussions with the Fundacion Valle del Lili in Cali, Colombia in order to develop an interdepartmental advisory and educational program. This would be underway for academic year (1994-95).

TULANE UNIVERSITY

MEDICAL CENTER HOSPITAL AND CLINIC

LATIN AMERICAN OUTREACH PROGRAM

Belize
Belize Medical and Dental Association
Colombia
Clinica Santa Maria, Medelilin, Colombia Valle de Lili, Cali, Colombia
Cost Rica
  • Clinica Catolica
  • San Juan De Dios (Social Security)
El Salvador
  • Hospital de Diagnostico
  • Salvadorean E.N.T. Association
Guatemala
Hospital Centro Medico
Honduras
  • Hospital Cemesa
  • Hospital Policlinica
  • Hospital D'Antoni - Standard Fruit of Honduras (Dole)
  • Social Security Medical Association
  • Internal Medicine Association
  • Honduran E.N.T. Association
Mexico
  • Hospital Mocel, Mexico City, Mexico
  • Hospital El Carmen, Guadalajara, Mexico
  • Hospital De Ginecoobstetricia, Monterreey, Mexico
Panama
Hospital "San Fernando"
Venezuela
  • Hospital De Clinicas, Caracas, Venezuela
  • Hospital Clinico, Maracaibo, Venezuela

To establish Tulane as a premier medical education institution as well as a major resource for physicians and socially elite citizens, and position the Medical Center as the referral institution of choice among physicians and patients seeking healthcare in the U.S., the program, using Tulane clinical faculty, provides continuing education for leading physicians and medical groups in Latin America while also instructing about Tulane's overall resources and capabilities.

OFFICE OF STUDENT SERVICES AND MEdREP

Saudi Arabia - Aramco, Saudi Arabia Ministry

The Office of Student Services and MEdREP developed over the last seventeen years and implemented and implemented a Comprehensive Medical Review Program(CMRP), a certification/licensure examination preparation program for Saudia Armaco Physicians to address their test preparation needs.

The ongoing intervention program began in 1986 and has been offered semiannually to fourteen groups of five (5) or six (6) physician (Armaco) now totaling sixty-five (#65) and is to continue through 1994 in accordance with our current contract which has been renewed annually.

In 1994, we have been contacted by the Department of the Treasury of the U.S. to offer the same CMRP Program as described above to Saudi Arab physicians (10 per group) who are to be sponsored by the Saudi Arab Ministry, thus, assisting two groups per year.

THE F. EDWARD HEBERT CENTER, BELLE CHASE, LA

Japan

This is a joint venture between Tulane and Japan for biomedical research. The Center is staffed by both American and Japanese personnel. There is also some participation by graduate students from Tulane University, and the Center has one graduate stipend to offer. Funding for the Center comes from grants and contributions from both Tulane and Japan.

DEPARTMENT OF PHYSIOLOGY

  1. Austria -University of lnnsbruck
  2. The Netherlands -University Hospital Utrecht
  3. Spain -University of Seville
  4. England -SmithKline Beecham Pharmaceuticals
  5. Sweden -AB Hassle, Moindal
  6. Switzerland -Hoffman LaRoche, Basel

Several members of the department are involved in collaborative research activities. The University of Seville, Spain, has indicated a desire to establish a permanent exchange program.

DEPARTMENT OF ANESTHESIA

Gloucestershire Royal Hospital, Gloucester, England

Six months of clinical training is provided for anesthesiology residents.
The following activities appear to be less structured than those already listed:

DEPARTMENT OF PATHOLOGY

There are many international graduate students, post-doctoral researchers, scientists and physicians working in the department.

DEPARTMENT OF INTERNAL MEDICINE

SECTION OF NEPHROLOGY

The section has four Chinese scholars in either post-doctoral or technician positions.

DEPARTMENT OF SURGERY

GERMANY AND HONDURAS

Dr. James Muchmore has been working with physicians in Germany on a prospective trial designed to determine the efficacy of chemofiltration for locally advanced malignancies.

Approximately every six months, Dr. Ferrara brings a volunteer medical team into west central Honduras in order to provide surgical services to surrounding villages. There is no governmental affiliation, nor source of funding.

DEPARTMENT OF BIOSTATISTICS/EPIDEMIOLOGY

There are a number of foreign students in the various masters and doctoral programs the department offers.

DEPARTMENT OF DERMATOLOGY

Dermatology has had international scholars from Greece and Jordan studying dermatologic surgery for a period of two to six weeks.

APPENDIX B

INTERNATIONAL PATIENT REVENUE STATISTICS

INTERNATIONAL PATIENTS
Origin and Revenue by Country
Fiscal Year 92-93
Country No. of Patients Revenue
Honduras 97 636,527.73
Guatemala 64 263,314.18
Panama 6 22,147.05
Mexico 4 3,597.25
Belize 3 4,028.50
Nicaragua 4 6,024.15
Brazil 3 4,937.90
El Salvador 1 4,612.85
Peru 1 890.00
Colombia 1 172.50
Italy 1 5,762.55
Chile 1 190.00
Puerto Rico 1 11,538.95
France 5 1,380.05
Croatia 1 3,397.20
Japan 2 13,243.55
Canada 1 5,561.19
Ecuador 1 774.15
Bolivia 1 200.00
Greece 1 1,791.00
Switzerland 1 190.00
Jordan 1 2,336.00
Portugal 1 14,202.90
England 1 208.00
Costa Rica 1 668.25
Germany 2 763.00
Turkey 2 635.45
Netherlands 1 547.40
Total 209 1,012,096.05

INTERNATIONAL PATIENTS
Origin and Revenue by Country
Fiscal Year 91-92
Country Number of Patients Revenue
Guatemala 76 398,788.34
Honduras 69 233,827.71
Argentina 3 774.75
Switzerland 4 216,223.00
Mexico 9 13,001.18
Costa Rica 7 10,227.15
Brazil 4 12,409.70
Venezuela 7 24,216.70
Spain 5 777.75
Turkey 2 63,698.75
El Salvador 11 42,728.16
Belize 7 63,297.25
Panama 15 53,753.81
Nicaragua 5 7,389.07
Peru 2 900.00
Bolivia 2 7,351.88
Chile 2 2,967.88
Germany 3 32,374.95
Ecuador 6 2,349.72
England 2 10,913.70
Japan 2 7,228.00
Egypt 2 12,560.00
Total 1,217,759.15