Long days, short (summer) weeks…. Wrapping up a remote global health practicum

It’s hard to believe that my practicum experience is almost over and that the summer’s almost gone! I keep asking myself where all the time went. For my practicum experience, I have been working with UNC Gillings Zambia on the ARCH study. The goal of the ARCH study is to optimize birth outcomes in low-resources settings, by using household surveillance to gain a better understanding of the social and clinical factors that may affect pregnancy outcomes in women of reproductive age. I think that one of the best parts of the study is that it allows the study team to follow women of reproductive age, from preconception to at least one year after the end of their pregnancy, in the event that they become pregnant during the course of the study. In addition, the study also follows children under the age of 2, to gain a better understanding about factors that impact the health of young children. Thus far, I have learned quite a bit from the study, mostly related to the implementation of such a large-scale study.

One of the most important lessons that I have learned so far has been the importance of flexibility and being willing to adapt to a new situation. At the beginning of my practicum, my preceptor and I thought that it would be most helpful if I worked on developing standard operating procedures (SOPs) for various aspects of the study. As time progressed, it became clear that there were other aspects of study implementation that would be a better fit. As such, we have pivoted from working on SOPs to developing recruitment and training materials. It has been an interesting learning experience, thinking about how best to simplify the language from protocols, written for technical experts, to informationals that can be understood by study participants. I’ve also learned a lot about the seemingly small aspects of study implementation that I had only briefly thought about. As I’ve been charged with drafting some of the training materials and schedules, I find myself thinking about the most pertinent parts of the study protocols and how to engage study staff when they might have days’ worth of training in their future. All in all, it’s been a truly educational experience.

It might not come as a surprise that one of the most challenging aspects of the practicum experience has been my inability to meet most of the people that I’m working with in person. I have tried to keep in touch via email. My preceptor has also been wonderful, as we decided to meet on a weekly basis, just to touch bases. I think that the weekly meetings have been helpful and have provided more opportunity for direct feedback. At this point, we have talked about extending my practicum, but I still don’t think that I will be able to see the actual start of the ARCH study. That said, I plan to follow the study closely and look forward to learning more about the results of the survey.

Lastly, I’m looking forward to enjoying the last weeks of summer, prior to the beginning of the semester. I’m very excited about starting the second year and can’t wait to meet in person!

– ‘Desola

Global Women’s Health from Home

On the backend of my internship, I can now look back with an awareness of how much the projects I am working on have evolved since the beginning. I cannot believe that we are reaching the end of the practicum this week, it has flown by. I am truly grateful for the team I have been able to work with throughout this experience. It has been so helpful for my future career planning to interact with others in the field of global women’s health.

Work from Home Set-up

In the second half of the internship, I have spent the bulk of my time working on the division of Global Women’s Health website content and restructuring to convey the current research to wide audiences. I have particularly focused on producing written content for the page detailing the prevention of adverse birth outcomes. At first it was overwhelming to effectively summarize the work of so many different projects in various countries. But as I continued, I found greater focus and clarity as I emphasized the population impact that these projects carried. This reflective reminder came at an important time for me. I was feeling burdened down by the extensive complex problems, especially on a global scale (as that was the context I was working in). I was doubting the change I could affect on systematic and widespread issues. However, as I drafted material about the big picture, the why, and the goals of the division, it reemphasized to me the importance of individual contributions as a piece of the united effort.

Nightly walks at Lake Crabtree

As I conclude this internship I am grateful for the glimpse it gave me into the responsibilities of program managers, with an emphasis in communications. It was informative for me to see how a team of researchers, local and abroad interact to complete translational research for improved practice. This internship taught me the importance of not only performing research but also telling the story to a larger audience: funders, potential fellows, and the general public. I gained an understanding of the value in uniting teams towards a common vision while each person is focused on a unique aspect of the overall mission. I hope to transfer these skills into positions I will hold in the future.

-Renee

Time Flies When You’re Having Fun!

It is pretty unbelievable to think that this summer has almost come to an end, but you know what they say: time flies when you’re having fun! Since my last blog post, I have worked diligently to create my practicum products. I have spent many hours playing with PowerPoint formatting on provider training materials and editing down my very long manuscript to a manageable length for submission. Entering the last week of my practicum, all that is left to do is cross T-s and dot I-s on the training materials and then present them on Thursday to Beacon Program staff. I am excited to share the work I have been doing all summer with them and also to use it as an opportunity to practice presenting the training module before I give my final presentation to a much larger group of hospital staff at a lunch-and-learn on August 10th.

In the short two-month duration of my practicum, I feel that I have learned an incredible amount about patient privacy and safety in the context of OpenNotes and my preferred work style, and my own strengths and weaknesses in a professional setting. This experience has solidified my desire to work in public health policy and has also demonstrated how policy work can be difficult and frustrating. Dealing with bureaucratic restrictions and relying on others to implement changes that you have deemed necessary and pressing can be stressful. Despite this, I have found this stress an incentive rather than a deterrent to my conviction to treat public health issues with policy solutions.

This summer has been one of growth and learning, and I am very grateful for the experience I have gained through this practicum. I thoroughly my work, but this summer has come to an end in the blink of an eye. I look forward to a short break in early August before things really ramp back up with the beginning of classes, preparing for MPH Comp Exams, and studying to take the LSAT (wish me luck!). I can’t wait to meet you all in person this Fall and hear about your practicums.

– Gabbi