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ISC and its partners organised the 9th edition of the Science Summit around the 78th United Nations General Assembly (UNGA78) on 12-29 September 2023.
The role and contribution of science to attaining the United Nations Sustainable Development Goals (SDGs) will be the central theme of the Summit. The objective is to develop and launch science collaborations to demonstrate global science mechanisms and activities to support the attainment of the UN SDGs, Agenda 2030 and Local2030. The meeting will also prepare input for the United Nations Summit of the Future, which will take place during UNGA79 beginning on 12 September 2024.
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Wednesday, September 27 • 12:00pm - 2:00pm
[VIRTUAL] Optimizing Global Health Exchange Programs for Participants from Low-to-Middle-Income Countries (LMIC) in High-Income Countries (HIC) (271201)

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The colonizer mindset continues to ripple through academia, educational institutions, healthcare centers, and communities. Rooted in an empowerment rather than dependency model, the Nuvance Health / University of Vermont Larner College of Medicine Global Health Program with active participation from domestic and international partners has and continues to gradually implement unique features from decision-making to resource allocation, participant education to community engagement, capacity building to brain gain. We aim to continuously shed a truthful light on a tragic past and present while evaluating our program’s components that combat and contribute to the savior complex model.

An integral component of GH exchange programs is the bidirectional hosting of GH participants from HIC to LMIC, and reciprocally from LMIC to HIC. However, these exchanges are being more critically investigated in order to better understand and ameliorate the discrepancies, among them the disconnect between the levels of support given to HIC participants and LMIC participants. While many discussions have been held about inequalities in GH, this particular form of inequality has yet to be addressed. A critical first step involves giving the platform to LMIC participants to safely share their experiences in HIC.

Global Health (GH) programs in HIC spend ample resources ensuring the emotional and physical safety of HIC participants while on GH electives in LMIC. From extensive pre-departure orientation training to reviewing of weekly written reflections, host family cultural integration to longitudinal mentorship on arrival home, HIC GH participants are given thoughtful attention as they adjust to a new culture and medical setting while encountering numerous structural and personal challenges. However, LMIC GH participants are not given this same level of attention when hosted in HIC, even though they often encounter greater challenges than their HIC counterparts in being unable to put hands on patients, access patients’ medical records, or participate in clinical discussions or scientific dialogues. Regardless of their level of training, they are purely observers and listeners in HIC while even first-year HIC medical students can participate more fully in the clinical experience while in LMIC.

Furthermore, LMIC participants often experience mistreatment, microaggressions, and other biases that affect their comfort, emotional safety, and ability to learn and work, not only without protection but without a platform on which to discuss those experiences without fear of repercussion. Amidst the push to combat power imbalances in GH today, this topic has been left largely unaddressed. In this panel, we ask participants from LMIC what their challenges have been during their time being hosted in HIC, and what can be done to empower them on their GH journeys.

While many aspects of GH partnerships are currently under discussion and restructuring, the relative lack of support for LMIC participants while hosted in HIC has been far overlooked. There is no question that we have a long way to go to equalize GH, and this panel may not offer any solutions. However, giving the podium to partners from LMIC to discuss their perspective may open new dialogues around the structural, personal, and cultural barriers that may prevent LMIC participants from having an optimal GH experience, and ultimately enrich the path toward more equitable GH partnerships.

avatar for Mitra Sadigh

Mitra Sadigh

Writer/Editor/Researcher, Nuvance Health / University of Vermont Larner College of Medicine Global Health Program & Stony Brook University Renaiss
Mitra Sadigh is writer, editor, and researcher at the Nuvance Health/University of Vermont Larner College of Medicine Global Health Program (NH/UVMLCOM GHP) where she serves as editor of the GH Diaries blog and eMagazine as well as faculty member of the GH Academy. With two bachelor’s... Read More →
avatar for DUY KHOA DUONG


Lecturer, University of Medicine and Pharmacy at Ho Chi Minh City
My name is Dương Duy Khoa, and I am a young lecturer at the University of Medicine and Pharmacy in Ho Chi Minh City. I hold a Medical Doctor degree from the University of Medicine and Pharmacy in Ho Chi Minh City and a Master's degree in Public Health from Université Paris-Sud... Read More →
avatar for Tendai Machingaidze

Tendai Machingaidze

Faculty/Writer/Global Health Scholar, Nuvance Health/UVMLCOM Global Health Program
Tendai Machingaidze, MD holds a Bachelor of Science in Biochemistry from Syracuse University, a Master of Arts in Education and a Master of Divinity from Southwestern Seminary, and a Doctor of Medicine degree from Privolzhsky Research Medical University. She is a faculty member at... Read More →
avatar for Shalote Chipamaunga

Shalote Chipamaunga

Faculty of Medicine and Health Sciences, University of Zimbabwe
Dr Shalote Chipamaunga is a Senior Lecturer in the Department of Health Professions Education, Faculty of Medicine and Health Sciences, University of Zimbabwe. Prior to this, she held a similar position at the University of the Witwatersrand in South Africa where she obtained her... Read More →

avatar for Co-convenor: Swapnil Parve

Co-convenor: Swapnil Parve

Director of International Affairs, Nuvance Health Global Health Program
Dr. Parve's dedication to global health and extensive field experience have positioned him as a global health leader and innovator. With a solid educational background and a passion for making a difference, he has consistently contributed to medical education and improved healthcare... Read More →
avatar for Majid Sadigh

Majid Sadigh

Director of Global Health Program, Nuvance Health/UVMLCOM
Majid Sadigh, MD, is an infectious disease specialist and internationally-recognized global health expert, Dr. Majid Sadigh is Director of the Nuvance Health (NH) / University of Vermont Larner College of Medicine (UVMLCOM) Global Health Program. In 2016, he was honored as the inaugural... Read More →

Wednesday September 27, 2023 12:00pm - 2:00pm EDT