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Odessa,
Ukraine
The first JHI mission to Odessa took place in August 1999. In Odessa,
JHI works in cooperation with the "Gmilus Hesed" (Jewish
Social Welfare Society) and the Institute of Social and Communal Workers.
Through an agreement with the Philatov Eye Institute, JHI provides
training and equipment, and the institute ensures eligible to receive
treatment free of charge. In cooperation with the Institute of Social
and Communal Workers, JHI brings in doctors from a 200-mile periphery
three times a year for a two-day seminar conducted by local professionals
and JHI volunteers. This educational experience greatly expands the
scope of training of healthcare professionals in the Ukraine.
Educational
Seminars:
The seminars provided by JHI mission participants at the Institute
of Social and Communal Workers are an integral part of the mission.
Lectures are presented at a two-day Seminar for physicians, and
a one-day Seminar for "Gmilus Hesed" Home Care Workers.
In addition, most mission participants will also have the opportunity
to give additional lectures at non-Jewish medical institutions that
collaborate regularly with Hesed and at the local medical or nursing
schools.
At the two-day
seminar, JHI brings in South Ukraine Hesed Medical Program Chiefs,
Hesed Volunteer Doctors of the medical specialty being presented,
and also invites local doctors form the general community in that
specialty. Each mission participant will present one or two 90-minute
lectures per day. The goal of the seminar is to enhance the professional
level of healthcare specialists by providing modern and interesting
information to local healthcare professionals. These lectures serve
as advanced training to practicing physicians (i.e.: continuing
medical education) and therefore lectures should be at an advanced
level. Those attending the conference are highly trained medical
professionals who are considered experts in their fields.
At the one-day
of Seminar for "Gmilus Hesed" Homecare Workers, each JHI
mission participant presents one 90-minute lecture. Homecare workers
are volunteers or low-paid workers with varying degrees of medical
background and no medical authority. Some are retired nurses, with
extensive medical training, and others are general community members
who want help those in need. Most are well educated in general,
but not specifically in medical issues. They are not trained or
authorized to make any medical decisions or diagnoses, however,
they do report any medical problems that they observe to the homecare
coordinator in the Hesed. Their primary work is to care for homebound
Hesed clients, making both medical and social visits that include
help with food-preparation and basic hygiene. Most of the homebound
clients are elderly, and have some physical disability that makes
it difficult for them to leave their homes. Some of the clients
also suffer from mental disabilities. Lectures to these workers
are on a basic level, and provide information on how homecare workers
can help improve the quality of life of the homebound.
Depending on
the medical specialty and timing of the mission, JHI mission participants
sometimes give additional lectures at non-Jewish medical institutions
that collaborate regularly with Hesed and at the local medical and
nursing schools. Gauging the level of knowledge and expertise of
the seminar attendees is often difficult. Most past mission participants
have found that it is better to prepare at a higher level, and then
depending on the reaction of the audience, simplify the materials
as necessary. This is an opportunity for the local healthcare professionals
and homecare workers to be exposed to materials otherwise unavailable
in the country. While preparing lectures, mission participants are
encouraged to contact past participants from JHI missions, to discuss
local conditions and medical training at site (contact information
of past mission participants is provided in the orientation packet).
All lectures
are translated by local translators, and therefore, each 90-minute
lecture involves about 45-60 minutes worth of material presentation,
and 30-45 minutes of translation time. Lecture topics are proposed
both by the Institute and by the mission participants themselves,
and the final lecture schedule is coordinated by the JHI Coordinator
in Odessa. Slide projectors, overhead projectors and PowerPoint
projectors can be provided at most sites, and mission participants
communicate directly with the local JHI Coordinator to ensure that
the necessary equipment is available. Mission participants are also
asked to prepare an abstract for each lecture. The abstract should
be a detailed one-page summary of the content of each lecture, including
key-points and key terms used. This should be similar to an abstract
that you would write about a journal article, book chapter or lecture.
Translators need two to three weeks to review the materials before
hand and prepare all necessary vocabulary. Handouts, PowerPoint
slides and other written materials may be translated before the
mission and copied for distribution. Many internet resources are
available to aid in lecture preparation. MD Consult is a website
that allows you to access medical texts online and search these
texts to find fast answers to all your questions. You can subscribe,
for a fee at http://home.mdconsult.com
or, register at the www.merckmedicus.com
site, and you can link to MD Consult for free.
Patient
Care:
Over the past year, Odessa has requested, and JHI has sent, specialists
in the following areas: Dentistry, Ophthalmology, Geriatrics, Urology,
Family Medicine, Nursing, Cardiology, Radiology, Endocrinology,
Pediatrics, Internal (General) Medicine, Psychiatry, Rehabilitation,
Gastroenterology, ENT, Neurology, Gynecology, Oncology, Occupational
Therapy, Physical Therapy, and Physiatry. Hesed volunteer doctors
present diagnostically complicated cases to JHI mission participants.
These "second opinion consultations" can take place at
the Hesed Welfare Center, during home visits to bed-ridden patients,
and during "rounds" at visits to local cooperating medical
institutions. JHI participants also work with the Hesed volunteers
and social-care workers who care for homebound patients. Most of
the patients are elderly Hesed clients and children in the Jewish
orphanages. JHI mission participants also consult and screen patients
at the Eye Microsurgery Center (all consultations and operations
in the Center are free of charge for Hesed clients). Most recently,
JHI has begun a collaborative effort with the Odessa State Nursing
School and the dental school.
Drug
and equipment donations:
In Odessa, there is currently an extreme lack of drugs and equipment
in local hospitals. JHI seeks the donation of certain medication
and equipment from individual donors (including mission participants)
as well as large pharmaceutical companies. The donations are distributed
between the Hesed Medical Center and local cooperating institutions,
such as the Eye Microsurgery Center, several city hospitals, and
dental polyclinics.
Jewish
Renewal:
Finally, it is a goal of JHI missions to show participants a wide
picture of Jewish renewal in Odessa. This includes visits to the
Jewish section of the city, "Gmilus Hesed" Jewish Welfare
center, visits to "warm houses," synagogues, Jewish High
schools, Jewish Orphanages, the JCC "Migdal," JCC "Moria",
and the Holocaust memorial. In addition, mission participants participate
in a Kabbalat Shabbat with Hesed staff and volunteers.
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