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©2004 Nepal Clinical Internship
PO Box 17404
Stanford, CA 94309

Program Information

PROGRAM INFORMATION

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NCI Overview
NCI Detailed Packet
NCI Pamphlet
Sample Trip Itinerary
Nepal Activities

Information

Our Mission
The Program
          Introduction
          Program Structure
Internship Experience in Nepal
          Trip Description
          Kanti Children’s Hospital
What We’ve Accomplished 

Photos
               
Our Mission
 
NCI is a Stanford-based student organization that offers undergraduate,
graduate and medical students the opportunity to undertake clinical                
internships in Nepal. Through the internship experience, NCI enables                
students to evaluate their interest in medicine, develop skills                
to treat patients, and gain a broader understanding of healthcare                
around the world. In exchange, NCI assists Kanti Children’s Hospital                
and Manipal Hospital, the Nepalese hospitals that sponsor our program,                
by 1) sending interns abroad to help with the lack of manpower and                
2) collecting student tuition to fund purchases of medicine. NCI                
also hopes to establish a cross-cultural exchange between the U.S.                
and Nepal and spark long-term passion and commitment to improving                
healthcare in developing countries. 

The Program

Introduction
Nepal is a third world country with a population of approximately                
20 million citizens. Because it is one of the least developed developing                
countries (LDDC) with a per capita income averaging between $210                
and $1,100, most of Nepal’s inhabitants are destitute and living                
in extremely poor conditions. Consequently, Nepal’s citizens are                
in dire need of medical assistance: life expectancy in Nepal is                
57 years, 20 years less than life expectancy in the U.S.; the infant                
mortality rate is at 79.3 deaths per 1,000 live births, compared                
to 6.8 in the U.S.; only half of all births take place in the presence                
of a skilled attendant; only 59% of the population has access to                
safe drinking water; and less than 50% of the population consumes                
the daily recommended calorie intake. 

To alleviate the healthcare problems in Nepal, NCI’s internship program                
was created three years ago under the guidance of Dr. Michael McCullough                
of Stanford Medical Center and Dr. Bishop Joshi of Kanti Children’s                
Hospital. Ranging from three weeks to two months, the program allows                
students to volunteer at Kanti Children’s Hospital as well as gain                
medical knowledge by attending seminars at Manipal’s medical school.

Program Structure
NCI allows participants to gain greater insight into the healthcare                
industry while cultivating awareness and understanding of the people                
and cultures they serve. Beyond the internship experience, NCI                
strives to initiate within students a more lasting commitment to                
Nepal and other developing countries to create deeper long-term                
impact. In order to foster such continued interest, the NCI program                
consists of four main components:

* 10-week course student-initiated course that provides an overview of 
  Nepalese culture, basic medical knowledge relevant to the internship 
  experience, and international health care issues pertaining to Nepal  
* Placement in a clinical internship in the United States to fulfill a 
   prerequisite number of training hours prior to placement in Nepal 
* A three week to two month stay in Nepal where students intern and                
   attend classes at Kanti Children’s Hospital and Manipal Medical                
   School. Undergraduate students follow a structured program schedule, 
   while medical students set the duration of the internship program individually.                
* Opportunities to stay involved with NCI after the Nepal internship 
   experience as a member of the executive oversight committee 
              
Both undergraduate and medical students at Stanford University can                
earn course credit for participating in NCI’s internship program.                
Many undergraduate students majoring in human biology fulfill a                
requirement for clinical work hours, while medical students can                
satisfy an elective requirement. In the past, NCI has also accommodated                
enthusiastic participants from other universities, such as Trinity                
University, University of Illinois at Urbana-Champaign, University                
of Colorado at Boulder, and Mt. Holyoke College. In exchange for the 
course units and practical experience, students pay tuition equivalent to 
USD$50 per week during their stay in Nepal, and the funds funnel solely to 
purchase medicine for Nepalese patients who cannot afford to do so themselves. 

Internship Experience in Nepal

Trip Description
During winter and summer break, students have the opportunity to                
participate in the clinical internship in Nepal. The program allows students
to volunteer at Kanti Children’s Hospital, the only children’s hospital in 
Nepal. Through the program, students gain exposure to a variety of practices
within medicine, such as the physical therapy, intensive care, radiology, surgery,                
emergency room, and burn units. Upon arrival, students coordinate                
with Dr. Bishop Joshi, Kanti’s hospital administrator, to map out                
an intern rotation and daily work schedule. At this time, each hospital                
can accommodate up to nine students per session, with each session lasting                
three weeks. In addition, NCI encourages participants to sign-up                
for recreational activities, travel, and exploration of Nepal’s                
numerous sights and attractions when they are not volunteering in                
the hospitals. NCI operates one session during the winter quarter                
and three sessions during the summer, sending a maximum of 40 students                
per year. For a more detailed glimpse inside our internship program,                
please see a sample trip itinerary, and a list of activities that past participants 
have enjoyed during their free time in Nepal.

Kanti Children's Hospital
Parents bring their children from all over the country to Kanti                
Children’s Hospital for treatment. Because most patients come from                
extremely low to middle class families, volunteer organizations,                
such as the Social Service National Coordination Council, the Nepal                
Germany Help Association, and the Social Action Volunteers KCH,                
provide housing, transportation, and free immunizations to families                
while their children are being treated. The hospital holds 400 staff                
workers, with 53 full time doctors and 300 beds, and specializes                
in treating children from newborns to 14 year olds. The hospital                
serves nearly 100,000 patients per year, including 21,500 in the                
emergency room, 5, 700 as inpatients, and over 60,000 as outpatients.                

Standing adjacent to the Tribhuval University Teaching Hospital 
(TUTH) and serving as Nepal’s only pediatric hospital, Kanti 
Children’s Hospital is an ideal location for aspiring pediatric doctors 
to gain clinical experience. Working 9am to 1pm every weekday, 
program participants interact with children in the physical therapy, 
ICU, radiology, surgery, and burn units.  A typical NCI intern will be 
able to do the following:

* Observe the operating room and become familiar with 
   procedures in the surgery ward 
* Work with kids to move and exercise their limbs in the physical                
   therapy department 
* Assist workers in examining burn wounds and changing patients’ dressings                
   in the burn unit 
* Participate in rounds in the emergency room, following the main                
   ER physician 
* Learn about family planning and immunization as hospital staff have                
   interactive discussions with women and children 

What We've Accomplished

* Operated seven sessions over the last three years, sending a total of 76                
   students to Nepal 
* Served the student population of numerous universities, including                
   Stanford University, University of Illinois at Urbana-Champaign,                
   University of Colorado at Boulder, and Mt. Holyoke College 
* Saved over 50 lives and improved the quality of life for hundreds of patients 
   through the provision of medicine and manpower hours to Kanti Children’s 
   Hospital and Manipal Medical Program 
* Raised approximately $4,500 in tuition to purchase medicine for                
   Nepalese patients 
* Provided over 3,000 hours in volunteer service and interacted 
   with 1,200 patients 
* Catalyzed numerous other healthcare and Nepal-related programs,                
   including a children’s book, toys and clothing drive for children                
   in Nepal, and distribution of healthcare books related to home                
   remedies and family planning