My Reflection: A Fellow's Experience on Ethiopian Global Health Elective

Mohammad Zalzaleh, DO, Orthopaedic Surgery Hand and Upper Extremity Fellow

My global health elective to Soddo Christian Hospital in Ethiopia was an unforgettable educational experience. It significantly enhanced my ability to care for a diverse patient population by broadening my cultural competence and deepening my understanding of healthcare challenges in resource-limited settings. Observing firsthand the healthcare system's response to diverse patient needs, especially in rural and underserved areas, allowed me to see the importance of adaptability and flexibility in providing care. It also reinforced the value of building trust with patients from different backgrounds and learning to listen to their unique concerns and health beliefs. Additionally, the experience emphasized the importance of addressing social determinants of health, such as access to clean water, nutrition, and education, which I can now integrate into my practice to better care for diverse populations at home.

This experience significantly increased my medical competency by exposing me to a wide range of health conditions that I don't often encounter in a typical clinical setting. For example, I had the opportunity to assist in the treatment of chronic dislocations, malunions, and Volkmann contractures. Additionally, the limited availability of diagnostic tools and medications motivated me to become more resourceful in clinical decision-making, relying heavily on physical exams, patient history, and basic imaging modalities. I also developed a better understanding of the importance of preventative care and community health strategies, learning how to work within a healthcare system that may not always have the same resources available as those in more developed regions. This experience has made me more adaptable, resourceful, and confident in my ability to deliver quality care, even in challenging and resource-constrained environments.

While in Ethiopia, I also learned a lot about the people and their communities, which deepened my appreciation for their strength and perseverance. It reminded me that healthcare is not just about medical knowledge, but also about understanding and respecting the unique life experiences and cultural backgrounds of patients. It also encouraged me to step outside my comfort zone, which built my resilience in the face of uncertainty and adversity. I learned how to stay calm and resourceful under pressure, making decisions with limited resources while maintaining a high level of care. Ultimately, it taught me the importance of humility in medicine, recognizing that there is always more to learn, and that healthcare providers must always strive to improve both professionally and personally.