2014 THE AM POST: 6th Issue

THE AM POST AM in Taiwan

6th Issue 2014 August 11

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Sessions

2014.08.11 MON Chou Tzu-Jung, Tien HsuanNing, Chen Chia-Ching Today’s SCOME session discusses about “non-formal education” after an interesting warm up game. What is non formal education? By sharing experiences and working on projects, non-formal education aims to give students curiosity of learning. There are still several difficulties this kind of education faced. Many people think that it’s an alternative education for students that cannot fit in the formal ones. Also, we still have to work on the quality insurance of the non-formal education.

After the theme presentation, there are two trainings.

One group discussed the topic with regard to the leadership. Members were invited to share their thoughts about the ways and steps to become a successful leader. One participant said that extraordinary leaders treat everyone in their group equally, instead of solely considering themselves or desiring to control the group. Another indicated that good leaders motivate their teams to go forward and respect different opinions. There were interesting warm-ups to experience the essence of the leadership.

The other one is the LOME & NOME empowerment delivered by Associa-Med Tunisia. Empowerment is to give someone the power to do something on their own. All medical students can become empowered through their own individual and collective efforts.

Empowerment makes us able to transform motivation into action, produce sustainable change, and maximize human potential. It is a dynamic process that can create enthusiasm and opportunity for every participant.

SCOME

SCORA

Liu, Chin-Hsuan, Hsieh, Yi-Ting

Our Scorangels were very busy this morning, exchanging their experience in managing projects. Most of the projects were related to peer education and some of them have shown great success.

On the whiteboard, scorangels were sticking condoms from all over the world and giving interesting slogans to encourage people to use condoms. You could find condoms of blueberry muffin and ice cream flavors in Germany! Ask your German friends for supplies!

During the session, proposed programs for future direction were also brought up, including cognitive sexual education, sexuality and gender diversity, HIV/ AIDS and other STIs and maternal health. The programs will be voted and finalized in 2015 MM in Turkey.

Jui Wen Yeh, Yu Chiang Wang, Nien Jung Lee The SCOPE session took place early in the morning at 8:30am. As delegates trickled in and each country’s presence was resounded, the session began with the rise-and-shine aerobics to make sure everyone is awake and ready for the bylaw discussion and voting that followed.

SCOPE

The bylaw discussion is a series of proposed amendments to the current SCOPE bylaws. Each proposal can then be seconded or opposed by direct negative before voting is conducted via the IRS system.

One ongoing focus of the bylaw amendments is geared towards improving the exchange quality and experience.

“Recognition on Exchanges” is a joint presentation with SCOPE during which the presenter listed out four general points. The first and perhaps the most emphasized is “Quality”, which focuses on the quality of exchange program or curriculum. The quality aspect is explored further and the presenter suggested several ways with which quality can be indicated – logbook, certificate and Quality Assurance System (QAS).

In the last hour of this session, two candidates for 20142015 Director of SCOPE are invited to answer questions raised by NEOs. How to improve the quality of the exchange, how to improve the communication between IFMSA and NEOs, and what their thoughts are regarding

甲午年

Sessions Lin, Han-Wen Chan, Shu-Yen The workshop of today’s NMO session was about the financial management.

Applying the tips in the workshop, participants’ skills of proposing and organizing a project would certainly be improved. First, they talked about the importance of successful budgeting, since only by keeping the financial report during the project can we analyze the efficiency and prioritize the resources. In the project cycle, we could see the close relationship between the project implemental phase and the financial management. In the end, the reporter introduced to us some other useful tips of establishing Google sheets for financial reporting.

NMO

SCOPH

SCOPH tackles Chinese organ harvesting

Yesterday at the SCOPH session, Svea, the regional coordinatior, invited two experts from the Taiwan Association for International Care of Organ Transplants ( TAICOT ) to present on the background of organ harvesting in Asia, especially in China.

Organ trafficking in China has been active since 1984, when the Chinese government made it legal to take organs from death row inmates. However, due to China’s underdeveloped human rights awareness and its severe persecution of those viewed as potential enemies of the state (especially Falun Gong practitioners), the ease and speed of organ procurement has increased dramatically since 2001, and has since become a dire issue that requires urgent attention from both humanitarian and medical communities. For the right price, any organ may be bought fresh, including lungs, corneas, entire livers, and even hearts… at the price of another human life. The tremendous organ demand from international patients drives prices so high that the Chinese government even prosecute and swiftly execute their political prisoners for high financial gain. This is literally blood money which violates medical ethic rules.

What can WE do to help?

Dr. Alex Chen, the international liaison officer of TAICOT, hopes that, as medical students, delegates could bring this issue back to their home countries and perhaps to the attention of doctors who are unaware of the origins of the fresh organs on their operating tables. Try to

educate everyone, from yourself to your family, your teachers, and your friends. If demand is reduced at an international level, the trade will gradually die. In the future, Dr. Chen hopes that TAICOT can also begin to target the growing problem of dangerous, HIV-infected blood bought from the poor rural populace of China.

Together, we can make a difference!

For MORE Information, please see http://www.cipfg. org and http://www.organcare.org.tw/2014/05/englisharticle-page.html

2014.08.11 MON

Theme Event

Roles & challenges for health care, profession in disaster.

Due to typhoon approaching Japan this weekend and gas explosion earlier in Kaohsiung, Taiwan on July 31st, two of the speakers could not make it to this session. The sole speaker, Dr. Hsih Fu Yuan gave an inspiring and enlightening speech and led some meaningful discussion with delegates during the session.

Dr. Hsih, a physician in Department of Emergency Medicine, National Taiwan University and also the director of Emergency Operation Center ( Taipei), has 25 years of experience in dealing with disaster in Taiwan. At the beginning of the speech, Dr. Hsih asked delegates about their experiences of disaster.

Earthquakes, tsunami, hurricanes, volcanoes, and even bombing are some of the disasters that delegates experienced. Dr. Hsih then proposed

The sustainability of long term care system For the Long Term Care (LTC) Theme Event, we invited two experts in the field of LTC and health insurance; Dr. Lee, and Dr. Wang. Dr. Lee, as one of the primary government advisors for Taiwanese LTC innovations and future plans, introduced us to the growing problem that every nation in the world faces today, and how the Taiwanese government plans to tackle its dropping fertility rate and its rapidly aging society. The Taiwanese government plans to deal with the LTC of those in need primarily through 3 phases; the TenYear LTC phase, which introduced the LTC system to the elderly and some of those in need; the Expansion o f C o v e r a g e p h a s e , w h e r e LT C

an interesting perspective. During rescue mission, narrowed vision from the scene will make rescuers prone to making wrong decisions. As a result, a rescue modulating center will be necessary for the mission.

After discussion, the attendants started their group presentation and several concepts were presented.

One mentioned the characters of the doctors serving in emergency medical care, including being responsible, skilled, fast-thinking as well as the ability to work under pressure, decision making and team building. Another said that medical expertise in psychology, basic surgery and pathology was essential. The other pointed out the importance of post-traumatic support to make medical care more efficient and comprehensive. Besides the general expansion is planned through the passing of the LTC Act and the LTC Network Plan; and the LTC Insurance Policy phase, which will see LTC become a part of the National Health Insurance service, and become universal in coverage. The 3 phases are each challenging in their own rights, but Dr. Lee is confident that these changes are indeed necessary since they reflect the best interests of Taiwan’s future. She stresses that the plans will require significant political resolve to succeed, while remains optimistic of its implementation and success.

Dr.Wang, a researcher interested in the factors which influence LTC, outlined how the Chinese culture affected the idea of long term care.

Compared with the concept of social care in Finland, long term care system in Taiwan was based on the family unit, which meant that caregivers were often the daughters-

concepts mentioned, creative ideas were also brought up. For instance, a delegate that was also a veterinarian emphasized the necessity of not only evacuating the people, but also their pets or livestock. Dr. Shih also added some interesting points such as dentists being indispensable for air crash as they are capable of identifying the identity of the dead through teeth.

Close to the end of session, Dr. Hsih touched on a few important points to take home, with one of them being the concept of triage.

Triage is a concept of paramount importance when it comes to any form of disaster management, as it helps determine the priority of patients’ treatments based on the severity of their conditions. Also, during the discussion, all five groups raised the issue of post traumatic stress disorder (PTSD) that the victims of any disaster will likely suffer from.

Even so, Dr. Hsih reminded us of the fact that mass care for the IDP may play a more significant role in disaster response than psychiatric care.

in-law of each family. Before Taiwan imported foreign labors as caregivers in 1992, these women shouldered the burden of caring for their inlaws, while their work remained unrecognized and trivialized. The advent of the feminist movement after the lift of martial law introduced the idea of the working class women, and aggravated familial relationships where traditional Chinese thinking demanded filial duty. Dr. Wang further explained the heavy human costs of Taiwan’s caregiving dilemma; the maltreatment of countless foreign workers. He proposed a solution to offer women pay to care for their own elderly relations, thus ensuring caregiver income security and limiting foreign worker immigration. He also pointed out the importance of having a well-rounded system of care, with community, institutional, and familial sources, in order to help the elderly in the quest for “active aging”.

甲午年

Theme Event/ Culture Night

The essential role of health promotion in achieving sustainable healthcare

Chou, Tzu-Jung; Tien, Hsuan-Ning; Chen, Chia-Ching It’s an inspiring theme event for many delegates since we are going deep through the topic of the essential role of health promotion in achieving sustainable healthcare. On the first place, Ms. Joyce R. Gaufin, the President of American Public Health Association (APHA), U.S.A., delivered an awe-inspiring speech regarding to the keys to successful collaboration between medicine and public health. She guided the participants into a journey of global health equity that looks upstream to address root causes under a public health framework for reducing health inequities. In order to ensure decision makers are informed about the health, equity, and sustainability consequences of policy options, intersectoral collaboration focusing on deep and ongoing collaboration is a must. Subsequently, Ms. Gaufin

Culture Night

Do you feel a little bit homesick or sad as GA is drawing to a close? If you do, then culture night is definitely a must-attend! Last night, we enjoyed dancing and singing along with the brilliant performance from over 20 countries. Through each show, we got to appreciate more about the differences between cultures. The culture night began with Taiwanese delegates’ performance. By dance steps from some of the most famous Taiwanese singers, they delivered a taste of modern Taiwanese culture.

The famous Korean Gangnam style dancing, the Kurdistan traditional

introduced essential skills necessary to serve as a collaborative leader in detail: relationships, passion, vision, and ability to create and sustain changes of systems. In conclusion, she put an emphasis on the significance to develop the right type of leaders for the future so that we medical students can see and build the future of the medical field!

The second speech: “Promoting partnership and value-adding healthcare” is delivered by Dr. ShuTi Chiou. The major concept is to make us have an understanding of global trend in health policy.

For some medical students, public health might seem to be something far away. So what can we do to strengthen the partnership between public health and health care? Actor, enabler, advocator, and leader are the four roles of healthcare sector in “health in all policies”. In order to empower the medical providers, the government should provide dancing, and the beautiful chorus by the Indonesian, all showed how hard the delegates worked to impress everyone. The adorable Kangaroo dance from Australia and the fantastic double dance from Romania made the atmosphere even better.

The culture night rose to a climax when the Brazil delegates invited everyone to the stage. We danced to our hearts’ content and enjoyed a wonderful night together.

The grand part of the culture night was to select the Miss Medicine!

Delegates from different countries were all dressed up with clothing and adornments representative of their cultures. The competitors went through the stage and performed fascinating posture to catch the eye of the audience. Whom did the big prize go to? Miss. Romania, Miss.

Palestine, and Mr. Australia won

evidence-based quality guidelines and recognitions for high-performing team. In addition, hospital management will have to address person-centered comprehensive health-adding care in the future. Take the United States for example. Each hospital must perform a community health needs assessment (CHNA) every 3 years. In Taiwan, we have age-friendly hospitals according to WHO principle, and environmentfriendly hospitals. At the end of the speech, Dr. Shu-Ti Chiou gave us an inspiring encouragement: “Beds and equipment can make healthcare bigger, but only love can make healthcare greater!”

So how can we do to approach this concept of healthcare? First, we should change the way we teach medical students. Treating patients is not only curing their disease but also promoting healthcare. As medical students, we can join professional organizations as student members to learn how to communicate and cooperate with public health experts, governments, and public. We should also pay more attention to global policy changes. “ Think globally, act locally and globally” as Dr. ShuTi Chiou said. Now it is our turn to portray the future and make a difference in this world! the first, second and third positions respectively! Congratulation!