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Best Practices in Short Term Medical Missions. Ron Brown, M.A. Associate Director GHO CMDA Nov. 12, 2010. Presentation Outline. Philosophy of Ministry Partnership with Local Host Ministry Preparing and Recruiting Local Host Responsibility Arrival and Clinic Week

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best practices in short term medical missions

Best Practices in Short Term Medical Missions

Ron Brown, M.A.

Associate Director

GHO

CMDA

Nov. 12, 2010

presentation outline
Presentation Outline
  • Philosophy of Ministry
  • Partnership with Local Host Ministry
  • Preparing and Recruiting
  • Local Host Responsibility
  • Arrival and Clinic Week
  • Extracurricular Activities
  • Leave Taking/ Farewell/ Re-Entry
philosophy of ministry
Philosophy of Ministry
  • Purpose
    • Use short-term medical missions for a long-term impact
        • Host Ministry / Patients / Participants
        • Local Church is Priority
  • Goals
    • Use medical / dental clinics to open doors for evangelism and discipleship
      • Matt 28: 19 “Go and make disciples of all nations…”
philosophy of ministry cont d
Philosophy of Ministry Cont’d
  • Servant Attitude
    • Use Jesus model of being a servant
      • Came to serve, not be served
      • Washed feet!!!
    • Be a learner
      • Learn and apply principles of Biblical humility, cross cultural sensitivity
      • Serve to empower local church / local ministries
partnership with local host ministry
Partnership with Local Host Ministry
  • Pastor (s)
  • Missionary
  • Para Church Group
  • Local Physicians, Dentists, Nurses, etc.
partnership cont d
Partnership Cont’d
  • Keys:
    • Going to serve them vs. * Dependency Issues
    • Going to help them plant, grow and strengthen their local church
    • Often requires an initial site visit to prepare for successful outreach with minimal surprises
preparing and recruiting
Preparing and Recruiting
  • Spiritual and Cross Cultural Preparation
    • Books, Articles, Web pages
  • Team Composition
    • Team Leadership: Medical/ Dental/ Spiritual Directors
    • Team of 20 = 4-6 providers, 1-2 dentists, dental hygienist/ assistant, 1-2 pharmacist, 3-4 RNs, PT, 3+ logistics
    • Nationals compliment team in registration, logistics, crowd control, counseling/ evangelism, drinks & meals, travel, discipleship & follow up
preparing and recruiting cont d
Preparing and Recruiting Cont’d
  • Budget
    • Travel
    • In-Country Expenses
    • Formulary, Supplies, Gifts, etc.
  • Fund Raising
    • Letter
    • Family and Friends
    • Local Church
    • Civic Groups
preparing and recruiting cont d1
Preparing and Recruiting Cont’d
  • Formulary (Medical Director, Pharmacist)
  • Equipment
    • Triage, Lab and supplies
    • Dental
      • Extractions
      • Restorative - more equipment intensive
    • Community Health Materials, Wheel chairs, etc.
    • Readers, Sunglasses
local host responsibilities
Local Host Responsibilities
  • Strategic Purpose for Medical Clinics
    • Why are we going to this place at this time?
    • What are long term goals and purpose
  • Registration of Docs + In-Country
  • Customs and Immigration
    • Be Proactive, Know what is needed!!!
    • Mexico, Nicaragua, China, India
  • * Security Concerns
local host responsibilities cont d
Local Host Responsibilities Cont’d
  • Interpreters: Key Players!!!
    • Promote Volunteerism, Kingdom Mindset
  • Evangelism, Counseling, Discipleship /

Follow-up

  • Promotion of Clinic Week (s)
  • Logistics of Travel, Lodging, Meals, Water, etc.
security
* Security *
  • Areas of Concern for You
    • Open or Closed / Limited access country
    • Police, Public Security Bureau, etc.
    • Vehicle Safety and Accidents
    • Buddy System
security cont d
Security Cont’d
  • Insurance
    • Adams and Associates www.aaintl.com
    • Red 24 http://srvb.red24.info/nonmembers/
  • Orientation for: Crisis Management Plan
    • Hostage Situations, War, Natural Disasters
    • Governmental Action , Governmental Coup
    • Events that create negative public attention
    • Terrorist action or threat
    • Multiple deaths , Kidnapping, Criminal Actions
arrival and clinic week adapt to open or closed country
Arrival and Clinic Week(Adapt to Open or Closed Country)
  • Orientation with Team Leader & Medical Director
    • Local Pastors
    • Local Physicians
  • Set up Medical Clinic
  • Set up Dental Clinic
  • Set up Pharmacy/ Pre-packing meds
clinic layout
Clinic Layout
  • School is Ideal / Complex with central gate
  • Church with classrooms
  • Registration by local team members
  • Counseling / Evangelism or @ end of clinic
    • Local pastors decide
    • Local believers to lead
  • Triage
  • Consults
  • Pharmacy
maximize filter flow patient consideration
Maximize Filter, Flow, Patient consideration
  • Outside waiting area / Gate Keeper!!!
  • Filter to Registration area
  • Quiet area for counseling/ evangelism
  • Triage
  • Organize Consults by special needs
    • GYN/ PEDS/ Portable Ultrasound/ etc.
  • Basics meds @ each consult
    • Analgesics, vitamins, anti-parasite
  • Pharmacy placement near exit
clinic function
Clinic Function
  • Other clinics / Com. Health training/ Reading and Sun Glasses, others
  • Counseling area (Evangelism/ Discipleship)
  • Maximize Patient Flow
  • Local church participation/ Local Health Care Professionals Partnership
team spiritual development spiritual director
Team Spiritual Development(Spiritual Director)
  • Team Devotions AM/ PM
  • Volunteers to lead AM
    • Music Worship
    • Another share their testimony
  • Team Pastor for PM/ deeper Bible Study
  • Early AM optional accountability groups
    • Men and Women
  • Evening Debriefing/ Grand Rounds
    • Coordinate with Team Leader, Medical Dir and Spiritual Dir
    • God Sightings
extracurricular activities
Extracurricular Activities
  • Focus on serving local pastors and community
  • Children’s Program / Mini VBS
  • Pastor’s Conference/ Training
    • Great way to engage the local pastors, local ministries dedicated to pastor training, discipleship
    • GO International www.gointernational.org
    • Downline Ministries www.downlineministries.com
  • Music/ Drama (Best done by local hosts)
  • Crusade for Christ (locally directed)
leave taking farewell re entry
Leave Taking/ Farewell/ Re-Entry
  • Final Fellowship Dinner with local partners
    • Recognition of Local Pastors, Hosts, Spouses
    • Appropriate gifts, Special Thank You!!!
  • In-Country follow up
    • Discipleship/ Medical/ Dental/ Surgical
  • Final Debriefing evening (weekend) with team
  • Re-Entry Booklet/ Devotional
    • Review Re-Entry issues, team help each other
      • Face to Face, phone, email, etc.
accountability
Accountability
  • Team
  • Family
  • Home Church
  • Acts 1:8 Jerusalem, Judea, Samaria, Uttermost
    • Church Mission’s Committee
    • Local Outreaches / Inner City/ Un- and Under- insured clinics, Native Indian communities
taking it to the next level
Taking it to the Next Level
  • Saline Solution Conference/ DVD Set by CMDA
    • Impact on your own practice
    • Spanish version
    • Multiply efforts in community, state, professional associations, etc.
  • Perspectives Course on the World Christian Movement
    • 15 week class on the Biblical, Historical, Cultural and Strategic Perspective
taking it to next level cont d
Taking it to Next Level Cont’d
  • WARNING!!! Focus on Completing the Great Commission…
    • This could lead to Full-Time Medical Mission Call
      • Tim Peklo, Tom Boeve, Mark and Mona, Tom Hoak, Rachel Middleton, Tom Bonifield, Dan Johnson, to name a few families and individuals in recent years…
taking it to next level cont d1
Taking it to Next Level Cont’d
  • Remember why we do this
  • It’s not about us
  • IT’S ALL ABOUT HIM
    • “No Reserve”
    • “No Retreat”
    • “No Regrets”

Life and Death of William Borden

resources
Resources
  • Site Visit Form / GHO
  • Mission Survival Kit
    • David Stevens, MD/ Gene Rudd, MD

CMDA Bookstore

  • CHE Community Health Evangelism

(Education)

    • www.LifeWind.org
resources cont d
Resources Cont’d
  • Community Health Materials
    • www.hepfdc.info
  • Ripe for Harvest / Coming Home: A Deeper Roots Publication
    • www.DeeperRoots.com
  • Chorus Booklet GHO
  • Saline Solution CMDA www.cmda.org
resources cont d1
Resources Cont’d
  • Perspectives Course
    • www.perspectives.org
  • * Dependency Issues Glenn Schwartz
    • www.wmausa.org
  • World Wide Lab
    • www.wwlab.org
  • Dental Handbook for Short-Term Mission Trips
    • Jack Shuler, DDS, FAGD Nardos J. Shuler
  • World Dental Relief
    • www.dentalrelief.com
resources cont d2
Resources Cont’d
  • Fund Raising Letter Sample GHO
  • Formulary Sample GHO
    • H. Bruce Carr www.helpingoverseasdirectory.org
    • Praxis Meds http://praxiswss.ateam.com
    • IDA http://www.idafoundation.org
  • Evangecube
    • www.e3resources.org
  • Readers from Sharkeyes L.A., CA
    • www.sharkeyes.com $.67 a pair
resources cont d3
Resources Cont’d
  • Books for Spiritual Preparation
    • Jesus MD / David Stevens, MD CMDA bookstore
    • Miracle at Tenwek / The Life of Dr. Ernie Steury by Gregg Lewis CMDA bookstore
    • Humility C J MaHanney
    • Pursuit of God A W Tozer
    • Biographies of Hudson Taylor, William Carey, Cameron Townsend, others