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In His Image: The In His Image Experience: Christian Residency and International Missions History and Vision Tulsa, Oklahoma USA September 18, 2009 Presented By: John Crouch, M.D. Christian Medicine Education • Can one integrate the spiritual dimension into the practice of Medicine? – Paul Tournier: The Whole Person – William Standish Reed: Surgery of the Soul – Oral Roberts: Combine Prayer and Medicine • Can one teach that as part of medical education? • Can that become a focus for spiritual outreach? Characteristics Necessary to Wearing the Label “Christian” Medical Education •Wholeness---including the Spiritual •Excellence---honoring His Image •Outreach---the Great Commission •Ministry •Calling The Early Years at Oral Roberts University School of Medicine • 1978 Beginning of the School of Medicine • 1980 Beginning of the Family Medicine Residency • 1983 Graduated first two residents • 1989 ORU School of Medicine closed! “Starting Again” • American Committee Graduate Medical Education: ACGME requirements – Parent Hospital – Sponsoring Institution • Specialty Requirements in Family Medicine • Faculty and Residents • The Need for a Religious Non-Profit Corporation (501-C-3) – Contract with the Hospital to run a residency program – Program to take care of the Unassigned Patients that come to the hospital – Hospital (through the usual mechanism) covers most of the cost of the residency program (Quality Residents!) In His Image, Inc. was born!! In His Image A Summary: Originally the Family Medicine Department of the ORU School of Medicine (1980-1989) Organized 1991 (IRS) 501 - C3 Organization Relocated to Hillcrest Medical Center 1989 Family Practice Residency Program 3 Year Training Program 30 High Caliber Residents All Residents are Christians Excellent Christian Faculty Physicians: FP Emphasis on Missions, International and Domestic Medical Ethics from a Christian Perspective Computers & Medicine Behavioral Medicine from a Christian Perspective 2nd Year Residents at Personal Development Camp In His Image Purpose Statement: “Helping fulfill Great Commission through medical education and healthcare” Mission Statement: The mission of In His Image is to improve health and meet spiritual needs by: 1. Training physicians in our Christian Family Practice Residency Program 2. Participating in worldwide medical missions and medical education 3. Serving the local underserved populations 1990 The Marketplace Shenyang, China Unique Aspects of a Christian Residency We began to work on what a Christian Family Medicine Program would look like, at least in the US. We were able to recruit some very excellent medical students to help us. (1980-83) Dr. Bill McCoy Dr. Vince Licata Unique Aspects of a Christian Residency Selection of Residents---only Christian Selection of FP Faculty—only Christian How would it affect the education process? How would it impact the relationship between faculty and residents? The role of prayer in the program The concepts of Healing Unique Aspects of a Christian Residency The Absolutely Essential Element: Christian Residency Training would include the Training and Preparation of Physicians in the Development of their Personal Christian Beliefs and Values and the INTEGRATION of those into their practice of medicine!! Unique Aspects of a Christian Residency •The Great Commission: THERE WOULD BE AN EMPHASIS ON " MISSIONARY " MEDICINE !! Practical Applications • Advisors and Mentors • Morning Report and “Devotions” • “Bible Study”: Acts 2:42 • The “Bible Course” in second year (& 3rd) • Evaluation (medical knowledge, procedures and spiritual skills) • The Support System---amazing! Practical Applications ATTITUDE OF CARING because you wear the emblem of the cross on your white coat! • Retreats: Summer, Winter • Leadership Development • Recruitment process • Mission Rotations • Graduation and Ordination! Spiritual Curriculum Basic Categories Personal (and Family) Spiritual Growth Basic Christian Doctrines Integration of “Faith” and Medicine Finding God’s Call on Your Life Spiritual Curriculum • Spiritual Curriculum Committee • Spiritual Curriculum Handbook • Resident Chaplain(s) • Ongoing Spiritual Curriculum Development IHI Domestic Missions • Maternal Health Program • Unassigned Patients • Good Samaritan Health Services – – – – – – 501 (c) 3 nonprofit religious organization Began in 1997 (Low income housing) Mobile Medical Clinics Partnering with Churches for integrated compassion ministries (CAN) Compassionate Health Care! Emphasis on Spiritual Care! Mobile Medical Van Mobile Medical Units GSHS Patients per year 9,000 8,204 8,000 7,373 7,000 6,498 6,584 6,000 5,000 4,901 5,069 4,611 GSHS Patients per year 4,000 3,112 3,000 2,080 2,000 1,345 1,000 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2009 GSHS Patients New 20% Retur ning 80% 2009 GSHS Patients New 20% Returning 80% Our Mission Lynn Hersey, RN Operations Manger Catrell Owens-Agbeibor, MD Co-founder • Good Samaritan Health Services is dedicated to improving medical services to the underserved in the greater Tulsa area by collaborating with Churches and community partners to provide excellent Christlike wholistic health care. In His Image International Missions International Medical Missions Worldwide Medical Missions • Graduates in Full time Missions • Resident Rotations in Medical Missions (3-6 weeks) • Faculty and Resident Trips • International Medicine Track • Resident Research on Missions • Medical Conferences – Conferences: and collaboration between IHI & MEI (CMDA) – FP Consultations – Spiritual Outreach! Sasha, a Russian doctor, our translator in Kazakhstan, and now a missonary alumnus of IHII We desire to be STRATEGIC! In His Image International Missions Missions Statement The purpose of IHI International Medicine is to glorify God as we reflect the Image of Jesus Christ and fulfill the Great Commission by: 1. Evangelizing discipling and training with an Empahsis on the 10/40 Window Countries, empowering them to impact their nations for Christ 2. Supporting our Faculty, Residents, and Alumni in diverse types of medical missions throughout the world Credo: We purpose to always keep the highest spiritual, emotional, social, and physical good of every individual, community, and country we serve as our highest priority! 10/40 Window Roughly 10 degrees North to 40 degrees north of the equator Location of physically & spiritually neediest countries of the world >70% of the most “unreached” countries of the world Medical systems generally based on soviet specialty model Early Morning Prayer and Worship on a Mission Trip International Health Track • Commit during the second half of the first year • Curriculum required elements 1. Perspectives Course 2. Missions Focus Roundtable monthly meetings 3. One or more missions conferences 4. Trips including time with long-term missionary physician International Health Track • Curriculum elective elements - Two weeks more of missions than the six weeks “required” of all residents - Meet multiple times with a mentor - Receive training in community health and Biblical wholistic approach to healthcare - Take a tropical medicine course IMSC – Medical Conferences WORKSHOPS LECTURES SOCIAL EVENTS Workshops - eg. ACLS Other Workshops - Suturing - Shoulder Dystocia - ENT Exam - Clinical Cases - Radiology Cases - Computers in Medicine - Get to Know the Doctor - Etcetera Spiritual Retreats and Bible Camps for Medical Students In His IMAGE Spring 2008 Conferences, Consultations, Retreats Kazakhstan: Training GP Residents Kyrgyzstan: All Central Asia Retreat for Christian Health Care Professionals and Students CME Conference for GPs in Tirana, Albania CME Conference for GPs in Prishtina, Kosova In His IMAGE Spring 2008 Conferences, Consultations, Retreats Faculty Development Consultation, Cure International Hospital Kabul, Afghanistan CME Conference for GPs in Haikou, China CME Conference for GPs in Shenyang, China Assisting Our Long Term Missionaries, Macau In His IMAGE FMEI: MEDICAL CONSULTATIONS Networking Christian Residencies Regionally and Globally Kazakhstan Afghanistan China Asia Medical Education Medical Missions • Conferences • Consultations • Residency Training Programs! – Macau, China – Almaty, Kazakhstan – Shenyang, China – Kabul, Afghanistan – Aswan, Egypt---the newest one March 2009 In His IMAGE: Disaster Relief Rwandan Massacre Indonesian Tsunami Pakistan Earthquake Myanmar Hurricane China Earthquake Personnel and Resources Be Ready Always! In His IMAGE •Afghanistan Kabul * Mazar-i-sharif * •Albania Tirana * •China Beijing * Bunxi Chaiyang Chengdu * Guangzhou * Haikou * Hang Zhao Countries and Cities IHI Works In •China Kwondien Macao * Shanghai Shenyang * Tai Pin Wan Wuhan Zhuhai * Xiamen •Egypt Cairo Aswan •Ghana Accra In His IMAGE •Indonesia Jember •Kazakhstan Almaty * Astana * Karaganda * Semipalatinsk Shymkent * •Kyrgyzstan Bishkek * Lake Issykul Osh Countries and Cities IHI Works In •Kosova Prishtina * •Mongolia Ulaanbaatar •Nigeria Jos Lagos •Russia Kirov Nizhniy In His IMAGE •Tajikistan Dushanbe * Khojent •Turkey Adana •Uzbekistan Samarkand Tashkent * •Vietnam Hanoi •Zimbabwe Countries and Cities IHI Works In Missions Statistics Overall Statistics In the last 20+ years we have sent >800 participants on >185 different short term trips to 60 different countries. • 31 IHI Graduates are long term medical missionaries with about 3 more going this year!!! Praise the Lord that we can participate in His work!! The “Network” • A developing group of Family Medicine Residency Training Programs around the world connected by the common ground of doing academic medical education as a means of doing Medical Missions, especially in “CLOSED” countries. • Give a man a fish or Teach a man to fish The “PEACE” Plan 1. Promote Reconciliation 2. Equip Servant Leaders 3. Assist the Poor 4. Care for the Sick 5. Educate the Next Generation Future Doctors? In His Image Different because we are Christian. Excellent because nothing less would honor His image. International because of our responsibility to help others. For what good is medicine without ministry? What good is a career without a calling?