Wednesday was a transition day. In the morning we provided our observations, recommendations and collaboration ideas to the Medical Advisory Committee (which is a committee of key leaders including medical and nursing leaders) at Daynand Medical College & Hospital (DMCH).
After two and half days of spending valuable time with our medical and nursing partners at DMCH, the quality of those conversations – the frankness, the sense of inquiry, the debate and collaboration – was evident in the alignment of the DMCH and Osler presentations. It was clear early in the two hour closing meeting that the emergency medicine, psychiatry and nursing leaders at DMCH and the Osler Global Health team were completely aligned in identifying the focus of our continuing partnership.
This year, we also agreed to have regular progress reporting on the initiatives we have committed to. For DMCH, this represents a mix of operational and academic pursuits; for Osler, it means implementation of some of our service quality commitments such as a Family Presence Policy.
Along with the important new relationships we have forged, our shared commitment to research projects and finding ways to implement evidence-based quality improvements is a key priority for both organizations. We also have made strides in working together to serve our shared patients by agreeing to move forward on Care Beyond Borders. This is where patients needing ongoing regular care can be referred to either organization (depending on which country they are visiting). In all cases, patients will be notified that they will need to have insurance in order to access care within the other country.
The team was also thrilled to hear that the DMCH Psychiatry Department would be sending two residents to support our Medical Camp on March 31, 2017, which focuses on mental health and addictions.
Osler and DMCH have also agreed to have monthly/bi-monthly meetings to ensure we build upon the momentum from the past few years, reignited over the last few days. Farewell DMCH; Hello Sarabha
Chiranji and the trusted Tempo Traveller whisked us from Ludhiana to Shaheed Kartar Singh Sarabha College of nursing (SKSS) in Sarabha. During the 30 minute drive we saw lush green wheat fields, small villages and road side stalls that lined the way. Beautiful.
We started our Sarabha visit meeting with the Madame Principal Mahal and former Chairman Mr. Avtar Singh Grewal. If we haven’t mentioned it yet - each time we meet a partner, sit to discuss an issue, or just take a two minute break in the midst of what are incredibly jammed pack days – we have tea! Sweet, milky, hot and delicious and something sweet. As it is an important sign of respect and friendship it is not appropriate to decline, which means that some days we are having anywhere from five or more tea breaks!
SKSS, a charitable hospital built in 2001, serves upwards of 100 outpatients a day from the surrounding villages. It offers surgery, nursing and dental, ayurvedic medicine, gynaecology and regular paediatric services. The nursing college, which opened in 2006, has 150 students per year enrolled in the BSc, MSc, and GNM programs. The Village
Following our visit at the SKSS, we toured the village with some of the professors. We started by visiting the local Gurdwara to show our respect, toured the home of Shaheed Kartar Singh Sarabha
, and then had a meeting with the Sarabha village Panchayat
and one of the members of the Council of Five. Meeting with the Panchayat, like drinking tea, is also customary in a culture where formal structures and demonstrating respect are critical to developing relations. Shopping!
For all of us members of the Global Health Team, it is hard to believe we have not ventured out to the local areas to shop in the first six days of our tour. While it was reinforced during the information sessions and pre-tour briefings that the days would be long (7 a.m. briefings, and late evening 8-9 p.m. post-day briefings) followed by blogging, videos and answering work emails – it is hard to believe until you are actually involved on the ground in Punjab. So, to be able to spend a night out seeing the real India was amazing.
Accompanied by two young, enthusiastic and super-shopper teachers from SKSS, we went to a market called Ghumar Mandi. It was a vibrant busy street in Ludhiana where a sea of colourful fabrics, appetizing street foods and the sights and sounds of the non-tourist areas amazed and delighted us – especially those team members who have never visited Punjab before.
After visiting various shops, being offered tea, water and other refreshments and viewing hundreds of different options, all tour members found something perfect for themselves or their loved ones! Success!
Now for a good night’s sleep. All tour members are spending Day 7 lecturing to the nursing students at SKSS!
See you tomorrow!