MPA Job listinternship - info and job description

Sandi Parkes sandi.parkes at
Mon Apr 21 11:38:42 MDT 2003

International Volunteers in Urology

Catherine deVries, Founder/Board President
Maureen Sweeney, Executive Director
757 E. South Temple, Suite 110
Salt Lake City, Utah  84102
Telephone: 801-524-0201
Fax: 801-524-0176

Organizational History/Overview
International Volunteers in Urology (IVU) was founded in 1995 and
incorporated in 1996.  IVU is the only nonprofit organization worldwide
dedicated to teaching urology in developing countries. In fulfilling
this mission, IVU provides medical and surgical education to physicians
and nurses, and treatment to thousands of suffering men, women and
children.    In contrast with most other surgical nonprofit
organizations, IVU’s mission is to teach the teachers.  This approach
ensures the long-term sustainability of our programs, and fosters the
professional independence of our hosts.

IVU volunteers began participating in overseas teaching missions in 1992
in collaboration with Interplast, Inc.  Since then we have worked with
other surgical nonprofits, and have sent independent IVU teams
overseas.  To date, IVU has sponsored teaching workshops in over 15
locations in the developing world including: Mongolia, Cuba, Ghana,
Bolivia, Haiti, Honduras, India, Peru, Cameroon, Vietnam, and Nicaragua.

IVU is recognized internationally by members of the medical community,
governments, and medical corporations, as a leader in education and care
in developing countries. IVU currently conducts an average of four to
six teaching trips per year, and performs an average of 35 - 80
operations per trip. Although a large operative case number is
gratifying, our real goal is to train local doctors who can, in time,
assume the role of training other doctors.  IVU only establishes
programs in countries where it has been formally invited by a local host
medical center or hospital.  Currently, IVU has invitations from far
more countries and hospitals than we can financially afford to accept.

In 1999, IVU established the Traveling Resident Scholarship program for
doctors training as urology residents or fellows.  This program allows
residents to accompany a mentoring urologist to a developing country to
teach and perform operations. Residents work under conditions they would
likely never see in the developed world and have the opportunity to
perform procedures that are no longer the norm in the US.  A fourth or
fifth year American urology resident may have the opportunity to teach
nurses or other care providers.  As a result of their experiences, IVU
scholarship recipients develop a more global view of medicine and an
increased appreciation for resourcefulness.  In turn, local hospitals
receive hands on training in new techniques and much needed additional
professional assistance.

Participants in the program have come from such diverse institutions as:
Medical College of GA, UT Houston, Case Western, Harvard, U. Utah, Duke,
U. Colorado, Wm. Beaumont, U. Alabama, U. Oregon, Vanderbilt, Naval
Medical Center, USC, and City University of New York.  These scholars
have traveled to such countries as: Haiti, India, Tanzania, Vietnam,
Peru, Honduras, Jamaica, Cameroon, Mexico, and South Africa

In 2000, IVU became a partner with the World Health Organization, the
Centers for Disease Control, and numerous others, in the Global Alliance
to Eliminate Lymphatic Filariasis.  Lymphatic Filariasis, more commonly
known as elephantiasis, is the second leading cause of disability in the
world. Through funding from the Bill and Melinda Gates Foundation, IVU
sponsors and facilitates Lymphatic Filariasis symposiums and surgical
workshops around the world.

Through its equipment program, IVU obtains donated or discounted
equipment and either uses it on team trips, or distributes it to
physicians and hospitals in the developing world.

Team Trip Methodology
Urinary tract and genital abnormalities are the third most common
congenital abnormality (following cardiac and musculo-skeletal).
Incidence of hypospadias (deformation of the penis), compared to
deformations of the cleft lip and palate, is ten to one.  Yet the
systems of medical training in many parts of the world leave this area
of care almost completely untouched.  In most countries, pediatric
surgeons are not taught urology during their training, and adult
urologists do not care for children.  Compounding the problem is the
fact that doctors in developing countries generally don’t have the
resources to travel outside of their region to obtain training to
improve their skills.  Consequently, most of the world’s children in
developing countries suffer from inadequate or nonexistent urological

IVU is able to combat this problem by providing appropriate on-the-job,
in-country training to surgeons, anesthesiologists, nurses, and other
medical staff.  IVU’s surgical programs are focused on teaching
hospitals and doctors who train medical students throughout their
region.  By teaching the teachers, IVU is able to ensure that
information about surgical techniques and procedures is both retained
and spread to new generations of care-givers. Because in many developing
countries the surgeons we teach are pediatric specialists, but not
urologists, IVU addresses this gap in knowledge by establishing a solid
urological foundation.

IVU generally makes a 3 – 4 year commitment to each teaching center it
chooses to work with.  On a first trip, the IVU volunteers assess the
skills of the local staff and make appropriate recommendations and
modifications to the future programs.  Often, the focus will be on
primary hypospadias repair.  Hypospadias is the most common birth defect
causing a deformed penis.  This condition forces boys to sit to urinate,
makes them unable to achieve an erection, and often causes incontinence
and social persecution.  The disease has different levels of severity
and only the more simple cases (or the first part of more complicated or
staged cases) are taught during this first trip.  This is a good focus
for the first trip to a site since complex equipment is not needed and
the surgery can be done even in sub-optimal lighting.

During the second trip, IVU’s goal is to effectively teach more complex
cases including open kidney, ureter, and bladder operations.  In
addition, new training for genital reconstruction begins, which includes
the completion of the staged cases of hypospadias repair.  During the
final trip, IVU works to consolidate all the teaching from the first and
second trips.  We also introduce new endoscopic (non-invasive)
techniques such as cystoscopy.

Team Trip Target Population
Our teams perform 35 – 80 operations, on either children or adults or
both, per trip.  In addition, on average, we train 3-4 senior surgeons
per hospital per trip.  All of these surgeons serve as faculty at
teaching institutions responsible for training in their regions.  In
addition to surgeons, we also train anesthesiologists, nurse
anesthetists, scrub nurses, technicians, recovery nursing personnel,
ward nurses, and pediatricians.  The number of future operations that
these newly trained teachers will be able to perform, in addition to the
surgeries performed by those doctors and nurses they themselves are able
to train, increase exponentially the number of children who ultimately
benefit from IVU’s programs.

Team Trip Objectives
The benefit to the people of the host countries is far greater than the
improved health of the children directly receiving surgical treatment
from IVU doctors.  Of even more long-term benefit is the new pool of
trained pediatric surgeons who, in turn, will teach their local
counterparts.  These doctors, with new advanced training from IVU, will
help patients who would otherwise not be treated.  In addition, IVU
programs produce a pool of local anesthesiologists with knowledge of
modern techniques in pediatric anesthesia and pain management, as well
as nurses with up-to-date skills in the operating room and the wards.
With the entire team now participating, the new skills benefit the whole
hospital and the patients it serves.  IVU’s training enables surgeons in
these countries to alleviate such debilitating conditions as urinary
incontinence, infection, inability to enter into marriage due to genital
malformations, and early death due to kidney failure.

Outcome Measurement
International Volunteers in Urology measures the outcomes of all
pediatric team trips through its Quality Assurance Committee in
consultation with the administration of the hospitals in which we work.
IVU expects to see hands-on transfer of technology by direct evaluation
of the in-country urologists’ techniques.  (All IVU team leaders are
faculty in the urology departments of major universities in the United
States.)  In addition, we request to see a surgical log of urology cases
throughout the months following the team trip and to follow difficult
cases through internet dialogue. We maintain a fluent dialogue with the
in-country hosts of all recent pediatric team trips.

IVU’s success is measured by the success with which our colleagues
replicate our techniques, incorporate them to the needs of their own
patients, and ultimately develop new improvements of their own.  By
close e-mail communication and annual visits for three years, we are
able to evaluate initial successes and problems.  In this manner, we are
able to re-tool our teaching if necessary and adapt to the resources of
the site, all in an effort to achieve our goal of improved patient care
through education and technology.  This approach has proved successful
in past IVU sites like Cuba, where we have developed this strategy for
collaboration.  In 1999 we were cited by the Ministry of Health as being
the best organized and most valuable teaching team for Cuba.

IVU Intern Job Description

1. Assist Program Director in coordination of international teaching
trips and Traveling Resident Scholarship program.  Duties to include,
but not be limited to:
? Preparation of trip information packets
? Email, phone, and written correspondence with medical volunteers
? Email, phone and written correspondence with host doctors and medical
? Visa processing, evacuation insurance
? Shipping, customs, packing
? Research re destination countries, towns to prepare team for their
? Correspond with scholarship recipients, mentor physicians

2. Assist Executive Director with fund raising/marketing projects.
Duties to include, but not be limited to:
? Researching funding sources – internet, phone calls etc.
? Assisting in preparation and editing of grant proposals
? Preparation of funding/marketing packets
? Creation of press releases
? Drafting letters
? Assisting with creation of IVU Newsletter – writing articles, working
with designers
? Researching public relations opportunities, ie presentations, etc.
? Assist up update/editing of website

3. Assist Accounts Manager with donor/inventory management projects.
Duties to include, but not be limited to:
? Entering donor information into donor software
? Editing, “cleaning up” information currently in donor software
? Create categorized donor lists
? Logging in-kind donations

Position would be part-time for six months, salary/stipend to be
determined.  Internship could lead to long-term paid position – funding

Qualifications:  superior writing, research, and communication skills.
Flexible, organized, energetic, hard-working. Word processing, email,
internet skills.  Comfortable with basic database entry/management.
Some international experience preferred – travel or study abroad.
Language skills a plus but not required (Spanish and/or French
preferred).  Fun, flexible, but extremely busy work environment.

If interested, contact Sandi Parkes at sandi.parkes at

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