{"id":584,"date":"2016-01-06T10:38:55","date_gmt":"2016-01-06T18:38:55","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/keck-school-group-helping-develop-neurology-outreach-program-in-cambodia\/"},"modified":"2023-11-19T12:08:51","modified_gmt":"2023-11-19T20:08:51","slug":"keck-school-group-helping-develop-neurology-outreach-program-in-cambodia","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/keck-school-group-helping-develop-neurology-outreach-program-in-cambodia\/","title":{"rendered":"Keck School group helping develop neurology outreach program in Cambodia"},"content":{"rendered":"\n \n \n\n\n\n\n\n\n\n
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\n\n \n Press Release<\/span>\n\n\n\n<\/div>\n \n \n
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Keck School group helping develop neurology outreach program in Cambodia<\/h1>\n\n\n<\/div>\n \n \n
\n Les Dunseith<\/span>\n \n January 06, 2016<\/span>\n <\/div>\n \n \n
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Shri Mishra, second from left, and Soma Sahai-Srivastava, center, look at a child in a clinic in Cambodia during a July 2015 trip to the country. Sahai is spearheading a group of medical professionals from the Keck School who are developing a neurology outreach program for Cambodian health care professionals funded by a grant from the World Federation of Neurology.<\/figcaption>\n <\/figure>\n \n \n \n\n<\/div>\n \n\n <\/div><\/div>\n\r\n\r\n\n\n \n \n\n\n\n\n\n\n\n
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For Heng Nhoung, a project specialist in the Department of Neurology, participating in a Keck School of Medicine of USC project to establish a neurology education curriculum in Cambodia is about more than work. It\u2019s about family. And empowerment.
\nNhoung\u2019s parents fled their home in Cambodia to escape the communist Khmer Rouge, which executed 2-3 million Cambodians between 1975-1979 in a genocide that targeted the educated class.
\n\u201cMy parents are refugees. They went through the genocide and survived it,\u201d Nhoung said. His two older sisters were born in refugee camps in Thailand. Eventually, the family settled in the United States, arriving in 1988, before Nhoung was born.
\nThe genocide \u2014 and the exodus of those who could escape it \u2014 left Cambodia, a country of 15 million people, with just a handful of doctors. Decades later, the level of medical care remains woefully inadequate.
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\"Clockwise
Clockwise from front left, Holly MacCallum, Soma Sahai-Srivastava, Shri Mishra, Ann Mishra, Giselle Petzinger, Patricia Lopez and Heng Nhoung at a restaurant in Cambodia. Sahai is spearheading a group of medical professionals from the Keck School who are developing a neurology outreach program for Cambodian health care professionals funded by a grant from the World Federation of Neurology.<\/figcaption><\/figure>Today, Nhoung is among a group of USC medical professionals who are trying to make things better. The effort, led by Soma Sahai-Srivastava, MD, associate professor of neurology and medical director of neurology clinics at Keck Medicine of USC, is a neurology outreach program for Cambodian health care professionals funded by a grant from the World Federation of Neurology.
\n\u201cThe ultimate goal is to begin the country\u2019s first neurology residency program,\u201d Sahai said. But there\u2019s a lot to be done first.
\nThe effort convened in Cambodia on July 25, 2015, when a small team from USC arrived in Phnom Penh, Cambodia\u2019s capital city, to begin a three-week whirlwind visit that covered four communities and half-a-dozen medical facilities.
\nThey provided hands-on training and set about developing an appropriate undergraduate and residency neurology curriculum in collaboration with the country\u2019s only government academic medical center, University of Health Sciences (UHS), which sets the curriculum in Cambodia for all academic institutions.
\nIt wasn\u2019t the first visit to Cambodia for Sahai, whose archeologist father had relocated from India to work there about 20 years ago. When she visited him, her heart went out to the people she met and the suffering they endured because of the country\u2019s poor quality of medical care. She looked for opportunities to volunteer her services or assist in neurology clinics. But no such programs existed.
\nThen Sahai went in another direction. Instead of trying to treat patients herself, Sahai decided to focus her efforts on educating Cambodians to help themselves. She contacted the World Federation of Neurology and obtained a two-year grant to establish a toehold in neurology education in Cambodia.
\n\u201cIt has become my passion to help them, to create and educate the next generation of doctors there,\u201d Sahai said.
\nThe next step was finding people at USC who could help. She started with Shri Mishra, MD, professor of neurology. \u201cThen other doctors heard about it and signed up,\u201d she said. The physicians joining Sahai and Mishra were Giselle Petzinger, MD, assistant professor of neurology, and Holly MacCallum, MD, chief resident in neurology, while Heng Nhoung served the vital role of interpreter and logistical coordinator.
\n\u201cWhatever neurology terms the professors would be presenting in the classroom in English, my job was to try to clarify it for the Cambodian students in their language,\u201d Nhoung explained. He also handled scheduling for the group and arranged transportation.
\nOnly two relatives, both on his mother\u2019s side, remained in Cambodia after the Khmer Rouge genocide, but the USC trip gave Nhoung an opportunity to reconnect with family there. During his time in Phnom Penh, for example, he stayed with relatives instead of at a hotel.
\nEven before the neurology team\u2019s visit, Nhoung was cognizant of the low standard of medicine in Cambodia. He knew that his relatives there traveled to a neighboring Southeast Asian nation because of their distrust of Cambodia\u2019s medical system, for example. Even so, the level of suffering he witnessed was unsettling.
\nDuring their trip, the USC group visited a rural area where they saw children with epilepsy and other neurological disorders that were basically untreated.
\n\u201cIt was very hard to see these kids that are suffering,\u201d Nhoung recalled. \u201cThey are having seizures or they are developmentally not there. It\u2019s not only that they have these disabilities, but they are living in such a poor country. Living on under two dollars a day. What kind of life will they have? And how much burden will this bring on their family, just because they can\u2019t get the treatment they need?\u201d
\nThe USC group is steadfast in their determination to make the situation better. For instance, Nhoung is working with Sahai to build an online database of training materials that can be used by the Cambodians to improve their level of neurologic training. The USC team is utilizing a \u201ctrain the trainers\u201d approach, engaging in regular discussions by email and Skype with those in Cambodia who are trying to improve the quality of medical education there.
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\"Cambodian
Cambodian medical students practice with some of the equipment delivered by members of the Keck School of Medicine of USC neurology team in July 2015. A group of medical professionals from the Keck School are developing a neurology outreach program for Cambodian health care professionals funded by a grant from the World Federation of Neurology.<\/figcaption><\/figure>But the challenge is immense.
\nIn Cambodia, the medical students begin right after high school. Although they seemed open and receptive to the USC neurology training program, \u201cwe were not sure how much they know,\u201d Nhoung said.
\nAnother hurdle is how the public perceives medicine. \u201cDoctors there are paid only a few hundred dollars per year,\u201d Nhoung said. \u201cThey have to have a business on the side, pharmacy for example, to sustain a viable income.\u201d
\nA lack of experienced medical leadership is another problem. Nhoung noted that most of the Cambodian health officials they met were around age 24 or 25, like himself.
\nBy necessity, last summer\u2019s visit involved a \u201clot of time teaching basic skills,\u201d Sahai said, and not just in neurology but in related disciplines such as physical therapy.
\nThe need is great, but so is the sense of accomplishment.
\n\u201cI get to help spread neurology education knowledge and help empower the medical students there,\u201d Nhoung said of his experience. \u201cI think of a future patient, a child that is epileptic \u2014 they can get better care. Or a stroke patient, or any neurology patient. It\u2019s important to empower the people there with the medical knowledge that they need to properly treat these medical issues.\u201d
\nThis June, Sahai and her group from the Keck School will return to Cambodia to continue their neurology basic training program and provide more neurology toolkits. Among their other goals is the establishment of the country\u2019s first Neurology Skill Lab and development of a curriculum for neurology residency training, with a goal of launching it in the fall of 2016. It\u2019s not too late to get involved, Sahai noted, and anyone who is interested can contact her directly at sahai@usc.edu.
\nAs of now, Nhoung expects to be part of the USC team again next summer. But there\u2019s a possible complication in terms of timing. After the experience in Cambodia, he has decided to become a doctor himself.
\n\u201cOn a personal level, a lot of my motivation to go into medicine is because there is so much need,\u201d Nhoung explained. \u201cAnd there is a lot that can be done. I don\u2019t feel like it has to be this way. I am motivated to try to address these things as a doctor in the future.\u201d<\/p>\n\n\n\n<\/div>\n <\/div>\n\n\n <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":44,"featured_media":585,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[80,57],"class_list":["post-584","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-neurology","tag-recent"],"acf":[],"yoast_head":"\nKeck School group helping develop neurology outreach program in Cambodia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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