Encouragement to work in the developing world

As an American ear, nose and throat doctor practicing in West Africa since 2007, I encourage you to work in the developing world.The death rates for victims of accidents and women giving birth are fourteen times higher than in the developed world. Because there are few dentists to provide primary care, we have patients who die from septic shock caused by tooth infections. When we operate on our indigent patients, we often have to purchase medications for them.The hospitals in the poor regions of the developing world lack necessary funds, specialists, equipment, bandages, tracheostomy tubes, foley catheters and medications along with a consistent supply of water and electricity.

The developed world has so much while our brothers, sisters and children in the developing world lack medical care, sanitation, housing and transportation. Unable to afford a car, families rely on a motorcycle to bring their children to school. Accidents are frequent. I recall a five year old child who lost his arm when perhaps it could have been saved if there was a vascular surgeon on staff.

If you decide to work in the developing world, visit before going. You will learn what equipment you must bring. These rural facilities cannot afford to buy what you need, no matter what they promise. During discussions, they will tell you what you want to hear. Support is crucial - family, equipment, finances, maintenance, administration, assistance with customs and on and on. There are organizations and corporations who help, but it takes time and effort to locate and correspond with them. I am busy clinically, yet half of my time is devoted to repairing and requesting equipment.

The rewards are plentiful - experiencing a new language and culture, advancing in your chosen field and becoming friends with hard working, talented people.