Psychiatrist, Dr. Mario Pagenel Global Mental Health Delivery Fellowship, Rwanda

 Title:
Psychiatrist for the Dr. Mario Pagenel Global Mental Health Delivery Fellowship
Reports to:
Director of Mental Health
Location:
Rwanda
Organizational
Profile:
Partners In
Health (PIH) is a nonprofit organization headquartered in Boston, MA, whose
mission is to provide quality health care for the poor and marginalized in
Haiti, Rwanda, Lesotho, Malawi, Peru, Mexico, Russia, Dominican Republic, and
Navajo Nation. In addition, PIH has a growing network of affiliated
organizations and initiatives in several other countries, including Nepal,
Burundi, Mali, Liberia, and Togo. Through service delivery, training, advocacy
and research, PIH works around the globe to bring the benefits of modern
medical science to those most in need of it, to serve as an antidote to
despair, and inspire others to do the same.
This fellowship
is offered in collabor

ation with the Department of Global Health and Social
Medicine at Harvard Medical School, Brigham and Women’s Hospital, Children’s
Hospital Boston, and Massachusetts General Hospital.

Position
Overview:
The Dr. Mario
Pagenel Global Mental Health Delivery Fellowship with Partners In Health (PIH),
is a placement in Rwanda with Partners In Health’s sister organization, Inshuti
Mu Buzima (IMB), in collaboration with the Rwandan Ministry of Health (MoH).
The Republic of Rwanda has made a significant commitment to addressing mental
health concerns, and innovating community-based approaches to decentralized
mental health care. PIH/IMB works to support the Rwandan MoH in its efforts to
combat the burden of mental disorders through both preventive and clinical
approaches. PIH/IMB provide technical support to district hospital and health
center staff—including physicians, hospital and clinic nurses, psychologists,
psychiatric nurses and social workers—at three sites in rural Rwanda.
The Fellowship
honors Dr. Mario Pagenel, a beloved physician working for Partners In Health’s
sister organization in Haiti, Zanmi Lasante (ZL). Director for Training and
Medical Education for ZL, Dr. Pagenel perished in Haiti’s 2010 earthquake. He
had a special interest in psychiatry, mental health, social medicine and health
equity. The Fellowship also honors the people of Rwanda and the staff of IMB,
who stood in solidarity with the Haitian people following the earthquake, and
who serve as living inspiration for how the human spirit can overcome great
adversity. In partnership with the Government of Rwanda and the Clinton Health
Access Initiative (CHAI), PIH/IMB has supported the MoH to comprehensively
strengthen the public health system in rural, underserved areas of the country
since 2005.
The Government
of Rwanda seeks to strengthen service delivery, infrastructure and research in
mental health throughout the country. With only two psychiatrists and two
neurologists for more than nine million people, hospitals and clinics in rural
Rwanda are faced with a high burden of neuropsychiatric problems. At the three
district sites where PIH/IMB work in collaboration with the MoH, large numbers
of community health workers (CHW) are mobilized to attend to both infectious
and noncommunicable diseases, augmenting the clinical staff shortage.
Elaboration of a CHW mental health component is imminent. This initiative
builds upon efforts by Rwanda’s MoH to expand on its successful HIV initiatives
through scalable approaches to health care delivery for chronic conditions
common in rural areas, including heart disease, diabetes, hypertension,
hemato-oncologic and neuropsychiatric conditions. With the recent opening of a
world-class teaching hospital at Butaro in northern Rwanda, there exists a
timely opportunity to further develop model hospital- and health center- based
public-sector mental health services.
The Fellowship
supports training of hospital and health center staff in Rwanda in management
of severe mental health problems. Enhancing the capacity of IMB to hone the
skills of practitioners in the hospital setting, particularly at the new
teaching hospital at Butaro is a central aim of the Fellowship. The Fellow will
liaise closely with the Rwandan MoH, teaching health care professionals at all
levels and supporting the mental health desk in the MoH in its task of
decentralization and integration of mental health services nationally. The
Fellowship provides an opportunity for career development in global mental
health delivery for post-graduate psychiatrists, with a combined focus on
training, research and advocacy. The fellowship will consist mostly of service
delivery, and includes an academic research component.
Over the course
of the year the Fellow will develop an area of academic focus in global health
related to mental health service delivery, selecting an academic mentor with
expertise in their area of interest. Fellows will therefore have the
opportunity to collaborate in and develop mentored research and educational
projects, and will have the option of participating in ongoing research
efforts. To facilitate career development in global mental health, Fellows will
be eligible to attend a 3-week intensive summer program in Global Health
Effectiveness at Harvard Medical School and Harvard School of Public Health .
Global mental health delivery fellows will be based in Rwanda for one to two
years.
This is a
salaried position with benefits. Partners In Health will provide airfare
between Boston and Rwanda as well as living accommodations and meals in Rwanda.
To facilitate career development in global mental health, fellows will be
eligible to attend a three-week summer program in Global Health Effectiveness
at Harvard School of Public Health. Fellows will have the opportunity to
collaborate in and develop mentored research and educational projects, and will
have the option of participating in ongoing research efforts through the
Department of Global Health and Social Medicine at Harvard Medical School.
Fellows will have another three weeks of time in Boston to develop and refine
global mental health delivery-related skills and knowledge in collaboration
with chosen program mentors.
Specific
Responsibilities:
  • Developing strong productive relationships with
    our Rwandan colleagues to identify core challenges to quality mental
    health care and devising collaborative plans for improvement
  • Accompanying Rwandan health care workers
    (physicians, nurses, psychologists, psychiatric nurses, social workers and
    community health workers) in developing their capacity to implement new
    program initiatives and quality care interventions in mental health
  • Sharing clinical expertise at the bedside and
    through didactic teaching
  • Providing support to efforts related to the
    development of a model mental health service at the new hospital at Butaro
  • Liaising with the Rwandan MoH.
  • The Fellow will also serve as a supervisor for
    US-based psychiatric resident and medical student experiences in Rwanda
    with IMB.
Qualifications:
We are
recruiting a board-eligible or board-certified psychiatrist to join us
beginning in January, 2015. We welcome candidates with interests in:
  • Collaborative learning.
  • Teaching and mentorship.
  • Specialty interests, for example in
    consultation-liaison psychiatry, child and adolescent psychiatry, and
    emergency psychiatry.
  • Improvement of healthcare within the public
    sector.
  • Community outreach, primary care, and hospital
    based tertiary care.
  • Research in global mental health delivery.
  • Applicants must be prepared to commit to at least
    75% time in Rwanda over the duration of the fellowship.
  • Some proficiency in conversational French is
    strongly preferred.
  • A strong interest in social justice and health
    care issues.
Application
Process: Interested applicants should submit a one or two page letter
describing their experience and interest in global health/global mental health,
and a CV with the names of two references.
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