2017 PGME 4th Annual Global Health Day on Humanizing Global Health: Achieving Equity.

Residents, Fellows, Faculty and 4th Year Medical Students
are invited to attend the
PGME 4th Annual Global Health Day
HUMANIZING GLOBAL HEALTH: ACHIEVING EQUITY

Keynote Address on 'Humanizing Global Health' by
Professor James Lavery
Hilton Chair in Global Health Ethics and
Professor, Department of Global Health
Rollins School of Public Health, Emory University

Thursday, June 8, 2017
11:30am - 5pm
McLeod Auditorium, Medical Sciences Building
Faculty of Medicine, University of Toronto
Information from j.kopelow@utoronto.ca

The world is rapidly globalizing at a pace that’s hard to fully comprehend. New technology allows for healthcare innovation and accessibility that is unprecedented in many sectors. However, despite these incredible advances, health inequity persists – in many ways the disparity is more prevalent now than it ever has been. At the 2016 World Economic Summit, Oxfam reported that “in 2015, just 62 individuals had the same wealth as 3.6 billion people – the bottom half of humanity. This figure is down from 388 individuals as recently as 2010.” (Oxfam, Briefing Paper, January 18, 2016)

Why do these incredible inequities exist globally and in our own backyard? Why have the monumental advances in health care not improved the lives of marginalized populations living in extreme circumstances of economic and social isolation? Where have we gone wrong and how do we get back on the right path?

The 2017 Global Health Day, led by PGME, includes University of Toronto leadership across disciplines dedicated to urgent global health issues. With the goal of achieving “equity and humanizing global health,” Global Health Day is an education initiative with objectives to:

• Develop a deeper understanding of the social, political, economic, and professional challenges to improving global health for all.
• Encourage critical thought about how inequities can be overcome.
• Introduce themes and issues from across disciplines on the challenges of inequity in global health.
• Identify opportunities to continue your global health interests, education, and experience.

Schedule

• 11:30am Lunch
• 12:30pm Welcome and introduction of Keynote Speaker
• 1:00pm Keynote address by Professor James Lavery followed by Q&A
• 2:15pm Roundtables
• 4:30pm Reception and networking
• 5:00pm End

Roundtable 1. On a Humanitarian Response with Dr. Leslie Shanks who is the current Medical Director of Inner City Health Associates (ICHA), an organisation that provides medical care in homeless shelters and drop-in centres in Toronto. A family physician, she joined MSF in 1994 and has worked with MSF in a number of countries. She served as Medical Director of Médecins Sans Frontières (MSF) - Amsterdam between 2008-2013. Her clinical work in Canada has included Aboriginal communities in northern Ontario and Nunavut, and federal penitentiaries in Kingston. She completed her Master’s Degree in Public Health at Johns Hopkins University in Baltimore. Her research interests include sexual violence, HIV and MDR-TB in resource-limited settings, evaluation of mental health interventions in humanitarian contexts and prevention of malnutrition. Moderated by Dr. Kinshuk Kumar.

Roundtable 2. On a Political Response with Professor Janice Stein who is the Belzberg Professor of Conflict Management in the Department of Political Science and was the founding Director of the Munk School of Global Affairs at the University of Toronto (serving from 1998 to the end of 2014). She is a Fellow of the Royal Society of Canada and a member of the Order of Canada and the Order of Ontario. Her most recent publications include Networks of Knowledge: Innovation in International Learning (2000); The Cult of Efficiency (2001); and Street Protests and Fantasy Parks (2001). She is a contributor to Canada by Picasso (2006) and the co-author of The Unexpected War: Canada in Kandahar (2007). She was the Massey Lecturer in 2001 and a Trudeau Fellow. She was awarded the Molson Prize by the Canada Council for an outstanding contribution by a social scientist to public debate. She is an Honorary Foreign Member of the American Academy of Arts and Sciences. She has been awarded Honorary Doctorate of Laws by the University of Alberta, the University of Cape Breton, McMaster University, and Hebrew University. Moderated by Dr. Jon Herrot

Roundtable 3. On Refugee Health with Dr. Meb Rashid who is the medical director of the Crossroads Clinic, a medical clinic that serves newly arrived refugees in Toronto. He is a co-founder of the Canadian Doctors for Refugee Care, an organizations founded to advocate for refugees to access health insurance. He was on the steering committee of the CCIRH, a group that developed evidence based guidelines for the assessment of newly arrived immigrants and refugees. He also co-founded the Christie Refugee Health Clinic, a health clinic located in a refugee shelter. Moderated by Dr. Robert Puckrin

Roundtable 4. On Equity, Diversity and Professionalism with Dr. Gillian Hawker who is the Sir John and Lady Eaton Professor and Chair of the Department of Medicine at the University of Toronto and Professor of Medicine in the Department of Medicine, Division of Rheumatology. She is active staff in Rheumatology at Women’s College Hospital, where she is a clinician-scientist at the Women’s College Research Institute. She is a senior scientist at the Institute for Health Policy, Management and Evaluation and adjunct senior scientist at the Institute for Clinical Evaluative Sciences. Upon de-amalgamation of Sunnybrook and Women’s College Hospital (WCH) in 2006, Dr. Hawker was appointed physician-in-chief (PIC) of medicine at Women’s College and the FM Hill Chair in Academic Women’s Medicine. WCH had been tasked by the provincial government to be a leader in innovative ambulatory care, research and education – and needed to build a firm foundation upon which to realize this future. Over her tenure as PIC (2006-2014), Dr. Hawker was instrumental in laying the foundation for innovative models of ambulatory care and education designed to keep patients with complex medical needs out of hospital. Moderated by Dr. Melody Ren

Roundtable 5. On Inequity from Birth with Dr. Kevin Kain who is a Professor of Medicine, University of Toronto, the Director of the McLaughlin-Rotman Centre for Global Health, holds a Canada Research Chair in Molecular Parasitology, and is the Director of The Center for Travel and Tropical Medicine at The Toronto General Hospital. Dr. Kain has worked extensively in the tropics and sub-tropics including New Guinea, Madagascar, Uganda, Laos, Thailand and the Amazon basin. He is a Clinician-scientist at the University of Toronto and his research efforts focus on 1. Global Health; 2. malaria, including new diagnostics, drugs and vaccines for the prevention and treatment of malaria and the study of the molecular mechanisms underlying severe and cerebral malaria; and 3. diagnostics and surveillance of emerging infectious diseases associated with travel, migration and blood safety. Moderated by Dr. Taylor Kain

Roundtable 6. On Indigenous Health with Chief Isadore Day who is Ontario Regional Chief, Wiindawtegowinini and is from Serpent River First Nation, Ontario, which is located in the North Channel of Lake Huron. Born in Elliot Lake and raised in the North, Regional Chief Isadore Day worked in construction, commercial fishing, and in the social services setting. Regional Chief Day’s post-secondary education consists of Social Work, Business and Public Administration and Governance. He and his partner Angela raise their girls in the North and are committed to ensuring that the North remains a key grounding in their lives. He is strong in his commitments to his community and all treaty regions. Regional Chief Day is an Anishnabe with strong values and ideals about his heritage and has a strong ability to bridge contemporary mainstream ideals and traditional insights and teachings. He has a very strong affinity and connection to the land. In 2006, Regional Chief Isadore Day addressed President Bill Clinton in the Ontario Economic Summit and asked the president to reflect on his discussion from the vantage point of First Nations. He was reciprocated with a lengthy input from the president. He has also been quite active with many other levels of leadership from the Prime Ministers Office, the Ontario Premier and scores of MP’s – all focused on one thing: the First Nation Agenda. Chief Day is noted across the country as a visible and relevant leader. He prides himself by being part of a great line of leaders and is a strong team player. He is a natural when called to be a lead advocate on most political files. Chief Day is active on many files in all policy sectors at the local level and provincially. His main focus at all tables with government is First Nation rights, health, social, economies, infrastructure, Quality of Life – and overall, Nationhood based on all facets of what a nation embodies. He sees political justice as being the main goal for First Nation leaders and is emphatic that the Indian Act is colonial oppression and at the root of what must change in all First Nations. He is practical with both high level policy and is a strong grassroots First Nation leader. Moderated by Dr. Laurel Laakso

Roundtable 7. On Humanism and Inequity in Global Health with Dr. Arno Kumagai is a full professor at the University of Toronto and Vice-Chair, Education, in the Department of Medicine. He also holds the F.M. Hill Chair in Humanism Education from Women’s College Hospital and the University of Toronto. Dr. Kumagai received his BA in comparative literature from U.C. Berkeley and his MD from UCLA School of Medicine.He completed a residency in internal medicine and an endocrine fellowship and postdoc at UCLA. Dr. Kumagai came to the University of Toronto from the University of Michigan Medical School where he was on faculty since 1996. An endocrinologist with expertise in the intensive management of type 1 diabetes mellitus, Dr. Kumagai is an internationally recognized educational scholar. After a career in bench research, Dr. Kumagai remarkably shifted his research interests from looking into the molecular mechanisms of diabetic complications to medical education. Dr. Kumagai’s excellence in integration of humanism in medical education is internationally recognized. He is the recipient of numerous teaching awards, including the AAMC/Pfizer Award for Humanism in Medical Education, the Leonard Towe Award for Humanism in Medicine, the Kaiser Permanente Award for Teaching Excellence, and the University of Michigan’s Provost Innovative Teaching Prize and the University of Michigan’s Distinguished Leaders in Diversity Award. Moderated by Dr. Hooman Zangneh

Roundtable 8. On Human Rights and Health Equity with Dr. Caroline Bennett-Abuayysh who is the Health Equity Project Coordinator in the Human Rights and Health Equity Office at Sinai Health System. In this role she provides 17 hospitals in Toronto with evidence-driven recommendations for embedding standardized patient demographic data collection in their organization. Caroline’s primary interest is in advancing data-driven health equity and has previously published and worked in areas of immigrant access to social services, immigrant integration, and the impact of poverty on health. She received her PhD in Social Psychology from the University of Western Ontario (London, ON) with an interdisciplinary concentration in migration. Moderated by Dr. Zoe Walker

Keynote

Dr. James Lavery is the inaugural Conrad N. Hilton Chair in Global Health Ethics, Professor in the Hubert Department of Global Health in the Rollins School of Public Health, and Faculty of the Center for Ethics, Emory University, Atlanta, Georgia. Prior to joining the Emory faculty, he was a Research Scientist and Managing Director of the Centre for Ethical, Social & Cultural Risk at the Li Ka Shing Knowledge Institute of St. Michael's Hospital, and an Associate Professor in the Dalla Lana School of Public Health, Institute of Medical Science, and Joint Centre for Bioethics at the University of Toronto.

Jim received M.Sc. and Ph.D. degrees from the Institute of Medical Science and Centre for Bioethics at the University of Toronto and held a post-doctoral fellowship in applied ethics and health policy at the Queen's University Health Policy Research Unit. He then spent 3 years at the Fogarty International Center, and Warren G. Magnuson Clinical Center Department of Clinical Bioethics, at the National Institutes of Health in Bethesda, Maryland.

Jim was the co-principal investigator of the Ethical, Social and Cultural (ESC) Program for the Bill & Melinda Gates Foundation's Global Health and Global Development programs from 2005-2015. He is currently leading the development of a global “Learning Platform” for community and stakeholder engagement to support funders and implementation partners in global health and global development, in partnership with the Bill & Melinda Gates Foundation. Other current positions include: Associate of the Council on Health Research for Development (COHRED) in Geneva and technical advisor for its Research Fairness Initiative (RFI); member of the Bioethics Advisory Panel of Pfizer, Inc.; and member of the Legal, Ethical, Dual-use, and Responsible conduct (LEEDR) panel for the “Safe Genes” initiative of the U.S. Defense Advanced Research Projects Agency (DARPA).

2017 Global Health Day Planning Committee

• Jon Herriot Family Medicine PGY1
• Yiwei Hu Family Medicine PGY1
• Taylor Kain Internal Medicine PGY2
• Kinshuk Kumar OBS/GYN PGY1
• Robert Puckrin Internal Medicine PGY1
• Melody Ren Medicine Medicine PGY1
• Sanskriti Sasikumar Neurology PGY1
  and
• Barry Pakes, PGME Global Health Academic Lead
• Judy Kopelow, PGME Global Health Programs and Strategic Initiatives