Northwestern University Feinberg School of Medicine

Center for Global Health

Clínica de Familia La Romana - La Romana, Dominican Republic

Clínica de Familia La Romana (Clínica de Familia) provides medical attention and psychosocial support to adults and children with HIV, sex workers, adolescents, and other highly vulnerable populations in the eastern part of the Dominican Republic. It provides comprehensive primary and HIV-specialized outpatient medical care, community and home-based services, psychosocial support services, and an annual summer camp for HIV-positive children. Clinical services include general medicine, pediatrics, obstetrics, gynecology, pharmacy, laboratory, ultrasound, family planning, mental health, and nursing services. The clinic is one of the largest HIV clinics in the country, providing care and antiretroviral treatment to 1400 children and adults with HIV. Moreover, the clinic oversees special programs for the reduction of vertical transmission of HIV and prenatal and reproductive health care for adolescents through the Maternal-Infant Health Annex (MAMI), in collaboration with the largest public hospital in the province. Clínica de Familia aims to improve the quality of life of the poorest and most vulnerable populations in the eastern part of the country with a holistic, family-centered approach.

Length of Rotation: 4 Weeks

Location: La Romana, Dominican Republic

Language Requirement: Spanish fluency required

Student level: Phase I, II, and III are eligible

How to Apply: Complete the Online Application

Elective Credit:  Family & Community Medicine; Infectious Diseases

Goals of Elective Credit:

Rotation Information:
The rotation comprises clinical work, research/scholarly activity, academics, and cultural immersion. Students work with clinicians providing care to children and adults at Clínica de Familia La Romana and adolescents at the MAMI. Visits, and in some cases, clinical rotations, are also organized with Hospital Francisco Gonzalvo (large public provincial hospital with which Clínica de Familia works closely), Centro Médico Central Romana (a private hospital owned by the sugarcane company), and Hospital Buen Samaritano’s Batey Outreach Program (accompanying their outreach teams to rural bateyes), among others. International students and volunteers can also have opportunities to interact with Dominican students, interns and medical professionals as well as tour regional clinics and Dominican universities, in order to become familiar with the Dominican systems of public health and education.

As their scholarly activity, some students may work on quality initiatives or other projects relevant to the Clínica de Familia. Some students engage in already existing research programs. Longer term participants may design their own research protocol in coordination with the clinic. Approval of research protocols by US and Dominican boards of ethics may take up to six months, prior to the start of the research. In the past, some participants have engaged in research that has subsequently been published, contributing to the body of scientific knowledge coming out of the Dominican Republic.

Clínica de Familia’s clinical team has weekly continuing medical education sessions, which
students are encouraged to participate in. There is also an interactive seminar for students during the summer (and at others times of the year, depending on student interest), where participants engage in literature review, informal presentations and discussion of a variety of topics relating to providing care in a resource-limited setting, organizational challenges and funding, and the Dominican health system, among others. In addition, participants provide a final presentation of their project to relevant staff. Some engage in teaching and training clients and/or staff as part of their projects.

Clínica de Familia facilitates participants’ involvement in a variety of cultural activities within the clinic and in the community at large. Staff from Clínica de Familia host welcome and farewell dinners for all participants, and also organize other cultural activities and events throughout participants’ time in the Dominican Republic. La Romana offers opportunities
for integration and immersion into Dominican life, giving participants the opportunity to learn firsthand about diverse elements of Dominican culture. There are also Spanish and Haitian
Kreyol classes available.

The daily schedule of each student varies, depending on their interests and selected project, but generally each day includes time for both clinical rotations and projects. Participants are expected to work during the regular clinic hours (Monday-Thursday, 8AM-5PM; Friday, 8AM-4PM).

Helpful Links:
Clínica de Familia
Centers for Disease Control and Prevention
US State Department

World Health Organization Country Profile

Accommodations:
Housing for participants is provided at Casa Internacional, a dormitory-style student house, located in a safe neighborhood approximately one mile north of La Romana’s city center. Casa Internacional accommodates ten guests, in single, double, and multiple bed rooms. The two-story facility includes air conditioning in the bedrooms, hot water, a full kitchen, wireless internet, daily housekeeping, laundry service two days per week, and security services from 6PM-7AM to ensure the safety of its residents. Stay at the house also includes complimentary breakfast served daily, Monday through Friday. Casa Internacional is located just blocks away from three large supermarkets and within a short walking distance of a variety of restaurants.

Evaluations (only accessible to users with a valid NetID):

For More Information:
Clínica de Familia

Daniel Young
Center for Global Health
Northwestern University Feinberg School of Medicine
645. N. Michigan Avenue, Suite 1058
Chicago, IL 60611
d-young@northwestern.edu