The Overall Schedule for CCNEPal summer 2016 is taking shape


The Theme of Summer 2016

In past years, I don’t worry too much about what the schedule will be when I get to Nepal. As long as the first few days are scheduled, I know I will get many eager requests to go here or there. The only small city on the 2016 list is Jumla.

infographic of medical education in Nepal 5

Half the population of Nepal lives in Terai. All the medical schools in Terai are non-governmental, i.e., “private” – and I should add, in this region of Nepal there is a higher per centage of Hindi speakers.

Generally, the eleven weeks this time will be divided into two week blocks. As of today, the first eight weeks are spoken for, and I’ll confirm weeks nine & ten soon.  The work week in Nepal is six days. I take Saturday off each week. Less travel time = more teaching time.

I plan to post a photo album for each session, on the CCNEPal FaceBook page.

Pokhara ( 1 & 2)

2-day session for MBBS docs and interns May 19th -20th

3-day class for nurses May 22nd, 23rd and 24th; then

another 3-day class for nurses on May 25th, 26th and 27th;

then 2-day course for MBBS, May 29th and 30th;

then 2-day class for MBBS, May 31st and June 1st;

About the town: Pokhara is neck and neck with Biratnagar for the title of Nepal’s second-largest city, with about 353,000 people. It is the jumping off point for many treks, and is situated on one of Nepal’s few lakes. I have taught there twice before, for a total of a hundred nurses. There are two medical colleges in Pokhara. The host is Paschimanchal Community Hospital, Buspark, Prithvichowk, Pokhara. The contact persons are: Dr Umid Shrestha, and Sushila Neupane who now is at Charak Memorial Hospital.  (please note that is a correction- I originally gave the incorrect hospital). I will be staying in the city, above and away from “lakeside” while there.

Pokhara_Montage_2

On June 2nd, CCNEPal will travel to the next location.

Bharatpur (3 & 4) – College of Medical Sciences  (CMS)

teaching a 3-day class to nurses and/or nursing students on
Sunday-Monday-Tues June 5th,6th and 7th.
then a 2-day session for MBBS June 9th and 10th;
Then another 3-day class for nurses June 12th, 13th and 14th;
and finally a 2-day session for MBBS/interns June 16th and 17th.

About Bharatpur. This city is located where the road from Kathmandu intersects the east-west highway across the Terai. I first taught here in 2011. The city has two medical colleges, the old (“Purano,” also known as CMS) and the new (“Naiyyan,” also known as CMC). I did not know their official names for quite some time.  CMS has several distinctions. First, they have the single busiest Emergency Room in Nepal, with a breathtaking level of activity. Next, they serve a population that comes down from Makwanpur, the nearby hill district. Bharatpur is the city closest to Chitwan National Park. Contact person there is Mrs. Sita Parajuli, Matron of CMS Teaching Hospital. Also, Dr Biswas Gurung will know where to find me.

Janakpur ( weeks 5 & 6)

2-day version of class for  MBBS, June 19th  and 20th (30 seats)
2-day version for MBBS June 21st and 22nd (30 seats)
2-day version for MBBS 23rd and 24th (30 seats)
3-day version for nurses, 26th, 27th and 28th (30 seats)
3-day version 29th, 30th and July 1st (30 seats)
I will leave Janakpur the morning of July 2nd.

About Janakpur.  I have not taught here before, but they too have a medical college. Janakpur is the site of the Janaki Mandir, a legendary pilgrimage site for Hindus dedicated to the Goddess Sita. Janakpur is also the site where they filmed this documentary about trains.  The primary local language here is Maithili, not Nepali or Hindi.

Biratnagar ( weeks 7 & 8)

2-day version for MBBS July 3rd and 4th (30 seats)
2-day version for MBBS July 5th and 6th (30 seats)
2-day version for MBBS July 7th and 8th (30 seats)
then 3-day version for nurses July 10,11th and 12th (30 seats)
then 3-day version for nurses July 13th, 14th and 15th (30 seats).

IMG_20140717_130423

I was in Biratnagar summer 2014. That time of year, women apply mehendi. These are nurses who took my class. I worked with “CNEplanet” and enjoyed my time there, despite an auto accident on the way. I returned in 2015.

About Biratnagar. I taught here in 2014 and 2015. It is in the eastern Terai, the largest “industrial city” of Nepal. There is a sizeable Muslim population – the Muezzins start up at about 0430 every day. In 2014 they were having a hepatitis E epidemic, and The New York Times featured Biratnagar in this news video. I believe that this is the city where Lonely Planet wrote: “…there is no reason for any western tourist to ever visit this place.”

So – despite the above statement, I can truly attest to how nice the people are in Biratnagar. They were really super. The host agency is Nobel Medical College with Dr. Bandana Paudel.

I don’t drink the water when I am there. My contact person is Mrs. Dipty Subba.

IMG_20150410_114443

This is not Dipty’s usual head gear.

Jumla (weeks 9 & 10)

specific dates TBA.

About Jumla. I have a long story about Jumla, but then again, I have long stories about each of these places. Jumla is home to Karnali Academy of Health Sciences (KAHS), in far-western Nepal. I will go there for two weeks, and most likely using the shuttle as opposed to flying. How exactly to rendezvous with the KAHS shuttle, will be one of the loose ends of the summer. It’s on the opposite end of the country from Biratnagar. Biratnagar is twelve hours from Kathmandu by bus, and Jumla is two days by bus or shuttle.

KAHS is new, and the teaching hospital there has 30 beds. They had a fire in one building this past winter,  after which patients were treated on pallets on the ground in open air for a few days. They wanted me to go there last year to upgrade skills of emergency and especially pre- and post-op nurses, but this was cancelled after the earthquake. Contact person is Dr. Mangal Rawal.  I met him when he was completing his orthopedic residency at Bir Hospital in Kathmandu.

KAHS Jumla nurses 2016

from the KAHS FaceBook Page. The teaching hospital is small and so is the nursing staff.

Jumla has had low rain and crop failure so far in 2016. There are predictions of famine in the district.

After Jumla I will go to Kathmandu. I’ve been asked to do some teaching for an NGO that specializes in “health camps” in the mountains, and other groups. I think by that time, I will need to simply “chill” and enjoy the city.

The above plan is subject to change. It will minimize the bus travel. My 2015 bus accident took three weeks to recover from. Since then I want to avoid the out-and-back trips, designing a circuit instead.

IMG_20150108_112956

I travel light. Here is my collection of “props” for the class.

I will bring my own supply of “organic coffee.” The locals drink tea here as a rule.

The person who met me at the airport in May 2007 is Mr. Ram Maharjun, manager of Shalom Guest House. He will always know where I happen to be. I will also register with the  US Embassy, as in the past.

The best way to follow me is to “like” the CCNEPal FaceBook page.

About Joe Niemczura, RN, MS

Experienced nursing educator and problem-solver. I have fifteen years of USA nursing faculty background. Add it with fifteen more devoted to adult critical care. In Nepal, I started teaching critical care skills in 2011. I figure out what they need to know in a Nepali practice setting. Then I teach it in a culturally appropriate way so that the boots-on-the-ground people will use it. I travel outside of Kathmandu Valley as well. When the recent violence happened, I knew the cities - I had trained people in those locations. One theme of my work has been collective culture and how it manifests itself in anger. Because this was a problem I incorporated elements of "situational awareness" training from the beginning, in 2011. Global Health Nursing is not all sweetness and light; not solely milk & honey and happy moms and babies.
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One Response to The Overall Schedule for CCNEPal summer 2016 is taking shape

  1. Carrington says:

    If you can get me in touch with any groups that make and sell menstrual hygiene kits, please do so.. I would like to contract to purchase for a local cottage industry for every future trip Wine to Water makes to Nepal. Thanks for all or your help and advice. Maybe our paths will cross

    Sent from my iPad

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