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Abstract Details

Cross-Cultural Experiences During the Neurology Peru-Rochester Exchange Program
General Neurology
P6 - Poster Session 6 (11:45 AM-12:45 PM)
11-005

To explore the cross-cultural experiences of trainees who participate in the neurology Peru-Rochester exchange program (NeuroPro).

International exchange programs offer unique opportunities to foster cross-cultural learning. The NeuroPro was established in 2020 through agreements between the University of Rochester (UR), Universidad Nacional de San Agustin (UNSA), and Universidad Nacional Mayor de San Marcos (UNMSM). Selected UR trainees complete 2-week neurology electives in public hospitals affiliated with UNSA and UNMSM. Selected Peruvian trainees complete 4-week neurology electives at Strong Memorial Hospital (UR). Between 2020 and 2024, six UR trainees completed electives in Peru, and 3 UNMSM and 2 UNSA trainees completed electives at the UR.
Prior to starting their electives, trainees received guiding questions in their native language to provide in-depth written reflections on diagnostic and therapeutic processes, financial decision-making related to patient care, administrative and logistic challenges related to patient care, community engagement in healthcare, and any other experiences they wanted to share. Reflections were collected 1-2 months after elective completion. Reflections underwent an interpretative phenomenological analysis to identify themes and select representative participant quotes.
Ten of the eleven trainees provided written reflections (5 UR trainees and 5 Peruvian trainees). Constructed cross-cultural themes experienced by UR trainees in Peru included: 1) empiric treatment used for diagnostic purposes, 2) higher educational exposure to neuroinfectious diseases, 3) patients and providers sharing social, financial and administrative challenges, and 4) spontaneous community engagement. Constructed cross-cultural themes experienced by Peruvian trainees at the UR included: 1) access to costly diagnostic tools and therapies, 2) higher educational exposure to rare diseases, 3) limited involvement of providers in social, financial and administrative challenges.
The trainees who participated in the NeuroPro between 2020 and 2024 highlighted contrasting and complementary cross-cultural themes experienced during their international neurology electives.
Authors/Disclosures
Karlo J. Lizarraga, MD, MS, FAAN (University of Rochester)
PRESENTER
Dr. Lizarraga has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for FHC. The institution of Dr. Lizarraga has received research support from BlueRock. The institution of Dr. Lizarraga has received research support from Roche. The institution of Dr. Lizarraga has received research support from NIH/NINDS. Dr. Lizarraga has received personal compensation in the range of $500-$4,999 for serving as a Speaker with International Parkinson and Movement Disorders Society. Dr. Lizarraga has received personal compensation in the range of $0-$499 for serving as a Reviewer with National Institutes of Health. Dr. Lizarraga has a non-compensated relationship as a Editorial Board Member for Brain & Life with 好色先生 that is relevant to AAN interests or activities.
Natalia Chunga Iturry, MD The institution of Dr. Chunga Iturry has received research support from Parkinson's Foundation.
Luis Miguel Quispe Moore, MD Dr. Quispe Moore has nothing to disclose.
Jorge R. Risco, MD (University of Rochester) Dr. Risco has nothing to disclose.
Blanca Y. Valdovinos, MD (University of Rochester) Dr. Valdovinos has nothing to disclose.
Víctor H. Fernández, Sr., MD Dr. Fernández has received personal compensation in the range of $500-$4,999 for serving as an officer or member of the Board of Directors for National University of San Agustin of Arequipa. Dr. Fernández has a non-compensated relationship as a medical assistant with Hospital III Yanahuara - EsSalud - Arequipa that is relevant to AAN interests or activities.
ISABEL P. CAMARGO SALAZAR, MD Dr. CAMARGO SALAZAR has nothing to disclose.
Ralph F. Jozefowicz, MD, FAAN (University of Rochester) Dr. Jozefowicz has nothing to disclose.