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2	Health Care Volunteer Demographics 1500 international NGOs providing health volunteering services¹ Several hundred U.S. based international health volunteer organizations exist comprising a portion of the 1500 1 billion people lack access to health care globally with 57 countries designated as access shortage areas WHO reports a shortage of 2.4 million healthworkers. 39.5 million full-time, paid, health service providers worldwide² In 1998, 11.4% (12.47 million) volunteered in health care in the U.S. alone¹
3	Health Care Volunteer Demographics (cont) Africa designated as greatest health care access shortage according to 2006 WHO Annual Report Trend in Africa: In general, national NGOs made up 50-75% of the total number of NGOs operating in the health sector, while the presence of international NGOs increased substantially in countries under emergencies.² During disasters: Sri Lanka had major corruption in NGO usage of cash donations and in-kind product post-Tsunami. Rapid increase in number of NGOs during a disaster can cause corruption by overwhelming non-profit/volunteer system and thus actually becoming ineffective. Counteracted only when required to use reliable donation usage evaluation methods Best way to evaluate medical groups is by a clinical/outcomes approach tied to health care costs/savings.
4	Program Proposal Formal partnership with EMSA and HealthCare Volunteer to attract medical students and member physicians to volunteer in medical shortage locations around the world. Deploy physicians for long-term (6 months – 1 year) into volunteering locations and have medical students rotate 1-4 weeks through clinics under the supervision of these deployed physicians. Direct volunteering with government clinics in cases of long-term volunteering and direct involvement with Ministry of Health to maximize value for patients. Room/board/transportation funding: depends on medical status and amount of time willing to volunteer; longer terms and physicians are more likely to receive room/board/transportation when volunteering in government clinics, while shorter terms and medical students are less likely to receive room/board/transportation when volunteering. For medical students, grants, fellowships, scholarships will be of use for funding as will inexpensive arrangements that our organization sets up around each volunteering location.
5	Medical Volunteering Program Locations Tanzania (starting late Feb. 2007) The Gambia (starting May, 2007) St. Vincent & Grenadines (starting April, 2007)
6	Proposal: Medical Outreach Program Operations Flow
7	Benefits for EMSA and other physicians Gain access to new methods of medical treatment in less-developed countries. Cultural/Language appreciation and skills in countries outside of Europe. Streamline requests for medical students to volunteer short-term or to complete 1-year elective (U.K students, etc.). Cost reduction in processing requests for medical volunteers; deploy more volunteers with less funds. Increased number of patients treated in poorer countries using medical student volunteers Create a better model for maximizing medical healthcare delivery by working in developing countries government-funded clinics; this facilitates reduction in overhead costs for development of private clinics for healthcare delivery. Opportunity for physicians to supervise and work with medical students from other countries and continents