| Dr. Haywood Hall, MD FACEP |
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| ACEP Ambassador to Mexico, Ashoka Fellow, Jonathan Mann Award Nominee 2007 |
OUR FOUNDER:
Dr. Haywood Hall, the PACEMD/ MedSpanish Founder, was
born in New York and raised in Mexico until age eight. He
considers himself a "trans-nationalist". His
father was born in 1898. Both of his paternal grandparents were born as slaves and were mixed Afro and Native Americas. His
father was a prominent leftist politician and a command officer with the Loyalists in Spain. Dr. Hall’s mother was knighted by the French government for her landmark work in slavery research. His multi-cultural, global family, his bi-lingual
and cultural experience and the tradition of social commitment of both his parents have inspired him to take personal risks
and make profound personal and financial sacrifices to raise the level of medical competence and infrastructure in the United
States, Mexico and Hispanic America. For these efforts, he
has been recognized as a Social Entreprenuer by the Ashoka organization and was nominated for the Jonathan Mann Award in 2007. He is also the American College of Emergency Medicine Ambassador to Mexico.
He attended Medical School at Baylor in Houston and completed both emergency medicine and
internal medicine residencies in New Mexico in 1991, after which he spent some
time as faculty in the Department of Emergency Medicine (http://hsc.unm.edu/emermed/) . While a resident in New Mexico, Dr. Hall spearheaded the development of the Master’s in Public Health Program (http://hsc.unm.edu/som/fcm/mph/) as well as the House staff Association.
| Pictures taken by Dr Hall in NYC |
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| Dr.Hall's WTC deployement with the NM DMAT cemented his interest in Disaster Medicine |
Dr. Hall worked in rural EM development on New Mexico, was the founding director for the Emergency Department
at the Heart Hospital of New Mexico and was also the Region III EMS Director for the State of New Mexico Health Department.
He was also an acting Regional Medical Director for EmCare, assisting in the management of 70 low volume / rural emergency
departments, where he further developed his interest in developing emergency care systems. He has been an active member of
New Mexico’s famous Disaster team (http://www.dmatnm1.com) and was deployed to the World Trade Center with the
team in September of 2001.
| THis is a picture Dr. Hall took at the WTC |
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| Click on the photo to link to the NM DMAT |
In 1996, Dr. Hall was vacationing in Mexico and was first to approach a major multi vehicle accident
scene. At the time, Dr. Hall had defined himself as “rather burned out”
and disillusioned with the Health Care system in the United States. At the accident,
he performed a series of improvised life saving procedures, but found the pre hospital crew to have a poor level of
technical skill. He continued on vacationing in San Miguel de Allende (www.portalsanmiguel.com) where he became preoccupied with the idea that Guanajuato was a excellent place to disseminate emergency medicine throughout
Latin America. When he went home to the University of New Mexico, he researched that Emergency Care was in a primitive
state throughout most of Latin America.
Like Paul on the Road to Damascus, that moment in the Sonora Desert
changed his life’s mission.
What
is the need?
Almost all
people in Latin America
suffer from poor quality emergency including obstetrical and neo-natal care. Since Emergency medicine is "infrastructure medicine"
even the wealthy may lack the most basic care at critical times. There is nobody
poorer than someone who needs emergency care and cannot receive it. Many families of all classes have lost wives, mothers,
daughters and sisters to entirely preventable and/or manageable obstetrical problems.
The impact upon their family members is incalculable. The negative impact on society is tremendous. Premature deaths
from trauma and medical conditions, prolonged disability of mismanaged patients, poor response to disasters and elevated maternal
and infant mortality rates are only symptoms of the medical crisis facing much of Latin America.
The lack of Emergency Medicine infrastructure ultimately results in increased economic and social instability which in turn
negatively impacts socio-economic development. Using Community Oriented Emergency Medicine models Dr. Hall’s projects improve emergency care in Mexico and Latin America and focuses the trained emergency
specialist on community based training as an important part of their career choice.
The projects also teach medical Spanish to English-speaking doctors and other health care personnel from the United
States and elsewhere using a combination of tutoring, clinical practice in both urban and rural settings in Latin America,
total immersion Spanish language training and web-based learning. The medical Spanish students include residents, nurses,
paramedics, pharmacists and medical doctors practicing various specialties in the United States. They teach their specialties to Latin American health care professionals
as they learn the language and cultures of Spanish America.
What is the Model ?
The PACE-MedSpanish Program has
has created
a unique model for global collaboration to advance medical care delivery systems to underserved Spanish-speaking populations
in Latin America and the United States including ongoing and rapidly expanding programs in the State of Guanajuato Mexico
and elsewhere in Mexico and Latin America (www.pacemd.org) .He is also increasing the linguistic and cultural competence
of medical professionals practicing in the United States in their dealings with their Spanish-speaking patients. (www.MedSpanish.com).
| Collaborative Learning |
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| Emergency Medicine Residents from the US working with local physicians |
His model is multi-cultural and many facetted each aspect of which feeds into and mutually re-enforces all of his
efforts. His innovative creativity, professional competency, broad and extensive experience, diplomacy, persistence,
and highly conceptualized strategic planning have earned him a very high level of acceptance among Mexican and U.S. physicians,
governmental, educational and medical institutions in both countries. He has
worked for a decade as a volunteer administrator while supporting his family by working in busy ERs in the United States
along the US Mexico border (currently in Harlingen Texas).
PACEMD of Mexico promotes the development and implementation of
short training and certification courses to generalists in key areas of emergency medical care under the direction of highly
trained clinical educators with a commitment to community based learning and transforms the practice environment in a manner
responsive to local needs. It promotes Community Oriented Emergency Medicine (COEM) as a supplement to metro-centric academic models and can leverage the development of emergency medical
care in less developed areas.
EARLY BEGININGS:
In 1997, Dr. Hall moved his family to San Miguel de Allende. He
maintained his faculty appointment at the University of New Mexico. He convinced the University of New Mexico to send
Dr. Darryl Macias (the PACEMD Co-founder) to attend the inauguration of an EMS Training Center by the then Governor (later
President) Fox. Dr. Hall's intuition that Guanajuato was "the right place and the right time" has been proven correct by events
that unfolded.
| Gov Fox Innagurating the GTO EMS Training Center |
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| He is now President , of course ! |
| The State of Guanajuato EMS Training Center |
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| An Early picture of Drs. Hall, Macias and Romero Hicks |
Drs. Hall and Macias worked with Eduardo Romero Hicks, MD , the Director of the Center (now mayor of
Guanajuato City), to bring courses to CECATEM/SUEG in Guanajuato which would help train Doctors and Nurses in various aspects
of Emergency Medicine and to augment the training that he was already doing with Emergency Medical Technicians and with the
Basic Trauma Life Support course.
The Courses with PACEMD Developed in Collaboration with the Health Ministry included
the following:
* An Emergency Ultrasound Course- The first in Latin America
* An Advanced Airway Course
* The Emergency Nurses Association’s Trauma Nurse Core Curriculum Course (for Providers and Instructors), also the first in Latin America.
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| University of New Mexico Professor teaching emergency ultrasound at the Health Ministry |
The Emergency Ultrasound Course has been taught in other venues in Mexico, in Panama and in Argentina.
The TNCC course was developed with PACEMD “Bridge Faculty” under the leadership of Mary Eichorn , RN CEN, TNCC,
an EM Nurse educator from the University of New Mexico . She is a staff member at the Basic and Advanced Trauma Training Center
at UNM "The “Bat Cave” (http://hsc.unm.edu/som/gme/batcave/). This was first
translation of the Trauma Nursing Course into Spanish and Guanajuato now actively trains providers with its core of instructors
.
In October of 2002, The PACEMD was instrumental in organizing the Pan American Emergency Medicine Leadership Conference in Guanajuato. Present were the Presidents of ACEP and the National Association of EMTs, two past presidents of the Society
of Academic Emergency Medicine, three Poison Control Directors and faculty from Mayo, Johns Hopkin’s and many other
centers of excellence from the United States. On the Latino side were Mexican National, State, and local Health care officials,
President of the Mexican EM (SMME) Society as well as the EMS Director from Buenos Aires. The conference helped to establish
the possibility of Guanajuato becoming a dissemination center for emergency medicine.
The program has provided key support for the first Pan American conferences in Panama and in
the early emergency Medicine conference in Argentina. The Program has also supported the Sociedad de Medicos
en Emergencia Medicas (SMME's) Pan American Conferences in Puerto Vallarta and Ixtapa, as well as the AMMU conference in Guanajuato in the year 2007. The PACEMD Program will be assisting SMME with their conference in 2008
and is working with all parties in Mexico to help Mexico become the site of the ICEM 2014.
| Landmark Leadership Conference in Guanajuato |
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| The program has provided support for various EM conferences |
| We Teach Medical Spanish to Health Care Providers |
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| Click here for info on rotations and CME Credit |
THE MEDICAL SPANISH PROGRAM
Around the time of the conference, another PACEMD Project, the MedSpanish Program stared to get off the
ground with Spanish teacher and friend Lilia Galeana. Since that time overThe program focuses on total immersion medical and general Spanish , cultural literacy training and on providing a significant international health exposure to US health care personnel. About 450 residents, students and practicing physicians from all specialties and
interests, have come to Guanajuato for medical school and residency program electives, and they have been able to
offer CME credit since 2005, through the University of New Mexico for physicians (and nurses) who need them. The program is increasingly developing Guanajuato as a center for Medical Spanish and Cultural Literacy
for US Health Care personnel. The operation gets the highest marks from International Programs Reviewed.
Link to www.PACE-MedSpanish.Org for more information
The program began sending PACE-MedSpanish students to Baja California, Ecuador and is planning to include Costa Rica, Guatemala, Dominican Republic , and Argentina as PACE-MedSpanish sites. Where
ever they have developed these PACE MedSpanish Sites, it is their "Service Learning / Service Training" model to work to improve local emergency care through local providers.
The program also began its one to one tutoring through MedSpanish On-Line and is planning to offer CME Credits through this venue.
In the summer of 2007, the program successfully launched the "Jr. PACE Corps" which allowed Pre Med and Pre Clinical students who have at least First Responder Training , to come for the summers, receive
a significant early career exposure to International Health and Cultural Medicine, learn Spanish and to be third riders on
Red Cross Ambulances.
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| VBMC is where we work in Harlingen, Texas ...right on the Border |
THE EARLY GEMS (Geographic Emergency Medicine Service)
The MedSpanish program has been effective in recruiting US personnel interested in Latin American Development to the program and many have helped develop PACEMD Courses and curriculum. Some have
come and supervised residents and students in the clinical rotations. Dr. Lindsey Horenblas, MD (the Proto-GEMS doc)
spent a year in San Miguel with his family, assisting with the program. On this model, the PACEMD Program developed the GEMS Program (Geographic Emergency Medicine Service) in the Rio Grande Valley (Laredo-Brownsville area) to allow physicians to maintain
their projects in Latin America and elsewhere while working part time for Valley Emergency Physicians. GEMS operates
as a "locums tenens group" or sub-contractor to this (and hopefully other) democratic emergency medicine service. The program
can claim to have brought 3 emergency physicians (one a toxicologist) to the Rio Grande Valley, an area where there is
a severe shortage of these residency trained emergency specialists.
The PACE UNC Border and International Emergency Medicine
Fellowship Program .
The original aspiration of the GEMS program was
to create the groundwork for a Border and International Emergency Medicine Fellowship Program. At
the PACE summit in San Miguel de Allende in February , 2007, discussions were begun which have included Dr. Tintinalli and the University of North Carolina School of Medicine, the PACE program, the GEMS service, Valley Emergency Physicians and the Texas Department of Health to begin to develop a forward leaning Border and International Emergency Medicine Fellowship program. The program is slated
to start in the summer of 2008 and will feature the following:
THE PACE CENTER KICKS INTO HIGH GEAR !
Since the inauguration of the PACE Center in January of 2004, the PACE training programs in Spanish have
grown exponentially. The addition of Dr Noe Arellano Hernandez, a residency trained urgenciologo (emergency physician) and reanimation sub-specialist (and extra year of training) as
Medical Director moved the program into high gear. In addition an administrative team was formed with Fabiola Arellano Hernandez
and Mario Morales which increased our work capacity.
Wasting no time, in 2004, a series of 100 hour "Diplomado" (Certificate) courses were begun in the key areas of Emergency Nursing
with the School of Nursing (PACE 1), Emergency Medicine for general physicians with the School of Medicine in Guanajuato (PACE 2) as well as an advanced Para-medicine course with the Red Cross (PACE 3). The PACE 1 nursing course has been quite popular and has been given throughout the state.
| Deans of Medical Schools signing agreements |
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| This opens the door to high level collaboration in GTO |
We collaborated with the Medical College of Georgia in teaching the FENIX III International Disaster Life Support Course -LA in Mexico City , Monterrey , San Luis Potosi and other locations and began working with CAPT. Angel Brana, MD MPH,
a US Public Health Service Officer assigned to the US Mexico Border on various projects on the border and in Mexico. Now retired,
Dr Brana continues an active advisory role to the PACE-MedSpanish Program.
We
refined the FAST Emergency Ultrasound course under the leadership of Darryl Macias and Dr. Raul Nunez. The course has been taught in Argentina, Ecuador, Colombia and Panama,
and the program has worked closely with Sonosite to teach the course at various venues in Mexico.
In August of 2007, a dissemination team from the United States led by Dr Larry
Leeman and the American Academy of Family Physicians brought the
the Advanced Life Support for Obstetrics Program to Mexico. We have become the Center for ALSO in Mexico and have taught the course 5 times in a year, creating
a pool of new instructors. The prospects for wide dissemination of the ALSO course are good. Relatedly, we are planning
to pilot two Basic Life Support for Obstetrics Courses (BLSO) targeting A) General physicians
, emergency phsycians and nurses who do not routinely attend deliveries and B) Midwives and Pre-Hospital personnel in
order to decrease out of hospital maternal and perinatal mortality.
In 2007 we began a PACE Pre Hospital Division, led by Dr Luis Vasquez, which began teaching National Association of Emergency Medical Technician courses such as
PHTLS (Pre Hospital Trauma Life Support) as well as a Trauma Nursing Course (AVET).
The PACE Center also organized an update of the Advanced Airway Management course at the Health Ministry Emergency Services Academy (SUEG). This course was designed to standardize and update the training
as brought in leaders from emergency medicine in Mexico to learn to teach the course.
The PACE Center was opened in 2004 with the intention of creating
an American Heart Association Center. We received a donation of 24 Manikins and 2 defibrillators
as well as some arrhythmia simulators
from Valley Baptist Medical Center and have taught 4 Basic Life Support courses and Advanced Cardiac Life Support courses (BLS/ACLS) a year. We expect to become one of the First International Training Centers in Mexico and the AHA BLS/ACLS
and PALS courses will become the flagship courses of the center. With these courses and Advanced Trauma Life Support courses (which we also teach) we will be able to train the general physicians who work in emergency departments to provide
better care. We believe that an AHA training center, led by emergency physician specialists will provide an excellent
model for training in the state of Guanajuato, in Mexico and beyond.
In February of 2007, the leaders of emergency medicine in the Northern Hemisphere met in San
Miguel de Allende at the PACE Center for a PACE Summit. The program was quite successful and resulted in a reconciliation between the SMME and AMMU the two largest emergency
medicine organizations in Mexico. We also worked with Dr Bob Suter, past president of ACEP / IFEM in planning of the International
Congress of Emergency Medicine for Mexico in the year 2014. We also heard presentation from Dr Tintinalli on internet
based education. We also outlined a plan to develop the Border and International Emergency Medicine Fellowship Program
as well as a strategy for further collaboration in the future.
The AMMU Conference in Guanajuato City
In May 2007, the PACE program played a key role in the very sucessful AMMU emergency medicine conference in Guanajuato City, attended by over 700 people. In addition to providing key international speakers such as
Dr. George Molzen and Dr. Ken Isersen, the PACE Program schedules various workshops including a successful ALSO course and
a FAST Ultrasound course co sponsored by Sonosite.
Our next big conference efforts will be to support the SMME conference in Mexico City, in February 2008 andto prepare for the ICEM conference in San Francisco in April 2008.
| This is the entrance to the PACEMD Center |
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| Click here to learn more |
FIELD OF DREAMS!
POISED FOR EXPONENTIAL GROWTH !
The PACEMD Program has much on its plate, but we are in a better position to
finally create the EM platform in Latin America that was the original concept. We have a new home on Mesones and we have a
deep network of organizational affiliations and are poised for exponential growth. We
rely on our network in Mexico (The Red Cross, the University of Guanajuato Medical School, the Health Ministry, and the professional
societies in both countries, as well as the MedSpanish students, the PACEMD Network and the GEMS doctors) to make these exciting
projects manifest. The PACEMD community center will work in various innovative
ways to improve the emergency medical capabilities for the communities that they serve.
Our ultimate goals are as follows:
1) Create and demonstrate emergency care oriented Community Based Medical Education center led by
emergency physicians.
2) Become a high qualified ACLS International Training Center for the American Health Association and
Advanced Life Support for Obstetrics Programs and other courses and activities which improve emergency
care to latinos
3) Especially target our sevice to Guanajuato State and other any other sites nationally where
emergency physicians are engaged in community development.
4) Become a clearing house for Community Oriented Emergency Medicine in the Americas.
5) Create a vanguard Medical Spanish / Medical Cultural Literacy Center based in San Miguel de Allende
and through our international network to provided training for US Health Care Personnel.
6) Create and manage a Border and International Emergency Medicine Fellowship Program for emergency physicians
and an affiliated GEMS service, and to develop epidemiologic surveillence and enviromentoal toxicology programs on the US
Mexico Border
7)
To support regional , national and international conferencing and strategic meeting in emergency medicine in the Ameicas.
8) Ultimately create a World Health Organization Collaborative Center for Dissemination
of Community Oriented Emergency Medicine
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