Blog Full Right Sidebar

 
Leo Gilling is not one to forget his roots—or anyone in need. The industrious native of Jamaica, who now runs an insurance agency in Florida, grew up in Oracabessa with a determination to make the most of his life. For Leo, that means working hard and giving back even harder, particularly in the area of education.

“I was trained as a teacher in Jamaica, but after college, I switched career tracks to business,” Leo says. The change gave him a better pay check, while still letting him make significant investments in Jamaican education. That includes working alongside Diane Pollard, President and CEO of the Issa Trust Foundation, to increase charitable involvement in education.

Most recently, Leo is partnering with ITF through his work as The Advisory Board Member (ABM) for the West/Midwest USA and the leader of the Jamaican Diaspora Education Task Force. (JDETF) In this role, he serves as an organizer for Camp Summer Plus, a summer program funded by USAID through the Jamaican Ministry of Education with a goal of raising numeracy and literacy among at-risk third graders.

“This is the most critical phase of primary school education,” Leo explains. “The Grade 4 Literacy Test (G4LT) must be mastered before students are allowed to sit the Grade Six Achievement Test (GSAT), the determinant of secondary school placements. We’re attempting to have at-risk students who’ve finished third grade engaged for five weeks in summer so that when they go back to school in September, they will be able to perform at or above their grade level.”

Teachers help to identify pupils who will most benefit, Leo says, and many of those students are reading below the first grade level. At least 125 children will attend the all-day camps, which will be held in three locations.

This year Camp Summer Plus will also include health, occupational therapy, hearing, vision and dental screenings. “Unlike the majority of students in America, Jamaican children might have learning challenges because they don’t have balanced diet and nutrition,” Leo says. “For instance, iron deficiencies can be disabling, and that is somewhat common in Jamaica. So kids sit in class while the teacher is teaching, but they’re not learning. Students might get a C not because they can’t read, but because they can’t see and are too proud to admit it due to their background; the same for hearing.”

Fortunately, Leo didn’t have to look far for a pediatrics partner. “There was no other fitting person to contact than Diane Pollard of Issa Trust Foundation whose specialty is pediatrics,” Leo says. “Issa Trust Foundation is mobile, the personnel are super committed and energized to do work in Jamaica, and Diane comes with a high level of professionalism and competency.”
No Comments
 
Issa Trust Foundation has a very successful and sustainable pediatric model with reportable outcomes. Therefore, we have been asked to provide medical evaluation of all students during Camp Summer Plus. Dr. Jeff Segar, Leads the Team and stated ³evaluation will include a physical exam, basic blood tests, hearing and vision screening, pharmacy medications if needed and Flouride treatments. If eyeglasses are needed, they will be provide onsite through our partnership with Michigan Lions Club. A questionnaire has also been developed to assist the team in identifying risk factors for impaired learning. Collectively, the data will assist in identifying potential future interventional measures designed to promote learning in this population.

Medical clinics will be held:

  • Sam Sharpe Teacher’s College, Montego Bay on July 13th
  • Cedar Grove Academy, St. Catherine on July 14th
  • College of Agriculture Science & Education (CASE), Portland on July 15th
The Jamaica Diaspora Education Task Force (JETF) in partnership with the Ministry of Education (MOE) will host the Camp Summer Plus program in 2015. This project is a joint initiative of the Governments of Jamaica and the United States of America monitored by the Ministry ofEducation and United States Agency for International Development (USAID). The goal of Camp Summer Plus is to improve reading and mathematics skills among students in the early grades (grade 1 – 3) as they return to school after the long summer vacation. The promoted Grade 3 students in recent times have performed poorly overall in the readiness assessment test at the grade 4 level. Therefore, USAID has introduced this program to assist those at-risk students. For five weeks during the summer, academic instruction in Reading and Mathematics, and an enrichment program that includes the arts will be taught. As part of the education platform for the summer and to help students arrive at the goals, careful thought has been given to learning holistically to include medical, dietary, social behavioral and academic fortification of students. Due to lack of funding, Camp Summer Plus was not held in 2014. Camp Summer Plus 2015 is funded by USAID in collaboration with the Ministry of Education and the Diaspora. The Diaspora is collaborating and will fully take over the implementation of the camp in 2016, but for this year, USAID contributed the lion’s share of the funding. The Issa Trust Foundation sponsored the medical clinics at three camp sites.
No Comments
 
Hello readers, I am a new addition to the Issa Trust this month, your doctor du mois. I am visiting from Boston Children’s Hospital where I am a senior resident in Pediatrics. For supporters and future volunteers, I hope that this glimpse into the journey is enlightening and entertaining.

For the past near decade, I have wanted to get back out into the field. I first wanted to be a physician as a child, but I fell in love with medicine in Sierra Leone. I lived in Freetown and on the border with Liberia for 3 months, working and living in various hospitals as a non-medical professional, before starting medical school. What I saw there propelled me through school, from a nonchalant undergrad to a ravenous medical student. Fast forwarding through the next 7 years of training, the Issa Trust has given me an opportunity to be the person I wanted when I set out on this journey. I am ever grateful for the logistical help, transportation support, and incredible accommodations. It is was you expect–a wonderful place to stay.

Before coming down here, I was the senior on service on a busy ward in Boston’s urban medical center in January. In fact, the weekend before I left, I admitted a child returning from Jamaica (we don’t have a large Jamaican population in Boston) with typhoid fever. I didn’t have much time to plan ahead or go to a travel clinic due to the season and service, and I hadn’t planned to take the typhoid vaccine… needless to say, that changed about 2 days before leaving and I scrambled to find a way to transport a refrigerated vaccine in my luggage. I tell that story to say that, I was very nervous about the tropical medicine component of this month. How was I going to recognize dengue from mono, gastro from typhoid? I started reading the Oxford Handbook for tropical medicine on the way down, and that made me even more anxious! Not only is it recommending management of dehydration that is way different than my training, the meds and abbreviations are different! What’s co-trimoxazole and why are they recommending it for everything I would use bactrim for (which isn’t much, honestly).

Then I started at Annotto Bay. It was newborn day, the day where every baby born there gets to see a pediatrician, and I decide if they need to be seen by Pediatrics (or Paediatrics here) or can by followed by the generalist in the community. This is a relatively new program brought about by Dr. Ramos (the community pediatrician). But, gee, I don’t know. How do I know what they shouldn’t follow when I’ve never met them? Well, my first patient of the month wasn’t any of the things that I feared–he wasn’t a baby with a subtle defect, or a child with a tropical disease that I might miss. He was a child with Trisomy 21, a seizure disorder, FTT, likely autism, developmental delay and a surgically repaired VSD who came for hospital follow up after starting valproic acid for seizures. Now we’re in my wheel-house! As complicated as the patient could have been (and all the rehab services and other medicines I wanted to start for him), it really was quite simple. He was tolerating the valproic acid well, and he should be seen by Pediatrics (Dr. Ramos or YOU future Issa Trust rotators) in 3 months.

What an initiation! But, it was freeing to know that I know things, and that the medicine is the same.

It turns out that the problem is learning how to navigate the system. At Port Maria, I staff the A&E (accidents and emergency), functionally as a pediatrician working in a general ED. I see the all the kids, and I consult to the emergency physicians if there is a toxic child. I have been really impressed by some of the Jamaican physicians at Port Maria. They have been very helpful, and are knowledgeable about pediatrics. Of course, they are also very busy, and there are times where decisions just need to be made. The tricky part to me right now is knowing who needs to be admitted and who can go home. It’s a challenge for any pediatrician, but it seems extra difficult here. Do I admit the asthmatic who I think will space to every 2.5 hours? I would in Boston, but I know that they will probably be fine even if I sent them home. It turns out that the hospital stays for asthmatics are days long (not the 24-48 hour turnout I am used to), and that’s quite a stay to commit a child to just because that’s what I do back home. Plus, the beds on the wards are side by side, exposing this asthmatic to all the gastro and other viruses on the floor, and their parents can only visit during visiting hours (they can’t stay overnight). Do I REALLY need to admit this asthmatic? Also, standard protocol is that all admitted asthmatics need an IV–and docs put in all IVs. Talk about making me appreciate my IV team back home.

Finally, it’s good to know that I am doing more good than bad (I hope). Today, I admitted a child to the wards with the most classic orbital cellulitis I have ever seen. By every guideline I know, she would have had a CT scan, ophtho consult, and admitted on IV antibiotics with possible drainage in the OR. Well, I know what antibiotics I should start, and what labs I should order. CT scan? $150 US dollars out of pocket for the family, which they can’t afford. Ophtho? Four hours away in Kingston at Bastamante Children’s Hospital. How do I know what Ophtho wants to do? Well, after talking the case over with the senior medical officer, Dr. Sloley, I found the phone number for the eye clinic at Bastamante. I even had a cell phone (provided by the Issa Trust), and gave them a call. We talked over the case and came up with a treatment plan and transfer criteria. I obtained labs, placed the IV (I’m getting better! I think) and admitted to the wards with everything laboriously hand written in the paper chart.

It’s a learning curve. But the medicine is good! It’s a great experience. It can be scary in all the ways that it should be functioning with minimal/no oversight. Considering that I will be attending in 5 months, this is extraordinary preparation. So far, I highly recommend this to any senior resident who wants to stretch their clinical boundaries, enjoy the sunshine (I recommend the winter in Jamaica), and make some friends along the way.

Ya mon.    
No Comments