BWH’s Aaron Berkowitz wins Mridha Spirit of Neurology Humanitarian Award, envisions expanding specialty training programs in resource limited settings

Aaron Berkowitz, MD, PhD, was recently awarded the Mridha Spirit of Neurology Humanitarian Award from the American Brain Foundation and American Academy of Neurology for his work to expand access to neurology education and clinical care in resource-limited regions of the world. This award recognizes his tireless efforts developing Neurology training in Haiti. Over six years, Dr. Berkowitz has grown from a visiting professor to an architect of expanded neurology care with a vision for development of specialty training programs globally.

Dr. Aaron Berkowitz and inaugural Haiti Neurology Fellow Dr. Roosevelt François.

Knowing there was a dire shortage of neurology support in Haiti, in 2012, Dr. Aaron Berkowitz reached out to his colleague Dr. Michelle Morse. Dr. Morse of the BWH Division of Global Health Equity and a founder of EqualHealth explained that there was just one neurologist for the entire population of 10 million people in Haiti which contrasts starkly to 76 neurologists per 100,000 people in Boston. In Haiti, the vast majority of patients had no access to a neurologist for care and most general practitioners had no access to a neurologist to learn from.

In response to this grave inequity, Dr. Berkowitz began working in Haiti with Partners In Health and EqualHealth teaching Continuing Medical Education courses in neurology for internal medicine and family medicine staff and trainees.

Yet, after several years, Dr. Berkowitz started to feel spread thin- he would give lectures to large groups, and see consults with individual doctors in several departments in two different hospitals on each trip. “It seemed like we could have more impact if we focused on training a smaller group over a longer period instead of a ‘neurology for all’ approach,” says Berkowitz. A team including Dr. Berkowitz, Dr. Morse and colleagues at Hôpital Universitaire de Mirebalais (HUM), developed an intensive neurology rotation for HUM internal medicine residents. Through this program, Berkowitz spent four 1-week trips to Haiti working directly with the same five residents who were released from all other responsibilities.

“Where specialists are trained, they can educate their primary care colleagues, increasing their capacity to care for patients with diseases requiring specialty referral.”

Continue reading “BWH’s Aaron Berkowitz wins Mridha Spirit of Neurology Humanitarian Award, envisions expanding specialty training programs in resource limited settings”

Establishing a Neurology Hospital in Somaliland

Essa Kayd and patients, families
Essa Kayd, center (in lab coat) with a patient and family members in Somaliland.

Essa Kayd is a native of Somaliland, which is recognized as an autonomous region of Somalia, Africa, and is comprised of about  7 million people. He returned in 2009, after having been out of Somaliland for 29 years, and began the process of establishing a neurology hospital. This week, Essa will return once again to continue his mission, his “raison d’etre.”

By Essa Kayd, Supervisor of Neurology and EMG for BWH

Four years ago, I returned to Somaliland to take my aunt for surgery and my nephew to receive care after he experienced some fainting spells.

The closest country where this could be done was Ethiopia, which borders Somaliland. We took a plane to get there, rented a hotel room, hired an interpreter and left everybody behind.

I was determined to have my aunt treated and operated on as safely as possible. After her surgery was successfully completed, it was my nephew’s turn to see a neurologist. There, I met more patients from Somaliland and surrounding countries. The neurologist is among very few specialists in the whole continent, and neurological disorders including neuro-infectious diseases are a common cause of disability and death.

I looked carefully around the waiting room and noticed the dear prices that a minimum procedure would cost patients – in terms of time, money, and having to leave their families for a time.

I decided that I wanted to bring neurology to Hargeisa, the capital of Somaliland, to make it more accessible to these people. Continue reading “Establishing a Neurology Hospital in Somaliland”

Training the First Generation of Neurologists in Haiti

Aaron Berkowitz teaches a neurology course to residents in Haiti.

Haiti has just one neurologist for 10 million citizens, but the burden of neurological disease there is enormous, say BWH’s Aaron Berkowitz, MD, PhD, and Louine Martineau, MD, of the University Hospital in Mirebalais, Haiti.

Since BWH helped the University Hospital open in 2013, Martineau has been regularly consulting on his neurologic patients with Berkowitz, who leads BWH’s Global Neurology Program. “By opening an outpatient clinic in communication with Dr. Berkowitz, we have created a way to manage patients with neurologic problems,” says Martineau.

To address the larger problem, Berkowitz and colleagues are launching Haiti’s first neurology training program. Initial seed funding will allow them to train two neurologists over the next two years.

“With further investment in the fellowship, we hope to train a few neurologists every year,” says Berkowitz. “These neurologists will serve different regions of the country so patients can get the care they need from local providers.”

Read the full story in the Brigham and Women’s magazine (pages 24 and 25).

Supporting Medical Education in Haiti

Berkowitz FDB 2012-2 (2)
Dr. Aaron Berkowitz joins Haitian physicians on rounds to assess a patient at Saint Boniface Hospital.

On Jan. 13, 2010, just one day after a devastating earthquake struck the island nation of Haiti, a group of BWH physicians huddled in the Department of Medicine’s Eppinger Conference Room to ask: What can we do to help?

One of them, Michelle Morse, MD, MPH, went to Haiti during her residency in Global Health Equity at BWH. After the earthquake, she met Zadok Sacks, MD, a resident at BWH and Boston Children’s Hospital.

“There was just an incredible energy among people here about doing something and making a contribution together,” said Sacks, who now runs the young adult consult service at Children’s.

Together, Sacks and Morse founded an organization called Physicians for Haiti, which supports the work being done around medical education in Haiti.

“Haiti is full of amazing health care professionals, and they deliver care without access to any of the resources that we have here-the network of colleagues, technology and equipment,” Sacks said. Continue reading “Supporting Medical Education in Haiti”

Supporting Medical Education in Haiti

Berkowitz FDB 2012-2 (2)
Dr. Aaron Berkowitz joins Haitian physicians on rounds to assess a patient at Saint Boniface Hospital.

On Jan. 13, 2010, just one day after a devastating earthquake struck the island nation of Haiti, a group of BWH physicians huddled in the Department of Medicine’s Eppinger Conference Room to ask: What can we do to help?

One of them, Michelle Morse, MD, MPH, went to Haiti during her residency in Global Health Equity at BWH. After the earthquake, she met Zadok Sacks, MD, a resident at BWH and Boston Children’s Hospital.

“There was just an incredible energy among people here about doing something and making a contribution together,” said Sacks, who now runs the young adult consult service at Children’s.

Together, Sacks and Morse founded an organization called Physicians for Haiti, which supports the work being done around medical education in Haiti.

“Haiti is full of amazing health care professionals, and they deliver care without access to any of the resources that we have here-the network of colleagues, technology and equipment,” Sacks said. Continue reading “Supporting Medical Education in Haiti”