Bronx-Lebanon Hospital Center Program Internal Medicine

Doctors in Cuba Start Over in the U. S. Dr. Domnguez, who had been taught Russian in his military school in Cuba, knew no English. Still, he passed one exam before failing the second by a few points. Already married and saddled with family responsibilities, he put away his medical school books, and signed up for a program to become a nurse in one year. Since 2. 00. 1 he has worked as a hospice admissions nurse, a job that allows him to work with patients while avoiding the hurdles that doctors have to overcome to practice medicine in the United States. While the rest of the country is suffering from a shortage of primary care physicians, Miami is awash with Cuban doctors who have defected in recent years. SOBRAP_2_640.jpg' alt='Bronx-Lebanon Hospital Center Program Internal Medicine' title='Bronx-Lebanon Hospital Center Program Internal Medicine' />By some estimates, 6,0. Cuba in the last six years. Cuban doctors have been fleeing to South Florida since Fidel Castro seized power in 1. Department of Homeland Security began a program that allowed Cuban medical personnel who study or work in a third country under the direction of the Cuban government to travel to the United States legally. Patients and Medical Professionals are joining our social groups to anonymously chat about health issues that are important to them. Esophageal Surgery Fellowship. Norton Thoracic Institute at St. Josephs Hospital and Medical Center Date Posted November 3, 2017. The Norton Thoracic Institute NTI. The program has effectively turned a crowning achievement of Cubas foreign policy on its head. In the 5. 0 years since the revolution, Cuba has sent more than 1. About 3. 1,0. 00, most of them doctors, are in Venezuela, where they work in exchange for cheap oil and other trade benefits for the Cuban government. And more are in the pipeline. Cubas official news agency reported that more than 2. Photo. PICTURES OF A FORMER LIFE Carlos Domnguez, along with friends and family, in photographs from the days when he worked as a rural doctor in Lavadero de Sabana, Cuba. To sign up for Beckers GI Endoscopy EWeekly and all of our other EWeeklies, click here. Beckers Healthcare acknowledges and respects the privacy of all. D. Michael Christensen, MD, is board certified in Internal Medicine and is an Assistant Clinical Professor of Medicine at Columbia University Medical Center. SiteFiles/Images/-Homepage/Final-Statement.jpg' alt='Bronx-Lebanon Hospital Center Program Internal Medicine' title='Bronx-Lebanon Hospital Center Program Internal Medicine' />Credit. Maggie Steber for The New York Times But many doctors on the island are now vying to be tapped for an international mission, in part because they know that no matter where they are sent, they will be one step closer to a visa to the United States. The missions have earned Cuba much recognition, goodwill and bargaining power. Patch Tool. President Obama told reporters at the end of a recent hemispheric meeting in Trinidad that he found it interesting to learn from Latin American leaders about the thousands of doctors from Cuba that are dispersed all throughout the region, and upon which many of these countries heavily depend. Yet for many Cuban doctors, who earn the equivalent of 2. United States is too strong to resist. And so these children of the revolution, educated by a Communist regime to reject capitalism and embrace socialism, have ended up in Miami, often tending to elderly Cubans who fled the island before the doctors were born. Ana Carbonell, chief of staff for Representative Lincoln Diaz Balart, Republican of Florida, said more than 2,0. Cubans had already settled in the United States under the parole program. It brings to our community highly qualified professionals at a time of great need, Ms. Carbonell said. They work alongside U. S. trained doctors, and they enhance any practice or wherever they work. Many have been able to obtain licenses and practice medicine. Others have chosen to settle for careers in the medical field but not as physicians, and some work in fields that have nothing to do with medicine. I know neurosurgeons who are working in warehouses or factories or as gas attendants, said Julio Csar Alfonso, 4. Cuba in 1. 99. 2 and works as a clinic manager in Miami. But I know many more who are working as nurses, medical assistants and technicians. Lianete Prez, 3. Miami. A former anesthesiologist, Dr. Prez longed to leave Cuba, arrived in 2. Unlike other doctors who resent having their skills tested years after medical school, she said she welcomed the chance to go back to the books. There are enormous differences between medicine in Cuba and in the United States, she said. I cant tell you that Cuban doctors are not well trained, but I can tell you that the books we used were edited in 1. Aside from old books, Cuban medical students and doctors must contend with a lack of modern equipment and, often, of drugs and diagnostic tools taken for granted in developed countries. SiteFiles/Images/-Homepage/PuertoRico_Statement_2017.jpg' alt='Bronx-Lebanon Hospital Center Program Internal Medicine' title='Bronx-Lebanon Hospital Center Program Internal Medicine' />Beckers Hospital Review has named 100 Integrated Health Systems to Know. But many expatriate doctors say their dealings with patients in Cuba were more humane and less rushed than they are in the United States. Photo. STILL STUDYING Lianete Prez, 3. Notes &Amp; Office Ink. A former anesthesiologist, Ms. Prez is studying to take the medical exams later this year. Credit. Maggie Steber for The New York Times Foreign doctors trained in languages other than English face immense challenges getting a license to practice in the United States. Not only must they relearn their profession in English, but many, like Dr. Domnguez, must also work to support themselves and their families. Cuban doctors, in particular, tend to be older by the time they arrive in the United States, sometimes too old to dedicate years to studying for exams and finding and completing a residency program. Finding a residency program is almost impossible, they say, in part because most hospitals seek young doctors who can work long hours for little pay. A 4. 0 year old doctor is often deemed too old to be accepted in a residency program. Dr. J. Donald Temple, an associate professor of medicine at the University of Miami, said foreign trained doctors faced the widespread perception that medical schools abroad are not as rigorous as medical schools in this country. They are not going to be accepted as readily as American trained doctors are for some of the more competitive residency programs, said Dr. Temple, who runs a training program for Latin American and Caribbean doctors to become leaders in the medical field in their own countries. Many programs would not even consider them. Their loss is Miamis gain. Just about any hospital in Miami can boast of having highly trained Cuban doctors working as nurses or medical assistants or even lab technicians. Carlos Prez Sedano, 4. He said he was sent to Ghana in September 2. A year later, just two months after the parole program was announced, he applied for a United States visa. By December 2. 00. Miami. He now works as a case manager at Kendall Regional Hospital and is studying to take the exams for his Florida medical license. He says that half of the case managers in his department are Cuban doctors, and that at least 5. Cuban doctors work in other areas of the hospital, not all of them as physicians. Hospital officials at Kendall Regional say they keep no record of the nationality of their employees. One out of every four doctors in the United States was trained overseas, said an American Medical Association official who deals with international doctors, but who is not authorized to speak to reporters and declined to give her name. We feel that international medical graduates are an integral part of our work force, and we dont see that changing any time soon, she said. We rely very heavily on them because they take positions that are in underserved areas and go into primary care. Without them our country would be in dire straits, especially minority populations and the poor. This is the path that Dr. Juan A. Bereao took when he came from Cuba 1. A surgeon in Cuba, he now works as a house doctor in several South Florida hospitals, including Kendall. For three years before that, he was a resident in internal medicine at Bronx Lebanon Hospital in New York City, where most of his patients were poor and from ethnic or racial minorities.