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CCRMC/MGH Fellowship In Global Health Leadership


Mission: The goal of the fellowship is to develop comprehensive family medicine and global health leadership skills while providing clinical education to midlevel providers, medical students and family medicine/emergency medicine (FM/EM) residents in Western Kenya.

Global health project: Consists of collaboration with the newly opened Maseno University Medical School in western Kenya to support medical education and the development of a post-graduate FM/EM residency program. Additionally, the program offers support towards advancing Sagam Community Hospital as a center of excellence for medical care and education in the region.

Summary of Fellowship:

Number of Fellows 2 - 4 at a time
Start Date Flexible, usually start in August
Fellowship duration 2 years (1 year modified fellowship is also available)
International time commitment Roughly 5-6 months per year will be spent on site in Western Kenya
CCRMC time commitment Approximately 5-6 months per year will be spent working at CCRMC as a staff physician.
Salary Per diem attending rate, 40 hours per week.
Benefits Grant for housing and travel, research, tropical medicine training, and CME conferences (as mutually agreed by fellow and fellowship director).
Call On phone call for Sagam Community Hospital while in Kenya; Optional at CCRMC depending on department

Description: The CCRMC/MGH Fellowship in Global Health Leadership is a partnership between the Massachusetts General Hospital (MGH), Department of Emergency Medicine, Division of Global Health and Human Rights and Contra Costa Regional Medical Center's (CCRMC) Family Practice Residency Program. The MGH fellowship began in July of 2006, and the partnership with CCRMC began in August of 2011.

The goals of the partnership are the following:

  • To work alongside the leadership of Sagam Community Hospital in western Kenya to support clinician education, systems improvement, and infrastructure development.
  • To work with Maseno University Medical School to support undergraduate and postgraduate education.
  • To work with Maseno University Medical School to establish a residency training program in Family and Emergency Medicine.

Fellowship Training Goals:

  • Develop knowledge and comfort in working with medical conditions, health programs, and hospital systems in East Africa.
  • Focus on the delivery of quality, comprehensive care in family medicine and service to underserved populations through on-going work at a county hospital-based family medicine training program in northern California.
  • Support research and scholarly activity in the field of Global Health.

Fellow's Role: While in Kenya, the fellow will mostly work at Sagam Community Hospital.

Clinical Duties will include:

  • leading bedside rounds
  • facilitating small group teaching sessions
  • consulting on difficult inpatient and outpatient cases
  • improving hospital systems
  • guiding the development of infrastructure upgrades

The fellow will work with leadership at Maseno University Medical School to provide teaching for medical students as needed and to develop the FM/EM residency program.

While at CCRMC, the fellow will develop family medicine leadership skills in clinical care and education, and has the flexibility to build a 40 hour per week schedule involving a combination of inpatient and outpatient care, obstetrics, emergency medicine shifts, resident and medical student teaching, and bedside ultrasound skills development.

Oversight: Dr. Thomas Burke, Emergency Medicine physician, at MGH Division of Global Health and Human Rights, Harvard Medical School leads the project in Kenya and the Global Health Leadership Fellowship. Dr. Neil Jayasekera, Family and Emergency Medicine physician, is the director of the Contra Costa portion of the fellowship.

Current Fellows:

Michele Montandon (2011 - Current), Family Physician. She received her Medical Degree from the University of California-San Francisco, with an Area of Concentration in Global Health. She completed residency training in Family Medicine at the Contra Costa Regional Medical Center. During her training, she volunteered clinically and conducted HIV research in Kenya and Uganda. After residency, she worked with Doctors without Borders in Lagos, Nigeria. Her international health interests include improvement of primary health care systems and medical education, particularly the training of highly skilled general practitioners and physician leaders for work in rural, physician-poor areas. Through this fellowship, she has worked on medical education programs in Juba, South Sudan and Sagam, Kenya.

Jeff Pierce (2012 - Current), Family physician. A native of South Texas, Pierce completed his undergraduate studies at the University of Texas-Pan American and his medical degree at Baylor College of Medicine. After completing his training at the Santa Rosa Family Medicine residency in 2007, he worked in Lesotho for a year as part of the Baylor College of Medicine Pediatric AIDS Corps. Since then he has divided his time between working in northern California and working as the Director of Education for World Altering Medicine, an NGO mainly focused on helping a community in central Malawi. In addition to his experience in southern Africa, Pierce has worked in Kenya, South Sudan, Mexico, Honduras, El Salvador, Guatemala, Peru, and the Philippines. His medical interests include high risk obstetrics, HIV, and tropical medicine, and he is dedicated to addressing health care needs in the developing world primarily through the teaching of medical practitioners.

For further information: Please contact Neil Jayasekera at or any member of the Mark Stinson Global Health Leadership Group at CCRMC (See: Mark Stinson)