Education and Training

Gaining a Global Perspective on Medicine

KPSOM’s global health rotation in Kenya takes students on a journey of clinical knowledge, cultural exchange, and personal growth

June 13, 2025

KPSOM alumni Hailey Shoemaker at Moi Teaching and Referral Hospital in Kenya.

KPSOM alumni Hailey Shoemaker at Moi Teaching and Referral Hospital in Kenya.

This summer, five students from Kaiser Permanente Bernard J. Tyson School of Medicine (KPSOM) will trade the familiar rhythms of medical school and clinical work in the United States for the bustling wards of Moi Teaching and Referral Hospital in Eldoret, Kenya—a journey that will challenge not only their clinical skills, but also their understanding of what it means to practice medicine.

Through the AMPATH (Academic Model Providing Access to Healthcare) Consortium, these students will be immersed in a four-week, hands-on experience, working side by side with Kenyan peers in resource-limited settings where ingenuity and adaptability are as essential as stethoscopes. As they navigate crowded wards, share scarce equipment, and form bonds with patients and colleagues, the students will discover firsthand the profound differences—and universal similarities—in the practice of medicine across continents.

“Our students come back with stronger diagnostic skills, deepened cultural humility, and lasting bonds with their Kenyan peers,” said Jeffrey Brettler, MD, KPSOM Faculty Director of Global Health. “It’s a program that shapes them as physicians and as people.”

The four-week Global Health rotation is an elective course offered through a partnership with Moi University School of Medicine. Students are placed in internal medicine or pediatric inpatient wards, with additional work in outpatient clinics. For many, the experience is transformative, deepening their diagnostic abilities, broadening their cultural perspectives, and shaping the kind of physicians they aspire to become.

Now, as KPSOM prepares to send its fourth summer cohort to Kenya, the students who participated in the program in 2024 reflect on their experiences. Their interview responses have been lightly edited for clarity and length.

KPSOM alumni Saadiq Garba at Moi Teaching and Referral Hospital in Kenya.

KPSOM alumni Saadiq Garba at Moi Teaching and Referral Hospital in Kenya.

How was your overall experience in Kenya?

Saadiq Garba: I always knew that I wanted to work in a global health setting, especially being from Nigeria and seeing hospital wards in Nigeria and realizing that a lot of people don't have access to healthcare.

Amina Ahmed: Before medical school, I did two years with AmeriCorps in an educational setting, so I went into this program with an established interest in global medicine and global health. This, however, was my first global health experience on a clinical level, so this was a completely different experience.

Hailey Shoemaker: I learned adaptability was key. I found myself in a new environment once again, and it's just you use the same skills of orienting myself first thing (just as I do when working in American medical facilities). Who's in charge? Where's the door? What is the team doing? How can I integrate myself?


Describe some of your clinical and educational experiences.

Amina Ahmed: There was always at least one stroke patient on the service when we were doing our rounds. It's very prevalent there and we kind of got that heads up to that during our orientation.

Saadiq Garba: There was only one vitals machine that an entire ward shares, so you had to run around and try to grab it when it was available. There wasn't a thermometer. And unlike standard American care, we weren’t able to check blood sugars for our diabetic patients. We learned that standard checking of vitals was actually something that actually did not happen very often, which surprised us. I really stressed the importance of trying to check vitals on every patient every single day.

Hailey Shoemaker: The medical records are a mix of paper and online charts, and so both types of patient charts were likely to be incomplete. Plus, it wasn’t always possible to access either type of chart. There are usually four different medical teams taking care of maybe 150 patients in a single area. So, you really have to search for patient charts.

Brandon Towns: You also want to make sure you're doing right by your patients. They kind of looked to us, [American] medical students, with a lot higher expectations. So, it really makes you hone your own skills just to make sure you're doing right by all the patients you see while you're out there. You couldn’t rely on imaging or labs the way we do in the U.S. either. You had to depend on your clinical judgement and physical exams. It forced me to grow quickly.


How did the experience shape your understanding of global health?

Brandon Towns: It just really reminded me that healthcare isn't necessarily a promised thing. And it can also be heavily dictated by the geographic borders that you were born in, or by just pure circumstance. That really stuck with me. I think I'm still trying to process that to some degree.

Deshae Gehr: In the United States, we really do have a much more patient-centric model. I do think we've made leaps and bounds, and it is fairly clear when we contrast that with the setting in Kenya, where I think oftentimes the patients are not as included in the conversation.

Saadiq Garba: Even with the national insurance that they have in Kenya, a lot of people still wouldn’t come to get treatment because it's way too expensive. We saw the consequences of that daily.

KPSOM’s 2024 Global Health participants

KPSOM’s 2024 Global Health participants

What was the most meaningful patient interaction you had?

Amina Ahmed: There was one patient who had very treatment-resistant HIV. I was able to check up on them every day and like really build a relationship with them—I kind of felt like I was truly their point person within the medical team, the person they could look to and get updates from.

Saadiq Garba: I had a male patient who was 15 or so. He had been treated for tuberculosis before, but had it returned much worse than before…he had a huge hemothorax. We were draining blood from his chest cavity every single day. It was really nice when I saw him smile, and when he was finally able to get discharged.


What were some of the biggest challenges you faced?

Brandon Towns: Since I am African American, I think there's this assumption that I speak Swahili. Even my team would forget that I didn’t speak Swahili because I just kind of blended into the group.

Deshae Gehr: The sheer volume of patients and the late presentations were tough. We saw very advanced breast cancer, heart failure—cases that were extremely advanced by the time they arrived.

Amina Ahmed: For most patient visits, I often had a Kenyan student accompany me. So when we were admitting patients, I wasn't alone. And I'm so grateful for them, for supporting me in that way.


What advice would you give those considering the program?

Brandon Towns: I think to come in with a really humble mindset and just helping in whatever way that you can, even if what you're doing might not necessarily fit into the job description area. Just come into the space with humility, trying to assist the team and patients in whatever way you can. Sometimes you have to get creative, and sometimes you have to ask and get feedback. Just be adaptable and just know the reasons why you’re in Kenya (or wherever you travel) to practice global health.

Deshae Gehr: It confirmed that global health for me is broader than just working internationally. It's more about the underlying concepts, like health inequity, access to care, and resource allocation. Global health is about willingness and desire to gain new perspective.