A Global Mission

Reflecting on education and medicine while touring the world

Author | Carol R. Bradford

Image courtesy of Carol Bradford, M.D.

According to Global REACH — the Medical School's platform to facilitate international initiatives in research, education and collaborations in health — globalization affects how we educate, collaborate, make policy, conduct research and provide care to patients. I could not agree more. 

During the month of October, I experienced many facets of globalization while on a tour with the International Federation of Head and Neck Oncologic Societies. I was fortunate to be one of eight physicians who traveled to Moscow, Prague, Riyadh, New Delhi, Seoul, Hong Kong, Auckland and Rio de Janeiro, to teach principles of head and neck cancer treatment. 

As much as this was a teaching mission, we also learned from those we met along the way. We had the privilege of interacting with hundreds of professionals who, like us, are striving for excellence in the care of patients with head and neck cancers. After spending time with them exchanging information, ideas and viewpoints, I came back to Ann Arbor a better surgeon, teacher and member of the global medical community. 

A view near Rio de Janeiro

I had many unique experiences on our trip. As we arrived in Hong Kong, so too did Typhoon Haima. Schools were closed, the stock market shuttered and public transportation halted. Still, one candidate for a Global Online Fellowship, or GOLF, said she paid a taxi driver more than 10 times the typical fee so that she could get to an oral examination for head and neck cancer treatment. At the same stop, we shared differing opinions with a local physician on the treatment of a young man with a moderately advanced tongue cancer. The current standard of care supports surgery to remove half of the tongue with free flap reconstruction and selective neck dissection. But the doctor planned to treat the cancer with radiation implants as opposed to surgery. This treatment could cure the cancer but the late effects could impact the health of his jaw bone in the future. This discussion highlighted the importance of vigorous discourse in achieving favorable patient outcomes, even across international borders. 

Next, we made a stop in Auckland, spending only about 48 hours there. We learned a great deal from physicians who conduct cutting-edge care and reconstruction. This was a theme throughout our travels that each country has unique, and in many ways groundbreaking, approaches to diagnosing and treating head and neck cancers. 

In Rio de Janeiro, where the tour came to a close, I spoke with numerous female trainees, including fellows and junior faculty, who told me they knew they could succeed in head and neck cancer surgery because I had. I was truly humbled by this. Nurturing the next generation of physicians and scientists is extremely important to me, and is at the heart of our mission in the Medical School. 

My around-the-world journey more than achieved the group's goal of sharing education about head and neck cancer care globally. It also forged a special bond between experts in our field who took meaningful time away to educate, and the experience opened my eyes to the phenomenon of global medicine and how the University of Michigan plays a vital role in extending its reach. Michigan truly is a medical school of the world. 

Carol R. Bradford, M.D., is the executive vice dean for academic affairs, and the Charles J. Krause, M.D., Collegiate Professor of Otolaryngology. 


More Articles About: Global REACH globalism Education Faculty vice dean Otolaryngology Medical School
Featured News & Stories Dr. David Stewart
Points of Blue
David Stewart, MD: Shaping the next generation of pediatricians
David Stewart, MD, is a leader in pediatric medical education, guiding future physicians through hands-on hospital training and advancing competency-based education in pediatric residency programs.
group photo
Medical School News
PIBS Celebrates 25 Years of Excellence in Biomedical Sciences
Event recap of the PIBS 25th anniversary celebration
Dr. Adrianne Haggins stands to the left in a group of four women
Points of Blue
Adrianne Haggins, MD, MS: Developing communication skills
Adrianne Haggins, MD, MS, is an associate clinical professor in the Department of Emergency Medicine at the University of Michigan Medical School.
Old fashioned headshot of José Celso Barbosa.
Medicine at Michigan
From Puerto Rico to the U-M Medical School
José Celso Barbosa is known as the father of Puerto Rican statehood. Long before his political career began, though, he graduated at the top of his med school class at Michigan - after being rejected by another medical school for his race.
Sarah Hartley headshot
Points of Blue
Sarah Hartley, MD, MHPE: Collaborating with the medical education community
Sarah Hartley, MD, MHPE, is a clinical professor of internal medicine and associate residency program director at the University of Michigan Medical School.
Shay Dean is wearing a gray suit. He's standing outside, surrounded by greenery. He's smiling at the camera and holding up his right hand in a peace sign.
Medicine at Michigan
What happens if you don’t match?
How one alum got past the hurdle of not matching to find success.