An international health elective in Haiti: a case for osteopathic medicine.

As global health education becomes increasingly important, more physicians are participating in international health electives (IHEs). Haiti is a favorable site for an IHE because of its substantial health care needs and rich culture. Although both osteopathic and allopathic physicians can provide effective health care to Haitians, osteopathic physicians may be particularly well suited to serve in Haiti because of their training in osteopathic manipulative treatment (OMT). Because OMT's laying of the hands (high touch) is similar to the touch inherent to Haiti's traditional ethnomedical practices, osteopathic physicians' use of OMT can enhance trust among Haitians and increase Haitians' willingness to work with westernized medical practitioners. In addition, an IHE in a low-resource country such as Haiti can provide osteopathic physicians with a global outlook on medicine and a range of critical communication and clinical skills. The authors advocate for the development of an IHE in Haiti for osteopathic physicians.

The physician-patient relationship.

There is a direct connection between the doctor-patient relationship and the quality of care. An increase in female and minority physicians leads to a corresponding increase in physician perspective, which allows for improved identification with the patient's feelings. Preconceived thoughts are difficult to overcome, and the physician must recognize all barriers to effective communication.