Von G. Samedi, MD, PhD, is a cytopathologist at the University of Colorado in Denver, CO. I had the pleasure of meeting Dr. Samedi as a result of the thoughtful introduction facilitated by Dr. Melissa Upton, who thought we should talk given our shared interest in global pathology.
I learned that Dr. Samedi is originally from Haiti and completed his MD, PhD, and pathology training in the US. He has always been interested in global health as part of his personal and professional passion and has spent the last decade dedicating his expertise to improving pathology services in low resource settings. It was readily apparent to me that Dr. Samedi’s approach to the world’s healthcare issues is based in the fact that he views these as shared problems – ones that he can and does help solve. This mindset is reflected in the way he lives his life – admirably contributing to society in any way that he possibly can. I was eager to hear of the opportunities he’s found in order to contribute, so that I might learn and share with all of you the ways that we can all get involved. Read on to discover the inspiring story of someone who has persisted in finding ways to give to the world through service!
Q: When did you first get started working in global health through pathology?
A: I started working with ASCP when I was a 4th year pathology resident in 2010 when they called me to assist their project in Haiti, which was in response to the tremendous damage caused from the earthquake. I had signed up as a potential volunteer on their website prior to this and they reached out to me seeing that I had language proficiency in both French and Creole. I spent 21 days working with them and my residency program allowed me to count this time as an outside elective. Their main goal was to work with the Haiti’s national public health laboratory (Laboratoire National de Santé Publique) and its various national and international partners to set up and run a laboratory in this acute disaster situation, and the hands-on experience I gained in doing this was well worth my program elective time.
After this, ASCP requested that I continue to volunteer with them and since then, I have been working on pathology and laboratory medicine improvement projects at their partner sites all over the world.
Q: Can you tell me about your experiences volunteering with ASCP’s global health initiatives?
A: Working with ASCP at their global partner sites has allowed me to volunteer in a variety of ways which is unique to the needs of each situation. Every trip has been different. In Botswana, I helped process and read the cervical biopsy specimens that had accumulated as a result of a government program to address the high incidence of cervical cancer. The biopsy program was successful except that there weren’t enough pathologists to give results from the tissue samples – so the government reached out to ASCP to help fill the gap in care. In Ukraine, I worked with laboratorians and clinicians in which I helped conduct a workshop on HIV related testing services. In the Ivory Coast, I worked as a part of a mentorship program to assist a newly formed pathology organization gain functional independence. In Rwanda, the project was focused on bringing telepathology services into the laboratory. In Kenya, I worked with ASCP to offer support to the local pathology association. I’ve also returned to Haiti since 2010 and now we’ve shifted away from disaster management and focused on local laboratorian training with the goal of achieving sustainability.
Q: Why do you volunteer to improve global pathology services?
A: Historically, pathology and global health are not thought of as connected, yet without pathology, there is no practice of modern medicine. It is the same anywhere in the world as it is in the US, you must have a functioning pathology laboratory in order to effectively deliver health care. Once you understand this, you understand the need that exists in low- and middle-income countries where there is ample opportunity to serve and give back. Doing so gives me a sense of purpose and it is not just a one-way relationship, as I also benefit from interacting with my global colleagues and learning from them. What I have seen my colleagues do with so few resources is impressive and inspiring.
Q: How do you fit volunteering into your schedule?
A: My volunteering experiences have ranged anywhere between 3 to 21 days. I prioritize this work and have been fortunate to work for departments that support it, often allowing me to use professional time and vacation time to work on these projects.
Q: What advice would you give someone new to engaging in global health?
A: The key is to focus on building relationships for the long term. Be patient, flexible, and realize that what you want to accomplish may not happen in the first or even the second visit. Sometimes things just don’t go as planned and you have to keep working and go with the flow. If anyone in laboratory medicine is looking for volunteering opportunities, reach out to ASCP and volunteer to get involved – you can travel to their partner sites, volunteer to read cases through their telepathology program, or serve on ASCP’s global health committees. There’s a way for everyone and anyone working in laboratory medicine to get involved, no matter what your specialty and capacity to serve is.
-Dana Razzano, MD is a former Chief Resident in her fourth year in anatomic and clinical pathology at New York Medical College at Westchester Medical Center and will be starting her fellowship in Cytopathology at Yale University in 2020. She is passionate about global health and bringing pathology and laboratory medicine services to low and middle income countries. She was a top 5 honoree in ASCP’s Forty Under 40 in 2018 and was named to The Pathologist’s Power List of 2018 and 2019. Follow Dr. Razzano on twitter @Dr_DR_Cells.