Dr. Catherine DeVries

And I think this is a thing that we rarely learn in medical school here in the States or probably anywhere else is how the system works. How do hospitals work? How are the nurses hired? It matters because the nurses are very often hired on a different system than the doctors are. So if all the nurses go on strike as a surgeon, you're toast. You can't do your work. You need to understand

And I think this is a thing that we rarely learn in medical school here in the States or probably anywhere else is how the system works. How do hospitals work? How are the nurses hired? It matters because the nurses are very often hired on a different system than the doctors are. So if all the nurses go on strike as a surgeon, you're toast. You can't do your work. You need to understand

how the place functions, the nurses, the doctors, the people who order the equipment and supplies, the whole system, including where the electricity comes from. Because if you're in the middle of operating and the whole room goes dark and you have no idea when the electricity is going to come back on, this was before everybody had cell phones and could just turn them on. You're toast. So

how the place functions, the nurses, the doctors, the people who order the equipment and supplies, the whole system, including where the electricity comes from. Because if you're in the middle of operating and the whole room goes dark and you have no idea when the electricity is going to come back on, this was before everybody had cell phones and could just turn them on. You're toast. So

how the place functions, the nurses, the doctors, the people who order the equipment and supplies, the whole system, including where the electricity comes from. Because if you're in the middle of operating and the whole room goes dark and you have no idea when the electricity is going to come back on, this was before everybody had cell phones and could just turn them on. You're toast. So

It's important to know how the whole system works and that gets into the public health part of it because public health is critical for surgery to occur. We have to have clean water. We have to have sterile process. We have to know that infectious disease is addressed and that we have not just a sterile processing of the instruments, but we learned during Ebola

It's important to know how the whole system works and that gets into the public health part of it because public health is critical for surgery to occur. We have to have clean water. We have to have sterile process. We have to know that infectious disease is addressed and that we have not just a sterile processing of the instruments, but we learned during Ebola

It's important to know how the whole system works and that gets into the public health part of it because public health is critical for surgery to occur. We have to have clean water. We have to have sterile process. We have to know that infectious disease is addressed and that we have not just a sterile processing of the instruments, but we learned during Ebola

that we have to have a public health approach to how the hospital runs. You know, you cannot share the bathrooms. The staff can't share bathrooms with sick patients. Otherwise, all of your staff will get Ebola too. You know, you have to have ways to sequester disease from not disease, how that's done in hospitals and how surgical surgery fits into that, especially

that we have to have a public health approach to how the hospital runs. You know, you cannot share the bathrooms. The staff can't share bathrooms with sick patients. Otherwise, all of your staff will get Ebola too. You know, you have to have ways to sequester disease from not disease, how that's done in hospitals and how surgical surgery fits into that, especially

that we have to have a public health approach to how the hospital runs. You know, you cannot share the bathrooms. The staff can't share bathrooms with sick patients. Otherwise, all of your staff will get Ebola too. You know, you have to have ways to sequester disease from not disease, how that's done in hospitals and how surgical surgery fits into that, especially

In low-resource countries where hospitals are very much built on old colonial styles, sometimes these are very old hospitals that were built by the former colonies, whether that was England, France, Portugal, pick your colony. They all had certain ways that they built hospitals at that time. And then the newer hospitals are sometimes built on Russian models or on American models.

In low-resource countries where hospitals are very much built on old colonial styles, sometimes these are very old hospitals that were built by the former colonies, whether that was England, France, Portugal, pick your colony. They all had certain ways that they built hospitals at that time. And then the newer hospitals are sometimes built on Russian models or on American models.

In low-resource countries where hospitals are very much built on old colonial styles, sometimes these are very old hospitals that were built by the former colonies, whether that was England, France, Portugal, pick your colony. They all had certain ways that they built hospitals at that time. And then the newer hospitals are sometimes built on Russian models or on American models.

where there are maybe no windows in the OR, which might be okay if you had really reliable electricity. But if you don't, then when it goes out, you're in the dark. That's where the public health part comes in, is looking at the systems, both the community systems, and that includes infrastructure, but also the baseline health status of a community.

where there are maybe no windows in the OR, which might be okay if you had really reliable electricity. But if you don't, then when it goes out, you're in the dark. That's where the public health part comes in, is looking at the systems, both the community systems, and that includes infrastructure, but also the baseline health status of a community.

where there are maybe no windows in the OR, which might be okay if you had really reliable electricity. But if you don't, then when it goes out, you're in the dark. That's where the public health part comes in, is looking at the systems, both the community systems, and that includes infrastructure, but also the baseline health status of a community.

I mean, if the kids are all undernourished, you're not going to get good outcomes. Similarly, as we all know with the fistula community, if we don't have good maternal care and we don't have good training, then you have all of these secondary problems for obstetric fistulas and that sort of thing.

I mean, if the kids are all undernourished, you're not going to get good outcomes. Similarly, as we all know with the fistula community, if we don't have good maternal care and we don't have good training, then you have all of these secondary problems for obstetric fistulas and that sort of thing.

I mean, if the kids are all undernourished, you're not going to get good outcomes. Similarly, as we all know with the fistula community, if we don't have good maternal care and we don't have good training, then you have all of these secondary problems for obstetric fistulas and that sort of thing.