Graduate Entry Medical School - Ul

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GRADUATE ENTRYMEDICAL SCHOOLNEWSLETTERJuly 2018 www.ul.ie/gems/The Network: Towards Unity for Health Conference – August 2018health of people and their communities. Over the last twodecades, I have witnessed the remarkable growth in activities,vision and credibility of The Network: TUFH. This would not bepossible without strong leadership, the dedicated and loyalmembers who bring different perspectives, success stories andcultural diversity.Dr Khalifa Elmusharaf (GEMS Senior Lecturer in Public Health andChair of TUFH 2018 Conference Organising Committee)This conference will attract 1000 participants from 70 countriesand here is my story, from a student to Chair of The Network:Towards Unity for Health (TUFH) 2018 Conference OrganisingCommittee.I have a lot of memories from the 15 annual TUFH conferencesthat I previously attended. I recall when I first heard about the“Network of Community-Oriented Educational Institutions forHealth Sciences” before the name changed to The Network:Towards Unity for Health. I was a student attending aleadership development programme organised by the StudentNetwork Organisation (SNO) of Gezira University, Sudan. A fewweeks later in 2000, I was attending my first Network: TUFHconference in Bahrain. I was amazed by the unique nature ofthis conference, the dynamic interaction between students andother participants, the amazing networking opportunities andthe energy emerging from participants.Now eighteen years later, I am chairing the 2018 conferenceorganising committee. It is a great honour for me to grow withinsuch a great organisation that is committed to improving theI am excited and enthusiastic about the TUFH 2018 conferencewhich will take place from 16th to 20th August 2018 in themagnificent University of Limerick campus, in the lovely city ofLimerick, the riverside city, the capital of the Mid-West regionand the third largest city in Ireland.I am very lucky to have a great team who are full of energy workingwith me here at the University of Limerick, an experiencedsecretariat office in Philadelphia and outstanding advisors,collaborators and partners from all over the world. It has beenalmost a year now since we started our journey to prepare forthe conference.The team here prepared an amazing programme. You will enjoythe outstanding cultural and social programming, the fantastictraditional Network dinner and dance and the remarkable fullday conference on the move which will give you the opportunityto discover the Shannon region and to immerse yourself in theunique experiences it offers. There are also big things happeningin Limerick this coming August as we welcome people fromaround the globe to discuss Community Empowerment forHealth: A Multi-Sectoral Approach.I am very confident that the conference here in Limerick willoverwhelm your feeling of goodness and inspiration. We cannotwait to see you and are looking forward to welcoming you to thisbeautiful city!Bachelor of Medicine Bachelor of Surgery Class of 2018

GraduationsResearch GraduationLeft to right: Mark Dixon (Senior Lecturer inParamedic Studies) and Derek Gray, RIPDerek Gray, BSc Paramedic Studies,Practitioner EntryIt was with great sadness that welearned that one of our Practitioner Entrystudents, Derek Gray, passed away inJanuary. Derek joined the programmein August 2016, he was popular andliked by his classmates, tutors and staff.During his short time on the programmeDerek was a diligent, academically strongstudent who took pride in his work.Derek was awarded a BSc in ParamedicStudies shortly before he passed away.Our thoughts and prayers go out to Derek’swife Sarah, his children Jemma, Dillon,Aimee, Cory and Cody and to all his family,friends and fellow UL students.Left to right: Prof Colum Dunne (GEMS Director of Research), Dr Liz Kingston (Lecturerand Senior Clinical Coordinator, Department of Nursing and Midwifery), Prof NualaO’Connell (Adjunct Associate Clinical Professor).Congratulations to Dr Liz Kingston conferred with a PhD at the University ofLimerick in January. Prof Colum Dunne supervised this successful research withco-supervisor Prof Nuala O’Connell of University Hospital Limerick. Liz’s thesis wasentitled “Hand Hygiene: Exploring Professional Practice through a ComparativeStudy of Awareness and Attitudes of Healthcare Professionals and HealthcareStudents towards hand hygiene”.Paramedic Studies Practitioner Entry Class of 2018Anaesthesia Essay PrizeProf Dominic Harmon (UHL ConsultantAnaesthetist) presenting the 2018Anaesthesia Essay Prize to HelenMcElligott (BMBS Year 4) for her essaytitled “Attention training and chronicpain”.www.ul.ie/gems/

National DELTA(Disciplinary Excellence inTeaching Learning & Assessment)BMBS Medal WinnersLeft to right: Fionn Clarke (first prize in Professional Competencies), TimHarding (first prize in the discipline of Psychiatry), Fiona O’Riordan (firstprize in the discipline of Surgery), Laura Piggott (first prize in the disciplineof Paediatrics and first prize for overall performance in BMBS), AhadHussain (first prize in the discipline of Medicine), Nina Peters (first prize inthe discipline of Obstetrics and Gynaecology) and Kara Kimball (first prize inthe discipline of General Practice/Primary Care).Paramedic Studies Medal WinnerPictured Left to right: Dr Helena McKeague (BMBS CourseDirector), Dr Louise Crowley (Senior Lecturer in ClinicalSkills), Prof Deirdre McGrath (Director of Education), DrSarah Harney (Senior Lecturer in Medical Education), DrEimear Spain (Senior Lecturer in Health Law and Ethics),Prof Kieran McDermott (Head of Teaching and Researchin Anatomy) and Ms Ciara Joyce (Hospital PlacementsCoordinator).GEMS has received a National DELTA (DisciplinaryExcellence in Teaching Learning & Assessment)Award from the National Forum for Teaching &Learning. This was one of eleven awards from a totalof 48 submissions.DELTA awards are major national level awardsfor Irish higher education teaching and form anintegral part of the overall National LearningImpact Awards system designed to enhance andstrengthen teaching excellence in higher educationby recognizing the value of teaching at a nationallevel. The application process is challenging, andeach submission is assessed rigorously by an expertpanel of reviewers. Criteria for the awards includeExcellence, Exceptionality, Impact, Communicationand Authenticity to the discipline.The title of the GEMS Submission was “IntegratedMedical Education – Learning for life” which highlightedthe achievements and impact of the Year 1 & 2 BMBScurriculum.Left to right: Dave Carroll (National Ambulance Service, Cherry Orchard)presenting Liam Rooney with the first prize in overall performance inParamedic Studies.Sincere thanks to the team who worked on thissubmission – Prof Deirdre McGrath, Prof KieranMcDermott, Dr Helena McKeague, Dr Louise Crowley,Dr Sarah Harney, Dr Eimear Spain and last but notleast Ciara Joyce.Year 3 & 4 Teaching Excellence AwardsLeft to right: Prof Austin Stack (Professor of Medicine), DrAbdalla Ibrahim (Clinical Tutor Medicine) and Prof DeirdreMcGrath (Director of Education)Left to right: Dr Orla Coyle (Acting Senior LecturerPaediatrics), Dr Lucy Hurley (Clinical Tutor Paediatrics) andProf Deirdre McGrath (Director of Education)www.ul.ie/gems/

GEMS and University ofMassachusetts BostonCollaboration ProjectPictured: Ms Amy Hannigan (BMBS Year 3), DrKhalifa Elmusharaf (GEMS Senior Lecturer inPublic Health) and Dr Carlos Eduardo Siqueira withstudents from UMass BostonDr Khalifa Elmusharaf and Ms Amy Hanniganvisited the University of Massachusetts Bostonon the 17th to 24th of March 2018. The visit waspart of the collaboration project between GEMSand UMass Boston (UMB). The Project leadersare Dr Khalifa Elmusharaf and Dr Carlos EduardoSiqueira, Associate Professor of CommunityDevelopment and Planning at UMass Boston.An agreement was reached to conduct a GEMS /UMB joint summer school in Global Maternal andNewborn Health in Limerick during 2019. Thesummer school will incorporate public health,clinical, war and peace, project managementand research skills into the summer school. UMBWilliam Joiner Institute for the Study of War andSocial Consequences and UMB Mauricio GastónInstitute for Latino Community Developmentand Public Policy, will contribute to teaching inthe Summer School. As part of this collaboration,GEMS will host Dr Carlos as a Fulbright scholarin April 2019 and he will be working with DrKhalifa Elmusharaf to design and deliver theSummer School and to work on the PostgraduateProgramme in Global Health.“MOVE FOR LIFE” - HSEFunded Trial to PromotePhysical Activity In Older AdultsLeft to right: Prof Liam Glynn (GEMS Professor of General Practice), Dr DesFitzgerald (UL President), Minister Catherine Byrne (Minister of State at theDepartment of Health, Health Promotion and the National Drugs Strategy),Prof Catherine Woods (Chair in Physical Activity and Health, Department ofPhysical Education and Sports Sciences) and In the foreground Ms PeggyGrimes (Go For Life Games Participant with Limerick Sports Partnership).A research study, aimed atimproving the health of peopleaged over 50 in the county,was launched on April 30th byCatherine Byrne TD. University ofLimerick’s “Move for Life” researchprogramme was awarded 420,000in research funding to test anintervention to promote physicalactivity in those who are aged over50 and who would like to be moreactive. The participants will begiven opportunities to take part inwalking, cycling or general exerciseprogrammes for periods of up to12 weeks. The research team, coled by UL’s Professors CatherineWoods and Liam Glynn, bringstogether expertise from sportand exercise science, medicine,physiotherapy,psychology,implementation science and thecommunity. “According to nationalguidelines, all adults should beengaged in at least 150 minutes ofmoderate activity each week with afocus on aerobic activity, musclestrengthening and balance. Yetfew meet these physical activityguidelines, including at least 63%of people in Limerick and 57%of people in Clare,” explainedProfessor Woods.According to UL President, DrDes Fitzgerald, “Move for Life is aproject that focuses on those of uswho are over 50, who would like tobe more active”.The Move for Life research projectis funded under the Health andPositive Aging Initiative (HaPAI), ledby the Department of Health andis a joint national programme withthe Health Service Executive andAtlantic Philanthropies.Teddy Bear Hospital 2018GEMS 10 - TorontoGEMS graduates and staff pictured at the recentGEMS10 event in Toronto in April 2018.www.ul.ie/gems/David Maher from Milford NationalSchool is put through his pacesas ‘lead surgeon’ on a recentoperation on Bart Simpson withassistance from Maaz Mirza,medical student, at this year’sGEMS Teddy Bear Hospital at UL.The GEMS students welcomedover 500 Limerick primary schoolchildren from seven differentschools and their teddy bears in aneffort to alleviate childhood anxietyabout the medical environment, itsprocedures and the professionalsthat work within it.

PPI IgniteLaunchLeft to right: Rachel Msetfi (Dean ofFaculty of Education and Health Sciences),Imelda Doolan (Research Funding Officer,HRI), Prof Anne MacFarlane (PrimaryHealthcare Research) and Dr Jon Salsberg(GEMS Senior Lecture in Public PatientInvolvement).The launch of PPI Ignite at UL tookplace on Tuesday 20th March whenmembers of the PPI Ignite Teamcame together for a training day inPatient and Public Involvement (PPI)and Participatory Health Research(PHR).Patient and Public Involvement inhealth research is important and UL’sHealth Research Institute (HRI) havesecured funding from the HealthResearch Board (HRB) and the IrishResearch Council (IRC) to strengthenthis at the University. UL was amongfive Universities nationally to receivethe HRB funding award of 348,909to ‘Ignite’ partnerships for Public andPatient Involvement (PPI) in research.The UL team led by ProfessorAnne MacFarlane, with excellentsupport from Dr. Jon Salsberg andthe HRI core team, worked closelywithcommunitystakeholdersfrom the Limerick City CommunityDevelopment Programme and CareAlliance Ireland as well as healthsector stakeholders from UniversityHospital Limerick Patient AdvocacyLiaison Services and the HSECommunity Care office. As a result ofthis successful, co-designed bid, therewill be activities involving UL healthresearchers, community and healthsector stakeholders for training andnetworking to collaboratively setresearch priorities and progressingpolicies and procedures to furtherstrengthen the culture for PPI in UL.UL GEMS PaediatricJunior Appreciation DayProf O’Gorman hosted the first ULGEMS Paediatrics Junior AppreciationDay in CERC on January 17th 2018. ProfO’Gorman made a presentation to the90 children from An Modhscoil at the ULGEMS Paediatrics Junior Appreciation Dayto acknowledge their contribution.The children initially attended a lectureand question and answer session withMs Shona Tormey (Surgeon), Dr JohnMcManus (Geriatrician), Dr Paul Tibbitts/ Prof Calvin Coffey (Surgery), Dr ZiaUllah Jan / Prof Kiernan (Cardiology),Medical Error and theHealthcare ,Paramedics which included Mark Dixon(Senior Lecturer Paramedics) and KeithMullane’s (HSE) team, the UL GEMSTeddy Bear Hospital and UL GEMSPaediatrics Society. Dr Natasha Slattery(Intern Network) demonstrated the adultsimulator to great excitement and the ULTeddy Bear Hospital held a session for allthe sick teddy bears assisted by the ULPaediatrics Society; the children reallyenjoyed these sessions and many teddybears have recuperated and made a fullrecovery.On the 19th May, the School of Law andGraduate Entry Medical School hostedan interdisciplinary conference ‘MedicalError and the Healthcare Profession:Perspectives and Lessons from Practice’,which united a range of medicolegal experts on key areas of lawand attracted both legal and medicalpractitioners.The conference saw speakers providedetailed insights into the civil, criminaland regulatory responses to medicalerror. Dr. Ciaran Craven SC andAsim Sheikh considered ongoingdevelopments in medical negligencelitigation in the first panel of the day,whilst the second panel exploredthe response of the criminal law tomedical error, with Dr. Danielle Griffiths(University of Sussex), Dr. AlexandraMullock (University of Manchester) andDr Eimear Spain (University of Limerick)highlighting the problematic natureof the offence of gross negligencemanslaughter in a medical context.Left to right: Dr Mary Tumelty andDr Eimear SpainThe conference was organised by DrEimear Spain and Dr Mary Tumelty andwas graciously supported by the Schoolof Law and Graduate Entry MedicalSchool.www.ul.ie/gems/

UL’s GEMS and Engineering Respiratory Innovation Recognised at AwardsInterdisciplinary research, led by GEMSDirector of Research Professor ColumDunne, has resulted in developmentof a novel, daily use, 100% recyclabledevice for use by patients with cysticfibrosis and COPD.The OPEP device (oscillating positiveexpiratory pressure) is designed toreplace existing larger devices that aretypically used for months at a time andthat require daily cleaning, and whichare sometimes reservoirs for microbesthat are potentially dangerous topatients at risk of infection.The new innovative soloPEP deviceProf Dunne, who is a microbiologist,has been funded to work closely withrespiratory consultants Prof DeirdreMcGrath and Dr Barry LinnaneEmpowerment of Women Conferencealongside engineers Dr LeonardO’Sullivan and PhD candidate KevinO’Sullivan to optimise their product’sdesign and to make it available to Irishand international patients.“Ireland has the highest incidence percapita of CF globally” said ProfessorDunne “and it seems appropriate thata practical solution to a real-worldproblem for CF patients and theircaregivers be developed in Ireland”.At the time of writing, the soloPEPhas been recognised as an innovativeapproach in respiratory care and isshortlisted for both the Cleveland ClinicEnterprise Ireland Innovation Award2018 and the Irish Hospital ProfessionalAward 2018.Soup and ScienceBy Shivani Bhat (BMBS Year 2)Left to right: Dr Des Fitzgerald, Loretta Glucksman, Dr Mary Ryan andTrish LongThe Empowerment of Women Conference held at the UniversityConcert Hall on 26th March 2018 was well attended and enjoyedby all. The opening address was given by Dr Des Fitzgerald, ULPresident, followed by Chairperson of the University of Limerick(UL) Foundation and philanthropist Loretta Brennan Glucksman,who has given so much to the University.Trish Long (Vice President & General Manager of Walt Disney,Ireland) outlined her life story and ways to empower women. DrMary Ryan, Endocrinologist and organiser of the event, discussedempowerment together with lifestyle. Diabetes, obesity, hormones,infertility, menopause, osteoporosis, pituitary and chronic fatiguewere elements of this discussion.There was a vast array of speakers who discussed topics rangingfrom gender equality and gender imbalance in business, women’sright to vote, female urology, bladder and sexual problemsto menopause and heart disease. Other topics included theeconomy, the church, confidence of young women, health andself-esteem.Entertainment was provided by the wonderful harpist Fianna NiChonaill and the Flynn O’Kane Academy of Dance. A memorableday for those who attended.www.ul.ie/gems/Left to right: Matthew Sangoi (AMSI Research, BMBS Year1), Thomas Lariviere (AMSI Chair, BMBS Year 1), Prof LiamGlynn (GEMS Prof in General Practice), Dr Mary McCumiskey(PhD candidate and Speaker), Prof Anne MacFarlane (GEMSPrimary Healthcare Research and Speaker), Shivani Bhat(AMSI Medical Education, Soup and Science Chair, BMBSYear 1)On April 16th 2018, UL’s Association for MedicalStudents Ireland (AMSI) and the Graduate EntryMedical School made history! The first ever Soupand Science 2018 took place over two days at theGEMS Building where medical researchers across ULwere invited to give 6 minute rapid presentations ontheir research and then mingle with students overlunch. During the two days, over 60 medical studentsattended where they were exposed to cutting-edge,interdisciplinary research across a wide array ofmedical specialities ranging from use of mobile appsin cardiovascular health management to 3D imagingof the Mesentery!

“Connecting Communities, Practitioners and Students”. Launch of the U-LEARNGeneral Practice Network, Graduate Entry Medical School, ULLeft to Right: Prof Liam Glynn(Conference Chair and GEMS Prof inGeneral Practice) and Prof David Hirsh(Director of Harvard Medical SchoolAcademy at Harvard Medical School).U-LEARN Network: University of LimerickGP Education And Research Network sitesnationallyWith fascinating keynote addressesfrom Prof Dave Hirsh, newly appointedDirector of the Harvard Medical SchoolAcademy at Harvard Medical School andProf Sonya Saxena from Imperial Collegein London, the U-LEARN General PracticeNetwork was launched in January at theUniversity of Limerick. With a recordattendance of GP tutors and a themeof collaboration, the Network whichinvolves over 130 General Practicesnationally and approximately 500,000patients will provide a step change incapacity in education and research atthe Graduate Entry Medical School.Prof Hirsh leads the LongitudinalIntegrated Clerkship (LIC) programme atHarvard and first called for “continuity”as a key framework for medicaleducation in his seminal New EnglandJournal paper in 2007.He described the LIC evidence basefor benefits to students in terms ofknowledge acquisition, empathy andprofessionalism and how he felt the18 week LIC in General Practice at theGraduate Entry Medical School was atremendous opportunity to deliver onthis “continuity” framework.Prof Saxena went on to describe thepotential of the U-LEARN GeneralPractice Network to deliver on theclinical audit and broader professionalcompetence and research requirementsfor students and General Practitionersalike.Deputy Head of the Graduate EntryMedical School and newly appointedchair in General Practice, Prof LiamGlynn said he was “delighted” with theturnout of GP tutors and the support ofthe University for the U-LEARN GeneralPractice Network.“We are really lucky with the high qualityof our GP tutors in the U-LEARN GeneralPractice Network and for many of ourmedical students these tutors willbecome some of the most influentialmedical teachers and mentors in theircareers as a result of this continuousrelationship over the 18 weeks of theirclinical attachment in General Practiceand beyond” concluded Prof Glynn.Dr Patrick O’Donnell wins Junior Research AwardDr O’Donnellreceiving his awardDr Patrick O’Donnell, Clinical Fellowin Social Inclusion and PhD candidateat UL GEMS attended the 2018 WorldOrganization of Family Doctors (WONCA)Europe Annual Meeting in Poland in orderto compete in the Junior ResearcherAward final. Three finalists were selectedfrom submissions from countries acrossEurope, and all three presented theirongoing research to a jury panel atthe meeting. Dr O’Donnell’s main PhDsupervisor at UL GEMS is Dr KhalifaElmusharaf. Dr O’Donnell was awardedfirst place and received a bursary to fundhis ongoing PhD research.www.ul.ie/gems/

Medical Ball 2018Chafing the Dream – Running theLondon Marathon for Cancer ResearchBy Ciarrai Homer (BMBS Year 2)Back row left to right: Lata Bhandary, Bejal Patel, AislingEgan, Mina Dawood and Megan Crosby.Front row left to right: Sonya Ramondino, Mary Vu,Ciarrai Homer and Helena Hobbs.The UL Medical Society hosted the 11th annual MedicalBall on Saturday, February 24, 2018 at the LimerickStrand Hotel. This year’s fairytale-themed ball washeld in support of the Milford Care Centre, a hospicein-patient unit in Castletroy. With over 400 studentsand faculty attending, it was a magical night away fromthe books and ‘Into the Woods.’ Thanks to the manygenerous guests and local sponsors, the event raisedover 6000euro for Milford Care Centre.Hike to Carrauntoohil forMédecins Sans FrontièresBy Bridgid Ferriter (BMBS Year 2)Friends of MSF University ofLimerick at CarrauntoohilI decided to run the London Marathonfor Cancer Research UK. I find it hardto find the words to describe thatday; nearly three years ago. It was mybirthday and my family had travelled tovisit me in Cardiff, where I was studyingat the time. I knew something was upthe minute I saw my parents’ faces. Mylittle sister, who was just 18 at the time,took me upstairs to privacy and she toldme, through broken sobs, that she hadcancer.It wasn’t a blur at all, I remember everyagonising second of it, but we are not alone. The reality is that around980 people receive a cancer diagnosis every day. As well as Sorcha,in November 2017, our family was dealt another devastating blowwhen our Uncle Eric was diagnosed with terminal cancer. We sadlylost our Eric in February this year. Life is being snatched from somefar too soon; it’s time to do something about it. I KNOW I am notalone, when I claim that cancer has affected people I know, peopleI love.On April 22nd 2018 I completed the London Marathon, all 26.2 milesof it. It took me 4 hours and 39 minutes and copious amounts ofblood, sweat and tears. It was the hottest day recorded in the historyof the Marathon with temperature highs of 24.1; although it felt atleast 10hotter down on the city pavements of London!The temperatures don’t seem THAT hot, do they? But when you’vebeen training in a winter that gave us Storm Ophelia and ran twoof your 20 mile runs in the icy snow, come race day, the heat was abit of a shock. In the last 3 weeks before the big race, runners taper.Tapering means upping the carb intake (not as easy or fun as youmay think) and lowering the running mileage. The weather changedits tune the week of the race, giving no one time to adapt to thewarmer temperatures.Nevertheless, this didn’t distract from the momentum of the day.I have never in all my life, seen so many bowls of jelly babies andsweets being held out for us by the crowds, one pub had evendragged the barrels out and were handing out pints at mile 24 (SOtempting).Cruising down Embankment was the highlight. Starting with mile21, we FINALLY got out of Canary Wharf (after circling around it forsome 9 miles) and onto the home stretch. The course was at long lastshielded from the strong sun rays by the towering skyscrapers, sothe slight downhill cruise with the shaded breeze was sensational, asyou can imagine. The pavements were getting wider and the crowdswere getting louder I couldn’t wipe the smile off my face.The society “Friends of MSF University of Limerick”founded in GEMS recently undertook a fundraisinghike to the highest point in Ireland, Carrauntoohil, thehighest of the MacGillycuddy reeks at 1,038M.22 student hikers and 3 volunteer guides from KerryMountain Rescue (KMR) began their ascent at 9.35am,reached the summit at 1pm and descended by theDevils Ladder reaching the base at 5pm.All funds raised went directly to Médecins SansFrontières which is an international independentmedical aid organisation. Kerry Mountain Rescue wereknowledgeable guides discussing the surroundings,emergency medicine and extraction challenges. Maythis become an annual event!The week before the race, I held two cupcake sales in the GEMS lobbyto help raise money towards my target of 2,500. The two cake salesalone raised around 600 – which is incredible!! In the end, donationstotaled a phenomenal 3,116.75 for Cancer Research UK. So, thankyou to all students, staff, friends and family. I am beyond gratefuland blown away by your kindness, love and support.To anyone thinking of running a marathon, don’t think about it.Just do it. Yes, the training is long, and the weather is problematic.But commitment to training is easy if you just make the time forit and embrace the challenge with your heart and soul. As long asyou are sensible, safe and listen to your body, you can enjoy a trulyspectacular journey. There is absolutely nothing that can comparerunning out of a 600m pitch black tunnel, to deafening eruptions ofcheering and support from complete strangers. Just do it, I promiseyou you won’t regret it.#fighterssurvivorsandangelsNewsletter Team: Josephine Lynch, Stephane Pinson, Andrew O’Regan (Editor).If you would like to receive further newsletters please contact Stephane.Pinson@ul.ie

Development and Planning at UMass Boston. An agreement was reached to conduct a GEMS / UMB joint summer school in Global Maternal and Newborn Health in Limerick during 2019. The summer school will incorporate public health, clinical, war and peace, project management and research skills into the summer school. UMB