Global Health in Tarija, Bolivia

Visiting Tarija for 2 weeks with CFHI has been one of the most meaningful summer experiences I could have had. Living in a new country, fully immersed in the culture, leads to growth that's difficult to find otherwise. After completing the program, I better understand the health challenges faced outside of the US. I feel more able and inclined to work to resolve them and discuss potential solutions. In addition, I believe I’m better prepared to help immigrants navigate the US health system now that I understand how their experiences with healthcare might differ from those who were born in the US. Overall, the experience helped me be a more well-rounded person and prepared me to serve diverse populations as a physician.

My CFHI elective in Bolivia was one of the most meaningful parts of my medical training so far. I rotated through surgery, primary care, infectious disease, and psychiatry. Each showed how medicine is practiced when resources are limited in a country with a completely different health system than in the US. The CFHI team was responsive throughout the whole process (before, during, and after) and the local team was extremely supportive and flexible. The medical coordinator went so far to coordinate a new rotation for me when I asked to rotate with a psychiatrist. This was especially meaningful, as I was able to connect with patients and learn from physicians in my preferred specialty. The local team also helped me organize weekend trips to other parts of the country or locally, such as the Uyuni Salt Flats. I walked to clinic almost every morning, which is something I love about Tarija. At midday I went home for almuerzo with my host family. Being able to live with a family added a rich layer to the experience as well—they made me feel like part of the family, exchanged life experiences with me, and we have remained in contact since I left. My Spanish classes were unique and significantly improved my confidence in the language. We discussed Bolivian history and culture, reviewed grammar, medical Spanish, differences between U.S. and Bolivian medical care, Chagas prevention, toured museums, and even visited a folk medicine ‘curandero’ to learn about traditional healing practices. Something that stood out to me about CFHI is that the program addresses the history of global health. They talk openly about how the field has been shaped by colonization, racism, and elitism, and how those patterns still show up now. They also shared how they actively counter this in their organization with concrete examples. Overall, this elective pushed me to think more deeply about health systems, culture, and communication. It made me more comfortable caring for diverse patients and reminded me why cultural humility is essential. I’m grateful I had the chance to learn from local clinicians, families, and patients, and I’ll carry these lessons with me into my training and future work. I hope to return to Bolivia one day and find ways to participate in global health as a resident physician.

I had a wonderful experience with CFHI in Tarija, Bolivia. Just right before the program, I earned a Bachelor of Science in Microbiology, Immunology, and Molecular Genetics. I chose Tarija due to my interests in communicable diseases and also because the description of it being a small, tranquil city appealed to me. I initially felt nervous about the program since I wasn’t pre-med and thought I might not gain as much as my peers, however, I soon found myself deeply engaged in learning about the community’s public health in ways that genuinely interested me. I did rotations in family medicine, surgery, and gynecology, exposing me to different areas and levels of patient care. Through this, I gained a wide understanding of how social and structural factors shape health outcomes in Tarija. Moreover, each week we met with the medical director, where we learned more about the Bolivian health system, providing essential context to better make sense of what we were witnessing in our rotations. The medical director and local coordinator are wonderful people who I’m grateful to have had supporting me throughout the program. My favorite part of the experience was definitely my homestay. My host mother was so sweet and hospitable. I absolutely loved getting to chat with her every day over almuerzo and updating her on all of my program experiences, all the while practicing my Spanish. It felt so special getting to know Tarija and the Bolivian culture through living with her. My Spanish skyrocketed throughout my time there. In addition to practicing at home and on my rotations, there were also afternoon Spanish classes that I was attending. The Spanish teacher truly believes in immersion, so every day for class we would meet at the main plaza and then do different cultural activities together, such as ordering at cafes and visiting museums, to improve our conversational skills. I felt very comfortable in Tarija and was able to reach pretty much anywhere I needed to by foot without worries. Beyond this, I also took a weekend trip with a few of my peers to the Salar de Uyuni. We did a private tour with Sur Bike, which our local coordinator had recommended to us—so worth it! We had such an amazing time, and it was a great opportunity to explore Bolivia beyond just Tarija. Overall, I’m so glad I did this program. I really love what CFHI stands for, and they provided us with a great course on global health ethics to go through beforehand. This was my first time in South America, and it was also my first time doing a global health education program. I cherish the experiences I had and the connections I made there, and feel I found this program at the perfect time in my life as a recent graduate. CFHI’s slogan is “let the world change you,” and I didn’t realize how true that would be until I found myself learning not just about healthcare, but about people, resilience, and community.