Fall Study Abroad Programs in Guayaquil, Ecuador

This was an incredibly full and insightful experience for me as a pre-physical therapy student. I had never had language or cultural experiences like this before, and I learned so much. Everyone at IMA and the hospital was patient and kind to me and supportive of all of my experiences (good or challenging). I loved this internship and would highly recommend it to other students interested in healthcare, rehabilitation, and global medicine. Thank you for everything! Cusco, Perú was a surprise, to say the least. I had not expected to fall more in love with healthcare—or with a place—quite so much. To start, I was nervous to begin my International Medical Aid (IMA) adventure, but I had been in uncomfortably new situations before. I had jumped into the unknown and reminded myself that it wouldn’t be unknown forever. When I first arrived, I remember thoroughly investigating the schedule and looking around at my fellow cohort members. Little did I know that my roommate would become one of my best friends and that I would learn more about what it means to become a healthcare provider—and future physical therapist—than I ever thought possible. One of the most memorable lectures given, in my opinion, was about the differences between Peruvian and U.S. healthcare systems. Dr. Fabricio began the lecture by asking us to define the word health. Health. This word is used in almost every sentence or conversation in the healthcare profession—it’s literally in the name of the field. So it was surprising when we all looked a little incredulous and were unable to give an articulate answer. Health is defined as the complete state of well-being (Fabricio 2025). This understanding—that all parts of being human are essential to understanding the whole—is fundamental to healthcare and especially meaningful in physical therapy, where we treat function, lifestyle, and the person as a whole. I loved this lecture in particular because it highlighted how being holistic is important in becoming and being a great clinician. One of the primary differences between Peruvian and American healthcare is the emphasis on understanding other approaches to medicine, including traditional or holistic methods, apart from symptom-based diagnoses. From herbal remedies such as coca tea to alternative religious or spiritual solutions, doctors in Peru look at a multitude of options when working with patients. “The investigation of plant mixtures used in traditional medicine in Northern Peru yielded a total of 974 herbal preparations used to treat 164 different afflictions” (Bussmann et al. 2010). Traditional medicine is given serious consideration alongside formally trained medicine. There isn’t always a black-or-white solution, but rather many different ways of solving a given issue. This holistic approach is incredibly different from how allopathic medical training in the United States often functions, which is primarily symptom-based. This was very impactful to me, as I think that holistic healthcare is often lacking in the United States. It is invaluable to look at the entirety of a person’s health rather than just their symptoms. One of the main aspects of healthcare that was further developed during my experience with International Medical Aid was the reminder that, whether as a physician, physical therapist, or any provider, you are working with people—not just their symptoms. Your patients are more than the sheet of paper in front of you. A very interesting traditional medicinal approach that was widely used was chewing coca leaves. “Andean Indians have used coca leaves (Erythroxylon coca and related species) for centuries to enhance physical performance” (Casikar et al. 2010). It was common knowledge that coca tea was invaluable at high altitudes and for physical exertion in the Andean climate. For many problems involving headaches, nausea, or other symptoms of altitude sickness, coca leaves were prescribed. While there are some traditional medicine types in the United States, most are not considered central in general practice and are rarely integrated into mainstream care. As I am from a moderate altitude, I did not drink coca tea very often, but the times that I did, I noticed that the caffeine and properties of the leaves helped to alleviate uncomfortable symptoms I was experiencing. One of the most memorable times that I took advantage of coca leaf properties was on IMA’s clinical outreach day in a rural community in the Andean mountains. The community was settled at approximately 13,000 feet in elevation, so I had a slight headache driving up. This was one of my favorite days during my IMA experience due to the connections I made with the doctors and community members, as well as the sheer amount of knowledge I gained. I learned more than I could have imagined about rural health clinics—how doctors and providers properly evaluate patients in low-income settings and how to ask genuine questions that look at an entire person, not just their pain. As someone interested in physical therapy, this was especially powerful: I saw that medicine and rehabilitation are about the health of a person’s life and who they are, not just their list of symptoms or their diagnosis. I was able to see the true care that doctors and providers put into their work and their patients. This is what I wish to emulate when I become a physical therapist. I want to truly see people for who they are, not just their problems or functional limitations. International Medical Aid was an incredibly impactful experience that I would recommend to any student interested in cross-cultural experiences in healthcare, especially those exploring careers in physical therapy, rehabilitation, or patient-centered care. I am incredibly grateful to the IMA staff and the doctors at EsSalud for their patience and guidance, without which I would not have created such valuable connections or learned so deeply about what it means to be a healthcare provider.

My experience with IMA in Kenya was nothing short of memorable and deeply reflective. It reaffirmed my purpose for wanting to attend dental school. From the moment I arrived, I was warmly welcomed by Michelle and Teddy, whose kindness immediately put me at ease. The kitchen staff, especially Joshua and Maria, went above and beyond- helping me open my charger adapter and telling me, “We are here for you.” That simple gesture made me feel truly at home. Whether it was baking donuts with Erastus or building meaningful friendships with the other interns, every moment contributed to an unforgettable experience. I’m also incredibly grateful to Naiomi for coordinating everything so seamlessly and always being available to answer any questions. One of the highlights of my time was the community clinic- an opportunity I almost missed due to a flight change. I’m so glad I made it. There, I was able to contribute by recording teeth numbers during oral diagnoses and cleaning instruments for extractions. It was in this clinic that I truly saw the heart of IMA’s mission in action. This experience was especially meaningful to me, as I hope to one day practice dentistry in a charitable manner.