Tropical Medicine Training Options in the U.S. and Abroad

The needs of long-term expatriate workers are quite different from those of the short-term worker. Long-term strategies include more flexible malaria prophylaxis regimens (covering high risk seasons), self treatment options for diarrhea and malaria, additional disease concerns (Japanese encephalitis, rabies) and dealing with mental health issues such as culture shock and depression.

Caring for Asian patients from other cultures offers some unique challenges, whether these are recent immigrants to the U.S. or patients seen in overseas settings. Language is just the first obstacle and often professional interpreters are a necessity. Cultural expectations differ by country. High context Asian cultures can make it difficult to communicate even after language issues are resolved. Many illnesses present differently with physical complaints often masking mental health concerns. Familiarity with various Asian culture bound syndromes is essential.