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A four-hour drive should not be the difference between a routine fix and a life-altering outcome, but in many places it is. We sit down with Austin, a graduating medical student about to start internal medicine residency, to talk through the moments that made global health feel real: the patients you cannot “just transfer,” the family decisions shaped by cost and distance, and the quiet skills that matter when resources are limited.

Austin walks us through his training path from the University of South Carolina, where he switched from biology to a public health degree and then earned an MPH. We unpack why public health is more than a nice add-on for premeds: it is a framework for health equity, social determinants of health, and understanding how systems push patients toward or away from care. If you have ever wondered whether you need a specific major to get into medicine, this conversation brings clarity without the hype.

From there, we explore international service learning and experiential medical education through three settings: a first service learning trip to Nicaragua, a Guatemala project studying diabetes prevalence in underserved communities, and a month in Uganda combining clinical learning with quality improvement and capacity building. Austin shares how a teach the teacher mindset turns short rotations into sustainable impact, plus what “MacGyver medicine” looks like when creativity replaces equipment.

If you are weighing an international rotation, we talk honestly about motivations, costs, and what it can and cannot do for your application. Subscribe for more global health and service learning stories, share this with a student who is on the fence, and leave a review if it helped you think differently. What experience has most shaped the kind of clinician you want to become?

I also want to thank our listeners for joining us as it is our goal to not only share with you our guest’s introduction to international healthcare, but also to share with you how that exposure to international healthcare has shaped their future path in healthcare. As true patient advocates, we should all aspire to be as well rounded as possible in order to meet the needs of our diverse patient populations.

As a 50+ year nurse that has worked in quite a variety of clinical roles in our healthcare system, taught healthcare courses for the past 20 years at the university level, and has traveled extensively with my students on international service-learning trips, I can easily attest to the fact that healthcare focused students need, and greatly benefit from the opportunity to have hands-on experiential healthcare experiences in an international setting! I have seen the growth of students post travel as their self-confidence in their newly acquired skillsets, both clinical and cultural, facilitates their ability to take advantage of opportunities that previously may not have been available to them. By rendering care internationally, and stepping outside one's comfort zone, many more doors of opportunity will be opened.

Feel free to check out our website at www.islonline.org, follow us on Instagram @ islmedical, and reach out to me @ DrH@islonline.org