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Sites: Northern Navajo Medical Center - IHS

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SITES: Adelaide | Beijing | Brazil | Darwin | Haiti | Indian Health Service | Kenya | Nicaragua | Oxford | Philippines | Singapore | Tanzania | Thailand | Sri Lanka

Location:  
Shiprock, New Mexico, Navajo Nation Indian Reservation

Affiliation:   Indian Health Service

Site Director:   Kimberly Mohs, M.D. Chair, Internal Medicine Director, Diabetes Education and Counseling Center Brandy Allen, M.D. Staff Internist, Resident Rotation Coordinator

Background:   The collaboration between Duke University and the Northern Navajo Medical Center began in 1999 when Dr. Corey and Dr. Kimberly Mohs began to offer a clinical rotation in Internal Medicine at NNMC. Since that time over 1-2 Duke residents per year have had the opportunity to spend 6 weeks in Shiprock, New Mexico on the Navajo Nation Indian Reservation.

Clinical Opportunities:   Northern Navajo Medical Center (NNMC) is a 75-bed hospital in Shiprock, New Mexico serving Native American patients from the northeastern part of the Navajo reservation and the greater Four Corners area.   The current hospital opened in February 1995 and is the newest and largest hospital on the reservation.   Clinical services include Anesthesia, Dentistry, Emergency Medicine, Family Practice, General Surgery, Internal Medicine, Neurology, OB/Gyn, Optometry, Orthopedics, ENT, Pediatrics, Physical Therapy and Psychiatry.   Vigorous programs in health promotion and disease prevention as well as public health nursing complement the inpatient services.  

The Navajo people suffer a large amount of diabetes, hypertension and coronary artery disease.   There is also a high incidence of rheumatologic diseases, tuberculosis, restrictive lung disease from uranium mining, biliary tract and gastric disorders.   There is very little smoking or IVDU among the Navajo population and HIV is quite rare.  

The rotation includes working in the inpatient, ICU and outpatient setting with call being one night per week.   There is no weekend call.   Rotations include working in the TB clinic, Miner's Clinic, Rheumatology, Diabetes Clinic, ETT, and Cardiology Clinics. The IM department also precepts medical students from Columbia University, College of Physicians and Surgeons on an ongoing basis with some involvement from rotating residents.  

Research:   Research projects can be set up if planned well in advance to accommodate the Navajo Nation Institutional Review Board.

Other:   The great Four Corners area encompasses an unparalleled variety of landscapes and unlimited outdoor recreational activities including mountain biking, hiking, downhill and cross country skiing, whitewater rafting, rock climbing and fly fishing. Mesa Verde, Arches, and Canyonlands National Parks are within a 2-3 hour drive of Shiprock as are Telluride, Durango and Moab.   The south rim of the Grand Canyon, Capitol Reef National Park, Flagstaff, Taos and Santa Fe are 4-5 hours away.  

Web Site: ShipRock Facility

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