Berryman1

OliviaBerryman
AdvancedPlacementLanguageandComposition
Mr.Rhodes
February26,2015
ACareerinInternationalMedicine
Imagineayoungwomanassherushesaroundalargetentbustlingwithpeople,
desperatelytryingtotreatasmanypatientsaspossible.Shefeelsapullonherpantlegandlooks
downtofindasmallchildwithvisibleribsonhisprotrudingbelly,abnormallythinarms,and
bonylegs.Comparedtohissmallbody,hisheadappearstoolargeforwhatresemblesabobble
head.Shekneelsdowntohaveabetterlookatthechildwholooksnoolderthanfiveyearsof
ageandafterabriefexamination,thewomanimmediatelyconcludesthechildsuffersfrom
malnutrition,afactthatplaguestherefugeecamp.Thesmallboypointstoasmallgashonthe
bottomofhisfootthatonthesurfacelooksinfectedfromlackoftreatmentandsherushestofind
suppliestohelphim.Becauseoftherecentarrivalofmanyvolunteergroupsandthenative
populationsdesperateneedfortreatment,medicinalsuppliesrunlowandshefindsno
antibacterialsolutiontocleanthewound.Theboyscreamsoutinagonyandfollowingcloser
examination,sheconcludesthewoundadditionallycontainsaflesheatingbacteria.Withalook
ofdesperation,theyoungforeignercandonothingfurtherfortheboy,butattempttosendhimto
adifferentorganizationsmedicalsurgeons,becauseherunithasnotsetupitssurgicalwing

yet.
Informinghersuperiorthattheymusttransfertheboyandacceptingdefeat,shemovesontoher
nextpatientinhopesthatshecanhelptheseeminglyfrailwoman.Pursuingthepathof
internationalvolunteerisminacareerofmedicineleadstoalifetimeofacademicjourney,


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physicalchallenges,andpersonalfulfillmentforthosewhopossessastrongpassiontohelp
others.
Inordertopursueanycareerinmedicine,aspiringdoctorsmustfirstcompletebothan
undergraduateandagraduateeducation.Medicalschoolsdonotnecessarilyrequireapplicantsto
pursuesciencebasedmajorsduringundergraduateeducation,butinsteadlookforactivitiesthat
portrayabroaderinterestinthemedicalfield.Themajorityofundergraduatecollegesdonot
offerpreprofessionaldegrees,suchasaPreHealthdegree,butratherofferaPreHealthtrack.
Equippedwithasuperioradvisingoffice,theUniversityofNorthCarolinaatChapelHill
perfectlyplacesincomingstudentswhowishtocontinuetomedicalschoolaftergraduating.The
PreHealthacademicadvisorsofferinformationnotonlyaboutthemedicalschoolandhealth
positions,butalsoprerequisitecoursesformedicalschools,availableprograms,application
procedures,requiredentrancetests,andcharacteristicsofthecurrentapplicantpool
(PreHealth).Forstudentswhowishtoearnbachelorofsciencedegree,UNCoffersmajors
varyingfrombiologytobiochemistry.Ontheotherhand,theuniversityalsoprovidesawide
varietyofothermajorscoveringmanydifferentdisciplines,includinglanguages,humanities,and
literaturestudies,forthestudentsseekingnonscienceacademicfoundations(Majors,Minors,
andConcentrations).InadditiontoitsrenownedacademicsandPreHealthacademicpath,
UNCconsistentlyranksasaleadingcostefficientstateinstitution.Asapubliccollege,yearly
tuitioncurrentlyaddsuptoapproximately$24,120,whichincludestuitionandfees,roomand
board,booksandincidentals(CostofAttendance:UNC).UNCoffersacosteffective
undergraduateeducationforstateresidentsandsufficientlypreparesthemformedicalschooland
afutureinthehealthprofession.


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SimilartotheacademictrackofferedattheUNC,WakeForestUniversityalsooffers
PreHealthprogramsforthosestudentsseekingamedicalprofession.Thisstructuredprogram
guidesstudentsonchoosingcoursesthatfulfillrequirementsforgraduateschool,introduce
resourcesforopportunitiesoutsidetheclassroomtofurtherdevelopcareerinterests,andinforms
studentsaboutthedocumentsrequiredduringtheschoolapplicationprocess(WelcomeWake
Forest).ShadowingWakeForesthospitalphysicians,oneofthemanyaspectsofWFUs
PreHealthprogram,allowsstudentstoexploredifferentfieldswithinthehealthprofessionthat
interestthem(ShadowingPhysiciansWake).Perfectforstudentswithapassionfor
volunteering,WFUscampuswidemottoProHumanitate,whichmeansForHumanity,
encouragescollegestudentstodocommunityserviceandcreatesanoverallnurturing
atmosphere(Powell).Howeverthemanybenefitsofattendingtheprivateuniversity,with
tuitioncoststotalingcloseto$65,000coupledwithveryfewmeritbasedscholarshipsgranted,
potentialstudentsfinditfinanciallydifficulttoattend(CostofAttendance:WFU).Wake
ForestUniversitypreparesstudentswhopossessapassionofhelpingothersforafutureinany
healthprofessionoftheirchoosing.
Uponthegraduationofundergraduateschoolandtheachievalofabachelordegree,
drivenstudentscontinuetograduateschooltoobtainmastersanddoctoraldegrees.At
NorthwesternUniversityFeinbergSchoolofMedicine,oneonesuchinstitutionandaleading
medicalschoolinthenation,studentslearnallaspectsofmedicinethroughhandsonexperience,
observation,andresearch.Thisparticularmedicalschoolpridesitselfonthenewandengaging
curriculum,recentlyimplementingactivitybasedandinquirydrivenlearning.Replacingthe2+2
modeloftwoyearsofclassroomteachingandtwoyearsofclinicalexperience,themedical


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schoolestablishedathreephasemodel,closelyaligningclassroomknowledgeandclinical
experiencetobetterpreparemedicalstudentsfor21stcenturymedicine(MDCurriculumat
Feinberg).TheFeinbergSchoolofMedicineprovidesnumerousopportunitiesfortranslational
research,whichcombinesclinicalobservationswithlaboratoryresearchtoadvancethe
knowledgeofdiseasesandenhanceoverallhumanhealthandwellbeing(Translational
Research).ToattendtheFeinbergSchoolofMedicine,medicalstudentspayapproximately
$82,494annually,amountingtoaverycostlyeducation(CostofAttendance201415:
Northwestern).Withanengagingcurriculum,endlessresearchopportunities,andhandson
clinicalexperience,graduatesquicklyblossomassomeoftheleadingmedicalprofessionals.
Aftercompletingmedicalschoolandearningdoctoratedegree,graduatescontinue
trainingthroughresidencyprograms.Forpediatrics,aresidencyprogramnormallylastsfor3
yearsandconsistsofinconvenienthours,long24hourshifts,andverylittlepay(Ebertsand
Gisler141).IntheDepartmentofPediatricsatNorthwesternFeinbergSchoolofMedicine,a
residentreceivesbetween$50,000$55,000annually,nowhereclosetotheiracademicdebt
(ProgramOverview).Uponcompletionofresidency,doctorsmaypickasubspecialty,suchas
pediatriconcology,andpossiblycompleteafellowship(Kolody).Followingthecompletionof
training,pediatricianscanexpecttoearnadecent,startingat$110,000peryear,andevenmore
withasubspecialty.Extensivetrainingandeducationensuresthatdoctorshavethebestabilityto
givetheirpatientsthebestcarepossible.
Theencompassingresponsibilitiesofapediatricianincludethediagnosisandtreatment
ofsickchildrenandaddressingparentalconcernswhilesettingasideampletimetoparticipatein
monthlymeetingsandconferences.Onanaveragedayinapediatricoffice,adoctorcantreatup


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to80patients(EbertsandGisler141).Althoughthisseemslikealargenumber,vastmajorityof
childrenhaveextremelycurableillnesses,includingheadaches,colds,andearinfections(Eberts
andGisler141).Additionally,pediatricianstreatdaytodayprocedures,suchas,physical
injuries,infectiousdiseases,andimmunizations(EbertsandGisler140).Intheinfrequentevent
thatapatientemergencyarisesinahospital,apediatricianwilldropeverythingtovisitthe
hospitalandtreatthecriticalcase.However,beforegoingtotheiroffice,manypediatricianstake
dailyhospitalvisitsinordertotreattheadmittedpatients.Thedoctorsheavilyrelyonthe
nursingstafftokeepthemuptodateonpatientconditionsasnursesprovidethecontinuouscare
(Kolody).Unliketherecentpast,themajorityofpracticingpediatricianstendtojoingroup
medicalpracticesratherthanprivatepractices,becauseofshiftflexibility,moretimeoff,and
backupcoverage(EbertsandGisler140).Evenwithintheeverevolvingworldofmedicine,
childrenwillalwaysgetsickandwillneedpediatricdoctors.
Followingaminimumoftwoyearsofmedicalpursuit,unique

doctorschooseto
volunteertheirserviceandbeginanalternatemedicaljourney.Manymedicalhumanitarian
organizationsexist,however,MdecinsSansFrontires(MSF),orDoctorsWithoutBorders,
remainsthemostinternationallyprominent.Comprisedofthousandsofvolunteers,MSFdelivers
emergencymedicalaidtovictimssufferingfrommilitaryconflicts,biologicalepidemics,and
naturalandmanmadedisasters(DoctorsgetPresidential).
CitingpersonalphilosophicaldisagreementswiththeInternationalRedCross,two
physiciansfoundedtheMSForganizationinthethroesofwar.DuringaNigeriancivilwarin
1968,agroupofRedCrossdoctorstraveledtothestateofBiafratohelpsufferingwarvictims
(Morley8).TheNigeriangovernmentonlyagreedtoallowthedoctorsinsidethewarring


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countryiftheysignedaneutralityagreementandpromisedtoreleasenoevidenceoftheatrocity
theywouldwitness.However,BernardKouchnerrefusedtostayquietaboutthegenocideand
leftthecountry.OnceinParis,KouchnerorganizedpublicprotestsinParis,raisingawarenessby
revealingtheatrocitiescommittedbytheNigeriangovernment,andtherefore,breakinghisoath
withtheRedCross(Morley9).In1870,theBiafranwarendedandanothergroupofdoctorsled
byKouchnercontinuedtoorganizeaseparatemedicalhumanitarianorganization,onethatwould
openlycriticizeforeigngovernmentsandmilitaryforcesregardingviolationsofhumanrights
(Morley9).However,thisdecisiontospeakoutinvalidatedtheneutralityagreement,avaluethe
RedCrossviewsasoneofthemostimportantprinciplesofahumanitarianorganization(Morley
9).Duringthesedevelopmentaltimes,formerFrenchRedCrossvolunteerspledgedtoasimilar
organizationnamedSecoursMdicalFranais,orFrenchMedicalRelief,foundedinthe1967by
RaymondBorelandhiscolleagues,thisorganizationsfirstmissiontotreattheBholaCyclone
survivorsinBangladeshhighlightedthedrasticneedformedicalvolunteergroupstoact
independentlyandquickly(Morley10)InDecember1971,BorelandKouchnerdecidedto
combinetheirorganizationsandfoundedMSF(Morley10).Althoughtheorganizationname
purposefullyemphasizesignoringinternationalbordersandprovidingcaretoanyoneinneed,to
surviveneworganizationhadtoadoptaneutralityagreement,muchtothedisappointmentof
Kouchnersvolunteers(Morley10).CombiningthetwoorganizationstoformMSFmarkedthe
beginningofbothasuccessfulandindependentmedicalhumanitarianorganizationthataids
victimsofwar,naturaldisaster,andepidemics.
TheorganizationalstructureofMSFsofficesenablesthesuccessandefficiencyofthe
organization.Inordertoensurethepreventionofonestrong,centralizedofficemakingallofthe


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decisions,nationaloffices,calledsections,existin19differentcountries(Morley16).These
sectionsworkcollaborativelytoformfivesubgroups,calledoperationalcenters.The
OperationalCenterofBrusselsincludesthesectionslocatedinBelgium,Denmark,HongKong,
Italy,Norway,andSweden.Withineachnationalsection,staffmemberscarryoutthecritical
responsibilities,includingfundraising,recruitment,raisingawareness,andmanagingtheongoing
medicalprojects(Morley16).Withouttheefficientmanagementandorganizationprovidedby
thenationalsections,MSFcouldnotcarryoutitslargescalemedicalmissions.

DuringMSFsearlyyears,differentbranchesandofficesbegantodevelopasthe
organizationbecamebetterknownandrespectedinseveralcountries.Whileexpansionofthe
organizationitselfoccurred,tensionsbetweennewgenerationvolunteersandtheoriginalBiafran
volunteersalsoarose.TheyoungergenerationofdoctorsdislikedKouchnersimpracticalplanof
sendingatelevisedrescueshiptoVietnamrefugees(Bortolotti14).Bylate1978,theyounger
generationhadcompletelyforcedKouchnerandhisalliesoutoftheorganizationtheyhelped
found(Bortolotti14).Duringthe1980s,MSFinstitutedofficesinBelgium,Switzerland,
Holland,Spain,andLuxembourg(Bortolotti14).Thisdecade,knownasthegoldenageof
humanitarianism,establishedMSFastheprominentaidagencyinthepubliceye.Fundraisers
startedupinresponsetothefamineinEthiopia,raisingaverylargeamountofmoneyforthe
organization.Inthe1990sandtheendofthegoldenage,MSFrestructuredintoaninternational
organizationaddingofsectionsintheUnitedStates,Canada,Japan,HongKong,andAustralia
(Bortolotti15).Moreofficesequatedtomoreresources,allowingbothanimprovementinthe
overallorganizationalstructureaswellasthequalityofcareprovidedinthefield.MSF
constructedpreassembledemergencymedicalkitsreadyonamomentsnoticeforimmediate


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transporttomissionsanywhereintheworld(Morley15).Alsoduringthistime,MSFshifted
federaldependencytoreceivingthemajorityofitsmoneyfromindividualdonorsand
fundraising(Morley15).Theorganizationalexpansionintonewnationsenabledprofound
enhancementsofmedicalcareinthirdworldcountries.
ThoughMSFstartedwithrelianceongovernmentfundingandthereluctancetorequest
thosefundsfromthepublicresultedinanorganizationalprioritytobecomenongovernmental
organization(NGO.TowardthebeginningofMSF,fundingforforeignexpeditionsandrelief
carereliedheavilyonfederalmoney(Morley15).However,withgrowth,theorganization
movedawayfromgovernmentfundingentirelyandinstead,reliedonfundraisingandprivate
donors.MSFsstaffdescribesfederalaidasatrap,becausetheybelieveorganizationshave
difficultymakingtheirowndecisionswhileundergovernmentalmonetaryinfluence(Bortolotti
66).Asaresult,MSFnowsolelydependsontheUnitedNationsHighCommissionerfor
Refugees(UNHCR),theEuropeanCommissionsHumanitarianAidOffice(ECHO),andother
governmentagenciesforlessthan20%ofitsfunding(Bortolotti66).Throughcampaignsand
fundraising,thismedicalhumanitarianorganizationgainedmonetarysupportfromthepublic..In
1976,MSFsfifthyearinoperation,theorganizationreleaseditsfirstcampaignusinga
blackandwhitebillboardtoportrayasufferingchildalongsidethewordsTherearetwobillion
peopleintheirwaitingroom(Bortolotti49).Duringthistime,MSFgrewintoawellliked,
wellrespected,andwellfundedorganization.
Time
declareditanextraordinaryorganization
whiledescribingoneofitsmissionsinBeirut(Bortolotti49).Giventhescopeofthe
organizationsactivitiesandneeds,iteffectivelyoperatesonabudgetof$400million,a
comparativelylowersumthanothergroupssimilarinsizeandscope(Bortolotti66).By


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comparison,in2002alone,WorldVisionsUSbranch,asimilarorganizationtoMSF,spentover
$1billion,considerablymorethanMSFsentirebudget(Bortolotti66).Effectivecampaigning
andtargetedfundraisingallowedMSFtorestructurefromagovernmentfundedgrouptoa
selfsufficientglobalorganization.
Certainofficestaffmembershandlerecruitingvolunteersandspecificrequirementsfor
thesevolunteersexist.Thoughnoabsolutevolunteercriteriaexists,qualitiesrecruiterslookfor
inpotentialvolunteersincludetwoyearsofexperienceworkinginamedicalfield,atechnical
field,oratargetedadministrativeposition.Otherqualitiesincludeexperiencecoexistingwith
othercultures,theabilitytospeakotherlanguages,goodsocialandcommunicationskills,the
flexibilitytoleaveonshortnoticeforextendedperiods,theabilitytoworkaspartofan
internationalteam,commitment,compassion,andcourage(Morley27).Startingwithanonline
application,humanresourcesofficerschoosethevolunteerswholookpromisingandthey
proceedtothenextstep,afacetofaceinterview.Thosewhosepassionsandskillsreflectthe
organizationsprinciplesadvancetoatrainingcoursewhereMSFsendsthemintothefieldas
firstmissioners.(Morley27).Thequalityofvolunteersdeterminesthestandardofthecaregiven
tothepatients.
Thoughnoamountoftrainingpreparesavolunteerfortheirupcomingstrugglesasan
internationaldoctor,venturingintounknownterritory,volunteersmustpossesscertainsurvival
skillspriortodeparture.Eachfirstmissionermustcompleteaprepcourseonpracticalskills
usefulinthefield,suchas,howtouseaVeryHighFrequency(VHF)Radioorchangingatire
onaLandCruiser.Thisprepcoursealsooffersadetailedexplanationandteachingofthe
organizationsphilosophy(Bortolotti85).Inadditiontobothoftheseskills,MSFstressesthe


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importanceofteamworkinthefield.AnexampleofateambuildingexercisebeginswithMSF
droppinggroupsoftraineesoffinadesignatedareaatnightwiththemissionbuildingastructure
orinfrastructurewiththeuseofonlycompasses,radios,andthestandardmissionvehicle
(Bortolotti85).Followingthecompletionofthetask,thevolunteersregroupanddiscussgroup
dynamics,theproblemstheyencountered,howtheysolvedtheseproblems,andwhoplayedwhat
role.Thisactivityforcesthegrouptoworkcollaborativelytosolveacommonproblem,imitating
asimilarfieldsituation(Bortolotti86).MSFalsooffersprepcoursesteachingcoping
mechanismsforstressoftenwithanaudienceofseniorfieldstaffrequiringfurtherstress
management.DifficultmissionsaffectindividualsdifferentlyandMSFhirespsychosocialteams
tohelpvolunteerscopewithalarmingorextremelystressfulinthefield.Forexample,a
psychosocialteamdeemedamidwifeunsuitabletocontinueworkingafterachildsoldierheldan
emptyguntoherheadandpulledthetrigger(Bortolotti228).Althoughnothingcanprepare
volunteersforallfieldcircumstances,allfirstmissionexpatsrequireaminimumofbasicskill
training.
MSFcurrentlyconsistsofmanydifferentbranchesandstaffmembersthattogethermake
allofthehighriskmedicalmissionspossible.Knownforandnamedforleavinganentirelife
behindtotravelintoanunknowncountryanddedicatethemselvestohelpingpeopleinneed,
expatriates,orexpats,compriseabout3,000oftheorganizationsapproximated15,000
volunteers(Morley24).However,expatsdonotonlyconsistsolelyofdoctors,acommonly
misconceivednotion.Nonmedicalvolunteershandletheplanning,theorganization,andthe
executionofallmissionsandincludeavarietyoffinancialcoordinators,logisticians,engineers,
andprojectcoordinators(Morley25).Financialcoordinatorscrunchthenumbersassociatedwith


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ongoingmissionswherelogisticiansmayrepairavehicleinthefieldasengineersdesignand
buildsanitationcenterswhiletheprojectcoordinatorsoverseeallofthefacetsofateams
mission(Bortolotti193).Thehealthcareprofessionalssentonmissionsmayincludemental
healthspecialists,epidemiologists,labtechnicians,ornurses.Additionally,theorganization
sendsamultitudeofdifferentdoctorsincludinggeneralpractitioners,surgeons,anesthetists,and
specialistsintropicaldiseasesandpublichealth(Morley25).Toprovidefresheyesandnew
commitmenttothecausesandpreventseasonedvolunteersfromlosingempathyand
compassion,MSFplacesapproximately1,000firstyearvolunteerswiththe3,000largeexpats
group(Morley26).Inadditiontotheexpats,MSFalsoemploysapproximately12,000national
staffvolunteers,residentswhoknowthelocalenvironment,thetraditions,andthecustoms
(Morley28).Inordertoguaranteeneutralityandimpartiality,theorganizationhireslocalsfrom
allsidesoftheconflict(Morley28).Stressingtheimportanceofgoodrelationshipsbetweenthe
expatsandlocalmedicspromotestoleranceandunderstandingbetweenthesocieties.
Additionally,goodrelationsbetweenthetwogroupsbenefitthepatientsasthelocalscan
translatethenecessaryinformationincludingpatienthistoryandknowledgeoflocalillnessesto
givetheexpatsamorecomprehensiveevaluationfortreatmentplans(Bortolotti257258).Made
upofmanyculturallyandprofessionallydifferentvolunteers,MSFsstaffallworktogetherto
ensuretheirpatientsreceivethebestpossiblecare.
ManydifferentfactorsdeterminehowmuchmoneyMSFsvolunteersreceivefortheir
hardwork.Fieldvolunteersearnthelowestwages,whileofficestaffreceivesthehighest.MSF
determinesitsfieldvolunteerssalariesbyexperience,section,andposition.Forexample,afirst
missionermightmake$1,000amonthwhileaneightyearveteranwhojuggleseverymissionin


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asinglecountrycanmakethreetimesthatamount(Bortolotti7677).Nonetheless,field
volunteersearnaverysmallstipendforthededicatedworktheyaccomplish(Bortolotti77).
Althoughtheorganizationcoverstravelcostsandhealthinsurance,expatsusuallypayfor
expensesthatariseinthefieldincludingmealsandpersonalitems.Asfortheofficestaff,MSF
paysamodestamount,witharatioofhighesttolowestsalarynomorethanthreetoone,butit
paysthemmorethanitpaysitsfieldvolunteers,primarilybecauseanofficejobispermanent
whileafieldvolunteersjobisonlytemporary(Bortolotti77).However,theorganizationtends
topayitslocalstaffacomparativelyhighersumthanotherNGOs(Bortolotti77).Thesalariesof
MSFsthousandsofemployeesvarydependingonnumerousvariables.
MSFvolunteersjourneytothirdworldcountriesinordertotreatvictimsofmilitary
conflict,naturaldisasters,andbiologicalepidemics.Whentheorganizationlearnsofacrisis,it
sendsexploratoryteamstoassessthesituationanddecidewhetherornotvolunteersshould
intervene(Morley47).MSFtravelstowarringcountriestotreatvictimsofwar,becausethewar
notonlyaffectsthoseinvolved,butalsothesurroundingcivilians.ASyrianbabyhadtoundergo
brainsurgerybyMSFvolunteersasaresultofamissilehittinghishome.Inthissamewar,MSF
neededplasticsurgeonstotreatSyriansdangerousburnstheyreceivedasaresultofbombings
(Laub).Manydifferenttypesofnaturaldisastersalsoresultinrequiredassistance.Anearthquake
inElSalvadorinducedthedestructionofthetownandcholeraoutbreaks(Morley77).Afloodin
MozambiquecausedtheinhabitantsofChokwetofleetheirhometownandlookforhigher
groundinChequelane,creatingarefugeecamp(Morley67).Duetothelackofsanitarylatrines,
accesstocleanwater,andclusteringpopulationweakfromhunger,theriskforepidemicsand
therateofspreadingrisesdramaticallytremendously.Inresponsetosuchsituations,MSF


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initiatesvaccinationcampaigns,constructssanitarytoiletfacilities,andprovidescleanwater
amenities(Morley48).Whilevolunteerscanquicklytreatmanyoutbreaks,suchasmeaslesand
ebolainthesesituations,thekillerdiseasesincludingmalaria,tuberculosis,sleepingsickness,
kalaazar,andChagasdisease,requirelongtermtreatmentmissionprograms(Morley47).War
andnaturaldisastersdisplacecivilianscreatingmassiverefugeecamps,oneofMSFshardest
missionsasvolunteersdealwithmorethanonecrisis.Institutingtherapeuticfeedingcenters,aid
workersfirstaction,providestreatmentforthosesufferingfromacutemalnutrition(Morley51).
Then,theyhandleotherproblemsthatarise,suchas,lackofcleanwaterandlatrines(Morley
67).Dependingonthetypeofcrisis,MSFvolunteersdeviseatreatmentplantohelpthe
sufferingvictims.
Duetotherequiredneutralityagreement,onlyafterMSFgroupscompleteamissionand
departthesitewillitpublicizetheatrocities.MSFanditsvolunteerssignacontractofneutrality
astheyentereachcountry,promisingnottotakesidesinaconflict,inordertoconvincethe
countrysgovernmenttoallowaccess.Withinthisprincipleofneutrality,thevolunteersofthe
organizationalsopromisetospeakoutagainstacountryiftheywitnessabuseofthefundamental
humanrightsofthecountryspeople(Morley13).OneofMSFsfirstattemptsatspeakingout
againstanabusivegovernmentoccurredin2000duringmissionsinChechnya(Morley59).
VolunteersaskedWesterngovernmentstocallouttheRussianarmyonaccountoftheatrocities
committedagainsttheChechenpeople.However,theWesterngovernmentscompletelyignored
thesevolunteersandasaresult,twoMSPvolunteerswerekidnapped(Morley59).Though
completelyunsuccessful,theChechenawarenesscampaignledthewayforthesuccessofother
awarenessattempts.DuringaragingcivilwarinDarfur,aidworkersperceivedthehorrific


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violenceofthewararmedwithstoriesofwholevillagesburning,highratesofmalnutrition
amongthechildren,murdersofmenandboys,andsexualassaultsonwomen(Morley5960).As
theonlyaidagencytendingto200,000refugeesontheChadSudanborder,MSFbeganinviting
journalistsfromallovertotherefugeecampstowriteaboutthehorrorsofthewarandnotonly
exposetheDarfuriangovernment,butalsoinformthepublicsootheraidagencieswouldsendits
volunteers(Morley60).Eventually,thejournalistsstoriesreachedtheglobalpublicand
agenciesbegansendingvolunteerstohelpMSF,whichessentiallyalsoledtoentranceinto
Darfur(Morley60).Internationalawareness,anextremelyimportantfacetofthehumanitarian
agencysprinciples,informthepublicaboutatrocitiescommittedinthethirdworldcountries
visitedandsometimesresultinthesupportofothergovernmentbackedaidagencies.
Alifestyleofpracticinginternationalmedicalvolunteeringrequirescommitment,
compassion,andtheoverwhelmingpassionforhelpingothers.Asshown,thepersonaland
financialdedicationrequiredtoliveasanexpatnowherereflectsthemonetarybenefityet
thousandsofprofessionalvolunteereachandeveryyear.FornearlyfivedecadesMSF
organizedandcoordinatedurgenthumanitarianmissions,callingonvolunteerstofightwar,
disease,andfamineandinallthattime,dedicatedandexceptionalmedicalprofessionalshave
answeredthephone.


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