Reasoning Without Resources

Reasoning Without Resources

Join a collaboration between Child Family Health International (CFHI) and the Albert Einstein School of Medicine Global Health faculty to offer a case-based course on honing clinical reasoning skills in low resource settings.  Based on actual cases from over 20 years in rural Uganda, the faculty lead trainees through clinical reasoning approaches in live sessions.  CFHI compliments this curriculum with pre-work including the 7-part series, Pillars of Global Health, which includes modules of diversity, equity and health disparities, global burden of disease, cross cultural adaptability, and global health ethics. This course is appropriate for final year medical students (either 4th or 6th year depending on education system) and residents.  


CFHI is offering full-tuition scholarships!
This scholarship is open for resident physicians and final-year medical students enrolled in the Reasoning without Resources program. Applicants from low and middle-income countries are particularly encouraged to apply. 
CFHI offers options for students and faculty to fit your interests and schedule. Choose your program duration, or for a comparative experience, choose to participate in multiple programs. CFHI can also often accommodate alternate program dates upon request. For more information see our How to Apply page.


2 Weeks $100
Arrival Dates: 
Jan 09, 2023 

Gerald Paccione MD

Jerry Paccione's first experience in global health was between his 3rd and 4th years in medical school when, for a year, he was the sole medico practicante for 3 remote villages in Guatemala. Since then he has integrated global health practice and training into his education career at Montefiore Hospital and the Albert Einstein College of Medicine in the Bronx.  As Director of the Primary Care/Social Medicine Program at Montefiore between 1985-2007, he initiated special clinics for immigrants in the South Bronx and victims of international Human Rights abuses, and created experiences for residents and students in Latin America, the Navajo reservation in Arizona, and Africa that linked medical education with meaningful clinical service. Since 2006, as director of global health in Montefiore’s department of Medicine, Dr. Paccione has coordinated a collaboration between Kisoro District Hospital, U.S. medical schools, and the NGO, Doctors for Global Health, that has treated tens of thousands of patients in an underserved rural area of Uganda while providing real-world training for more than 350 medical students and residents. With a strong community foundation, the program has also trained and actively maintains Village Health Workers in 52 Kisoro villages, and with them, sponsors novel projects in in a wide range of community-based services including chronic disease diagnosis and management, and geriatrics.   

Dr. Paccione has served on the boards of directors of the Global Health Education Consortium (GHEC), Doctors of the World and Doctors for Global Health. A professor of Medicine at Einstein and Montefiore, he has received numerous teaching awards, including Einstein’s Lifetime Achievement Award in Medical Education.  

Gloria Chaw MD

Dr. Gloria Fung Chaw completed medical school at the Albert Einstein College of Medicine and internal medicine residency at Columbia University Medical Center. After residency, she joined the NGO Partners in Health and Harvard Medical School, as a clinician educator in a rural district hospital in Rwanda, where she worked with local doctors and nurses on the inpatient wards, the non-communicable disease clinic, and the women's health department. She returned to Einstein/Montefiore in 2013, where she is faculty in the Primary Care Social Internal Medicine residency program and a primary care doctor at the Comprehensive Health Care Center in the South Bronx. She serves as the Associate Director of the Uganda Global Health program at Einstein-Montefiore. In her current role as a Global Health faculty, she is involved in teaching global health and clinical skills in New York and supervising medical students and residents during their field elective in Kisoro, Uganda. She has collaborated with Doctors for Global Health and Kisoro District Hospital since 2008, building and strengthening numerous community health initiatives, including the Kisoro Village Health Worker Program and the Chronic Care Clinic.

Kenneth Schaefle MD

Ken Schaefle is a graduate of Northwestern University and a founder of the Boom Chicago Theater Company in Amsterdam, Netherlands, where he lived for over a decade. He graduated from the Columbia University Post Bacc-Pre Med program and the Albert Einstein College of Medicine, where he went to Kisoro, Uganda in 2013 and was awarded the Albert Kuperman Global Health award in 2014. He completed residency at Lenox Hill where he was Chief Resident of the HIV track. He joined Montefiore in 2017 as a primary care physician at the Comprehensive Health Care Center and, as one of our Global Health Faculty members, supports residency education and patient care in Kisoro, Uganda. He is editor of the two-volume global health textbook Reasoning Without Resources due for release in 2021. He is passionate about equality in health outcomes and using technology for communication and education.

Dr. Joseph "Sepp" Stephens

Dr. Joseph “Sepp” Stephens is an Internal Medicine physician and member of the Global Health and Clinical Skills Faculty at Montefiore—clinician educators working and teaching in both the Bronx, New York and Kisoro, Uganda. While a medical student, Sepp was awarded a Senior Global Health Fellowship to work in Kisoro, Uganda, where he collaborated with local NGO employees to strengthen the existing village health worker (VHW) project serving a population of 100,000. He helped to update and coordinate new VHW training and improved the functionality of the district hospital and community-based chronic disease clinics. He also streamlined the production of household “health reports” that inform targeted interventions by VHWs. He completed his residency in Primary Care and Social Internal Medicine at Montefiore Hospital. His research has focused on hypertension in rural Uganda, from household level universal screening to community and hospital-based management.

Dr. Kristen Welch

Dr. Kristen Welch completed her Internal Medicine Residency and Chief Residency at Case Western Reserve University SOM before coming to work as an Internal Medicine physician at Albert Einstein College of Medicine/Montefiore Medical Center. She teaches medical students as well as residents from the Primary Care and Social Medicine Residency program. She spends three months of the year in Kisoro, Uganda caring for patients and teaching.



*All times are in Eastern Time Zone

Monday Jan. 9th

Tuesday Jan 10th

Wednesday Jan. 11th

Thursday Jan. 12th

Friday Jan. 13th

Sat./Sun. 14th & 15th


Pre-test review of readings; Orientation to the framework of problem lists, frames, differentials used in the course



Reading and written exercises for RWR 2

Submit exercises for RWR 2 by 5PM

Reading and written exercises for RWR 3

Submit exercises for RWR 3 by 5PM







Reading and written exercises for RWR 4 and RWR 5

Submit exercises for RWR 4 by 5PM Sunday

Monday Jan. 16th

Tuesday Jan. 17th

Wednesday Jan. 18th

Thursday Jan. 19th

Friday Jan. 20th


Fundamentals of Bayesian Clinical Reasoning, lecture-seminar

10AM-5PM Reading/exercises for RWR 5

Submit RWR 5 by 5PM







Reading and written exercises for RWR 6

Reading and written exercises for RWR 6




Questions, make-up, miscellaneous

This course is open to advanced medical students, junior medical graduates, clinical officers, and resident physicians from Pediatrics, Emergency Medicine, Family Medicine, and Internal Medicine. Trainees and professionals from all regions of the world are encouraged to apply.

This course includes expert faculty from Albert Einstein School of Medicine (in New York, USA) who will work through 16 cases that teach low resource clinical reasoning with a wide breath of diagnoses and presentations.  It is intended for final year medical students, residents, and early professional physicians who want to hone their low resource clinical reasoning skills for future work in low resource settings at home and abroad.  In addition, pre-program scholars will be given access to leading cross-cultural effectiveness and adaptability trainings, as well as CFHI's Pillars in Global Health modular course. The CFHI Pillars course features 8 modules:

  1. What is Global Health
  2. Planetary and One Health
  3. Global Health Ethics
  4. Social Determinants of Health
  5. Diversity, Equity, and Health Disparities
  6. Cross-Cultural Effectiveness and Adaptability (Includes free embedded access to the Globesmart tool by Aperian Global and the Intercultural Effectiveness Scale by the Kozai Group)
  7. Global Burden of Disease
  8. Global Health Systems

Reasoning Without Resources has limited enrollment of 10 trainees.