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Elements Why African-American Doctors Are Choosing to Study Medicine in Cuba By Anakwa Dwamena June 6, 2018  E.L.A.M., a medical school on the outskirts of Havana, offers international students who pledge to practice in underserved areas a chance to pursue medicine without incurring catastrophic debt. Photograph by Adalberto Roque / AFP / Getty In the countryside of western Havana, during the fall, rickety yellow buses carry first-year medical students from the Latin American School of Medicine. Wearing short-sleeved white smocks and stethoscopes, they go door to door, doing rounds, often speaking to their patients in broken Spanish. “Even people whose houses I wasn’t visiting sometimes would ask me to take their blood pressure, because they just saw me in the street,” Nimeka Phillip, an American who graduated from the school in 2015, told me. The Latin American School of Medicine, or E.L.A.M., was established by the Cuban government, in 1999, after a series of natural disasters, including Hurricane Mitch, left vulnerable populations in Central America and the Caribbean in dire need of health care. This year, in the aftermath of hurricane season, hundreds of Cuban health workers, many of them E.L.A.M. graduates, will travel to some of the hardest-hit areas of the Atlantic to treat the injured and sick. All of the students who attend E.L.A.M. are international. Many come from Asia, Africa, and the United States. The school’s mission is to recruit students from low-income and marginalized communities, where they are encouraged to return, after they graduate, to practice medicine.

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