Healthcare in difficult environments
We are developing a training curriculum focused on practicing medicine where certainty is low, resources are constrained, and relationships matter most. This is not wilderness medicine. It is relational medicine.
Curriculum themes
Why this matters
Most medical training assumes stable systems. Much of the world does not live inside one.
Outcome we are building toward
A shared language and framework for clinicians working at the edges of healthcare systems.
This manual codifies a repeatable, ethical, one-day pop-up care model designed for liminal environments where formal healthcare systems are absent, overloaded, or distrusted. It defines clear scope, roles, flow, and constraints to ensure safe, dignified, high-impact care without creating dependency or false promises.
Grounded in real-world field experience, the manual prioritizes flow over heroics, trust over data extraction, and relief over resolution, with explicit guidance on staffing, setup, formulary, operations, and clean exit. Its purpose is not to build clinics, but to deploy temporary coordination engines that reduce suffering responsibly and leave communities no worse off.
This document is a field-facing companion designed for day-of execution, volunteer alignment, and funder accountability.
It includes a one-page laminated quick reference that distills roles, flow, formulary, and hard stops for use during operations; a verbatim pre-event briefing script that sets expectations, authority, and ethical boundaries for volunteers and clinicians; and a funder-facing appendix that explains why strict constraints exist and why scope creep is harmful.
Together, these tools translate the operating doctrine into practical behavior, protecting patients, teams, and communities by ensuring clarity, discipline, and integrity under pressure.
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