Content Resources

We have been focusing on encouraging our missionaries here on the blog, and today, we want to discuss why this is so extremely important.  What Are We Facing? Over the last several decades, healthcare missions has experienced a steady stream of missionaries both entering the field and exiting the field (for retirement, job changes, etc.). This has created a net zero effect, a rate that has been mostly sustainable for those that are actively working in mission fields around the globe. But don’t get me wrong - medical missions has never been easy. The challenges of being on the field are a never-ending list of needs that outweigh resources available. And that includes the human resources. Nurses, doctors, physical therapists, surgeons…you name the specialty, and they are all desperately needed in cities and villages and towns and countries spread across God’s earth.   So what happens when a global pandemic shuts the world down for more than a year, and medical missionaries are left alone on the field? No short-term teams to bring much needed manpower and supplies. No mid-term professionals coming to step in so that a veteran provider can take a much needed week of vacation. Fewer students entering the field because of the uncertainty around the future of international travel, entry restrictions, and overall ambivalence toward the future.   When all of these pieces add up, they create an untenable situation. Veteran missionaries on the field are left without help, without relief. They are overburdened and cannot sustain the workload. They find themselves spiritually, mentally, emotionally, and physically burned out and unable to go on. And as they leave the field, less people are entering the field, creating a spiral effect of what some would say is a 20-25% decrease in overall medical missionaries on the field. Unless we do something to dramatically change this trajectory, it will only get worse as those on the field have less and less human resources to rely upon. They are sticking it out for now, but how long can they really last?   According to MedSend President and CEO Rick Allen, over the last seven years, MedSend, which strategically funds qualified healthcare professionals to serve the physical and spiritual needs of people around the world, has been setting record numbers of applications each year. But those record numbers still equal out to that net zero we talked about earlier – the same number of people entering the field as coming home from the field. But over the past year, instead of the average 45 applications that MedSend typically approves, there were only 18. They have seen significant burnout and trauma on the field in the past 18 months and believe that in situations like these, we need significant interventions to stop the bleed. According to Allen, MedSend “recognized that there were challenges, but this has magnified them.”   What are the Solutions? So what would help sustain our current workforce of medical missionaries? The obvious answer is more workers. We need more healthcare professionals to go to the mission field and fill the gaps. But maybe the current pipelines just aren’t big enough to stem the tide…Then what?   Some other ideas that leaders in medical missions are thinking through include more opportunities for short term help. And not short term as in 2 weeks, which is just more of a burden on the field staff. But short term as in 3 months, which could be a truly significant asset. Maybe talk with Universities about how to collaborate to get medical students to do one of their rotations at field hospitals in international locations. Another idea is to have a professionals rotation. Workers sign up for two weeks at a time, but they go on a regular rotation so that field staff aren’t constantly taking up all their time training visitors.   Organizations like MedSend also realize that they want to prepare new missionaries more thoroughly before they head to the mission field. So often young missionary doctors and nurses are sent to the field only to be a burden to the veteran workers as they learn language, culture, low resource setting skills, etc. The young, inexperienced professionals get discouraged and end up leaving the field before they’ve ever had a chance to really settle in and find their groove. The responsibility of training these new professionals is a project that Jim Ritchie, with MedSend, is going to try to tackle. Jim served 25 years in the U.S. Navy. He was an emergency medicine residency director and deployed twice to combat support roles in Afghanistan. In Afghanistan, he developed an interest in combat medicine ethics and the psychological aspects of trauma relating to physicians working in difficult and under-resourced environments. He knows a little something about the challenges faced by those of you entering into medical missions. Jim is going to lead the Longevity Project, preparing and supporting MedSend Grant Recipients to handle the burdens which are unique to cross-cultural healthcare. He works closely with the mission organizations with whom MedSend partners to support them in their challenging responsibilities.

In India, it is not easy to witness to Urban dwellers about the Lord. Cannot go from door to door. Most of the church planting has been done in rural areas.Home based care gives health care workers an opportunity to develop relationships with our Urban non-Christian neighbors. More than 60 million Indians go below the poverty line each year due to medical care expenses. Often the hospital admissions and investigations are unnecessary. Home based care can help reduce health care expenses. We present what our home based care company PISCES health and Wellness is doing in India.

Refugees and Internally Displaced Persons (IDPs) face significant challenges to their health and well-being that are unique due to lack of necessary resources including food, water, sanitation, shelter, security, and healthcare. Caring for people in these situations requires an understanding of their unique needs as well as having realistic goals regarding what can and cannot be done for them. Our experiences in providing healthcare for the victims of disasters in Congo, Indonesia, Pakistan, Myanmar, Afghanistan, Honduras, Nepal, Kurdistan, and Turkey – both natural and manmade – highlight the need to be well prepared when serving in these difficult situations. We are called to serve “the least of these,” and the victims of disasters and crises certainly qualify. Often these events, though causing much hardship and suffering, create the possibility for doors and hearts to be open to the message of Jesus that otherwise would be closed. We must be both willing and well prepared if we are to serve well when we are called to respond to those in need.

The Changing Face of Missions in An Age of Pandemic: * Is to Help Christians see the Movement of the Holy Spirit in the Spread of the Global Church around the World in Spite of the Global Pandemic.

For the next few months, we are going to look at encouraging medical missionaries. We want to look at it from several different angles and get a real picture of what we can do to fortify those serving on the field, and we're going to start with the development of God-honoring boundaries. We are excited to have a guest blogger today, Jim Ritchie. Jim served 25 years in the U.S. Navy and was emergency medicine residency director, deployed twice to busy combat support roles in Afghanistan. Upon retiring as a captain from the Navy in 2013, he became a medical missionary and moved to Chogoria Mission Hospital in rural Kenya. In 2021, Jim and his family moved from Kenya to Virginia, where he now serves as VP of Partner Strategies with MedSend.   Missionary Burnout Is Epidemic and Preventable Missionary burnout is epidemic in the healthcare professions, in part due to a work ethic that prioritizes the needs of patients and places great responsibility for outcomes on the medical team. When members of the medical team go to the developing world, we encounter far greater need, far fewer medical workers, and far less control regarding outcomes. Ministry burnout seems inevitable. But when we embrace our God-given limitations and develop God-honoring boundaries, we can serve for full careers, staying healthy and with emotionally healthy families.   Mistaken Expectations We Christians can confuse ourselves by misunderstanding Scripture. Some verses may seem to imply endless physical endurance: "[T]hey shall run and not be weary; they shall walk and not faint," (Isaiah 40:31) or "I can do all things through [Christ] who strengthens me," (Philippians 4:13). But these verses are poetic metaphor and principle regarding hope in God and contentment, not a promise to be able to work without sleep. Instead, God gave us limitations. We must sleep. We must take time to build and maintain relationships. We are not in control of life and death. Ignoring our God-given limitations can be sinful. Embracing our God-given limitations can be worshipful. Even Jesus, in His earthly life, embraced His limitations. At times, Jesus sent the crowds away. Sure, He worked hard, sometimes even through the night. But at times, He stopped healing and went away, despite the disappointment of crowds of people. Unless we think we are "Super Jesus," able to work when He could not, we should do likewise. A swamp has no borders and no destination. No boundaries. The swamp is stagnant and breeds disease. A river has banks and a destination, and it is powerful and life-giving. The river has boundaries.   Setting Boundaries to Prevent Ministry Burnout Sometimes we can be hesitant to adopt boundaries, thinking that we are distancing ourselves from our calling. But healthy boundaries aren't like a huge, imposing stone wall with razor wire on top. Instead, healthy boundaries are like a substantial green hedge with a gate, and you are in control of the gate. At times, the gate is open, and we are in full contact with other people. At times, we close the gate to rest, prepare, build relationships, and work on other responsibilities. In establishing healthy boundaries, it's important to identify the driving idea. Is your life dictated by the work that needs to be done and by others' expectations of you? If so, the overwhelming needs will strongly tend to drive you toward what is burnout in practice: overwork, depletion, and eventual departure from the field. Or, instead, is your life guided by a recognition of your God-given limitations and assurance of God's love? If so, you can establish guidelines for healthy living and working. Resilience and the prevention of burnout address this tension directly and are worth working through before or during field service.   Healthy Boundaries in Practice A reasonable workweek. Healthcare missionaries carry many responsibilities: patient care, teaching, communicating with supporters, building relationships with spouse and children, growing in relationship with God, learning language and culture, resting for sustainability, and more. If we allow patient care to dominate our lives, we wind up with spiritual and relational anemia and failed duties. One pattern that has proven sustainable is a five-day workweek, with four clinical days and one day for other professional responsibilities. Allocate one day for community building or other ministries and one day for Sabbath. When adopted by the whole team, this pattern has proven restorative and sustainable. A limited queue of patients. An unlimited queue can lead to frustration for both medical staff and patients. A friend in a surgical specialty required a limitation of 30 patients per clinic and assigned a nurse as the gatekeeper. There was some initial pushback, but shortly this pattern became normal, and there was a new enthusiasm for caring for patients. This boundary usually should be associated with a triage plan so the neediest patients are prioritized. The same idea can be applied to ward rounds, meetings, and other recurring demands on a missionary's time. Missionary burnout accelerates when no structure exists to protect time, energy, and relationships.   Boundaries Need Boundaries Boundaries can divide teams if some members insist on them and others resist. This can produce resentment, accusation, and guilt—lamentable, especially because God loves unity in His people. It's very important to consider boundaries as a team dynamic. As often as possible, boundaries should be agreed upon by the entire team, especially leadership. We have also seen individual missionaries adopt so many boundaries that they do not integrate with their communities and do not become valued by hospital leadership. Even boundaries need boundaries. The development of God-honoring boundaries is a critical skill for healthcare missionaries. Such boundaries honor our God-given limitations, our many responsibilities, and our important personal relationships. May God guide you in honoring Him in this way.

As we see an increasing number of culturally diverse patients in our practices, there is no doubt of the importance of cultural competency in medicine. Specific circumstances and miscommunications have been well documented. But how can we develop an eye to see where a patient’s values and worldview may differ from our own? We will review an approach to cultural competency highlighted by medical missions case studies.

We’ve seen the church thrive around the world through missionary efforts. How do we leverage the impact of the global church to the nations where there is no church sharing all the things God has uniquely given us?

Failure is an unacceptable word in our society. Yet the Bible repeatedly shows God’s grace and mercy in finding us in our brokenness and in using us as His instruments when we are weak. This session explores what it means to fail in missions, how to (sometimes) avoid it, and how to get through it. Join us as we discuss what it looks like to thrive in missions and in life as we follow the Author and Perfecter of our faith.

Despite very different settings, HIV care in the United States and sub-Saharan Africa share a lot in common. This breakout session will explore similarities and differences in HIV care between these settings including the widespread challenge of HIV-related stigma.

Modern bioethics will be placed into millenia of scholarship. The major problem with bioethics is that it lacks an adequate base to be authorative; it assumes a moral consensus which no does not exist. Why societies that put loyalty first have different ethics from societies which put truth first will illustrate the missionary problem.

We have all witnessed how quickly the world has shifted and put our lives on pause. Short-term and long term sending has been halted in almost every major region of the world. In that, we have people God is calling to take the gospel to those places who are forced to wait. In this waiting, how do we walk alongside and guide our participants, donors, and teams through this unexpected season? Today we are going to walk through how to keep people engaged when we are not sending and some practical tips to help you care for and guide your team, participants, and donors in to missional living in the absence of sending. Resources Links: https://www.unitedstateszipcodes.org https://calendly.com/drewmiller/consult https://www.servicereef.com https://www.missionsmadesimple.com

This session is for those considering full-time missions internationally. Hear two healthcare missionaries, a doc and a nurse, share their journeys, key resources, and answers to your questions. Topics include: God's guidance, agencies, funding, singles, families.