International Educator - November/December 2016 - 41

Part Three (see left) is reserved for students with
chronic conditions that have occurred in the last five
years, or for which they are currently under treatment. In
this case, students should be expected to see their treating
practitioner, who would verify that the necessary components of a medical management plan were discussed. Part
Three is not meant to denote medical "clearance" or serve
as a health record noting the condition. It should instead
trigger a follow-up communication with the student regarding medical management planning, such as referral
to your medical assistance provider.

Medical Emergencies
An antiquated argument for the collection of complete
health histories (that are retained by accompanying faculty or staff ) is so that the information can be provided
to emergency room staff in the event of a medical crisis
abroad. However, this means that nonmedical professionals have access to private health information, not all
of which may be relevant to travel. In truth, the likelihood that the accompanying employee would be in the
presence of the student at the time of an emergency,
and would have this information on hand, is remote. In
most cases, a student in medical distress is conscious and
would be able to disclose her health history in the first
minutes following an incident. Any traveler with a lifethreatening condition, medication allergy, or who is on
a medication that would cause complications when rendering emergency care while unconscious should wear a
medical identification tag.

SHUTTERSTOCK/ SOLOMA

Prepare for the Unexpected
(or Undisclosed)
It's important to realize that no process or approach will
elicit disclosures of health conditions from all our students. There will always be students who honestly forget
or deliberately withhold information. As a result, as best as
we can, we must be prepared to respond to an emergency
health care need resulting from an undisclosed (and in
some cases unknown) pre-existing condition in the same
way that we are charged to support a student who discloses such conditions in advance.

Focus on Chronic Conditions
Under Current or Recent Treatment

C

ampus health professionals agree that suggesting students disclose
a complete medical history is unnecessary. Surgery for tonsillitis
at age 10 or repairs to a torn ACL at age 14 are generally irrelevant

for the purposes of study abroad. Encouraging the disclosure of chronic
medical conditions currently in treatment or those having occurred within
the last five years is more pertinent. Examples include, but are not limited
to: anxiety, asthma, attention deficit disorder, concussion, Crohn's disease,
depression, diabetes, eating disorders, HIV, irritable bowel syndrome, and
physical disabilities or limitations.
Allergies to food, insects, or animals are important only if exposure could
be life-threatening or if the student would need assistance seeking treatment.
There is widespread agreement that it is generally not necessary to know
about routine conditions such as mild-to-moderate allergies to dust or pollen
(especially if controlled by over-the-counter medications), or birth control.

medical resources, whether directly or indirectly. It should
include widespread training of employees who may be in
receipt of health information from a student, so they can
respond in an informed and compassionate manner. Over
time, as your cohort of satisfied, successful students return
from abroad, the number of (and the comfort level with)
such disclosures will increase.
IE
JULIE ANNE FRIEND is the director of the office of global
safety and security at Northwestern University. Her last
article for IE, "When a Student Dies Abroad: Preparing for the
Ultimate Tragedy," includes helpful planning and response
checklists and was published in the health and insurance
supplement with the November/December 2014 issue.

Conclusion

Acknowledgments

Encouraging students to share information to promote
health care management abroad requires a thoughtful,
organizationwide approach that reflects your access to

Special thanks to Bill Powell, area executive vice president,
Gallagher Higher Education Practice, Arthur J. Gallagher
Risk Management Services, Inc., Chicago, Illinois,
who contributed to this article.
N O V + D E C .16 INTERNATIONAL EDUCATOR

41  



Table of Contents for the Digital Edition of International Educator - November/December 2016

From the Editor
In Brief
Voices
Act Globally
Tradition and History
Health and Insurance
Education Abroad
International Enrollment
View From Out Here
In Focus
International Educator - November/December 2016 - Cover1
International Educator - November/December 2016 - Cover2
International Educator - November/December 2016 - 1
International Educator - November/December 2016 - From the Editor
International Educator - November/December 2016 - 3
International Educator - November/December 2016 - In Brief
International Educator - November/December 2016 - 5
International Educator - November/December 2016 - 6
International Educator - November/December 2016 - 7
International Educator - November/December 2016 - 8
International Educator - November/December 2016 - 9
International Educator - November/December 2016 - 10
International Educator - November/December 2016 - 11
International Educator - November/December 2016 - Voices
International Educator - November/December 2016 - 13
International Educator - November/December 2016 - 14
International Educator - November/December 2016 - 15
International Educator - November/December 2016 - Act Globally
International Educator - November/December 2016 - 17
International Educator - November/December 2016 - 18
International Educator - November/December 2016 - 19
International Educator - November/December 2016 - 20
International Educator - November/December 2016 - 21
International Educator - November/December 2016 - 22
International Educator - November/December 2016 - 23
International Educator - November/December 2016 - 24
International Educator - November/December 2016 - 25
International Educator - November/December 2016 - Tradition and History
International Educator - November/December 2016 - 27
International Educator - November/December 2016 - 28
International Educator - November/December 2016 - 29
International Educator - November/December 2016 - 30
International Educator - November/December 2016 - 31
International Educator - November/December 2016 - 32
International Educator - November/December 2016 - 33
International Educator - November/December 2016 - 34
International Educator - November/December 2016 - 35
International Educator - November/December 2016 - Health and Insurance
International Educator - November/December 2016 - 37
International Educator - November/December 2016 - 38
International Educator - November/December 2016 - 39
International Educator - November/December 2016 - 40
International Educator - November/December 2016 - 41
International Educator - November/December 2016 - Education Abroad
International Educator - November/December 2016 - 43
International Educator - November/December 2016 - 44
International Educator - November/December 2016 - 45
International Educator - November/December 2016 - 46
International Educator - November/December 2016 - 47
International Educator - November/December 2016 - International Enrollment
International Educator - November/December 2016 - 49
International Educator - November/December 2016 - 50
International Educator - November/December 2016 - 51
International Educator - November/December 2016 - 52
International Educator - November/December 2016 - 53
International Educator - November/December 2016 - View From Out Here
International Educator - November/December 2016 - 55
International Educator - November/December 2016 - In Focus
International Educator - November/December 2016 - Cover3
International Educator - November/December 2016 - Cover4
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