This elective took place at Hospitalito Atitlán, which is located in the town of Santiago Atitlán, Guatemala. This hospital serves approximately 75,000 indigenous Mayan Guatemalans who live along the beautiful Lake Atitlán. It is a clinical elective, with volunteers providing 24 hour solo coverage in the ED. The hospital also provides primary care, prenatal care, and labor and delivery services; last time I was there, they were expanding their capability to provide surgical obstetrics. It is a true emergency medicine elective: the breadth of cases included cardiac arrest, fracture reduction and splinting, deliveries, neonatal resuscitation, pediatric respiratory disease, etc. One of the best aspects of this hospital is that while serving an indigent community in need, the hospital also has the resources so that you as a clinician can provide a high level of care. You are challenged to work independently, without the supervision of an attending, and you must become more thoughtful about your work because the patients cannot afford for you to be wasteful.
Lastly, this hospital is located in a beautiful part of the country. The lakes is surrounded by volcanos, and on my days off I would take a boat across the lake, settle into a hammock, and read a good book while enjoying the most amazing view.