ELAM (Latin American School of Medicine) Cuba
|Location||La Habana, Cuba
|Colors||Red and green|
Escuela Latinoamericana de Medicina (ELAM), formerly Escuela Latinoamericana de Ciencias Médicas (in Spanish; in English: Latin American School of Medicine (LASM), formerly Latin American School of Medical Sciences), is a major international medical school in Cuba and a prominent part of the Cuban healthcare system.
Established in 1999 and operated by the Cuban government, ELAM has been described as possibly being the largest medical school in the world by enrollment with approximately 19,550 students from 110 countries reported as enrolled in 2013. All those enrolled are international students from outside Cuba and mainly come from Latin America and the Caribbean as well as Africa and Asia. The school accepts students from the United States — 91 were reportedly enrolled as of January 2007. Tuition, accommodation and board are free, and a small stipend is provided for students.
An ELAM sister school operated by the Venezuela government and sited in Guri, Bolívar, Venezuela was scheduled to open in October 2006. However, it was only half built as of November 2008. The school is named Escuela Latinoamericana de Medicina A.P. Réverénd after French physician Alejandro Próspero Réverénd.
The main campus of Cuba's ELAM is in western Havana in the Santa Fe district of the municipio of Playa. This 1.2 km² campus is built on the site of an old naval academy and overlooks the sea. It consists of 28 buildings with 80 classrooms, 37 laboratories, five amphitheaters, dormitories, an infirmary, and other facilities. The campus facilities were designed to support approximately 3,500 students with those beyond the second year of the medical program being based at other medical schools around Cuba. In December 2006, approximately 3,300 students were reportedly housed on the campus. The US dorm is two stories, students sleep on bunk beds in rooms of five to twenty if the rooms are filled to capacity. The diet in the cafeteria mainly consists of rice, beans, and bread, with the main course varied from ground soy, rice mixed with shredded chicken or pork referred to as arroz con suerte, ham, liver, to chicken or pork. All meals and housing are provided by the school. They also provide uniforms, and monthly supplies, as well as a modest allowance each month.
In 2005, it was announced that the Francophone Caribbean School of Medical Sciences in Santiago de Cuba — a second key campus — had been incorporated into ELAM. All US students continue years 3 to 6 at Salvador Allende Hospital in Havana, Cuba.
The mission of ELAM is to make competent and cooperative doctors with the degree of MD (doctor of medicine), the same degree which is offered to medical graduates all over the Americas. The Latin American School of Medicine is officially recognized by the Educational Commission for Foreign Medical Graduates (ECFMG) and the World Health Organization. It is fully accredited by the Medical Board of California, which has the strictest US standards — which means that qualified US graduates of the Latin American School of Medicine are eligible to apply for residency placements in any state of the US.
It is preferred that ELAM students come from the poorest communities with the intent of returning to practice in those areas in their countries. Initially only enrolling students from Latin America and the Caribbean, the school has become open to applicants from impoverished and/or medically underserved areas in the United States and Africa. As part of Cuban international cooperation, ELAM is also training 800 medical doctors from Timor-Leste. 
The scholarship includes full tuition, dormitory housing, three meals per day at the campus cafeteria, textbooks in Spanish for all courses, school uniform, basic toiletries, bedding, and a small monthly stipend of 100 Cuban pesos ($4). The scholarship does not include travel expenses to and from school which is not necessary in the first three out of six years as all classes during those years are walking distance from the dorms. The scholarship also does not include travel to and from Cuba.
The Cuban government offers new students annual entry to the Latin American Medical School. The application is processed through the accredited Cuban diplomatic missions in the student's home country. It is necessary to contact the Cuban Embassy or Cuban Interests Section to request accurate information. The application process has been designed especially for young people from economically disadvantaged families who meet the following requirements:
- High school diploma
- High school transcripts
One of these two documents should come with the stamp of the Ministry of Education from your country, or International Relations Department from your country, or embassy or the Cuban interests office in your country.
- Birth certificate
- Certificate of Health including HIV test and pregnancy test.
- Age not exceeding 25 years at the time of enrollment.
- Be physically and mentally fit to pursue medical studies.
- Criminal Records.
- Scholarship application form
- Five photos 3cmx3cm (International Relations); six photos 2cmx2cm (Registrars Office)
- Documents for registration required for filing at the Registrars Office
To be considered for the US scholarship program, applicants must be US citizens (with a US passport), between the ages of 18 and 25, with proficiency in college-level sciences, and a commitment to practice medicine in low-income and medically underserved communities in the US after graduation.
- For a detailed English language ELAM curriculum plan, see the external links.
ELAM's pedagogical philosophy centers on intensive tutoring and advising. All courses are taught in Spanish.
The pre-medical program includes courses in health sciences, chemistry, biology, math, physics as well as a 12-week intensive course in the Spanish language. The medical program begins every September and is divided into 12 semesters. Students study at the ELAM campus for the first two years before completing their studies at one of Cuba's 21 other medical schools, including a one-year rotating internship. The Cuban medical training model emphasizes primary healthcare, community medicine and hands-on internship experiences.
ELAM was first conceived — reportedly from an idea by President Fidel Castro himself — as part of Cuba's humanitarian and development aid response (known as the "Integral Health Plan for Central America and the Caribbean") to the devastation caused by Hurricane Georges and Hurricane Mitch in 1998, which affected several countries in Central America and the Caribbean, including Cuba. In all more than 11,000 people died in the resulting floods and mudslides. In response 500 full medical scholarships per year for the next decade were offered by the Cuban government to students from four countries — the Dominican Republic, Haiti, Honduras and Nicaragua — seriously affected by the hurricanes.
Upon arriving in the mostly rural areas, the Cuban doctors discovered that many people suffered chronic, long-term illnesses. Instead of broken bones, they were treating river blindness and stunted growth. In places like the Mosquito Coast of Honduras, the Cubans were the first doctors the patients had ever seen. In support of this plan, ELAM was opened in March 1999 and started its full medical program in September 1999 with approximately 1,900 student in its initial classes. On November 15, 1999, Castro officially inaugurated ELAM at as Havana hosted the 9th Ibero-American Summit (at this time, ELAM had 1,929 students from 18 countries).
The first class of 1,498 ELAM doctors graduated on August 20, 2005, with 112 from other Cuban medical schools: 28 other countries in Latin America, the Caribbean, and the United States were represented by the graduates. The ceremony was led by Castro and Venezuelan President Hugo Chávez. Reportedly attending were Prime Minister Baldwin Spencer of Antigua & Barbuda, Prime Minister Roosevelt Skerrit of Dominica, Prime Minister Keith Mitchell of Grenada, President Martín Torrijos of Panama, Prime Minister Denzil Douglas of St. Kitts & Nevis and Prime Minister Ralph Gonsalves of St. Vincent & the Grenadines as well as high-ranking government representatives of The Bahamas, Barbados, Belize, the Dominican Republic, Ecuador, Grenada, Guatemala, Guyana, Jamaica, St. Lucia, Suriname and Trinidad & Tobago.
Cooperation with the United States
In June 2000, a US Congressional Black Caucus (CBC) delegation visited Cuba to meet with Castro. Representative Bennie Thompson (D-Miss.) mentioned to Castro that his district had a shortage of doctors; he responded by offering full scholarships for US nationals from Mississippi at ELAM. Later that same June, in a Washington, D.C. meeting with the CBC, the Cuban Minister of Public Health expanded the offer to all districts represented by the CBC. At a September 2000 speech event at Riverside Church, New York City, Castro publicly announced a further expanded offer which was reported as allowing several hundred places at ELAM for medical students from low-income communities from any part of the USA. Reports of the size of this offer varied in the US press: 250 or 500 places were suggested with perhaps half reserved for African-Americans and half for Hispanics and Native Americans. The ELAM offer to US students was classified as a "cultural exchange" program by the US State Department to avoid the restrictions of the U.S. embargo against Cuba. The first intake of US students into ELAM occurred in spring 2001, with 10 enrolling in the pre-medical program.
In 2004, the legality of the presence of US students at ELAM was threatened by tightened restrictions against travel to Cuba by US nationals under the administration of President George W. Bush. A CBC campaign led by Representatives Barbara Lee (D-Calif.) and Charles Rangel (D-NY) with 27 other members of Congress persuaded Secretary of State Colin Powell to exempt ELAM from the tightened restrictions.
Applications from US citizens had been administered through the New York City-based Interreligious Foundation for Community Organization (IFCO), headed by human rights activist and critic of the U.S. embargo of Cuba, the Rev. Lucius Walker Jr.
Cooperation with Pakistan
The 2005 Pakistan earthquake (also known as the 2005 Kashmir earthquake, the South Asian earthquake or the Great Pakistan Earthquake) was a major earthquake centered in Kashmir and in North West Frontier Province (NWFP) near the city of Muzaffarabad, Pakistan. In the international response to the 2005 Kashmir earthquake many countries, international organizations and non-governmental organizations offered relief aid to the affected regions.
Cuba offered 1000 scholarships in medicine for Pakistani students. The project was handed over to Higher Education Commission of Pakistan, which selected the students from all over the country. The first batch of approximately 312 students arrived Cuba in February 2007 and the second batch joined them the following year. In accordance with the ELAM's rules, the students received a one-year language course in Spanish which included a premedical certificate. After the completion of the Spanish language course, all the students were moved to the different campuses of ELAM situated in other provinces, where these students are studying with other students from 50 countries and will receive an MD degree after completion of their 6 years medical studies, that includes one year of internship at affiliated hospitals. The first batch of 298 Pakistani students has been graduated and returned to Pakistan and the second batch of more than 600 students is expected to graduate in February 2015.
- ¡Salud! — a 2006 documentary film directed by Connie Field on Cuban international medical outreach. ELAM is one of the primary subjects.
- 1998 Atlantic hurricane season
- http://www.thestar.com/news/world/2012/06/02/cubatrained_doctors_making_difference_around_the_world.html accessed Aug.31 2014
- ¡Salud! - Synopsis, ¡Salud! documentary website; accessed Feb. 2, 2006
- "Dr Diplomat", The Economist magazine, Jan. 25 2007
- "Affirmative Action, Cuban Style", Fitzhugh Mullan, The New England Journal of Medicine Vol. 351, No. 26, Dec. 23 2004
- "Cuba spreads medical care as political tool", DeWayne Wickham, USA Today, Jan. 30 2001
- "Path to becoming a doctor via the third world", Paul Nussbaum, The Philadelphia Inquirer, Dec. 3 2006
- "Cuba, Venezuela bring medical care to Bolivia", W. T. Whitney Jr., People's Weekly World, Jun. 10 2006; accessed Feb. 4 2007
- Official website of Latin American School of Medicine A. P. Réverénd; accessed Feb. 5 2007
- Key Address by Dr. Fidel Castro Ruz, President of the Republic of Cuba, at the Inauguration of the Latin American School of Medicine, Havana, November 15 1999, Cuba.cu (Cuban Government); accessed Feb. 8 2007
- LASM Medical School Scholarship Program Brochure, IFCO website, accessed Feb. 2 2007
- "Where There Were No Doctors: First MDs Graduate from Latin American Medical School", Gail A. Reed, MEDICC Review Vol. VII No. 8, Aug./Sept. 2005; accessed Feb. 4 2007
- "First Graduation of the Latin American School of Medicine/Ceremony attended by heads of state and government", Mireya Castaneda, Digital Granma Internacional, Aug. 23 2005; accessed Feb. 5 2007
-  Scaling-up the medical workforce in Timor-Leste: Challenges of a great leap forward J. Cabral, G. Dussault, J. Buchan & P. Ferrinho (2013) Social Science & Medicine, vol. 96, issue C, pages 285-289
- "Castro Makes a Dream Offer: Plan for free medical education greeted by some with skepticism", Ellen Yan, Newsday, Feb. 28 2001
- How to Apply ELAM
- "Havana Journal; Hippocrates Meets Fidel, and Even U.S. Students Enroll", Marc Lacey, The New York Times, Dec. 8, 2006
- Cuban Embassies official website, Cuban Ministry of External Relations; accessed Feb. 5 2007
- Medical School Scholarship Program FAQ, IFCO website, accessed Feb. 2 2007
- "Castro's Guests Give Dissidents a Hearing", Serge F. Kovaleski, The Washington Post, Nov. 17 1999
- "Summit in New York: The Cuban Leader; Friendly Crowd Provides Castro With a Soapbox", Edward Wong and Chris Hedges, The New York Times, Sept. 9, 2000
- "8 Americans in Havana Are Med Students With a Mission", Mark Fineman, The Los Angeles Times, May 1, 2001
- ELAM (Cuba) official website (in Spanish)
- ELAM US Alumni Association
- IFCO Medical Scholarship Program for ELAM (Cuba) website
- Latin American School of Medicine A. P. Réverénd (Venezuela) (in Spanish)
- A Student Perspective on ELAM and its Educational Program