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MSF finds it difficult to secure funding, as they rely on private donations that may not be steady as the economy changes. They also are challenged by finding qualified staff to provide medical care. Finally, they struggle with keeping their staff safe in hostile conditions.

It does not appear that this program bestows any certifications or licenses upon its graduates. This being said, students can earn an undergraduate degree or a graduate certificate from following this course of study.

This report doesn't have a great deal of impact with technical professionals. This report is much more geared toward those in the government in Colombia and actors in the international community. The report touches on the fact that hospitals and clinics are obligated to provide all persons with emergency care, but doesn't address emergency medicine more than that.

Outside of this class and STS 6834 at Virgina Tech, it was difficult to find other places where this article was referenced. Because the article was published as part of a collection of articles related to this same topic, I assume that those who purchase the book for educational and research purposes read and discus the article at some length.

The citations ranged widely. Many of the citations at the beginning of the article seemed to not be related to treatment as much as they were to social issues. There were also several articles that the authors referenced that the authors had written previously. Finally, there were also articles relating to treatment and statistics based on different treatment strategies on micro- and macro-scales. These citations show that the authors may have a decent support in social reform. I'm not sure how common it is to cite your own works as fact in academia, so I will withhold comment on that.