GHEI hosted an American emergency medicine physician, Dr. Daniel Patenaude, for a training assessment visit in September. His goals were to better understand the health system and health care delivery in Bibiani District, GHEI’s role within the health system and its priorities. He also hoped to forge relationships with the district health leaders and to conduct training on topics related to emergency medicine. On all accounts, his visit was successful. It culminated in a half-day training on the initial evaluation of a trauma patient and on treating shoulder and hip dislocations.