“Never Stop Learning”: Two Ukrainian Physicians Reflect on GMKA-Supported U.S. Observership to Improve Burn Care in Ukraine
This year, two Ukrainian physicians spent four weeks immersed in some of the most advanced medical centers in the United States, thanks to a Clinical Observership program. The initiative was made possible by the Global Medical Knowledge Alliance (GMKA), in collaboration with the Christian Medical Association of Ukraine, Heal Ukraine Group, Mass General Brigham, and Shriners Hospitals. For the observers, the experience went far beyond witnessing cutting-edge medicine — it was a chance to bring home new ideas that could help transform burn care in Ukraine.
Burn and reconstructive surgeon Dr. Halyna Saian and pediatric anesthesiologist Dr. Anna Lopachuk took part in observership training at Massachusetts General Hospital, Shriners Children’s, and Brigham and Women’s Hospital. They observed leading specialists in action, participated in multidisciplinary rounds, and returned with both practical knowledge and renewed inspiration.
“What struck us most,” said Dr. Saian, “was how seamlessly different specialties work together. Here, doctors collaborate in highly motivated, multidisciplinary teams, using innovative technologies and evidence-based research to manage complex cases. It showed us how integrated care can truly elevate patient outcomes. With the right team, the impossible becomes possible.”
One of their biggest takeaways was the emphasis on lifelong learning. Weekly training sessions, case reviews, and collaborative discussions weren’t add-ons — they were embedded into the routine as a core part of the culture.
“They never stop learning,” Dr. Saian noted. “It’s normal for teams to come together every week to study something new, revisit what they already know, and find ways to improve. That mindset is something we want to bring back.”
Another significant difference they observed was the role of nurses in U.S. hospitals. Nurses are empowered to take on responsibilities that, in Ukraine, would typically fall to physicians — making the entire system more efficient and resilient.
“A doctor might spend the whole day in surgery and still be confident their patients are well cared for,” said Dr. Lopachuk. “Nurses handle monitoring, adjust treatments when needed, and take charge of wound care. The number of nurses directly impacts quality — it means higher hygiene, fewer antibiotics, lower risks of complications, better survival rates, and shorter hospital stays.”
Beyond the clinical training, both Ukrainian physicians said one of the most valuable lessons they learned was about teamwork and communication.
“We visited hospitals known worldwide for their excellence in burn treatment,” said Dr. Lopachuk. “They collaborate across institutions, conduct research, and apply cutting-edge technologies. But what left the biggest impression on me wasn’t just the technology — it was how much emphasis they place on being able to speak up, to listen, and to hear one another. That’s how you grow as a team.”
Since returning to Ukraine, Dr. Saian and Dr. Lopachuk have already begun sharing what they’ve learned — through presentations, team discussions, and changes to their hospital practices. But their vision goes beyond their institutions.
“I’ll be giving presentations to physicians, nurses, and hospital administrators, sharing what I saw and learned,” said Dr. Saian. “From there, I plan to introduce changes gradually — in clinical care and how we organize our teams.”
Dr. Lopachuk added, “I’m starting with my hospital, but I’m thinking ahead, too. I want to support broader changes in the system — finding new projects, pursuing more observerships, and maybe even involving American colleagues in launching burn care training programs in Ukraine. Step by step, we can get there.”