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Dr. Rafi Boehm<br />

Committed To The Community<br />

20 BGU NOW<br />

I<br />

t is now nearly three decades<br />

since Dr. Rafi Boehm’s first<br />

involvement with the Negev<br />

development town of Yerucham.<br />

Boehm’s connection to Yerucham<br />

began when he was an internal<br />

medicine resident at the Goldman<br />

Medical School and working in the<br />

Soroka University Medical Center.<br />

At the time, there was a crisis in<br />

Yerucham’s health services and the<br />

development town was left without<br />

a single physician. Boehm was<br />

determined to find a solution for the<br />

ailing community and together with<br />

his mentor, Prof. Shimon Glick,<br />

developed the “Yerucham Project.”<br />

“Basically, the program was that<br />

a group of medical residents in the<br />

Faculty of Health Sciences<br />

volunteered to spend a few months<br />

of their residency in Yerucham. That<br />

was how we made sure that there<br />

would always be at least one or two<br />

residents manning the Yerucham<br />

clinic at any given time,” explains<br />

Boehm.<br />

“Thus, we managed to solve the<br />

crisis and provide basic medical<br />

services to the town, but I was not<br />

satisfied. After all, the residents<br />

alternated all the time, creating a<br />

turnover problem; patients were<br />

constantly shuffled between<br />

different doctors. Meanwhile I had<br />

grown close to the community and<br />

had become acquainted with their<br />

needs. So I decided to volunteer a<br />

day or two a week, beyond the<br />

program requirements, to maintain<br />

some continuity of care and provide<br />

stability to the town’s residents.”<br />

Boehm finished his residency in<br />

1981, together with the very first<br />

graduating class. At the time, there<br />

was a graduate program in which<br />

the new doctors committed<br />

themselves to one or two years of<br />

service to the community, most of<br />

them in the Negev, before<br />

continuing on with residency<br />

specializations. An average of two<br />

graduates volunteered for<br />

Yerucham each year. Though they<br />

were committed caregivers and<br />

eager to help, they were<br />

inexperienced physicians who only<br />

spent a year in the community.<br />

“So, again, the town was faced<br />

with the same problem: adequate<br />

medical care on the one hand, but<br />

turnover on the other,” explains<br />

Boehm. “I decided to volunteer my<br />

time and dedicate two days a week<br />

in Yerucham, to maintain continuity<br />

I always try to<br />

stop by and check<br />

up on ‘my’<br />

patients and<br />

show that the<br />

human touch is<br />

most important<br />

of all<br />

and contact with the population.”<br />

By this time, he was an internal<br />

medicine physician with five years<br />

experience and three years contact<br />

with the town. “I estimate that I had<br />

visited about 70 percent of the<br />

households in Yerucham,” he says.<br />

“I was the address for problematic<br />

or chronic patients, and I guided the<br />

rotating new doctors as well.”<br />

This situation continued for about<br />

six or seven years. During that time,<br />

the graduate program unfortunately<br />

ended and the massive immigration<br />

from the former Soviet Union began.<br />

As a result, newly-arrived<br />

immigrant physicians were sent to<br />

Yerucham. These doctors came from<br />

a completely different cultural<br />

background than the residents and<br />

had no experience with Israel’s<br />

medical system. Again, Boehm felt<br />

that his input was needed. “It was<br />

the same scenario all over again in<br />

a different guise,” he says.<br />

”I continued to volunteer in the<br />

town, instructing the new immigrant<br />

doctors.”<br />

In 1993, Boehm initiated another<br />

Yerucham project within the<br />

program for community-oriented<br />

primary medical care: a group of<br />

internal medicine residents<br />

committed themselves to working<br />

in Yerucham while in-residence. This<br />

was coupled with a philanthropic<br />

endeavor of the Sacta-Rashi<br />

Foundation, which financed one<br />

additional physician in Yerucham<br />

beyond the standard “allotment” of<br />

the health fund.<br />

“The program was very<br />

successful,” says Boehm. “These<br />

were no longer inexperienced<br />

medical students, but full-fledged<br />

physicians, and they guided the<br />

newly arrived immigrant doctors in<br />

the town. Seven residents completed<br />

the program, two of whom accepted<br />

full-time positions in the town after<br />

their residency. The others went to<br />

other places in the Negev.”<br />

Yet Boehm remained involved.<br />

“Even now, I maintain the Yerucham<br />

human connection,” he says. “Today,<br />

I am Deputy Chairman of Internal<br />

Medicine Department A at the

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