IDF soldiers on leave — who join the trip for about five days. Selected specially for our medical Birthright trip, we were joined by IDF medics, an IDF physician and one post-IDF Hebrew University medical student. This not only gave our students the opportunity to ask many questions about everyday life and the military experience in Israel, but the five days of camaraderie also allowed them to establish a more personal connection to Israel and Israelis. This connection was made jar- ringly real during our visit to Mount Herzl, Israel's military cemetery While we were all moved by reading grave marker after marker docu- menting the tragic losses of so many young lives, the students were taken aback by two of the more recent graves, on which family members had placed meaningful memora- bilia from the lives of their deceased sons, including Birthright name tags with their names on them, in- dicating that they had accompanied Birthright groups at some point. This observation, combined with their new friendships with current IDF soldiers, suddenly put a very personal face on the stories they hear about Israel, war and terror- ism. For the first time, and for the foreseeable future, these students now "have skin in the game," and will feel a much more personal and emotional connection to the news stories they watch on TV and the Internet. JEWISH AND PROFESSIONAL While not traipsing around Is- rael on Birthright trips, I serve as associate dean and director of graduate medical education at Beaumont and the Oakland Uni- versity William Beaumont School The medical Birthright group in Israel of Medicine. In this role, I work with young interns, residents and fellows as they transition from newly graduated physicians to their next stage of learning, experienc- ing and forging their identities as medical or surgical specialists and subspecialists. On Birthright, my role was similar — with one additional ele- ment. During this critical period of identify formation for these medi- cal, nursing and other health care students, I had the opportunity to explain, demonstrate and model how one's professional identity as a physician could be integrated into one's identity as a Jew with a love of Israel. This was accomplished through a series of several 10-min- ute presentations throughout the trip, on the bus and at meals, on topics that combined their growing interests in medicine, Judaism and Israel. One example was a brief talk on communal responsibility, citing two examples from the Bible and two from medicine. Another dealt with the often-misunderstood Jew- ish view on organ transplantation, including the status of this proce- dure in Israel, where, like in the U.S., it is both allowed and often encouraged by religious authori- ties, yet a scarcity of donors results in many people dying while on the waiting list. We discussed the concept of pi- kuach nefesh — the Jewish concept that a physician (and everyone else!) can and must push aside the stringencies of Shabbat to save a life — and even, in certain cases, for the mental well-being of a stricken individual. We also discussed the widely accepted, but less-often followed Jewish principle that "... Thou Shalt Love Thy Neighbor as Thy- self" (Leviticus 19:18). We focused on both components of that pre- cept — the need to love and take care of oneself in order to function optimally as a person and as a phy- sician, and the need to love others, which, if followed, necessitates the kind and compassionate approach that we must adopt with all of our patients, leaving no stone unturned as we do everything possible for their well-being. During our conversations with Israeli physicians, our students learned how that precept is fol- lowed by their Israeli medical counterparts through the care ren- dered by medical teams consisting of Jews, Christians and Muslims, all working together to provide medical care and lovingkindness to a similarly mixed patient popula- tion. PLANTING THE SEED At one point during the trip, we joined with all the Birthright trips from 10 countries that were in Israel at the same time for a "Mega-Event," which was held in the ancient amphitheater in Cae- sarea near the Mediterranean Sea. During the evening of song and celebration, it was announced that this summer attained a milestone of 500,000 Birthright participants since the program began in 1999. Studies have demonstrated a number of tangible markers of enhanced Jewish identity and sense of personal connection to Israel among those who experienced a Birthright trip compared to their peers who did not. Speaking only for the group of 38 whose experience I shared, I am certain that every one of them enjoyed the experience, learned a great deal about Israel, developed a more realistic and deeper under- standing, and left with a stronger and more personal connection than when they arrived. I am less convinced that they will retain that same feeling without re- peated infusions of input, whether by subsequent participation in communal organizations, syna- gogues, formal or self-education, Israeli art and culture, or activities of the APF that sponsored their trip. For my very first time, I entered the world of Facebook just prior to the trip, with the intention of maintaining an ongoing relation- ship and influence during these next formative years. In the prescient words of Hagai, our Israeli tour guide, Birthright successfully planted a wonderful seed. Without any watering, it has very little chance to develop. With a little bit of water, it will grow a little bit. With repeated watering and tending, it will thrive and blos- som. My hope is that this medical Birthright experience will promote lifestyles in which their dedication and commitment to the compas- sionate and tireless practice of medicine will combine seamlessly with their appreciation of their Jewish heritage and their love of Israel. RT JEFFREY M. DEVRIES, M.D., M.P.H, of Hun- tington Woods is associate dean and professor at Oakland University William Beaumont School of Medicine and director of graduate medical education at Beaumont Health. He is also on the board of the American Healthcare Professionals & Friends for Medicine in Israel (www.apfmed.org ).The views expressed here are his own, and do not represent the views of any of these organizations. Birthright participants listen to an IDF soldier explain how they deal with medical emergencies in the field. RED THREAD I October 2015 49