Welcome | Bienvenidos | Alli Shamushka

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We are a non-profit international Medical Spanish immersion program located in the Andean highlands of Ecuador. 

“Cachamsi”(Cacha Medical Spanish Institute) is one of the few international medicine rotations that offers structured & professional Medical Spanish classes, Clinical Preceptorships within Ecuadorian Hospitals & Clinics as well as volunteer opportunities among a unique indigenous population. Our participants will spend at least 6 hours per day (30 hours per week) under the supervision of a licensed Ecuadorian physician on the faculty staff at one of the hospitals in Riobamba. Participants will gain an appreciation of Medical Spanish Linguistics, cross-cultural medicine, and enjoy a vibrant and stimulating experience in Ecuador.  At the same time, Dr. Jorge Duchicela (Cachamsi Director in the United States) will evaluate their work by communicating with their clinical preceptors, staff and Medical Spanish Professors. Dr. Duchicela then will provide a written evaluation of their work.

We are a nonprofit organization, meaning that all proceeds obtained through fees are reinvested within the organization for social programs, medical equipment, curriculum improvements, and salaries for the educators and employees. Administrative directors of Cachamsi work on a volunteer basis.


Over 14 Years of Medical Spanish Immersion and Clinical Preceptorship Experience

Flexible Dates and Housing Options

Over one thousand participants from over 60 medical and academic institutions (List of Universities that have participated with us HERE)

Option to obtain the Medical Spanish Clinical Certification (Clinician Cultural and Linguistic Assessment CCLA)

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Overview of Cachamsi Medical Spanish Program


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Making a Difference

Jorge Duchicela, MD, FAAFP, named Physician of the Year

In receiving the award, Duchicela said, “I am convinced that when the physician lives in the patient’s community and is involved in the area’s activities, this allows unsurmountable benefits to the patient, the community and the physician. I am honored to receive this award!”
— Jorge Duchicela MD. | Cachamsi Founder
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