In preparation for your participation in the Cabo mission clinic, I am sending thoughts before your departure for the sake of clarity. The project remains a "work in progress" and as I bring Teams, I have learned that some aspects require greater clarity to avoid misunderstandings. While I hope that none of these thoughts will be surprising (if not entirely obvious) I have come to appreciate that it isn't always the case. This is my best effort to make sure we are on the same page during your time here!

1. Transportation.  In the past our groups needed two cars to get around to and from the hotel and clinic. If you decide to rent a car, I'd recommend that you shop around for the best price. It is highly recommended to get FULL insurance. Even if your credit card says it will cover your insurance, the Mexican laws are different and it is advisable to get the full insurance package. It is expensive, but (in my opinion) worth it. For a standard vehicle (like a Nissan Sentra) the cost is usually $40/day, which includes full insurance. NOTE: more recently, groups have become increasingly dependent on Ubers since they are cheaper than renting. I think it's a pretty good idea, but diminishes your flexibility. If you are staying at the RIU, you will need to drive into town each time, since it is not "walkable." This is entirely up to you to decide.

2. Social activities. The entire group is not attached at the hip. We don’t do everything together and there is no implication if some decide to "pass" on a given activity. There should be no hurt feelings or sense of rejection if some people take a side trip, go bar-hopping, want to para-sail while others do not. Groups have time with each other at the clinic as well as some of the meals, but I recommend each person do whatever he/she wishes without expectations of others' wishes. My goal is for each person to have a wonderful volunteer experience and some vacation time and that can take on many different forms. It’s good to agree that some things are shared and others are not.

3. Dinner bills are difficult. When we eat together (if you choose to eat somewhere other than the RIU) waiters are NOT very good there about splitting bills-- they usually present a group with one bill so that everyone is trying to figure out how much she/he owes. Some people have pesos, others have dollars and still others have a VISA (when it is accepted) so the end-of-dinner ordeal can be trying. Previous groups have asked if the bill can be split and have had some luck, but generally not. It is very helpful if groups pay together and then figure it out later. Some groups have literally sat at tables for a half hour trying to determine who owes what!

4. Clinic equipment and materials. The clinic has been set up according Dr. Psaltis's normal office materials and equipment. That may not include everything that your Team uses in your office, so it is appreciated if everyone can be flexible and figure out a way to "make do" with what is there. It has taken lots of energy and time (and cost) to make the clinic a possibility and the focus is on the children who come to see us, not on which little widget is missing or which material a person wishes he/she had. Everything that is necessary to accomplish excellent pediatric dental procedures is here, but the clinic isn't a replica of yours. If you have any “must have’s” please let Dr. Psaltis know, but as a rule, you will find that the clinic is rather well equipped. I do recommend you bring your own loupes (if you normally use them) and your own masks (since there are so many variations with pink/blue, over-the-ear/cup, etc). The clinic is now stocked with plenty of N95 masks due to COVID, so if they are your "norm," you won't need to bring any. There are NO gowns or jackets in case you normally use them. If you want them, you will need to bring your own. There are gloves there, but it is difficult to stock small/medium/ large in nitrile/latex/powderless, etc, so these are also items you may want to bring one box for each person to suit everyone's specific needs. The local dental supply house is actually well stocked, but does not always have exactly what is needed. We had a Dry Shield system donated, but we discovered that it over-taxed the compressor and it will no longer be available. There is rubber dam for isolation and we do occasionally have patients who need only sealants and we also have dri-angles and cotton rolls, so I hope you will find a way to operate in the existing facility without difficulties.

5. Scheduling is erratic but getting much better. The clinic is a work in progress. It is typically busy and efforts were made to show the ADLN staff members who call the parents how to best arrange appointments. Up until now, there has been no considerations given to booking children, no matter the age, no matter the procedure. Hopefully things will continue to improve with the younger children in the morning and older ones in the afternoon. I am also encouraging most restorative visits in the morning and the “recalls” (as many children have now had their care completed) in the afternoons. There are occasionally times when a busload of children fails to show, so that there is an hour or so of dead time. We have no control over this, so you must be understanding of some of these limitations should this situation arise during your stay. The hope is that the schedule will improve each time groups go down, but you will typically be busy no matter what. Normally about 3o children are seen per day, but this can vary from about 18 to 40! Again, there doesn't seem to be a predictable way to control this.

6. It is helpful if people coming down can read through Dr. Psaltis's Cabo guide, which appears on his website (www.psaltis.info). It has lots of information about restaurants, things to do, etc, so that people can, at some level, plan out their stay, including which places sound most interesting to them. There are a couple of places that are considered "musts" but also many, many that can please various tastes and budgets, so it's a good idea to at least familiarize yourselves. You might want to print off a single copy, which would give everyone some reading material on the flight.

7. At the strong recommendation of one of the previous volunteers, it is a good idea to bring a cell phone that has a Mexico plan to enable you to access google maps. When using an Uber, Gay can give you the coordinates to tell the driver, as the CSL clinic is in a neighborhood and not a "known" location without help.

8. Speaking Spanish is not essential. It is helpful, but not critical. There are a couple of sheets with important phrases that the non-Spanish speakers can study and learn. Very often, those who have gone have said that they wished they had known more Spanish. As we all know as pediatric practitioners, it is our ability to communicate with the children that drives our visits. Knowing a few key phrases and words makes a difference.

9. Regarding money, it is best if you have a credit card that you can use internationally without a fee attached. The best rates you will get are with a credit card. However, some places only accept pesos, so bringing an ATM card is also a good idea. Dollars are accepted almost everywhere, but with the fluctuating exchange rate most restaurants do NOT convert their charges at the most recent rates. For example, a restaurant may present a bill to you for 200 pesos (which at the February, 2022 exchange rate) would be $9.70 in American dollars. However, they will give you the option of paying the bill in pesos (200) or in dollars, but at the rate of (for example) 16 pesos/dollar, so that you end up paying $12.50. This may not be a big deal in situations like this, but for bigger bills, it can run the costs up. I do not recommend getting pesos ahead of time, as the US banks will sell them to you at a far lower rate than you can get them at ATM machines in Mexico.

10. The airport. You will go through immigration and then pick up your luggage. When going through customs, you must each go individually, not as a group. You will be asked on the customs entry form (on the airplane) if you have brought any professional materials or samples and you should say “no.” In the airport customs area you will push a button that will either light up green or red. If it is green, you are good to pass through without further stops. If it is red, they will open your bags and look through them. If they find anything that may appear unusual (like gloves) you should have a good response prepared, such as they are for your personal use or could be for “allergy issues,” etc. You do not want to say they are for dental work! If you say that, the material(s) will be confiscated and/or you can be asked to pay duties on them. It is for this reason that I suggest you minimize any dental gear you bring. Once through the customs area, you will then pass through two rooms that are filled with salesmen who will claim to want to help you with taxis, etc. Keep your eyes down (to avoid eye contact) and walk through both rooms. There are taxis and shuttle buses available and if you are renting a car, you will find the agent for your company waiting just outside the doors.

11. Work schedule: typically groups work from about 9:00 until about 2:30-3:00, but this varies from day to day. There is no form of sedation, but the children are really quite cooperative. Most groups arrive on a Wednesday, work Thurs-Fri, have the weekend off and then work Mon-Tues. There is plenty of time in the afternoons and weekend to relax, shop, sight-see, etc.

12. Lunches are provided on working days by the Amigos de los Niños (the non-profit that owns the clinics) and are delicious. There are also grocery stores to buy snack items (for the work days) but otherwise you will either eat at the clinic (work days) and decide to eat at the RIU or go out to dinner. Breakfast is included at the hotel that is provided by the non-profit. If you choose to stay at Playa Grande, you will need to purchase breakfast items at the grocery.

13. Passports. Please be sure everyone has a passport. “Enhanced drivers licenses” do not work for flights into Mexico. I just learned this one with one of the previous groups!

14. Safety. I feel entirely safe in Cabo, so I would suggest that you not make that a concern at all. All groups have enjoyed the experience and I’m confident you will, too, but as “issues” arise, I came to realize that I needed to prepare the groups a bit more than I had. Hopefully with the thoughts here, you will have a clearer idea of the how the days go by.