on developing leadership skills among all volunteers, with conferences and workshops from experts. Similarly, another goal is to share ideas of actions that are taken in each country, as the socioeconomic conditions for most of them are similar. Not only ideas are shared, but culture and traditions. This conference strongly motivates students to share the most of their country with others, and for this reasons every night there are cultural events where dance representations and food fairs take place to enhance visibility of each country. Step Up and U-Lead:Global symposiums for college volunteers to keep students involved and motivated. These events are shorter than ISLC and LEA. During the COVID-19 pandemic, they here held virtually. MTW: Operation Smile offers students the opportunity to qualify to travel internationally. Before the students go on a mission, they must apply and be selected to attend one of two annual Mission Training Workshops (MTW). The workshops cover four health modules: dental hygiene, oral re-hydration therapy, nutrition, and burn care and prevention. Students make posters for each of these modules and present them on the missions, educating families on simple life-safety principles. At OpSmile headquarters, students train as mission ambassadors in developing countries. On training completion, students may be selected for an international mission. Global Essential Surgery Initiatives In rural northeastern Nicaragua, work is underway through a pilot project called Cirugía para el Pueblo – “Surgery for the People.” Operation Smile and the Ministry of Health seek to improve the surgical infrastructure of the hospitals and to spread awareness about surgically-treatable conditions to the people of the region. Operation Smile offers education in safe surgical conditions in Ethiopia and Rwanda, where they have offered surgical training rotations for general surgeons to learn reconstructive plastic surgery techniques — since 2012 in Ethiopia and since 2015 in Rwanda. The two-week training courses for Ethiopian surgeons, anesthesiologists and nurses take place at JUSH (Jimma University Specialized Hospital), the only hospital serving the 15 million-plus people living in Ethiopia’s southwestern region. The rotations cover cleft surgery as well as techniques to better heal burn, trauma and surgical wounds, representing the bulk of the hospital’s plastic surgery cases. Starting in 2015, Operation Smile partnered with the University of Rwanda, Partners In Health and the Rwandan Ministry of Health to host twice-annual surgical training rotations. Since then, 17 Rwandan general surgery residents have received hands-on training and education through the rotations.