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Turner RR, Hart J, Carr N, Bull E, Fraser J, Byrne-Davis L. Interview study exploring how global health partnership principles are enacted and recommendations for practice. BMJ Open 2024; 14:e076475. [PMID: 38862224 PMCID: PMC11168132 DOI: 10.1136/bmjopen-2023-076475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 01/04/2024] [Indexed: 06/13/2024] Open
Abstract
BACKGROUND Effective global health partnerships can strengthen and improve health and healthcare systems across the world; however, establishing and maintaining effective partnerships can be challenging. Principles of Partnerships have been developed to improve the quality and effectiveness of health partnerships. It is unclear how principles are enacted in practice, and current research has not always included the voices of low-income and middle-income country partners. This study aimed to explore how The Tropical Health and Education Trust's nine Principles of Partnership are enacted in practice, from the points of view of partners from low-income, middle-income and high-income countries, to help improve partnerships' quality and sustainability. METHODS People who had been a part of previous and/or ongoing health partnerships were interviewed virtually. Participants were purposefully sampled and interviews were conducted using an appreciative inquiry approach. Audio recordings were transcribed and deductive framework analysis was conducted. RESULTS 13 participants from 8 partnerships were interviewed. Six participants were based in the low-income or middle-income countries and seven in the UK. Key findings identified strategies that enacted 'successful' and 'effective' partnerships within the Principles of Partnerships. These included practical techniques such as hiring a project manager, managing expectations and openly sharing information about the team's expertise and aspirations. Other strategies included the importance of consulting behavioural science to ensure the partnerships consider longevity and sustainability of the partnership. DISCUSSION Core principles to effective partnerships do not work in isolation of each other; they are intertwined and are complimentary to support equitable partnerships. Good communication and relationships built on trust which allow all partners to contribute equally throughout the project are core foundations for sustainable partnerships. Recommendations for established and future partnerships include embedding behavioural scientists/psychologists to support change to improve the quality and sustainability of health partnerships.
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Affiliation(s)
- Rebecca Rose Turner
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
| | - Jo Hart
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
| | - Natalie Carr
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
| | - Eleanor Bull
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
| | - Jessica Fraser
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
- Tropical Health and Education Trust (THET), London, UK
| | - Lucie Byrne-Davis
- Health Workforce Group, Division of Medical Education, The University of Manchester, Manchester, UK
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Mitchell R, White L, Elton L, Luke C, Bornstein S, Atua V. Triage implementation in resource-limited emergency departments: sharing tools and experience from the Pacific region. Int J Emerg Med 2024; 17:21. [PMID: 38355441 PMCID: PMC10865550 DOI: 10.1186/s12245-024-00583-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Accepted: 01/12/2024] [Indexed: 02/16/2024] Open
Abstract
According to the World Health Organization's (WHO) Emergency Care Systems Framework, triage is an essential function of emergency departments (EDs). This practice innovation article describes four strategies that have been used to support implementation of the WHO-endorsed Interagency Integrated Triage Tool (IITT) in the Pacific region, namely needs assessment, digital learning, public communications and electronic data management.Using a case study from Vila Central Hospital in Vanuatu, a Pacific Small Island Developing State, we reflect on lessons learned from IITT implementation in a resource-limited ED. In particular, we describe the value of a bespoke needs assessment tool for documenting triage and patient flow requirements; the challenges and opportunities presented by digital learning; the benefits of locally designed, public-facing communications materials; and the feasibility and impact of a low-cost electronic data registry system.Our experience of using these tools in Vanuatu and across the Pacific region will be of interest to other resource-limited EDs seeking to improve their triage practice and performance. Although the resources and strategies presented in this article are focussed on the IITT, the principles are equally relevant to other triage systems.
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Affiliation(s)
- Rob Mitchell
- School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.
- Emergency & Trauma Centre, Alfred Hospital, Melbourne, Australia.
| | - Libby White
- Emergency & Trauma Centre, Alfred Hospital, Melbourne, Australia
| | - Leigh Elton
- National Critical Care & Trauma Response Centre, Darwin, Australia
| | - Cliff Luke
- Vila Central Hospital, Port Vila, Vanuatu
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Umphrey L, Beck A, Zhou S, Kagoya EK, Paasi G, Coria A, Evert J, Haque M, Rule A, Lamb MM. Access, interest and equity considerations for virtual global health activities during the COVID-19 pandemic: a cross-sectional study. Glob Health Res Policy 2024; 9:8. [PMID: 38317192 PMCID: PMC10845763 DOI: 10.1186/s41256-023-00333-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 11/08/2023] [Indexed: 02/07/2024] Open
Abstract
BACKGROUND Global health activities (GHAs) reduce health disparities by promoting medical education, professional development, and resource sharing between high- and low- to middle-income countries (HICs and LMICs). Virtual global health activities facilitated continuity and bidirectionality in global health during the COVID-19 pandemic. While virtual engagement holds potential for promoting equity within partnerships, research on equitable access to and interest in virtual global health activities is limited. METHODS We conducted a cross-sectional, online, mixed-methods survey from January to February 2022 examining access to virtual activities before and during the pandemic across resource settings. Eligible participants were participants or facilitators of global health activities. Closed- and open-ended questions elicited participants' access to and interest in virtual global health engagement. RESULTS We analyzed 265 surveys from respondents in 45 countries (43.0% LMIC vs. HIC 57.0%). HIC respondents tended to report greater loss of in-person access due to the pandemic at their own institutions (16 of 17 queried GHAs), while LMIC respondents tended to report greater loss of in-person activities at another institution (9 of 17 queried GHAs). Respondents from LMICs were more likely to gain virtual access through another organization for all 17 queried VGHAs. HIC respondents had significantly more access to global health funding through their own organization (p < 0.01) and more flexibility for using funds. There were significant differences and trends between respondent groups in different resource environments in terms of accessibility to and interest in different virtual global health activities, both during and after the pandemic. CONCLUSIONS Our results highlight the need to examine accessibility to virtual global health activities within partnerships between high- and low- to middle-income countries. While virtual activities may bridge existing gaps in global health education and partnerships, further study on priorities and agenda setting for such initiatives, with special attention to power dynamics and structural barriers, are necessary to ensure meaningful virtual global health engagement moving forward.
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Affiliation(s)
- Lisa Umphrey
- Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16th Ave, B302, Aurora, CO, 80045, USA.
- Center for Global Health, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA.
| | - Alyssa Beck
- Department of Epidemiology, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA
| | - Shuo Zhou
- Department of Communication Studies, School of Communication and System Health Lab, Hong Kong Baptist University, No. 5 Hereford Rd, Kowloon, Hong Kong
| | - Enid Kawala Kagoya
- Department of Community Health, Institute of Public Health, Busitema University, P.O Box 1460, Mbale, Uganda
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda
| | - George Paasi
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda
| | - Alexandra Coria
- Department of Pediatrics, Maimonides Children's Hospital and SUNY Downstate College of Medicine, 4802 10th Ave, Brooklyn, NY, 11219, USA
| | - Jessica Evert
- Child Family Health International, 11135 San Pablo Ave #929, El Cerrito, CA, 94530, USA
| | - Marina Haque
- Department of Anesthesiology, Wayne State University, Detroit, MI, 48202, USA
| | - Amy Rule
- Emory University School of Medicine, 2015 Uppergate Dr, Atlanta, GA, 30307, USA
- Children's Healthcare of Atlanta, 2015 Uppergate Dr, Atlanta, GA, 30307, USA
| | - Molly M Lamb
- Center for Global Health, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA
- Department of Epidemiology, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA
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Umphrey L, Wathen J, Chambliss A, Kalata K, Morgan L, Moua M, Collesides A, Berman S. Pediatrics in Disasters: Evolution of a Hybrid Global Health Training Program During the COVID-19 Pandemic. Adv Pediatr 2023; 70:1-15. [PMID: 37422288 DOI: 10.1016/j.yapd.2023.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/10/2023]
Abstract
This report describes the Pediatrics in Disasters (PEDS) course during a novel hybrid in-person and virtual format due to the coronavirus disease 2019 pandemic. International and local faculty collaborated on 2021 precourse revisions and course facilitation for multinational in-person and virtual students. Student and facilitator 2021 surveys and 2019 to 2021 student feedback reported overall satisfaction with the course while suggesting needed improvements to maximize international and virtual student participation. The hybrid PEDS course structure successfully achieved course goals and incorporated international faculty. Lessons learned will guide future course revisions and fellow global health educators.
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Affiliation(s)
- Lisa Umphrey
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA; c/o Center for Global Health, Colorado School of Public Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA.
| | - Joseph Wathen
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA; c/o Center for Global Health, Colorado School of Public Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Amy Chambliss
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Kathryn Kalata
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Lucas Morgan
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Mary Moua
- c/o Center for Global Health, Colorado School of Public Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Alexa Collesides
- c/o Center for Global Health, Colorado School of Public Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
| | - Stephen Berman
- Department of Pediatrics, University of Colorado, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA; Department of Epidemiology, Colorado School of Public Health, c/o Center for Global Health, 13199 East Montview Boulevard, Suite 310, Aurora, CO, USA
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Mitchell R, Bornstein S, Piamnok D, Sebby W, Kingston C, Tefatu R, Kendino M, Josaiah B, Pole J, Kuk S, Körver S, Miller JP, Cole T, Erbs A, O'Reilly G, Cameron P, Sengiromo D, Banks C. Multimodal learning for emergency department triage implementation: experiences from Papua New Guinea during the COVID-19 pandemic. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2023; 33:100683. [PMID: 36776620 PMCID: PMC9901330 DOI: 10.1016/j.lanwpc.2023.100683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 12/13/2022] [Accepted: 01/02/2023] [Indexed: 02/08/2023]
Abstract
Background Triage implementation in resource-limited emergency departments (EDs) has traditionally relied on intensive in-person training. This study sought to evaluate the impact of a novel digital-based learning strategy focused on the Interagency Integrated Triage Tool, a three-tier triage instrument recommended by the World Health Organization. Methods A mixed methods study utilising pre-post intervention methods was conducted in two EDs in Papua New Guinea. The primary outcome was the mean change in knowledge before and after completion of a voluntary, multimodal training program, primarily delivered through a digital learning platform accessible via smartphone. Secondary outcomes included the change in confidence to perform selected clinical tasks, and acceptability of the learning methods. Findings Among 136 eligible ED staff, 91 (66.9%) completed the digital learning program. The mean knowledge score on the post-training exam was 87.5% (SD 10.4), a mean increase of 12.9% (95% CI 10.7-15.1%, p < 0.0001) from the pre-training exam. There were statistically significant improvements in confidence for 13 of 15 clinical tasks, including undertaking a triage assessment and identifying an unwell patient.In an evaluation survey, 100% of 30 respondents agreed or strongly agreed the online learning platform was easy to access, use and navigate, and that the digital teaching methods were appropriate for their learning needs. In qualitative feedback, respondents reported that limited internet access and a lack of dedicated training time were barriers to participation. Interpretation The use of digital learning to support triage implementation in resource-limited EDs is feasible and effective when accompanied by in-person mentoring. Adequate internet access is an essential pre-requisite. Funding Development of the Kumul Helt Skul learning platform was undertaken as part of the Clinical Support Program (Phase II), facilitated by Johnstaff International Development on behalf of the Australian Government Department of Foreign Affairs and Trade through the PNG-Australia Partnership. RM is supported by a National Health and Medical Research Council Postgraduate Scholarship and a Monash Graduate Excellence Scholarship, while PC is supported by a Medical Research Future Fund Practitioner Fellowship. Funders had no role in study design, results analysis or manuscript preparation.
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Affiliation(s)
- Rob Mitchell
- Emergency & Trauma Centre, Alfred Health, Australia
- School of Public Health & Preventive Medicine, Monash University, Australia
- Corresponding author. Emergency & Trauma Centre, Alfred Health, Commercial Rd, Melbourne, Australia.
| | | | - Donna Piamnok
- Emergency Department, ANGAU Memorial Hospital, Papua New Guinea
| | - Wilma Sebby
- Emergency Department, ANGAU Memorial Hospital, Papua New Guinea
| | - Carl Kingston
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Rayleen Tefatu
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Mangu Kendino
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Betty Josaiah
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Jasper Pole
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Sylvia Kuk
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Sarah Körver
- Australasian College for Emergency Medicine, Australia
| | | | - Travis Cole
- Johnstaff International Development, Australia
| | | | - Gerard O'Reilly
- Emergency & Trauma Centre, Alfred Health, Australia
- School of Public Health & Preventive Medicine, Monash University, Australia
| | - Peter Cameron
- Emergency & Trauma Centre, Alfred Health, Australia
- School of Public Health & Preventive Medicine, Monash University, Australia
| | - Duncan Sengiromo
- Emergency Department, Port Moresby General Hospital, Papua New Guinea
| | - Colin Banks
- Townsville University Hospital, Australia
- College of Medicine and Dentistry, James Cook University, Australia
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Kelly CM, Some F, Guiles DA, Turissini M, Gardner A, Litzelman DK. A framework for reinitiating global academic exchange in the context of the COVID-19 pandemic. INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 2022; 13:256-258. [PMID: 36083860 PMCID: PMC9904994 DOI: 10.5116/ijme.62fa.0af4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 08/15/2022] [Indexed: 06/15/2023]
Affiliation(s)
- Caitrin M. Kelly
- Department of Medicine, Indiana University, Indianapolis, IN, USA
| | - Fatma Some
- Internal Medicine, Moi University School of Medicine, Eldoret, Kenya
| | - Daniel A. Guiles
- Department of Medicine and the Department of Pediatrics at Indiana University, IN, USA
| | | | - Adrian Gardner
- Indiana University Center for Global Health, Indianapolis, IN, USA
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Umphrey L, Lenhard N, Lam SK, Hayward NE, Hecht S, Agrawal P, Chambliss A, Evert J, Haq H, Lauden SM, Paasi G, Schleicher M, McHenry MS. Virtual global health in graduate medical education: a systematic review. INTERNATIONAL JOURNAL OF MEDICAL EDUCATION 2022; 13:230-248. [PMID: 36057978 PMCID: PMC9911141 DOI: 10.5116/ijme.62eb.94fa] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 08/04/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES To synthesize recent virtual global health education activities for graduate medical trainees, document gaps in the literature, suggest future study, and inform best practice recommendations for global health educators. METHODS We systematically reviewed articles published on virtual global health education activities from 2012-2021 by searching MEDLINE, EMBASE, Cochrane Library, ERIC, Scopus, Web of Science, and ProQuest Dissertations & Theses A&I. We performed bibliography review and search of conference and organization websites. We included articles about primarily virtual activities targeting for health professional trainees. We collected and qualitatively analyzed descriptive data about activity type, evaluation, audience, and drivers or barriers. Heterogeneity of included articles did not lend to formal quality evaluation. RESULTS Forty articles describing 69 virtual activities met inclusion criteria. 55% of countries hosting activities were high-income countries. Most activities targeted students (57%), with the majority (53%) targeting trainees in both low- to middle- and high-income settings. Common activity drivers were course content, organization, peer interactions, and online flexibility. Common challenges included student engagement, technology, the internet, time zones, and scheduling. Articles reported unanticipated benefits of activities, including wide reach; real-world impact; improved partnerships; and identification of global health practice gaps. CONCLUSIONS This is the first review to synthesize virtual global health education activities for graduate medical trainees. Our review identified important drivers and challenges to these activities, the need for future study on activity preferences, and considerations for learners and educators in low- to middle-income countries. These findings may guide global health educators in their planning and implementation of virtual activities.
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Affiliation(s)
- Lisa Umphrey
- Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Nora Lenhard
- Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | - Suet Kam Lam
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA
| | | | - Shaina Hecht
- Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Priya Agrawal
- Mid-Atlantic Permanente Medical Group, Washington, DC, USA
| | - Amy Chambliss
- Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA
| | - Jessica Evert
- Child Family Health International, El Cerrito, California, USA
| | - Heather Haq
- Department of Pediatrics, Baylor College of Medicine, Texas, USA
| | - Stephanie M. Lauden
- Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA
| | - George Paasi
- Mbale Clinical Research Institute, Mbale, Uganda
| | - Mary Schleicher
- Cleveland Clinic Floyd D. Loop Alumni Library, Cleveland, OH, USA
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Cox M, Phillips G, Mitchell R, Herron LM, Körver S, Sharma D, Brolan CE, Kendino M, Masilaca OK, O'Reilly G, Poloniati P, Kafoa B. Lessons from the frontline: Documenting the experiences of Pacific emergency care clinicians responding to the COVID-19 pandemic. THE LANCET REGIONAL HEALTH. WESTERN PACIFIC 2022; 25:100517. [PMID: 35818574 PMCID: PMC9259209 DOI: 10.1016/j.lanwpc.2022.100517] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Low- and middle-income countries (LMICs) across the Pacific region have been severely impacted by the COVID-19 pandemic, and emergency care (EC) clinicians have been on the frontline of response efforts. Their responsibilities have extended from triage and clinical management of patients with COVID-19 to health system leadership and coordination. This has exposed EC clinicians to a range of ethical and operational challenges.This paper describes the context and methodology of a rapid, collaborative, qualitative research project that explored the experiences of EC clinicians in Pacific LMICs during the COVID-19 pandemic. The study was conducted in three phases, with data obtained from online regional EC support forums, key informant interviews and focus group discussions. A phenomenological approach was adopted, incorporating a hybrid inductive and deductive thematic analysis. Research findings, reported in other manuscripts in this collection, will inform multi-sectoral efforts to improve health system preparedness for future public health emergencies. Funding Epidemic Ethics/World Health Organization (WHO) initiative, supported by Foreign, Commonwealth and Development Office/Wellcome Grant 214711/Z/18/Z (Phases 1 and 2A) and an Australasian College for Emergency Medicine Foundation International Development Fund Grant.
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Affiliation(s)
- Megan Cox
- Faculty of Medicine and Health, The University of Sydney, Australia
- The Sutherland Hospital, NSW, Australia
- NSW Ambulance, Sydney, Australia
| | - Georgina Phillips
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Emergency Department, St Vincent's Hospital Melbourne, Melbourne, Australia
| | - Rob Mitchell
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Emergency & Trauma Centre, Alfred Health, Australia
| | - Lisa-Maree Herron
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia
| | - Sarah Körver
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
| | - Deepak Sharma
- Emergency Department, Colonial War Memorial Hospital, Suva, Fiji
| | - Claire E. Brolan
- School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Australia
- Centre for Policy Futures, Faculty of Humanities and Social Sciences, The University of Queensland, Brisbane, Australia
| | | | | | - Gerard O'Reilly
- School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
- Emergency & Trauma Centre, Alfred Health, Australia
| | | | - Berlin Kafoa
- Public Health Division, Secretariat of the Pacific Community, Suva, Fiji
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9
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Umphrey L, Paasi G, Windsor W, Abongo G, Evert J, Haq H, Keating EM, Lam SK, McHenry MS, Ndila C, Nwobu C, Rule A, Tam RP, Olson D, Olupot-Olupot P. Perceived roles, benefits and barriers of virtual global health partnership initiatives: a cross-sectional exploratory study. Glob Health Res Policy 2022; 7:11. [PMID: 35478077 PMCID: PMC9046069 DOI: 10.1186/s41256-022-00244-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Accepted: 03/27/2022] [Indexed: 12/02/2022] Open
Abstract
Background Virtual global health partnership initiatives (VGHPIs) evolved rapidly during the COVID-19 pandemic to ensure partnership continuity. However the current landscape for VGHPI use and preference is unknown. This study aimed to increase understanding of GH partners’ perspectives on VGHPIs.
Methods From 15 October to 30 November 2020, An online, international survey was conducted using snowball sampling to document pandemic-related changes in partnership activities, preferences for VGHPIs, and perceived acceptability and barriers. The survey underwent iterative development within a diverse author group, representing academic and clinical institutions, and the non-profit sector. Participants from their professional global health networks were invited, including focal points for global health partnerships while excluding trainees and respondents from the European Economic Area. Analysis stratified responses by country income classification and partnership type. Authors used descriptive statistics to characterize responses, defining statistical significance as α = 0.05. Results A total of 128 respondents described 219 partnerships. 152/219 (69%) partnerships were transnational, 157/219 (72%) were of > 5 years duration, and 127/219 (60%) included bidirectional site visits. High-income country (HIC) partners sent significantly more learners to low- to middle-income country (LMIC) partner sites (p < 0.01). Participants commented on pandemic-related disruptions affecting 217/219 (99%) partnerships; 195/217 (90%) were disruption to activities; 122/217 (56%) to communication; 73/217 (34%) to access to professional support; and 72/217 (33%) to funding. Respondents indicated that VGHPIs would be important to 206/219 (94%) of their partnerships moving forward. There were overall differences in resource availability, technological capacity, and VGHPI preferences between LMIC and HIC respondents, with a statistically significant difference in VGHPI acceptability (p < 0.001). There was no significant difference between groups regarding VGHPIs’ perceived barriers. Conclusions The pandemic disrupted essential partnership elements, compounding differences between LMIC and HIC partners in their resources and preferences for partnership activities. VGHPIs have the potential to bridge new and existing gaps and maximize gains, bi-directionality, and equity in partnerships during and after COVID-19.
Supplementary Information The online version contains supplementary material available at 10.1186/s41256-022-00244-4.
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Affiliation(s)
- Lisa Umphrey
- Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16th Ave, B302, Aurora, CO, 80045, USA. .,Center for Global Health, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA.
| | - George Paasi
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda
| | - William Windsor
- Center for Global Health, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA
| | - Grace Abongo
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda
| | - Jessica Evert
- Child Family Health International, 11135 San Pablo Ave #929, El Cerrito, CA, 94530, USA
| | - Heather Haq
- Department of Pediatrics, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA
| | - Elizabeth M Keating
- Division of Pediatric Emergency Medicine, University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT, 84132, USA
| | - Suet Kam Lam
- Cleveland Clinic Lerner College of Medicine, Case Western Reserve University School of Medicine, EC-10 Cleveland Clinic, 9501 Euclid Ave, Cleveland, OH, 44195, USA
| | - Megan S McHenry
- Department of Pediatrics, Indiana University School of Medicine, 340 W 10th St, Indianapolis, IN, 46202, USA
| | - Carolyne Ndila
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda
| | - Charles Nwobu
- Child Family Health International, 11135 San Pablo Ave #929, El Cerrito, CA, 94530, USA.,Child Family Health International, Accra, Ghana
| | - Amy Rule
- Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Ave, Cincinnati, OH, 45229, USA
| | - Reena P Tam
- Department of Pediatrics, University of Utah School of Medicine, 30 N 1900 E, Salt Lake City, UT, 84132, USA
| | - Daniel Olson
- Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16th Ave, B302, Aurora, CO, 80045, USA.,Center for Global Health, Colorado School of Public Health, 13199 E Montview Blvd, Ste 310, A090, Aurora, CO, 80045, USA
| | - Peter Olupot-Olupot
- Mbale Clinical Research Institute, Plot 29, 33 Pallisa, Mbale, Uganda.,Busitema University, P.O. Box 1460, Mbale, Uganda
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10
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Pickering A, Patiño A, Garbern SC, Abu‐Jubara D, Digenakis A, Rodigin A, Banks M, Herard K, Chamberlain S, DeVos EL. Building a virtual community of practice for medical students: The Global Emergency Medicine Student Leadership Program. J Am Coll Emerg Physicians Open 2021; 2:e12591. [PMID: 35005703 PMCID: PMC8716569 DOI: 10.1002/emp2.12591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 10/09/2021] [Accepted: 10/12/2021] [Indexed: 11/21/2022] Open
Abstract
Virtual communities of practice (VCoPs) facilitate distance learning and mentorship by engaging members around shared knowledge and experiences related to a central interest. The American College of Emergency Physicians and Emergency Medicine Residents' Association's Global Emergency Medicine Student Leadership Program (GEM-SLP) provides a valuable model for building a VCoP for GEM and other niche areas of interest. This VCoP facilitates opportunities for experts and mentees affiliated with these national organizations to convene regularly despite barriers attributed to physical distance. The GEM-SLP VCoP is built around multiple forms of mentorship, monthly mentee-driven didactics, academic projects, and continued engagement of program graduates in VCoP leadership. GEM-SLP fosters relationships through (1) themed mentoring calls (career paths, work/life balance, etc); (2) functional mentorship through didactics and academic projects; and (3) near-peer mentoring, provided by mentors near the mentees' stage of education and experience. Monthly mentee-driven didactics focus on introducing essential GEM principles while (1) critically analyzing literature based on a journal article; (2) building a core knowledge base from a foundational textbook; (3) applying knowledge and research to a project proposal; and (4) gaining exposure to training and career opportunities via mentor career presentations. Group academic projects provide a true GEM apprenticeship as mentees and mentors work collaboratively. GEM-SLP mentees found the VCoP beneficial in building fundamental GEM skills and knowledge and forming relationships with mentors and like-minded peers. GEM-SLP provides a framework for developing mentorship programs and VCoPs in emergency medicine, especially when niche interests or geographic distance necessitate a virtual format.
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Affiliation(s)
- Ashley Pickering
- Department of Emergency MedicineThe University of Maryland School of MedicineBaltimoreMarylandUSA
| | - Andrés Patiño
- Department of Emergency MedicineEmory University School of MedicineAtlantaGeorgiaUSA
| | - Stephanie C. Garbern
- Department of Emergency MedicineAlpert Medical School, Brown UniversityProvidenceRhode IslandUSA
| | - Dania Abu‐Jubara
- Department of Emergency MedicineLoyola University Medical CenterMaywoodIllinoisUSA
| | - Alexandra Digenakis
- Department of Emergency MedicineUniversity of North Carolina School of MedicineChapel HillNorth CarolinaUSA
| | - Anthony Rodigin
- Department of Emergency MedicineSutter Delta Medical CenterAntiochCaliforniaUSA
| | - Michaela Banks
- Department of Emergency MedicineLouisiana State UniversityNew OrleansLouisianaUSA
| | - Kimberly Herard
- Department of Emergency MedicineEmory University School of MedicineAtlantaGeorgiaUSA
| | - Stacey Chamberlain
- Department of Emergency MedicineUniversity of Illinois at ChicagoChicagoIllinoisUSA
| | - Elizabeth L. DeVos
- Department of Emergency MedicineUniversity of Florida College of Medicine‐JacksonvilleJacksonvilleFloridaUSA
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