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Pitt MB, Butteris SM, Howard CR, Schubert C, Fischer PR, Bothe D, St Clair NE. Craving Sweet Success: A Recipe for Developing a Global Health Education Consortium (or Any Consortium, for That Matter). Pediatr Ann 2023; 52:e351-e356. [PMID: 37695283 DOI: 10.3928/19382359-20230720-05] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
More than a decade ago, two faculty met at a conference. Each talked about how they were charged with leading global health education efforts at their institutions and longed to have an opportunity to share resources and learn from each other. After reaching out to a few other Midwestern colleagues and finding a date, the first Midwest Consortium of Global Child Health Educators meeting was held in Madison, WI. Now, after a dozen annual meetings, more than 30 articles, chapters, abstracts, and workshops, as well as the creating, piloting, and sharing of several widely used curricula in global health education, the founding consortium members share the practical steps for faculty looking to form similar regional consortia around shared interests. In this article, the authors provide a recipe for the successful formation of an academic consortium based on the lessons learned from their experience. [Pediatr Ann. 2023;52(9):e351-e356.].
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Kaeppler C, Holmberg P, Tam RP, Porada K, Stryker SD, Conway K, Schubert C. The impact of global health opportunities on residency selection. BMC MEDICAL EDUCATION 2021; 21:384. [PMID: 34266446 PMCID: PMC8280583 DOI: 10.1186/s12909-021-02795-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/07/2021] [Accepted: 06/11/2021] [Indexed: 06/11/2023]
Abstract
BACKGROUND An increasing number of medical trainees across specialties desire and expect Global Health (GH) experiences during training. It is useful for residency programs to know the impact that offering GH opportunities has on resident recruitment. The study objectives were to explore the importance of GH opportunities in residency selection among fourth-year medical students, examine the relationship between interest in GH and career plans, and describe students' perspectives on prior GH experiences. METHODS The authors administered an electronic survey to all fourth-year medical students attending 12 different US institutions in February 2020. Data from the ten schools who were able to comply with the survey distribution methodology and with response rates above 25% were analyzed using descriptive statistics and Pearson's correlation. RESULTS A total of 707 fourth-year medical students from the included schools completed the survey out of 1554 possible students (46% response rate). One third of respondents ranked the presence of GH experiences in residency as moderately or very important and 26% felt that the presence of a formal GH curriculum was at least moderately important, with variation noted among specialties. After training, 65% of students envision practicing internationally in some capacity. A desire to care for underserved patients in their careers was significantly correlated with an interest in GH experiences during residency. CONCLUSIONS The opportunity to be involved in GH experiences during training can be an important factor for many medical students when considering residency choice, and the availability of these opportunities may be a valuable recruitment tool. Students valuing GH opportunities during residency are more interested in working with underserved populations in their future careers.
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Affiliation(s)
- Caitlin Kaeppler
- Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
- Children's Wisconsin Corporate Center, 999 N 92nd St, Suite 560, Wauwatosa, WI, 53226, USA.
| | - Peter Holmberg
- Department of Pediatrics, Mayo Clinic, Rochester, MN, USA
| | - Reena P Tam
- Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT, USA
| | - Kelsey Porada
- Clinical Research Coordinator, Medical College of Wisconsin, Milwaukee, WI, USA
| | - Shanna D Stryker
- Department of Family/Community Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Kate Conway
- Department of Family Medicine, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA
| | - Charles Schubert
- Departments of Family/Community Medicine and Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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Lauden SM, Wilson PM, Faust MM, Webber S, Schwartz A, Mahan JD, Batra M, Schubert CJ. Global Health Experiences, Well-Being, and Burnout: Findings From a National Longitudinal Study. Acad Pediatr 2020; 20:1192-1197. [PMID: 32437879 DOI: 10.1016/j.acap.2020.05.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 04/25/2020] [Accepted: 05/07/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE Describe the demographics of pediatric and internal medicine/pediatric residents participating in global health (GH) experiences and examine relationships between GH involvement and self-perceived burnout, resilience, mindfulness, empathy, and spirituality. METHODS The Pediatric Resident Burnout and Resilience Study Consortium developed a national longitudinal study through collaboration with the Association of Pediatric Program Directors' Longitudinal Educational Assessment Research Network. Electronic surveys were administered to pediatric trainees annually (2016-2018). GH and well-being data were extracted. Descriptive statistics were calculated. RESULTS Of 9653 eligible pediatric and medicine/pediatric residents from 55 institutions, 6150 responded to the survey in 1 or more years, with average completion rate of 63.7% over a 3-year period. Controlling for repeat survey-takers, 12.7% (536/4213) of residents reported involvement in a GH-specific pathway, curricula, or track. GH participants were significantly more likely to be unmarried (P < .001), childless (P = .003), and medicine/pediatric trainees (P < .001). Controlling for repeated measures and demographic factors, GH participants demonstrated higher levels of empathic concern (P < .001) and higher spirituality scores in 2 of 3 domains (P < .01/<.05). GH involvement was not associated with lower reports of burnout or improved resilience/mindfulness. CONCLUSION Although GH involvement is associated with increased levels of empathy and spirituality, it was not protective against burnout in this study. This highlights the need to study and promote the well-being of all residents, and perhaps especially those experiencing the challenges of working in low-resource settings. Future efforts should determine the impact of predeparture training, programmatic support, and post-trip debriefing on resident well-being.
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Affiliation(s)
- Stephanie M Lauden
- Department of Pediatrics, The Ohio State University (SM Lauden, MM Faust, and JD Mahan), Columbus, Ohio.
| | - Paria M Wilson
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati (PM Wilson and CJ Schubert), Cincinnati, Ohio
| | - Maureen M Faust
- Department of Pediatrics, The Ohio State University (SM Lauden, MM Faust, and JD Mahan), Columbus, Ohio
| | - Sarah Webber
- Department of Pediatrics, University of Wisconsin-Madison (S Webber)
| | | | - John D Mahan
- Department of Pediatrics, The Ohio State University (SM Lauden, MM Faust, and JD Mahan), Columbus, Ohio
| | - Maneesh Batra
- Seattle Children's Hospital (M Batra), Seattle, Wash
| | - Charles J Schubert
- Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati (PM Wilson and CJ Schubert), Cincinnati, Ohio
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Rent S, Valentine G, Ehret D, Kukora S. Global health training during neonatal fellowship: fellow and program director perspectives. J Perinatol 2020; 40:1253-1261. [PMID: 32152489 DOI: 10.1038/s41372-020-0639-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 02/15/2020] [Accepted: 02/25/2020] [Indexed: 11/09/2022]
Abstract
OBJECTIVE This study explored the availability and perception of Global Health (GH) training opportunities in US-based Neonatal-Perinatal Medicine (NPM) fellowship programs. STUDY DESIGN Electronic surveys, containing discrete choice and open-ended questions, were distributed to current and recent fellows and to Program Directors (PDs). RESULTS Fifty-eight PDs and ninety-eight fellows completed the survey. Fellows reported declining GH participation from 48% in medical school to 21% in fellowship. Among the 42% of fellows reporting GH opportunities at their programs, 30% personally participated. Fewer than 30% of these programs offer structured classroom or online learning; 10% offer research opportunities. 72% of fellows stated that GH availability is moderately to extremely important, compared with 58% of PDs. PDs cited cost, scheduling, mentorship, and lack of suitable global partners as barriers to supporting fellows in GH. CONCLUSION NPM fellows place high importance on GH opportunities during fellowship, but only a minority engage in GH work.
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Affiliation(s)
| | - Gregory Valentine
- Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA
| | - Danielle Ehret
- University of Vermont Larner College of Medicine, Burlington, VT, USA
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St Clair NE, Abdul-Mumin A, Banker SL, Condurache T, Crouse H, Haq H, Helphinstine J, Kazembe PN, Marton S, McQuilkin P, Pitt MB, Rus M, Russ CM, Schubert C, Schutze GE, Steenhoff AP, Uwemedimo O, Watts J, Butteris SM. Global Guide: A Comprehensive Global Health Education Resource for Pediatric Program Directors. Pediatrics 2020; 145:peds.2019-2138. [PMID: 31900316 DOI: 10.1542/peds.2019-2138] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/19/2019] [Indexed: 11/24/2022] Open
Affiliation(s)
- Nicole E St Clair
- Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin;
| | - Alhassan Abdul-Mumin
- Department of Pediatrics and Child Health, School of Medicine and Health Sciences, University for Development Studies and Tamale Teaching Hospital, Tamale, Ghana
| | - Sumeet L Banker
- Irving Medical Center, Columbia University, New York, New York
| | - Tania Condurache
- Department of Pediatrics, School of Medicine, University of Louisville, Louisville, Kentucky
| | - Heather Crouse
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Heather Haq
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Jill Helphinstine
- Department of Pediatrics, School of Medicine, Indiana University, Indianapolis, Indiana
| | | | - Stephanie Marton
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | - Patricia McQuilkin
- Memorial Medical Center, University of Massachusetts, Worcester, Massachusetts
| | - Michael B Pitt
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Marideth Rus
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | | | - Chuck Schubert
- Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio
| | - Gordon E Schutze
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas
| | | | - Omolara Uwemedimo
- Cohen Children's Medical Center of New York, New York, New York; and
| | | | - Sabrina M Butteris
- Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin
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McHenry MS, Baenziger JTH, Zbar LG, Mendoza J, den Hartog JR, Litzelman DK, Pitt MB. Leveraging Economies of Scale via Collaborative Interdisciplinary Global Health Tracks (CIGHTs): Lessons From Three Programs. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2020; 95:37-43. [PMID: 31436624 DOI: 10.1097/acm.0000000000002961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
As interest in global health education continues to increase, residency programs seeking to accommodate learners' expectations for global health learning opportunities often face challenges providing high-quality global health training. To address these challenges, some residency programs collaborate across medical specialties to create interdisciplinary global health residency tracks or collaborative interdisciplinary global health tracks (CIGHTs). In this Perspective, the authors highlight the unique aspects of interdisciplinary tracks that may benefit residency programs by describing 3 established U.S.-based programs as models: those at Indiana University, Mount Sinai Hospital, and the University of Virginia. Through collaboration and economies of scale, CIGHTs are able to address some of the primary challenges inherent to traditional global health tracks: lack of institutional faculty support and resources, the need to develop a global health curriculum, a paucity of safe and mentored international rotations, and inconsistent resident interest. Additionally, most published global health learning objectives and competencies (e.g., ethics of global health work, predeparture training) are not discipline specific and can therefore be addressed across departments-which, in turn, adds to the feasibility of CIGHTs. Beyond simply sharing the administrative burden, however, the interdisciplinary learning central to CIGHTs provides opportunities for trainees to gain new perspectives in approaching global health not typically afforded in traditional global health track models. Residency program leaders looking to implement or modify their global health education offerings, particularly those with limited institutional support, might consider developing a CIGHT as an approach that leverages economies of scale and provides new opportunities for collaboration.
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Affiliation(s)
- Megan S McHenry
- M.S. McHenry is assistant professor of pediatrics and director, Pediatric Resident Global Health Education, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0001-6753-0928. J.T.H. Baenziger is assistant professor of clinical medicine and pediatrics, assistant director of education, Indiana University Center for Global Health, and director, Interdisciplinary Global Health Track, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0001-9221-5401. L.G. Zbar is assistant professor of medical education and pediatrics and director, Student Health and Wellness, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0002-3643-341X. J. Mendoza is assistant professor of pediatrics, University of Virginia, and is patient safety and quality improvement officer, University of Virginia Children's Hospital, Charlottesville, Virginia; ORCID: https://orcid.org/0000-0002-2994-7594. J.R. den Hartog is associate professor of medicine and program director, Global Health Leadership Track, University of Virginia, Charlottesville, Virginia; ORCID: https://orcid.org/0000-0001-9903-7089. D.K. Litzelman is D. Craig Brater Professor of Global Health Education, Indiana University School of Medicine, director of education, Indiana University Center for Global Health, and senior research scientist, Regenstrief Institute, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0003-2162-8756. M.B. Pitt is associate professor, director of Global Health Education, and associate residency program director, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-7123-2613
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St Clair NE, Butteris SM, Cobb C, Connolly E, Groothuis E, Jones A, Lauden S, Miller K, Winter J, Pitt MB. S-PACK: A Modular and Modifiable, Comprehensive Predeparture Preparation Curriculum for Global Health Experiences. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2019; 94:1916-1921. [PMID: 31094729 DOI: 10.1097/acm.0000000000002794] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PROBLEM Approximately 25% of trainees participate in a global health elective during their undergraduate or graduate medical education. Increasingly, educators in the United States and international partners are calling for improved predeparture preparation training for global health experiences. Yet, freely available, easily modifiable curricula are rare. APPROACH Educators who created the Simulation Use for Global Away Rotations (SUGAR) curriculum formed a workgroup in September 2017 to develop the SUGAR Pre-Departure Activities Curricular Kit (S-PACK). Using Kern's 6-step approach to curriculum development, they identified 10 essential domains for global health preparation, developed learning objectives, created interactive activities pertinent to those domains using different education strategies, piloted and refined the curriculum, packaged it for online facilitator training, and disseminated it in March 2018. OUTCOMES The S-PACK curriculum includes 6 interactive, modifiable modules that use a variety of educational strategies to enable educators to comprehensively prepare trainees for global health electives. Modules incorporate simulations, procedural training, small-group case-based discussions, and reflection exercises on topics ranging from providing treatment when resources are limited to mitigating culture shock to considering wellness while away. Each module includes a facilitator training packet, curricular resources, and introduction videos. All are freely available at sugarprep.org. NEXT STEPS Since an initial in-person workshop at a national conference, the S-PACK curriculum has been available online. Further evaluation is underway, including developing assessments for educators to measure trainee readiness for global health electives. Piloting the feasibility of regional S-PACK preparation bootcamps to support training programs with limited global health resources is planned.
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Affiliation(s)
- Nicole E St Clair
- N.E. St Clair is associate professor and director, Pediatric Residency Global Health Track, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin; ORCID: https://orcid.org/0000-0002-5741-8542. S.M. Butteris is associate professor, medical director, Division of Pediatric Hospital Medicine, vice chair of clinical affairs, and chief, Division of Global Pediatrics, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin. C. Cobb is assistant professor and codirector, Pediatric Residency Global Health Track, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; ORCID: https://orcid.org/0000-0002-6506-6620. E. Connolly is assistant professor, Department of Pediatrics, University of Cincinnati and Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0002-1671-3190. E. Groothuis is instructor and assistant program director, McGaw Global Health Clinical Scholars Program, Department of Pediatrics, Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. A. Jones is clinical assistant professor, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin. S. Lauden is assistant professor, Department of Pediatrics, The Ohio State University and Nationwide Children's Hospital, Columbus, Ohio; ORCID: https://orcid.org/0000-0001-7932-1680. K. Miller is adolescent medicine fellow and instructor, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0001-9130-578X. J. Winter is assistant professor, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-9143-8483. M.B. Pitt is associate professor and associate chair, Faculty Development, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-7123-2613
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Pitt MB, Slusher TM, Gladding SP, Moskalewicz R, Howard CR. The Minnesota Model: A Residency Global Health Track Framework. Am J Trop Med Hyg 2019; 102:11-16. [PMID: 31701860 DOI: 10.4269/ajtmh.19-0463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Residency programs are increasingly responding to the growing demand for global health (GH) education by forming dedicated GH tracks. These tracks incorporate a targeted curriculum, support best practices surrounding GH electives such as predeparture preparation and post-return debriefing, and encourage meaningful engagement with international and domestic partners. The University of Minnesota's pediatric residency has had a formal GH track since 2005, and although they have shared several curricular components in the literature, they have yet to provide a comprehensive summary of their GH track. In this article, the authors provide a thorough description of their evolving GH track model, highlighting outcomes and sharing free resources, with the goal of providing a concise, replicable GH track framework for educators seeking to provide more formal GH education within residency programs.
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Affiliation(s)
- Michael B Pitt
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Tina M Slusher
- Department of Pediatrics, Hennepin County Medical Center, Minneapolis, Minnesota.,Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Sophia P Gladding
- Department of Medicine, University of Minnesota, Minneapolis, Minnesota.,Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Risha Moskalewicz
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Cynthia R Howard
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
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Jimenez-Gomez A, Stowe RC, Balasa A, Castillo J, Lotze TE. Global Health Education in Child Neurology and Neurodevelopmental Disabilities Training Programs in the United States: A National Survey. J Child Neurol 2019; 34:452-457. [PMID: 30966859 DOI: 10.1177/0883073819837466] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
OBJECTIVES To describe the current landscape of opportunities and education in global health among child neurology and neurodevelopmental disabilities training programs and provide a framework for future development of global health education. METHODS Authors surveyed Trainee and Program Director groups, obtaining information regarding global health interest, participation and obstacles (trainees); and collaborations in global health, academic yield and obstacles, and global health educational development within the training program (program directors). RESULTS Of identified trainees and program directors, 35% and 48% responded, respectively. Among trainees, 82% reported interest in global health, with 25% reporting influence in program selection. Among program directors, 34% reported global health collaborations, most frequently clinical. Academic yield (conference participation or publications) was described by 46% of programs. Major obstacles described by both groups included administrative issues and funding; however, the latter was most important for program directors but not for trainees. Among program directors, 16% reported global health curricula, with lectures (100%), orientation courses (50%), and pre/post-travel sessions (50%) being commonest elements. The main content included education in public health, resourcefulness, and epidemiology. Half of responding programs offered a formal global health training track, including opportunities in language education (67%) and advanced degrees (33%). CONCLUSIONS Similar to other specialties, growing interest in global health among trainees corresponds to growing availability of said opportunities; however, most display significant logistic obstacles and lack curricular development. Potential areas for intervention, including an interdisciplinary approach, and potential benefits to stakeholders are identified for programs wishing to expand in global health education.
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Affiliation(s)
- Andres Jimenez-Gomez
- 1 Department of Pediatrics, Division of Neurology and Developmental Neuroscience, Texas Children's Hospital / Baylor College of Medicine, Houston, TX, USA
| | - Robert C Stowe
- 2 Division of Sleep Medicine, University of Pennsylvania, School of Medicine, Philadelphia, PA, USA
| | - Alfred Balasa
- 1 Department of Pediatrics, Division of Neurology and Developmental Neuroscience, Texas Children's Hospital / Baylor College of Medicine, Houston, TX, USA
| | - Jonathan Castillo
- 3 Developmental and Behavioral Pediatrics, Department of Pediatrics, Texas Children's Hospital / Baylor College of Medicine, Houston, TX, USA
| | - Timothy E Lotze
- 1 Department of Pediatrics, Division of Neurology and Developmental Neuroscience, Texas Children's Hospital / Baylor College of Medicine, Houston, TX, USA
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Haq H, Barnes A, Batra M, Condurache T, Pitt MB, Robison JA, Schubert C, St Clair N, Uwemedimo O, Watts J, Russ CM. Defining Global Health Tracks for Pediatric Residencies. Pediatrics 2019; 144:peds.2018-3860. [PMID: 31213520 DOI: 10.1542/peds.2018-3860] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/09/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Global health (GH) offerings by pediatric residency programs have increased significantly, with 1 in 4 programs indicating they offer a GH track. Despite growth of these programs, there is currently no widely accepted definition for what comprises a GH track in residency. METHODS A panel of 12 pediatric GH education experts was assembled to use the Delphi method to work toward a consensus definition of a GH track and determine essential educational offerings, institutional supports, and outcomes to evaluate. The panelists completed 3 rounds of iterative surveys that were amended after each round on the basis of qualitative results. RESULTS Each survey round had 100% panelist response. An accepted definition of a GH track was achieved during the second round of surveys. Consensus was achieved that at minimum, GH track educational offerings should include a longitudinal global child health curriculum, a GH rotation with international or domestic underserved experiences, predeparture preparation, preceptorship during GH electives, postreturn debrief, and scholarly output. Institutional supports should include resident salary support; malpractice, evacuation, and health insurance during GH electives; and a dedicated GH track director with protected time and financial and administrative support for program development and establishing partnerships. Key outcomes for evaluation of a GH track were agreed on. CONCLUSIONS Consensus on the definition of a GH track, along with institutional supports and educational offerings, is instrumental in ensuring consistency in quality GH education among pediatric trainees. Consensus on outcomes for evaluation will help to create quality resident and program assessment tools.
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Affiliation(s)
- Heather Haq
- Department of Pediatrics, Baylor College of Medicine, Houston, Texas;
| | - Adelaide Barnes
- Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Maneesh Batra
- Department of Pediatrics, University of Washington, Seattle, Washington
| | - Tania Condurache
- Department of Pediatrics, School of Medicine, University of Louisville, Louisville, Kentucky
| | - Michael B Pitt
- Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota
| | - Jeff A Robison
- Department of Pediatrics, University of Utah, Salt Lake City, Utah
| | - Chuck Schubert
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | - Nicole St Clair
- Department of Pediatrics, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin
| | | | - Jennifer Watts
- Children's Mercy Kansas City, Kansas City, Missouri; and
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