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Global health training starts at home: A unique US-based global health clinical elective for residents

机译:全球健康培训从家里开始:针对居民的美国独特的全球健康临床选修课

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摘要

Background: Many physicians planning to work in global health lack adequate formal training. Globalized cities create opportunities to integrate global health training into residency programs, preparing clinicians for less supported experiences abroad. Aim: To develop a clinical elective to advance residents' knowledge and skills in global health and fieldwork abroad. Methods: Two-week comprehensive elective was offered to PGY2 combined medicine-pediatrics residents. We incorporated clinical exposures and global health topics. Global health experts were involved as teachers and preceptors. Clinical exposure included: tropical medicine with laboratory sessions; travel medicine; tuberculosis; immigrant and continuity; and human rights clinics. Didactic components and supplemental readings included socio-political issues, global public health, and health challenges of populations from developing regions. We assessed resident satisfaction using questionnaires and focus groups. Results: Residents reported usefulness and relevance of sessions and topics as (4) very good (scale: (1) poor to (5) excellent), and quality of sessions and teaching as very good to excellent (4.2). Residents' baseline knowledge and understanding of global health issues improved by around 50%. Conclusion: Our experience supports the feasibility and usefulness of clinical and didactic training in global health issues at home. A multidisciplinary approach, collaboration with academic and non-academic institutions, experienced faculty, and departmental commitment are vital.
机译:背景:许多计划在全球卫生领域工作的医生缺乏适当的正规培训。全球化的城市创造了将全球健康培训纳入住院医师计划的机会,从而为临床医生准备在国外获得较少支持的经验。目的:发展临床选修课程,以提高居民在全球卫生和国外实地调查中的知识和技能。方法:为PGY2合并儿科住院医师提供为期两周的综合选修课。我们纳入了临床接触和全球健康主题。全球卫生专家作为教师和主持人参加了会议。临床暴露包括:热带医学和实验室会议;旅行药结核;移民和连续性;和人权诊所。教学内容和补充读物包括社会政治问题,全球公共卫生以及发展中地区人口的健康挑战。我们使用问卷和焦点小组评估了居民满意度。结果:居民报告会议和主题的有用性和相关性为(4)很好(规模:(1)从差到(5)优秀),而会议和教学质量从很好到优秀(4.2)。居民对全球健康问题的基本知识和了解提高了约50%。结论:我们的经验支持在家中应对全球健康问题进行临床和教学培训的可行性和实用性。跨学科的方法,与学术和非学术机构的合作,经验丰富的教职员工以及部门的承诺至关重要。

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