New Resources - Supplemental Learning: Global Health

  

Global Health 

 

 

 

Section Contributor: Melanie Anspacher 

 

Online resources 

 

  1. AAP Section on International Child Health Resident Education Working Group.   http://www2.aap.org/sections/ich/toolkit.htm  The Global Health Curriculum Tool-kit 

 

The tool-kit contains over 50 documents from 12 Pediatric Residency Programs that have established Global Health Curricula, Pathways or Tracks.  Included are examples curriculum objectives, outlining of content, knowledge tests, evaluation tools, program guidelines/policies for safe and responsible international electives, and descriptions of tracks and pathways.  This tool-kit was created to be a resource to educators at residency programs throughout the country and all documents are available for use/adaptation.  This site will continue to be updated. 

 

Type of resource: Teaching methods, program development/implementation, evaluation tools, some core content. (ALL MILESTONES) 

 

  1. Stanford University Center for Global Health and the Johns Hopkins University Berman Institute of Bioethics.  www.ethicsandglobalhealth.org  

 

This series of cases builds on the WEIGHT article by identifying and walking learners through specific ethical dilemmas in both research and clinical practice that trainees are likely to encounter when in developing countries.  These cases are not specific for pediatrics but are geared toward medical students and residents from all disciplines.  Faculty will find these cases useful for teaching and/or adapting for their own curricula, or for independent study for trainees preparing to go abroad. (PC4, MK1, PBLI 1, PROF 1, 2, 3, SBP2) 

 

  1. Consortium of Universities for Global Health . http://www.cugh.org/resources  

 

The Consortium of Universities for Global Health brings academic centers and training programs together to help better define the field of global health, develop standardized curricula and competencies in global health, and support best practice for students and faculty working in developing countries.  The site includes over 80 educational modules on global health topics ranging from tropical medicine to health systems.  Each topic is a PowerPoint presentation with accompanying notes, resources and self-assessment questions.  There are two modules specifically on Global Child Health and others that are particularly relevant.  Case studies are also available on that illustrate approach to patient care in low-resource settings.  This is an excellent open source of global health teaching materials.  Users should note this is meant to be multi-disciplinary and not specific for pediatrics.  (ALL MILESTONES) 

 

  1. World Health Organization (WHO). www.ichrc.org  

 

The World Health Organization published the Pocketbook of Hospital Care for Children in 2005 and has been revised as of 2012 to reflect the most up to date WHO guidelines.  This handbook, the first of its kind, is an invaluable resource for both rotating and local practitioners in developing countries.  Although geared slightly toward inpatient rather than community care, it is an excellent source of updated, evidence-based guidelines for treating common pediatric problems in low-resource settings.  It covers most important core content for clinical care of children in developing countries.  The entire book is available free online and it  has also been translated into several languages. 

In addition, the site includes training tools such as case notes, Powerpoint presentations and videos that are available for use and adaptation.  These can be considered core content for pediatric residents, however they can also be used for teaching healthcare workers in developing countries.  Finally, the ICHRC published many evidence-based reviews on treatment of common pediatric problems and these are all available on the site as well.  By utilizing the tools on this site residents can learn not only obtain important medical knowledge but learn about international practice guidelines and the role of evidence-based medicine. ( PC4, MK1, PBLI 1, SBP2) 

 

References 

 

  1. Jack Chase and Jessica Evert, Eds. Global Health Training in Graduate Medical Education: A Guidebook. 2nd Ed.  Global Health Education Consortium, 2011. http://globalhealtheducation.org/resources_OLD/Documents/Both%20Students%20And%20Faculty/GH_Training_in_GME_Guidebook_2Ed.pdf  

 

This is a unique and comprehensive resource authored by experts in Global Health education from various disciplines including pediatrics.  The book was written specifically to support educators in developing and implementing curricula for global health in residency programs.  Chapters include curriculum development, program development, ethical issues, preparation for international rotations, development of local global health electives, mentorship, and program evaluation.  Profiles of exemplary Global Health training programs are provided as well as a comprehensive list of resources. (ALL MILESTONES 

 

  1. Suchdev PS, et al. A Proposed Model Curriculum in Global Child Health for Pediatric Residents. Acad Pediatr. 2012 May-Jun;12(3):229-37 

 

This research article describes the results of a survey of existing Global Health Tracks in Pediatric Residency Programs.  It describes recommended core content for global health training and curriculum objectives based on ACGME competencies.  It represents a consensus of authors from various programs on what the core content of global training of pediatric residents should include and what curriculum activities and evaluation tools are suggested to meet the curriculum objectives. (ALL MILESTONES 

 

  1. Crump JA, Sugarman J; Working Group on Ethics Guidelines for Global Health Training (WEIGHT).  Ethics and Best Practice Guidelines for Training Experiences in Global Health. Am J Trop Med Hyg. 2010 Dec;83(6):1178-82. 

 

The WEIGHT group consisted of experts in the fields of global health and ethics convened by the authors who acknowledged that while international experiences can be beneficial for trainees, they can also be mired in ethical challenges and potentially result in harm to the host site.  This article provides a set of guidelines for institutions, trainees, and sponsors of field-based global health training on ethics and best practices in this setting.  The guidelines encompass the multiple disciplines and multiple activities that take place under the umbrella of global health including in the clinical, public health, research, and education arenas. This is important core reading for both trainees and faculty who are engaging in international work. (PROF 1,2,3) 

 

  1. Hansoti B, et al.  Guidelines for Safety of Trainees Rotating Abroad: Consensus Recommendations from the Global Emergency Medicine Academy of the Society for Academic Emergency Medicine, Council of Emergency Medicine Residency Directors, and the Emergency Medicine Residents Association.  Acad Emerg Med. 2013 Apr;20(4):413-20. 

 

International electives are a core component of global health education.  Many programs and faculty struggle with preparing their residents adequately to ensure a safe rotation.  This recently published article is an excellent, comprehensive review of preparing trainees for rotations in developing countries.