educating and mentoring medical students and residents in global health: short and medium term...
TRANSCRIPT
Educating and Mentoring Medical Students and
Residents in Global Health: Short and Medium Term
International ExperiencesInis Jane Bardella, MD, FAAFP
Associate Dean Faculty Development & Global Health Initiatives
Professor Department of Family & Preventive Medicine
Chicago Medical School, Rosalind Franklin University
North Chicago, IL USA
Session Objectives Discuss the need and opportunity for sustainable models of
medical education globally that honor God. Explore models and strategies for medical student and resident
GH education & mentoring that maximize in-country partner benefit, minimize harm and disruption, and facilitate sustainability.
Discuss the benefits, challenges and outcomes of short and medium term international experiences for medical students and residents.
Apply these concepts for education & mentoring of future medical education leaders globally.
Rationale
CommandedGo ye therefore, and make disciples of
all nations, baptizing them into the name of the Father and of the Son and of the Holy Spirit: teaching them to observe all things whatsoever I commanded you: and lo, I am with you always, even unto the end of the world.
Matthew 28:19-20 ASV
Rationale Opportunity
More than 25% of US medical students participate in international experiences during medical school.
Most of this interest continues into residency.Students and residents in low-income and middle income
countries desire/demand enhanced education and training. Concern
Wide array of experiences and opportunitiesHarm and disruption from non-evidence-based, non-
biblical-value-based approaches
Rationale
Jesus’ effective modelSpiritual teachingProfessional developmentModelingInteractive discussionExperiential learningEntrustable professional activities (EPAs)
Rationale
ResponsibilityAnd to whomsoever much is given, of him shall much be
required; and to whom they commit much, of him will they ask the more.
Luke 22:48b ASV Who better to teach the next generation?
Value human lifeBelieve we are accountable to God
What better method than living your life as a Christian health professional?
Needs and Opportunities
Needs and Opportunities
High level of student, resident & faculty interest in global health in high-income countries
Desire and need for clinical, research, education development in low- and middle-income countries
Student & resident call to Christian faith-based domestic & international missions
Needs and Opportunities
Global need and desire for health equity – improved morbidity and mortality in all countries
Faculty have a high level of influence on students, patients and colleagues.
Thus, desire and need for …
Needs and Opportunities
…Educationally appropriate, worthwhile experiencesReasonable safety, accountability in experiencesDiscipleship and mentoring of students, residents,
colleaguesDevelopment of low- and middle-income partnersSustained, collaborative, equitable partnerships
focused on the needs and priorities of the partnerMinimizing harm and disruption for the partner
Models and Strategies
CaveatsThink long-term outcomes.
• Spiritual• Professional• Clinical
Inspire and communicate vision.Modeling speaks louder than words.
• Your life is being watched.Students, residents, colleagues desire
meaningful relationships.
Curriculum Models: Literature Search
Independent elective coursesDidacticExperiential
• Clinical
• Project, non-clinical
• Research Selective options for required courses
Required clerkship at an international site
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Curriculum Models: Literature Search
Formal (required) curriculumIntegrated into coursesSpecific global health courses
Tracks, programs, concentrationsDedicated program with requirementsRecognized at graduation
FellowshipsPost residencyMay offer additional degree
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Models and Strategies
Be the US partner.Medical school or residency US partner
• Judeo-Christian values and principles to guide the partnership, even if is a secular institution
US “local” global health site for a medical school or residency
• Required experiences• Elective experiences• Teach, model Judeo-Christian principles,
values, even if the institution(s) is/are secular.
Models and Strategies
Be the low-income partner.Institutional partnership
• Education• Research• Clinical care
Engage faculty• Foundation• Core
Engage students, residents• Clinical• Research• Development project
Models and Strategies
Be an advisor.CareerSpecialtyTake the student/resident with you
Be a mentor.Global health programGlobal health projects and researchStudent/resident Christian groupTake the student/resident with you
Models and Strategies
Be clinical faculty.Consistent involvementPermits credit for experienceSubstantiates your teaching roleProvides opportunity for broader engagement
• Admissions• Curriculum• Affiliations• Research• Development
Models and Strategies
Maximize in-country partner benefit, minimize harm and disruption, and facilitate sustainability.Long-term partnerships with shared vision
and goalsClear expectations, goals, objectivesConsistent involvement and engagementPre-travel preparationPost-travel debriefing
Benefits for Students and Residents
Refinement, clarification of call, vision, directionCan better prepare for the future
Spiritual, academic, professional developmentMore fruitMore effective
Fulfillment of curricular requirements Exploration of new directions, possibilities
Challenges for Students and Residents
Expense Insurance
Medical liabilityTravel
State Department travel warnings For residents, may not have salary and benefits
during experiences outside the US. Appropriate, required supervision Coordination of time with school/program
schedule.
Outcomes for Students and Residents
Clarification of call and life direction Maturity of faith Enhanced knowledge, skills, attitudes for
professional Christian practice Gaining a mentor Initiate opportunities for long term engagement
Application
How can you engage with students and residents?
What are the challenges to consider and address?
What are the potential benefits for you/your practice?
What additional models, approaches should be considered?
Summary
Seek out methods to engage students and residents in your international and local missions endeavors.
Be a mentor.
Be clinical faculty.
Embrace opportunities to disciple and mentor the next generation.
Content Resources GHEC/CUGH modules
http://www.cugh.org/resources PRiME
http://www.prime-international.org.uk/home.htm Millions Saved: Proven Successes in Global Health
(Ruth Levine) Understanding Global Health (William Markle, Melanie
Fisher, Jr., Ray Smego) Burden of Disease
http://www.thelancet.com/themed/global-burden-of-disease http://www.who.int/topics/global_burden_of_disease/en/ 24
Content Resources Social Determinants of Health (Michael Marmot, Richard
G. Wilkinson) USAID Global Health eLearning
http://www.globalhealthlearning.org/ Unite for Sight, Global Health eLearning
http://www.uniteforsight.org/global-health-university/courses Kaiser Family Foundation, Global Health Policy
http://kff.org/slides/global-health-policy/ Harvard School of Public Health: Teaching cases (pdf)
and Case Studies (video recordings of lectures) http://www.globalhealthdelivery.org/case-studies/
John Hopkins School of Public Health Open Courseware http://ocw.jhsph.edu/ 25
References
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References
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References
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References
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References
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