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GH Curriculum: Sarah Lapey

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Building a Curriculum in Global Health: Lessons learned and steps ahead …

Building a Curriculum in Global Health: Lessons learned and steps ahead

Session Title: Global Health Curriculum Pre/Post Graduate Training

Published in: Education, Health & Medicine
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  • Transcript

    • 1.
      • Sarah E. Lapey, MD
      • UT Health Science Center San Antonio
      • Center for Medical Humanities & Ethics
      • 18 th Annual GHEC Conference
      • April 4 th , 2009
    • 2.
      • Share approach to building global health curriculum
      • Review steps and barriers to establishing a clinical global health elective
      • Discuss next steps in expanding curriculum and maximizing impact on student and community served
    • 3.
      • Mounting student interest in global health
        • “ UTHSCSA Global” student interest group
      • Funding from Deans Office for international experiences
      • Passionate Faculty members
      • Proximity to Mexico Border
        • Community for Children pediatric elective, Frontera de Salud student group, STEER
      • Tradition of medical students striving to create 4 th yr clinical electives on their own
    • 4.
      • Lack of Center for Global Health
      • Disconnection amidst faculty and staff members involved in global health
      • Global health seen as extra-curricular, as opposed to embedded within the curriculum
      • Tendency for students to have to start afresh in arranging international medicine opportunities
    • 5.
      • Added to curriculum in 2006
      • Serves as vehicle for global health experiences
      • Offers service-learning experience in medicine
        • Tropical medicine, community-based primary care exposure
        • Strengthens clinical skills in resource-poor settings
      • Provides insight into health care disparities
      • Increases cultural competency
      • Encourages self-reflection as a physician
    • 6.
      • UTHSCA-specific
        • India: Christian Medical College in Vellore
        • Guatemala: Clinica Familiar Luis Angel Garcia
        • Colombia (Instituto de Ciencias de la Salud CES)
      • Independently arranged by students
        • Ghana (through INMED)
        • China and Taiwan
        • India
        • Peru
        • Greece (The Lost Coin)
        • Medical Spanish sites
    • 7.
      • Pre-trip Meeting
        • Discuss student’s objectives and provide recommendations
        • Student signs affidavit regarding above
      • Requirements for credit
        • Clinical evaluation from mentor
        • Reflection essay
        • Log of patients or blog
      • Post- trip
        • Encourage presentation to health science community
        • Recommend exploring ways to provide service to underrepresented populations here
    • 8.
      • Competencies
        • Patient Care
        • Medical and Public Health Knowledge
        • Educational Initiative
        • Interpersonal Communication and Professionalism
      • Exception for this at CMC in India due to Visa issues
        • Students only able to have “observer-ship”
    • 9.
      • Site selection
        • Creation of more UTSHCSA specific sites
      • Creation of separate subsets of elective
        • Medical Spanish
      • Lack of Preparatory course providing foundation in global health issues
    • 10.
      • Preparing for Global Health Work course
        • To be offered November 2009
      • Attempts to unify UTHSCSA global health work in all disciplines- to advance opportunities to collaborate
      • Efforts to study the impact of Global Health experiences on students
        • Apply Jefferson Scale of Empathy,
        • Track residency, career/ practice choices
    • 11.
      • From the Dump in Danli, Honduras
      • “ Let us be good on the inside, even if it doesn’t show on the outside.”
    • 12.  

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