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GH Curriculum: Sarah Lapey

GH Curriculum: Sarah Lapey



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



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GH Curriculum: Sarah Lapey GH Curriculum: Sarah Lapey Presentation Transcript

    • Sarah E. Lapey, MD
    • UT Health Science Center San Antonio
    • Center for Medical Humanities & Ethics
    • 18 th Annual GHEC Conference
    • April 4 th , 2009
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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”
    • 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
    • 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
    • From the Dump in Danli, Honduras
    • “ Let us be good on the inside, even if it doesn’t show on the outside.”