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GH Curriculum: Sarah Lapey


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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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GH Curriculum: Sarah Lapey

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