Author:
ProCite
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-
1.
Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, Wasserheit JN, 2009. Consortium of Universities for Global Health Executive Board. Towards a common definition of global health. Lancet 373: 1993–1995.
-
2.
Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ, 2003. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med 78: 342–347.
-
3.
Pitt MB, Slusher TM, Gladding SP, Moskalewicz R, Howard CR, 2020. The Minnesota Model: a residency global health track framework. Am J Trop Med Hyg 102: 11–16.
-
4.
Wilson L, Callender B, Hall TL, Jogerst K, Torres H, Velji A, 2014. Identifying Global Health Competencies to Prepare 21st Century Global Health Professionals: report from the Global Health Competency Subcommittee of the Consortium of Universities for Global Health. J Law Med Ethics 42 (Suppl): 26–31.
-
5.
Lu PM, Park EE, Rabin TL, Schwartz JI, Shearer LS, Siegler EL, Peck RN, 2018. Impact of global health electives on US medical residents: a systematic review. Ann Glob Health 84: 692–703.
-
6.
Bjorklund AB, Cook BA, Hendel-Paterson BR, Walker PF, Stauffer WM, Boulware DR, 2011. Impact of global health residency training on medical knowledge of immigrant health. Am J Trop Med Hyg 85: 405–408.
-
7.
Patel S, Diouf K, Schantz-Dunn J, Nour NM, 2019. Impact of funded global health electives on career development of residents in a U.S. obstetrics and gynecology program: a cross-sectional survey. BMC Med Educ 19: 103.
-
8.
Hayward AS, Jacquet GA, Sanson T, Mowafi H, Hansoti B, 2015. Academic affairs and global health: how global health electives can accelerate progress towards ACGME milestones. Int J Emerg Med 8: 45.
-
9.
Betancourt JR, Green AR, Carrillo JE, 2002. Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. Available at: www.cmwf.org. Accessed March 12, 2019.
-
10.
Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA, 2004. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med 19: 101–110.
-
11.
Quigley DD, Elliott MN, Hambarsoomian K, Wilson-Frederick SM, Lehrman WG, Agniel D, Ng JH, Goldstein EH, Giordano LA, Martino SC, 2019. Inpatient care experiences differ by preferred language within racial/ethnic groups. Health Serv Res 54: 263–274.
-
12.
Govere L, Govere EM, 2016. How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews Evid Based Nurs 13: 402–410.
-
13.
Juckett G, Unger K, 2014. Appropriate use of medical interpreters. Am Fam Physician 90: 476–480.
-
14.
Ge B, Zhang Z, Zuo Z, 2014. Updates on the clinical evidenced herb–warfarin interactions. Evid Based Complement Alternat Med 2014: 957362.
-
15.
Davis RE, 2000. Cultural health care or child abuse? The Southeast Asian practice of cao gio. J Am Acad Nurse Pract 12: 89–95.
-
16.
Upadhyay DK, Sittig DF, Singh H, 2014. Ebola US patient zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl) 1: 283–287.
-
17.
Storla DG, Yimer S, Bjune GA, 2008. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 8: 15.
-
18.
Dorsey G, Gandhi M, Oyugi JH, Rosenthal PJ, 2000. Difficulties in the prevention, diagnosis, and treatment of imported malaria. Arch Intern Med 160: 2505–2510.
-
19.
Dato V, Wagner MM, Fapohunda A, 2004. How outbreaks of infectious disease are detected: a review of surveillance systems and outbreaks. Public Health Rep 119: 464–471.
-
20.
Yen PH, Leasure AR, 2019. Use and effectiveness of the teach-back method in patient education and health outcomes. Fed Pract 36: 284–289.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1319 | 319 | 105 |
| Full Text Views | 131 | 51 | 4 |
| PDF Downloads | 151 | 50 | 2 |
Global Is Local: Does Formal Resident Global Health Medical Education Improve Clinical Care in the United States?
Serin Edwin Erayil
Serin Edwin Erayil
Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
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Heriberto Lopez
Heriberto Lopez
Economics, Statistics and Data Science, St. Olaf College, Northfield, Minnesota;
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Megan Shaughnessy
Megan Shaughnessy
Department of Medicine, Hennepin Healthcare Services, Minneapolis, Minnesota;
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
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Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
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Hope Pogemiller
Hope Pogemiller
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;
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Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;
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Rachel Silva
Rachel Silva
Department of Medicine, Hennepin Healthcare Services, Minneapolis, Minnesota;
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
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Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
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Andrew P. J. Olson
Andrew P. J. Olson
Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;
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Brett Hendel-Paterson
Brett Hendel-Paterson
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, Minnesota;
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HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, Minnesota;
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Patricia Walker
Patricia Walker
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, Minnesota;
HealthPartners Institute, Bloomington, Minnesota;
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HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, Minnesota;
HealthPartners Institute, Bloomington, Minnesota;
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William M. Stauffer
William M. Stauffer
Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;
HealthPartners Institute, Bloomington, Minnesota;
Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota
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Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, Minnesota;
Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota;
HealthPartners Institute, Bloomington, Minnesota;
Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, Minnesota
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ABSTRACT.
We administered a standardized 41-item questionnaire to a convenience sample of graduates of five residency programs with formal global health pathways and compared findings to a national cohort of practicing physicians to evaluate the comparative effectiveness of an overarching global health pathway on residency program graduates. Compared with the national cohort database, global health pathway graduates self-reported that they felt better prepared to treat immigrants, refugees, patients with limited English proficiency (LEP), racial/ethnic minorities, those with non-Western health beliefs, international travelers, and military veterans (P < 0.05). They were more likely to report using best practices when working with lesbian, gay, bisexual, transgender, queer/questioning patients, immigrant and refugee patients, patients with non-Western health beliefs, patients with LEP, and patients communicating via American Sign Language (P < 0.05). They also reported being more familiar with 11 of 14 high-impact or common infections encountered in travelers, immigrants, and military personnel (P < 0.05). Our findings suggest that formal postgraduate training focused on global health improves knowledge, attitudes, and self-reported medical practices when caring for diverse and marginalized populations in the United States.
- Supplemental Materials (PDF 199 KB)
Author Notes
Disclosure: Anonymous data from previous surveys conducted by Critical Measures was provided to the investigators. The study design, execution, data analysis, and manuscript preparation were performed by the investigators without input from Critical Measures. The final manuscript was reviewed by Mr. Hunt for accuracy and to ensure an accurate description of the survey tool, the data collection in the comparison group, and the role of Critical Measures in previous work and in this study. Preliminary data were presented as a poster at the Best Practices in Health Sciences Education Conference, April 29, 2020, Minneapolis, MN.
Authors’ addresses: Serin Edwin Erayil, Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: erayi001@umn.edu. Heriberto Lopez, Economics, Statistics and Data Science, St. Olaf College, Northfield, MN, E-mail: lopez12@stolaf.edu. Megan Shaughnessy, Department of Medicine, Division of Infectious Diseases, Hennepin Healthcare Services, Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, MN, and Department of Medicine, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: megan.shaughnessy@hcmed.org. Hope Pogemiller, Departments of Medicine and Pediatrics, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: poge0008@umn.edu. Rachel Silva, Department of General Internal Medicine, Hennepin Healthcare Services, Minneapolis, MN, and Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: rachel.silva@hcmed.org. Andrew P. J. Olson, Departments of Medicine and Pediatrics, University of Minnesota Medical School, Minneapolis, MN, E-mail: apjolson@umn.edu. Brett Hendel-Paterson, HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, MN, and Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: bhendel1@gmail.com. Patricia Walker, Department of Medicine, Global Medicine, University of Minnesota Medical School, HealthPartners, Regions Hospital, Department of Medicine, Saint Paul, MN, and HealthPartners Institute, Bloomington, MN, E-mail: patricia.f.walker@healthpartners.com. William M. Stauffer, Departments of Medicine and Pediatrics, Division of Infectious Diseases and International Medicine, University of Minnesota Medical School, and Department of Medicine, Global Medicine, University of Minnesota Medical School, Minneapolis, MN, HealthPartners Institute, Bloomington, MN, and Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, MN, E-mail: stauf005@umn.edu.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, Wasserheit JN, 2009. Consortium of Universities for Global Health Executive Board. Towards a common definition of global health. Lancet 373: 1993–1995.
-
2.
Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ, 2003. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med 78: 342–347.
-
3.
Pitt MB, Slusher TM, Gladding SP, Moskalewicz R, Howard CR, 2020. The Minnesota Model: a residency global health track framework. Am J Trop Med Hyg 102: 11–16.
-
4.
Wilson L, Callender B, Hall TL, Jogerst K, Torres H, Velji A, 2014. Identifying Global Health Competencies to Prepare 21st Century Global Health Professionals: report from the Global Health Competency Subcommittee of the Consortium of Universities for Global Health. J Law Med Ethics 42 (Suppl): 26–31.
-
5.
Lu PM, Park EE, Rabin TL, Schwartz JI, Shearer LS, Siegler EL, Peck RN, 2018. Impact of global health electives on US medical residents: a systematic review. Ann Glob Health 84: 692–703.
-
6.
Bjorklund AB, Cook BA, Hendel-Paterson BR, Walker PF, Stauffer WM, Boulware DR, 2011. Impact of global health residency training on medical knowledge of immigrant health. Am J Trop Med Hyg 85: 405–408.
-
7.
Patel S, Diouf K, Schantz-Dunn J, Nour NM, 2019. Impact of funded global health electives on career development of residents in a U.S. obstetrics and gynecology program: a cross-sectional survey. BMC Med Educ 19: 103.
-
8.
Hayward AS, Jacquet GA, Sanson T, Mowafi H, Hansoti B, 2015. Academic affairs and global health: how global health electives can accelerate progress towards ACGME milestones. Int J Emerg Med 8: 45.
-
9.
Betancourt JR, Green AR, Carrillo JE, 2002. Cultural Competence in Health Care: Emerging Frameworks and Practical Approaches. Available at: www.cmwf.org. Accessed March 12, 2019.
-
10.
Johnson RL, Saha S, Arbelaez JJ, Beach MC, Cooper LA, 2004. Racial and ethnic differences in patient perceptions of bias and cultural competence in health care. J Gen Intern Med 19: 101–110.
-
11.
Quigley DD, Elliott MN, Hambarsoomian K, Wilson-Frederick SM, Lehrman WG, Agniel D, Ng JH, Goldstein EH, Giordano LA, Martino SC, 2019. Inpatient care experiences differ by preferred language within racial/ethnic groups. Health Serv Res 54: 263–274.
-
12.
Govere L, Govere EM, 2016. How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews Evid Based Nurs 13: 402–410.
-
13.
Juckett G, Unger K, 2014. Appropriate use of medical interpreters. Am Fam Physician 90: 476–480.
-
14.
Ge B, Zhang Z, Zuo Z, 2014. Updates on the clinical evidenced herb–warfarin interactions. Evid Based Complement Alternat Med 2014: 957362.
-
15.
Davis RE, 2000. Cultural health care or child abuse? The Southeast Asian practice of cao gio. J Am Acad Nurse Pract 12: 89–95.
-
16.
Upadhyay DK, Sittig DF, Singh H, 2014. Ebola US patient zero: lessons on misdiagnosis and effective use of electronic health records. Diagnosis (Berl) 1: 283–287.
-
17.
Storla DG, Yimer S, Bjune GA, 2008. A systematic review of delay in the diagnosis and treatment of tuberculosis. BMC Public Health 8: 15.
-
18.
Dorsey G, Gandhi M, Oyugi JH, Rosenthal PJ, 2000. Difficulties in the prevention, diagnosis, and treatment of imported malaria. Arch Intern Med 160: 2505–2510.
-
19.
Dato V, Wagner MM, Fapohunda A, 2004. How outbreaks of infectious disease are detected: a review of surveillance systems and outbreaks. Public Health Rep 119: 464–471.
-
20.
Yen PH, Leasure AR, 2019. Use and effectiveness of the teach-back method in patient education and health outcomes. Fed Pract 36: 284–289.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 1319 | 319 | 105 |
| Full Text Views | 131 | 51 | 4 |
| PDF Downloads | 151 | 50 | 2 |