Training Programs Within Global Networks: Lessons Learned in the Fogarty International Clinical Research Scholars and Fellows Program

Catherine L. Carothers Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Catherine L. Carothers in
Current site
Google Scholar
PubMed
Close
,
Douglas C. Heimburger Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Douglas C. Heimburger in
Current site
Google Scholar
PubMed
Close
,
Sarah Schlachter Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Sarah Schlachter in
Current site
Google Scholar
PubMed
Close
,
Pierce Gardner Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Pierce Gardner in
Current site
Google Scholar
PubMed
Close
,
Aron Primack Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Aron Primack in
Current site
Google Scholar
PubMed
Close
,
Tokesha L. Warner Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Tokesha L. Warner in
Current site
Google Scholar
PubMed
Close
, and
Sten H. Vermund Institute for Global Health and Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt University, Nashville, Tennessee; Stony Brook University School of Medicine, Stony Brook, New York; Fogarty International Center, National Institutes of Health, Bethesda, Maryland

Search for other papers by Sten H. Vermund in
Current site
Google Scholar
PubMed
Close
Restricted access

The Fogarty International Clinical Research Scholars and Fellows Support Center at Vanderbilt describes administrative lessons learned from the management of 436 scholars (American students or host country junior trainees) and 122 post-doctoral fellows (Americans or host country nationals). Trainees spent 10–11 months working on mentored research projects at 61 well-vetted sites in 27 low- or middle-income host countries (LMICs) with strong US partners. Economies of scale, strong centralized information exchange, and effective standardized operations linking US institutions with LMIC field sites were achieved in a program that minimized administrative overhead. Advantages and drawbacks of this approach are presented and discussed. Training of a new generation of global research leaders is greatly facilitated by an overseas mentored research experience that is administratively streamlined to optimize the use of resources for training, research, and capacity building.

Author Notes

* Address correspondence to Catherine L. Carothers, Vanderbilt University Institute for Global Health, 2525 West End Avenue, Suite 750, Nashville, TN 37203. E-mail: catherine.lem@vanderbilt.edu

Authors' addresses: Catherine L. Carothers, Douglas C. Heimburger, and Sten H. Vermund, Vanderbilt University Institute for Global Health, Nashville, TN, E-mails: catherine.lem@vanderbilt.edu, douglas.heimburger@vanderbilt.edu, and sten.vermund@vanderbilt.edu. Tokesha L. Warner, University of Georgia, Athens, GA, E-mail: gsmart@uga.edu. Sarah Schlachter, University of Kansas Medical Center, Frontiers: The Heartland Institute for Clinical and Translational Research, Fairway, KS, E-mail: sschlachter@kumc.edu. Pierce Gardner, Office of the Dean, Stony Brook University School of Medicine, Stony Brook, NY, E-mail: pgardner@stonybrookmedicine.edu. Aron Primack, Silver Spring, MD, E-mail: aprimack@rcn.com.

  • 1.

    Evert J, Bazemore A, Hixon A, Withy K, 2007. Going global: considerations for introducing global health into family medicine training programs. Fam Med 39: 659665.

  • 2.

    Macfarlane SB, Jacobs M, Kaaya E, 2008. In the name of global health: trends in academic institutions. J Public Health Policy 29: 383401.

  • 3.

    Freedman DO, Gotuzzo E, Seas C, Legua P, Plier DA, Vermund SH, Casebeer LL, 2002. Educational programs to enhance medical expertise in tropical diseases: the Gorgas Course experience 1996–2001. Am J Trop Med Hyg 66: 526532.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Rubin ER, 2013. Global Operations Require Strategic Assessment. Association of Academic Health Centers. Available at: http://www.aahcdc.org/Resources/ReportsAndPublications/IssueBriefs/View/ArticleId/12/Global-Operations-Require-Strategic-Assessment.aspx. Accessed May 8, 2013.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Nelson BD, Kasper J, Hillberd PL, Thea DM, Herlihy JM, 2012. Developing a career in global health: considerations for physicians-in-training and academic mentors. J Grad Med Educ 4: 301306.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Costello A, Zumla A, 2000. Moving to research partnerships in developing countries. BMJ 321: 827829.

  • 7.

    AMPATH Consortium, 2013. Available at: www.ampathkenya.org/our-partners/consortium-members. Accessed May 8, 2013.

    • PubMed
    • Export Citation
  • 8.

    Vermund SH, Audet CM, Martin MH, Heimburger DC, 2010. Training programmes in global health. BMJ 341: c6860.

  • 9.

    Crump JA, Sugarman J, 2010. Working Group on Ethics Guidelines for Global Health Training (WEIGHT). Global health training: ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg 83: 11781182.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Umoren RA, James JE, Litzelman DK, 2012. Evidence of reciprocity in reports on international partnerships. Education Research International, ID, 10.1155/2012/603270.

  • 11.

    United Health and NHLBI Collaborating Centers of Excellence, 2013. Available at: www.nhlbi.nih.gov/about/globalhealth/centers/index.htm. Accessed May 8, 2013.

    • PubMed
    • Export Citation
  • 12.

    Division of Acquired Immunodeficiency Syndrome (DAIDS) HIV/AIDS Clinical Trials Networks, 2013. Available at: www.niaid.nih.gov/about/organization/daids/networks/pages/daidsnetworks.aspx. Accessed May 8, 2013.

    • PubMed
    • Export Citation
  • 13.

    Medical Education Partnership Initiative (MEPI), 2013. Available at: www.fic.nih.gov/Programs/Pages/medical-education-africa.aspx. Accessed May 8, 2013.

    • PubMed
    • Export Citation
  • 14.

    Provenzano AM, Graber LK, Elansary M, Khoshnood K, Rastegar A, Barry M, 2010. Short-term global health research projects by US medical students: ethical challenges for partnerships. Am J Trop Med Hyg 83: 211214.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Heimburger DC, Carothers CL, Gardner P, Primack A, Warner TL, Vermund SH, 2011. Nurturing the global workforce in clinical research: the NIH Fogarty International Clinical Scholars and Fellows Program. Am J Trop Med Hyg 85: 971978.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Vermund SH, Sahasrabuddhe VV, Khedkar S, Jia Y, Etherington C, Vergara A, 2008. Building global health through a center-without-walls: the Vanderbilt Institute for Global Health. Acad Med 83: 154164.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Heimburger DC, Warner TL, Carothers CL, Blevins M, Thomas Y, Gardner P, Primack A, Vermund SH, 2013. Recruiting trainees for a global health research workforce: the NIH Fogarty International Clinical Research Scholars Program selection process. Am J Trop Med Hyg 89: 281287.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Centers for Disease Control and Prevention, 2012. CDC Health Information for International Travel 2012. New York, NY: Oxford University Press.

  • 19.

    Franco-Paredes C, Santos-Preciado JI, 2006. Problem pathogens: prevention of malaria in travellers. Lancet Infect Dis 6: 139149.

  • 20.

    Tyagi S, Corbett S, Welfare M, 2006. Safety on elective: a survey on safety advice and adverse events during electives. Clin Med 6: 154156.

  • 21.

    Philipp R, Webber S, Butler AV, Macara AW, 1985. Student health during overseas electives. J R Coll Gen Pract 35: 8083.

  • 22.

    Goldsmid JM, Bettiol SS, Sharples N, 2003. A preliminary study on travel health issues of medical students undertaking electives. J Travel Med 10: 160163.

  • 23.

    Steiner BD, Carlough M, Dent G, Pena R, Morgan D, 2010. International crises and global health electives: lessons for faculty and institutions. Acad Med 85: 15601563.

  • 24.

    Scarlett HP, Nisbett RA, Stoler J, Bain BC, Bhatta MP, Castle T, Harbertson J, Brodine SK, Vermund SH, 2011. South-to-north, cross-disciplinary training in global health practice: ten years of lessons learned from an infectious disease field course in Jamaica. Am J Trop Med Hyg 85: 397404.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Drain PK, Holmes KK, Skeff KM, Hall TL, Gardner P, 2009. Global health training and international clinical rotations during residency: current status, needs, and opportunities. Acad Med 84: 320325.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Bryant JH, Vejli A, 2011. Global health and the role of universities in the twenty-first century. Infect Dis Clin North Am 25: 311321.

  • 27.

    Hirsch DA, Ogur B, Thibault GE, Cox M, 2007. “Continuity” as an organizing principle for clinical education reform. N Engl J Med 356: 858866.

  • 28.

    Budderberg-Fischer B, Herta K, 2006. Formal mentoring programmes for medical students—a review of the Medline literature. Med Teach 28: 248257.

  • 29.

    Global Health Program for Fellows and Scholars, 2013. Available at: http://www.fic.nih.gov/Programs/Pages/scholars-fellows-global-health.aspx. Accessed May 8, 2013.

    • PubMed
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 754 655 16
Full Text Views 506 16 4
PDF Downloads 148 18 4
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save