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Bidirectional Exchange in Global Health: Moving Toward True Global Health Partnership

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  • 1 Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California;
  • | 2 Department of Medicine, Boston Children’s Hospital, Boston, Massachusetts;
  • | 3 Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington;
  • | 4 Department of Pediatrics, University of Wisconsin Madison School of Medicine and Public Health, Madison, Wisconsin;
  • | 5 Department of Pediatrics, Children’s Mercy Hospitals and Clinics, Kansas City, Missouri;
  • | 6 Department of Pediatrics, University of Minnesota Masonic Children’s Hospital, Minneapolis, Minnesota

Although there has been rapid growth in global health educational experiences over the last two decades, the flow of learners remains overwhelmingly one directional; providers from high-resourced settings travel to limited-resourced environments to participate in clinical care, education, and/or research. Increasingly, there has been a call to promote parity in partnerships, including the development of bidirectional exchanges, where trainees from each institution travel to the partner’s setting to learn from and teach each other. As global health educators and steering committee members of the Association of Pediatric Program Directors Global Health Pediatric Education Group, we endorse the belief that we must move away from merely sending learners to international partner sites and instead become true global health partners offering equitable educational experiences. In this article, we summarize the benefits, review common challenges, and highlight solutions to hosting and providing meaningful global health experiences for learners from limited-resourced partner institutions to academic health centers in the United States.

Author Notes

Address correspondence to Gitanjli Arora, Department of Pediatrics, Keck School of Medicine of the University of Southern California, 4650 Sunset Boulevard No. 170, Los Angeles, CA 90027. E-mail: garora@chla.usc.edu

Authors’ addresses: Gitanjli Arora, Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, CA, E-mail: garora@chla.usc.edu. Christiana Russ, Department of Pediatrics, Harvard Medical School, Boston, MA, E-mail: christiana.russ@childrens.harvard.edu. Maneesh Batra, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, E-mail: maneesh.batra@seattlechildrens.org. Sabrina M. Butteris, Department of Pediatrics, University of Wisconsin Madison School of Medicine and Public Health, Madison, WI, E-mail: sbutteris@pediatrics.wisc.edu. Jennifer Watts, Department of Pediatrics, Children’s Mercy Hospitals and Clinics, Kansas City, MO, E-mail: jwatts@cmh.edu. Michael B. Pitt, Department of Pediatrics, University of Minnesota Masonic Children’s Hospital, Minneapolis, MN, E-mail: mbpitt@umn.edu.

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