Teaching global health with simulations and case discussions in a medical student selectiveReport as inadecuate

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Globalization and Health

, 11:28

First Online: 04 July 2015Received: 12 December 2014Accepted: 10 June 2015DOI: 10.1186-s12992-015-0111-2

Cite this article as: Bertelsen, N.S., DallaPiazza, M., Hopkins, M.A. et al. Global Health 2015 11: 28. doi:10.1186-s12992-015-0111-2


BackgroundAmong US medical schools, demand for Global Health GH programs continues to grow. At the same time, cultural competency training has become a priority for medical students who will care for an increasingly diverse US patient population. We describe a pilot period for a new GH Selective designed to introduce medical students to global medicine and enhance culturally-sensitive communication skills.

MethodsAs a 4-week clinical clerkship, the GH Selective was offered annually over a three-year period to a total of 33 students. Activities included clinical assignments, cultural competency and clinical skills simulations, patient case discussions in tropical medicine, journal clubs, and lectures. Faculty assessments of student performance and student evaluations of course content were focused on 6 course objectives, adapted from standardized GH objectives.

ResultsFor each offering of the GH Selective, at least 40 faculty members and fellows volunteered over 200 teaching hours from 11 medical school departments. Student feedback was consistently positive through competency-based curricular evaluations. As a result of its successes, the course is now offered on a biannual basis.

DiscussionExperiential, student-centered teaching employed in this course proved successful as an introduction to delivery of evidence-based and culturally sensitive GH. Special emphasis on working with standardized patients in interdisciplinary and cross-cultural simulations provided students with clinical skills applicable for care provided both locally and on international rotations.

ConclusionWith a special emphasis on cross-cultural sensitivity, this pilot elective trained future practitioners in fund of knowledge, clinical skills, and service delivery methods in GH.

KeywordsMedical education Global health International health Cross-cultural sensitivity Cultural competence Health disparities Tropical medicine Non-communicable diseases Simulation education Ethics Health and human rights AbbreviationsGHglobal health

AAMCAmerican Association of Medical Colleges

NYUNew York University

C21Curriculum for the 21 Century

BHCBellevue Hospital Center

IDInfectious Diseases

NYSIMNew York Simulation Center for the Health Sciences, Institute for Innovations in Medical Education

IIMEInstitute for Innovations in Medical Education

Electronic supplementary materialThe online version of this article doi:10.1186-s12992-015-0111-2 contains supplementary material, which is available to authorized users.

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Author: Nathan S Bertelsen - Michelle DallaPiazza - Mary Ann Hopkins - Gbenga Ogedegbe

Source: https://link.springer.com/

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