Department of Family Medicine, McMaster University, 175 Longwood Road South, Hamilton, L8S 1A4 Canada.
BMC Med Educ. 2011 Jul 22;11:46. doi: 10.1186/1472-6920-11-46.
Recognizing the growing demand from medical students and residents for more comprehensive global health training, and the paucity of explicit curricula on such issues, global health and curriculum experts from the six Ontario Family Medicine Residency Programs worked together to design a framework for global health curricula in family medicine training programs.
A working group comprised of global health educators from Ontario's six medical schools conducted a scoping review of global health curricula, competencies, and pedagogical approaches. The working group then hosted a full day meeting, inviting experts in education, clinical care, family medicine and public health, and developed a consensus process and draft framework to design global health curricula. Through a series of weekly teleconferences over the next six months, the framework was revised and used to guide the identification of enabling global health competencies (behaviours, skills and attitudes) for Canadian Family Medicine training.
The main outcome was an evidence-informed interactive framework http://globalhealth.ennovativesolution.com/ to provide a shared foundation to guide the design, delivery and evaluation of global health education programs for Ontario's family medicine residency programs. The curriculum framework blended a definition and mission for global health training, core values and principles, global health competencies aligning with the Canadian Medical Education Directives for Specialists (CanMEDS) competencies, and key learning approaches. The framework guided the development of subsequent enabling competencies.
The shared curriculum framework can support the design, delivery and evaluation of global health curriculum in Canada and around the world, lay the foundation for research and development, provide consistency across programmes, and support the creation of learning and evaluation tools to align with the framework. The process used to develop this framework can be applied to other aspects of residency curriculum development.
认识到医学生和住院医师对更全面的全球健康培训的需求不断增长，以及缺乏此类问题的明确课程，来自安大略省六个家庭医学住院医师培训计划的全球健康和课程专家共同努力，为家庭医学培训计划中的全球健康课程设计了一个框架。
一个由安大略省六所医学院的全球健康教育工作者组成的工作组对全球健康课程、能力和教学方法进行了范围界定审查。然后，工作组举办了为期一天的会议，邀请教育、临床护理、家庭医学和公共卫生方面的专家参加，并制定了一个共识过程和草案框架，以设计全球健康课程。在接下来的六个月里，通过一系列每周的电话会议，对框架进行了修订，并用于指导确定加拿大家庭医学培训的全球健康促进能力（行为、技能和态度）。
主要结果是一个循证互动框架 http://globalhealth.ennovativesolution.com/ ，为安大略省家庭医学住院医师培训计划的全球健康教育项目的设计、交付和评估提供了一个共同的基础。该课程框架融合了全球健康培训的定义和使命、核心价值观和原则、与加拿大医学教育专家指令（CanMEDS）能力相匹配的全球健康能力，以及关键学习方法。该框架指导了后续促进能力的发展。
共享课程框架可以支持加拿大和世界各地的全球健康课程的设计、交付和评估，为研究和发展奠定基础，在项目之间保持一致性，并支持创建与框架一致的学习和评估工具。开发该框架所使用的流程可应用于住院医师课程开发的其他方面。
