Division of General Pediatrics, Stanford School of Medicine, 770 Welch Rd, Suite100, Palo Alto, CA 94304-1507, USA.
Acad Pediatr. 2012 May-Jun;12(3):238-44. doi: 10.1016/j.acap.2012.02.005. Epub 2012 Apr 12.
Interest and participation in global health (GH) has been growing rapidly among pediatric residents. Residency programs are responding by establishing formal GH programs. We sought to define key insights in GH education from pediatric residency programs with formal GH tracks.
Seven model pediatric residency programs with formal GH training were identified in 2007. Faculty directors representing 6 of these programs participated in expert interviews assessing 6 categories of questions about GH tracks: understanding how GH tracks establish partnerships with global sites; defining organizational and financing structure of GH tracks; describing resident curriculum and pre-trip preparation; describing clinical experiences of residents in GH tracks; defining evaluation of residents and GH tracks; and defining factors that affect development and ongoing implementation of GH tracks. Data were analyzed using qualitative methodology.
All programs relied on faculty relationships to establish dynamic partnerships with global sites. All programs acknowledged resident burden on GH partners. Strategies to alleviate burden included improving resident supervision and providing varying models of GH curricula and pre-trip preparation, generally based on core residency training competencies. Support and funding for GH programs are minimal and variable. Resident experiences included volunteer patient care, teaching, and research. Commitment of experienced faculty and support from institutional leadership facilitated implementation of GH programs.
Directors of 6 model GH programs within pediatric residencies provided insights that inform others who want to establish successful GH partnerships and resident training that will prepare trainees to meet global child health needs.
儿科住院医师对全球健康（GH）的兴趣和参与度迅速增长。住院医师培训计划通过建立正式的 GH 项目来应对。我们试图从具有正式 GH 培训的儿科住院医师培训计划中确定 GH 教育的关键见解。
2007 年确定了七个具有正式 GH 培训的示范儿科住院医师培训计划。代表其中 6 个计划的教师主任参与了专家访谈，评估了 GH 轨道的 6 个类别的问题：了解 GH 轨道如何与全球站点建立伙伴关系；定义 GH 轨道的组织和融资结构；描述居民课程和旅行前准备；描述 GH 轨道居民的临床经验；定义居民和 GH 轨道的评估；以及定义影响 GH 轨道发展和持续实施的因素。使用定性方法分析数据。
所有计划都依赖于教师关系与全球站点建立动态伙伴关系。所有计划都承认居民对 GH 合作伙伴的负担。减轻负担的策略包括改进居民监督和提供不同的 GH 课程和旅行前准备模式，通常基于核心住院医师培训能力。GH 计划的支持和资金很少且各不相同。居民的经验包括志愿患者护理、教学和研究。经验丰富的教师的承诺和机构领导的支持促进了 GH 计划的实施。
儿科住院医师中 6 个模式 GH 计划的主任提供了见解，为那些希望建立成功的 GH 伙伴关系和居民培训的人提供了信息，这些培训将使受训者能够满足全球儿童健康需求。
