Hayward Alison Schroth, Jacquet Gabrielle A, Sanson Tracy, Mowafi Hani, Hansoti Bhakti
Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Department of Emergency Medicine, Boston Medical Center, Boston, MA, USA.
Int J Emerg Med. 2015 Dec;8(1):45. doi: 10.1186/s12245-015-0093-0. Epub 2015 Dec 2.
Global health electives (GHEs) have become a standard offering in many residency programs. Residency electives should aid residents in achieving outcomes in the Accreditation Council for Graduate Medical Education (ACGME) competency domains. In this paper, the authors review existing literature and provide expert opinion to highlight how global health electives can complement traditional training programs to assist residents in achieving ACGME milestones, using emergency medicine residency as an example. Recommendations are provided for identifying exemplary global health electives and for the development of institutional global health elective curricula in order to facilitate milestone achievement. Global health electives can advance progress towards ACGME milestones; however, they may vary greatly in terms of potential for learner advancement. Electives should thus be rigorously vetted to ensure they meet standards that will facilitate this process. Given that milestones are a newly introduced tool for assessing resident educational achievement, very little research is available currently to directly determine impacts, and further study will be needed.
全球健康选修课（GHEs）已成为许多住院医师培训项目的标准课程。住院医师选修课应帮助住院医师在毕业后医学教育认证委员会（ACGME）的能力领域取得成果。在本文中，作者回顾了现有文献并提供专家意见，以突出全球健康选修课如何补充传统培训项目，以帮助住院医师实现ACGME的里程碑，以急诊医学住院医师培训为例。本文提供了识别典范全球健康选修课以及制定机构全球健康选修课程的建议，以促进里程碑的实现。全球健康选修课可以推动朝着ACGME里程碑取得进展；然而，它们在促进学习者进步的潜力方面可能有很大差异。因此，选修课应经过严格审查，以确保它们符合有助于这一过程的标准。鉴于里程碑是一种新引入的评估住院医师教育成就的工具，目前几乎没有直接确定其影响的研究，还需要进一步研究。
