Tubman Michelle, Maskalyk James, Mackinnon David, Venugopal Raghu, Fremes Elayna, Puchalski Ritchie Lisa M, Azazh Aklilu, Landes Megan
University of Toronto, Ontario, Canada.
St. Michaels Hospital, Toronto, Ontario, Canada.
Can Med Educ J. 2017 Apr 20;8(2):e4-e10. eCollection 2017 Apr.
The Toronto-Addis Ababa Academic Collaboration in Emergency Medicine (TAAAC-EM) deploys teaching teams of Canadian EM faculty to Addis Ababa to deliver a longitudinal residency curriculum. Canadian trainees participate in these teams as a formally structured and supervised elective in global health (GH) and EM, which has been designed to enhance the strength of GH electives and address key challenges highlighted in the literature.
The purpose of this qualitative study was to identify, describe, and evaluate strengths and weaknesses of this elective in relation to its purposeful structure. Residents who completed the elective were invited to participate in face-to-face interviews to discuss their experiences.
The findings show that the residents both chose this elective because of its purposefully designed features, and that these same features increased their enjoyment and the educational benefit of the elective. Supervised bedside teaching, relationships shared with Ethiopian residents, and the positive impact the experience had on their clinical practice in Canada were identified as the primary strengths.
Purposeful and thoughtful design of global health electives can enhance the resident learning experience and mitigate challenges for trainees seeking global health training opportunities.
多伦多-亚的斯亚贝巴急诊医学学术合作项目（TAAAC-EM）派遣加拿大急诊医学教员教学团队前往亚的斯亚贝巴，提供纵向住院医师课程。加拿大实习生作为全球健康（GH）和急诊医学方面正式组织且受监督的选修课参与这些团队，该课程旨在增强全球健康选修课的实力，并应对文献中突出的关键挑战。
这项定性研究的目的是识别、描述和评估该选修课在其目标结构方面的优势和劣势。邀请完成该选修课的住院医师参加面对面访谈，讨论他们的经历。
研究结果表明，住院医师选择这门选修课既是因为其精心设计的特点，而这些相同的特点也增加了他们对该选修课的喜爱程度和教育收益。有监督的床边教学、与埃塞俄比亚住院医师建立的关系以及该经历对他们在加拿大临床实践的积极影响被确定为主要优势。
全球健康选修课经过有目的、周到的设计，可以提升住院医师的学习体验，并减轻寻求全球健康培训机会的实习生所面临的挑战。
