Department of Pathology and Laboratory Medicine, Weill Cornell Medicine, New York, NY, USA.
Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Am J Clin Pathol. 2021 Aug 4;156(3):340-349. doi: 10.1093/ajcp/aqaa246.
Global health education is important during residency training in exposing doctors to conditions that are not common in the United States and developing their awareness of global health care disparities. Most medical decisions are based on results from anatomic or clinical pathology laboratories, which are essential services for appropriate medical care in international settings. Nevertheless, US pathology residency trainees have limited global health exposure and thus are rarely exposed to diagnostic services in these settings. Moreover, literature documenting what is needed to create a global health elective in pathology is limited.
We designed an international pathology elective in Trinidad and Tobago involving one main public hospital site and several off-site laboratories. Objectives and goals were established before the rotation. Apart from daily mentor-led education sessions, the trainee participated in teaching, quality improvement projects, and cultural experiences. Engagement with medical officers, personnel staff, and people in the community was encouraged.Results: Challenges encountered included funding, transportation, limited laboratory resources, medical registration, and malpractice insurance. These were mitigated through carefully planned steps, including communicating with registration bodies and liaising with pathology organizations for funding.
Overall, the global health rotation was successful. We provide a detailed roadmap for other pathology training programs interested in establishing similar global health electives.
在住院医师培训期间进行全球健康教育对于让医生接触到美国不常见的情况并提高他们对全球医疗保健差异的认识非常重要。大多数医疗决策都是基于解剖学或临床病理学实验室的结果，这些实验室是国际环境中适当医疗保健的重要服务。然而，美国病理住院医师培训生的全球健康接触有限，因此很少接触这些环境中的诊断服务。此外，记录在病理学科中创建全球健康选修课程所需内容的文献有限。
我们在特立尼达和多巴哥设计了一个国际病理学选修课程，涉及一个主要的公立医院和几个场外实验室。在轮转之前确定了目标和目标。除了日常导师主导的教育课程外，受训人员还参与了教学、质量改进项目和文化体验。鼓励与医务人员、人员和社区中的人员接触。
遇到的挑战包括资金、交通、有限的实验室资源、医疗注册和医疗事故保险。通过精心计划的步骤来缓解这些问题，包括与注册机构沟通以及与病理学组织联系以获得资金。
总的来说，全球健康轮转是成功的。我们为其他有兴趣建立类似全球健康选修课程的病理学培训计划提供了详细的路线图。
