From the Department of Neurology (A.M.A., A.V., D.R.S.), Johns Hopkins University School of Medicine, Baltimore, MD; Sentara Pulmonary (M.R.H.), Critical Care and Sleep Specialists, Norfolk, VA; and Department of Medicine (D.R.S.), University Teaching Hospital, Lusaka, Zambia.
Neurology. 2022 Jan 4;98(1):44-47. doi: 10.1212/WNL.0000000000012950. Epub 2021 Oct 13.
Interest in global health is increasing among neurology residents. However, funding, time, and, recently, COVID-19 travel restrictions remain barriers to widespread participation. To meet this need, we instituted virtual global neurology morning reports with the objectives of (1) improving knowledge about neurologic diseases common in sub-Saharan Africa and (2) developing clinical reasoning skills through consideration of diagnostic and therapeutic limitations in resource-limited settings. Interactive case-based sessions were presented from Zambia via videoconference by a Johns Hopkins faculty member or Zambian neurology trainee. An anonymous cross-sectional survey was conducted among Johns Hopkins neurology residents. Of eligible participants, 69% (n = 30) completed the survey, 66% of whom were female, and 33% reported prior in-person global health experience. Although most participants did not anticipate a career in global health, the majority (85%) reported that exposure to global health was important. All but 1 participant (96%) reported satisfaction with the global neurology morning reports, with 100% reporting that they were useful to their clinical knowledge and 86% reporting that they were useful to their clinical practice. All respondents felt that morning reports should continue, and 69% ranked the educational value of the experience in the top quartile of the residency curriculum. Resident satisfaction with and perceived utility of global neurology morning reports were high, although the majority did not plan to pursue global neurology opportunities as part of their career. Remote learning opportunities may increase interest in global health among neurology residents.
对全球健康的兴趣在神经科住院医师中日益增加。然而,资金、时间,以及最近的 COVID-19 旅行限制仍然是广泛参与的障碍。为了满足这一需求,我们设立了虚拟全球神经学晨间报告,目标是:(1) 提高对撒哈拉以南非洲常见神经疾病的认识;(2) 通过考虑资源有限环境下的诊断和治疗限制来发展临床推理技能。来自赞比亚的约翰霍普金斯大学教员或赞比亚神经科住院医师通过视频会议进行了互动病例式的介绍。对约翰霍普金斯大学的神经科住院医师进行了一项匿名的横断面调查。在符合条件的参与者中,69%(n=30)完成了调查,其中 66%为女性,33%报告了之前的实地全球卫生经验。尽管大多数参与者没有考虑从事全球卫生工作,但大多数人(85%)表示接触全球卫生很重要。除了 1 名参与者(96%)外,所有人都对全球神经学晨间报告表示满意,100%的人表示它们对他们的临床知识有用,86%的人表示它们对他们的临床实践有用。所有受访者都认为晨间报告应该继续进行,69%的人将该体验的教育价值排在住院医师课程的前四分之一。住院医师对全球神经学晨间报告的满意度和实用性都很高,尽管大多数人不打算将全球神经学机会作为其职业的一部分。远程学习机会可能会增加神经科住院医师对全球健康的兴趣。