TABLE OF CONTENTS An Implementation Guide for Program Directors | 1 GLOBAL HEALTH IN PEDIATRIC EDUCATION: An Implementation Guide for Program Directors Global Health Task Force of the American Board of Pediatrics A COMPREHENSIVE RESOURCE DESIGNED FOR: ✓ Pediatric Program Directors (Residency & Fellowship): Educators have seen significant changes in the field of global health (GH) education over the past two decades, with calls for universal pre-departure preparation for GH electives, increased emphasis on stateside GH training, and awareness of the ethical issues pertaining to short-term GH experiences. Meeting the demands of applicants and stakeholders in GH education is difficult for graduate medical educators, particularly when some of these training interests fall outside of core curriculum requirements. The authors developed this Guide to help busy educators implement pediatric GH education—both stateside and internationally—as easily as possible, regardless of program size or budget. Resources include suggestions for GH competencies, strategies for integrating GH education into existing frameworks, free online curricula, adaptable templates for GH-related policies and procedures, comprehensive checklists, and more. ✓ Chairs, Designated Institutional Officers, Graduate Medical Education Committees, & Institutional Leaders: Trainee demand is not the only driving force for pediatric GH education—the call is coming from other stakeholders as well. The Federation of Pediatric Organizations recommended in 2007 that all pediatric residency programs offer core GH training. To assist departments and institutions seeking to create an infrastructure to support GH training, the Guide provides checklists for safety, health, logistical, and legal considerations for trainees working globally; offers suggestions pertaining to assessment and evaluation of trainees, programs, and electives; and outlines best practices for GH electives and training partnerships. ✓ Global Health Educators: Already have a GH educational infrastructure? This guide is equally useful for early and seasoned GH educators, to offer a foundation upon which to build a program or to augment an already robust GH Track. The authors—all GH educators—created these resources to save time, share innovations, and promote best practices. ✓ Pediatric Trainees: Looking to incorporate GH into your training and/or career? The guide has myriad resources for trainees seeking GH training, including online curricula, creative suggestions for integrating GH topics into stateside work, and guidance on how to engage in safe, ethical GH experiences. ✓ Global Training Partners: The guide emphasizes the importance of sustainable, ethically sound, mutually beneficial training partnerships, particularly surrounding GH electives. Checklists for “sending” institutions are provided, and tips for bidirectional relationships are offered. bit.ly/globalhealthpedspdguide WHAT WHO WHEN WHERE WHY HOW is the guide? is it for? was it developed? should it be used? is it important? was it developed? It is the first By the ABP Global Health Educators 2017, with comprehensive Task Force Trainee Trainees planned updates Any pediatric resource to guide Workgroup, in A comprehensive, every 3 years (or residency or educators through collaboration with the Program practical resource for as needed) by fellowship all aspects of GH Association of Pediatric coordinators incorporating global authors and the training program in pediatric Program Directors Global health education into Departmental American Board of that offers GH residency and Health Learning pediatric training & institutional Pediatrics (ABP) electives and fellowship: Community and the programs leaders Education and stateside GH stateside GH American Academy of Global Training education training, GH Pediatrics Section on partners Committee electives, & global International Child partnerships Health TABLE OF CONTENTS Global Health in Pediatric Education: An Implementation Guide for Program Directors EDITOR Nicole St Clair, MD, University of Wisconsin School of Medicine and Public Health CHAPTER AUTHORS Sumeet Banker, MD, MPH, Columbia University Sabrina Butteris, MD, University of Wisconsin School of Medicine and Public Health Tania Condurache, MD, MSc, University of Louisville School of Medicine Heather Crouse, MD, Baylor College of Medicine Jill Helphinstine, MD, Indiana University Heather Lukolyo, MD, MHS, Baylor College of Medicine Stephanie Marton, MD, MPH, Baylor College of Medicine Patricia (Trish) McQuilkin, MD, University of Massachusetts Medical Center Michael Pitt, MD, University of Minnesota Marideth Rus, MD, MEd, Baylor College of Medicine Christiana Russ, MD, Boston Children’s Hospital Charles (Chuck) Schubert, MD, Cincinnati Children’s Hospital Medical Center Gordon Schutze, MD, Baylor College of Medicine Nicole St Clair, MD, University of Wisconsin School of Medicine and Public Health Andrew Steenhoff, MBBCh, Children’s Hospital of Philadelphia Omolara Uwemedimo, MD, MPH, Cohen Children’s Medical Center of New York Jennifer Watts, MD, MPH, Children’s Mercy Kansas City PREFACE AUTHORS Alhassan Abdul-Mumin, MD, Cert PGPN, FGCP, School of Medicine and Health Sciences and Tamale Teaching Hospital, Tamale, Ghana Peter Nicholas Kazembe, MBChB, FRCPC, Associate Professor, Baylor College of Medicine; Executive Director, Baylor College of Medicine Children’s Foundation Malawi This guide is one of several tools developed by the American Board of Pediatrics (ABP) Global Health Task Force with the goal of improving the health of infants, children, adolescents, and their families globally. This guide was developed under the leadership of the ABP’s Global Health Task Force Trainee Workgroup, in close collaboration with the Association of Pediatric Program Directors Global Health Learning Community, the American Academy of Pediatrics Section on International Child Health, and the American Board of Pediatrics Education and Training Committee. Funding support was provided by the American Board of Pediatrics Foundation. The content is solely the responsibility of the authors and does not necessarily represent the official view of the American Board of Pediatrics or the American Board of Pediatrics Foundation. St Clair NE, Abdul-Mumin A, Banker S, Condurache T, Crouse H, Helphinstine J, Kazembe P, Lukolyo H, Marton S, McQuilkin P, Pitt MB, Rus M, Russ C, Schubert C, Schutze G, Steenhoff A, Uwemedimo O, Watts J, Butteris S. Global health in pediatric education: an implementation guide for program directors. American Board of Pediatrics Global Health Task Force Publication, in collaboration with the American Academy of Pediatrics Section on International Child Health and the Association of Pediatric Program Directors Global Health Learning Community. September, 2018. bit.ly/globalhealthpedspdguide An Implementation Guide for Program Directors | 4 TABLE OF CONTENTS September 1, 2018 Dear Colleagues, We are pleased to offer Global Health in Pediatric Education: An Implementation Guide for Program Directors. The purpose of this guide is to provide a comprehensive, practical resource for incorporating global health education into pediatric residency and fellowship training programs. The American Board of Pediatrics (ABP) sets standards for certification in pediatrics. To do so, our leadership is closely aligned with educators, departmental and institutional leaders, general and subspecialty pediatricians, and other certifying organizations. Through these collaborations, we have the unique ability to identify emerging areas of priority within pediatrics, convene and engage experts, and develop resources to support educators and pediatricians. The ABP’s Global Health Task Force, convened in 2013, is one such important collaboration that has offered several recommendations to the ABP, including a suggestion to develop this guide for program directors. We believe that this guide will offer valuable assistance to most programs, but we also recognize that not all graduate medical education programs in pediatrics have the capacity or the priority to offer global health education to their residents and fellows. This guide is not intended to represent a requirement for programs but instead to support new and long-standing global health programs. We welcome feedback and suggestions for improvement at [email protected]. Sincerely, David G. Nichols, MD, MBA President and CEO American Board of Pediatrics Sabrina Butteris, MD Chair, Global Health Task Force American Board of Pediatrics Laurel K. Leslie, MD, MPH Vice-President, Research American Board of Pediatrics Members of the ABP’s Global Health Task Force: Linda Arnold, MD, American Academy of Pediatrics Liaison Maneesh Batra, MD, University of Washington Christopher Cunha, MD, American Board of Pediatrics Board of Directors Jonathan Klein, MD, MPH, University of Illinois College of Medicine David Nichols, MD, MBA, American Board of Pediatrics Michael Pitt, MD, University of Minnesota Cliff O’Callahan, MD, PhD, Middlesex Hospital and University of Connecticut Nicole St Clair, MD, University of Wisconsin School of Medicine & Public Health Andrew Steenhoff, MD, Children’s Hospital of Philadelphia An Implementation Guide for Program Directors | 5 TABLE OF CONTENTS PREFACE Peter Nicholas Kazembe, MBChB, FRCPC Associate Professor, Baylor College of Medicine Executive Director, Baylor College of Medicine Children’s Foundation Malawi I am glad to see this long overdue comprehensive guide for pediatric global