Global Health & Equity Distinction Pathway Tracy L. Rabin, MD, SM Assistant Director, Office of Global Health Associate Program Director for Global & Community Health, YPC

Overview Purpose of the GHEDP Mission Statement Requirements Upcoming Events http://globalhealth.medicine.yale.edu/aboutus/events.aspx

Defining Global Health “…global health is an area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasises transnational health issues, determinants, and solutions; involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration; and is a synthesis of population- based prevention with individual-level clinical care.” Koplan JP et al. Towards a common definition of global health. Lancet 2009; 373: 1993–95

Dual Purpose Enrich the general curriculum with core global health content Provide additional experiential learning opportunities, and support mentorship and scholarly activity in these areas

Meeting A Range of Needs Residents bring a variety of experiences to the table Minimal prior experience in global health, but interest piqued through refugee clinic involvement Previous involvement in planning a global health pathway in medical school, and interest in helping to develop this for the resident level Interest in developing a year-round global health opportunity, as opposed to only offering shorter experiences Provides a context for “siloed” global health experiences

Mission Statement The Global Health and Equity Distinction aims to train internal medicine residents to be leaders in health disparities and advocacy both nationally and abroad. Through a combination of immersive clinical experiences in resource poor settings, didactics on public/global health, and scholarly endeavors, Yale residents will be informed leaders in ethical and professional healthcare.

Mission Statement (continued) Our graduates will develop core competencies in leadership, advocacy, ethics, and social justice by: Exploring definitions and building meaningful language surrounding the practice of global health Understanding population health and geographic burden of communicable and non-communicable diseases Learning to apply multidisciplinary and sustainable methods to issues impacting health globally Demonstrate evidence-based medicine and systems based practice in resource poor national and international settings

Requirements Clinical Opportunities Didactics Scholarship (Mentored) General (New Haven-based) Immersive (Domestic or International) Didactics Scholarship (Mentored) Requirements map to CUGH Global Health Competencies Jogerst K et al. Identifying Interprofessional Global Health Competencies for 21st-Century Health Professionals. Annals of Global Health. 2015 March-April; 81(2): 239-247.

CUGH Global Health Competencies Domains Global Burden of Disease Professional Practice Globalization of Health & Health Care Health Equity & Social Justice Social & Environmental Determinants of Health Program Management Capacity Strengthening Sociocultural & Political Awareness Collaboration, Partnering, and Communication Strategic Analysis Ethics

Clinical Opportunities Experience Credits General Activities (achieve 10 credits) HIV Residency Track 10 HIV/Urban Health Elective Home Visit Elective Street Medicine Elective Community Care Van 2/session Refugee Clinic** Center for Asylum Medicine Evaluation HAVEN Free Clinic Immersive Activities (achieve 30 credits) Yale/Stanford J&J GH Scholars Program 30 Indian Health Service Elective 10 per two weeks Alternate Domestic Site Elective **Beyond required sessions Immersive Activities include reflection and presentation

Didactics Experience Credits Seminars/Workshops (achieve 10 credits) Foundations in Global Health (Fall 2017) 2/session Critical Issues in Global Health (Spring 2018) Topics in Global Medicine (not in 2017-18) Global Mental Health Symposium (ongoing) Global Health Night Out (ongoing) Earn credits for attendance + CUGH competency-based reflection

Scholarship: Project and Presentation - I Experience Opportunities Project Required Research OR Example: Research in Residency Curriculum Building Examples: Ethical Challenges in GH Clinical Rotations, Refugee Clinic, Center for Asylum Medicine Ethical Challenges in Global Health Clinical Rotations

Scholarship: Project and Presentation - II Experience Opportunities Presentations Required Conference Presentation OR Examples: YSM Global Health Day, CUGH, Unite for Sight, SGIM, ACP Manuscript Publication Journals or MedEd Portal Plan for Dissemination Back to Target Community Global Health Night Out Journal Article Main Discussant Immersive Clinical Activity Noon Conference Talk Ethical Challenges in Global Health Clinical Rotations

Upcoming Events  http://globalhealth.medicine.yale.edu/aboutus/events.aspx Tuesday, September 5th – 5:30-6:30pm (BCMM 101): YSM Global Health Speakers Series (Dr. Sten Vermund, Dean of Yale School of Public Health) Thursday, September 7th – 5:30-7pm (Hope 110): Global Health Foundations - Capacity Building (Drs. Asghar Rastegar & Tracy Rabin) Monday, September 11th - 6:30-8pm (BCMM 206/208): Global Health Night Out – Responsible Collaboration and Capacity Building Wednesday, September 13th - 7pm (Cohen Auditorium): Toward a Just System: Primary Care, Population Health & Economic Reform (Dr. Michael Fine, Founder – Scituate Health Alliance)

Residents who have participated in the process Thank you! Marguerite Balasta, John McGinniss - Global Health Chief Residents (2014-15) Yogesh Khanal, Peter Moyer – Global Health Chief Residents (2015-16) Amir Mohareb, Kristen Moyer – Global Health Chief Residents (2016-17) Asghar Rastegar - Director, Office of Global Health Residents who have participated in the process tracy.rabin@yale.edu