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 provide internal medicine residents with the skills to understand health disparities and serve as advocates for patient/population health both domestically and abroad. Through a combination of immersive clinical experiences in resource poor settings, public/global health didactics, 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 knowledge of evidence-based medicine and systems-based practice concerns in resource-limited domestic 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 Alternate Approved Elective or Clinic Session 10 or 2/session Community Care Van 2/session Refugee Clinic** Center for Asylum Medicine Evaluation HAVEN Free Clinic Immersive Clinical Opportunities (4 week rotation at one site) Yale/Stanford J&J GH Scholars Program Required Indian Health Service or Grundy County, Tennessee Elective Alternate Approved Site **Beyond required sessions Immersive Activities include reflection and presentation

Interdisciplinary Seminar Sessions Didactics Experience Credits Interdisciplinary Seminar Sessions (achieve 10 credits) Foundations in Global Health (Fall 2018) 2/session Critical Issues in Global Health (Spring 2019) Topics in Global Medicine Global Mental Health Symposium (ongoing) Global Health Night Out (ongoing) Alternate Educational Session 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 Communicating About Global Health Global Health Night Out Discussion Lead OR Op-Ed Submission OR Noon Conference (GH-focused) OR Global Health Week Activity Lead Immersive Clinical Activity Noon Conference Talk Ethical Challenges in Global Health Clinical Rotations

Upcoming Events  Thursday, July 26th –6pm (Fitkin Auditorium): 2nd annual YNHH Resident/Fellow Senate Advocacy Showcase

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) Angela Kang, YungAh Lee - Global Health Chief Residents (2017-18) Kevin O’Laughlin, Nick Pumilia – Global Health Chief Residents (2018-19) Asghar Rastegar - Director, Office of Global Health Residents who have participated in the process tracy.rabin@yale.edu