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Global Health Education (GHE) in Communities: How CHC’s are essential to GHE and vice versa 46 th STFM Annual Spring Conference Baltimore, MD May 4, 2013.

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Presentation on theme: "Global Health Education (GHE) in Communities: How CHC’s are essential to GHE and vice versa 46 th STFM Annual Spring Conference Baltimore, MD May 4, 2013."— Presentation transcript:

1 Global Health Education (GHE) in Communities: How CHC’s are essential to GHE and vice versa 46 th STFM Annual Spring Conference Baltimore, MD May 4, 2013

2 Maria Gabriela Castro MD Director FCM Global Health Track, Co-Director COM Global Health Track Assistant Medical Director, Bluegrass Community Health Center Samuel C. Matheny MD MPH Assistant Provost for Global Health Initiatives Co-director COM Global Health Track Andrea Pfeifle EdD PT Director, Center for Interprofessional Healthcare Education, Research and Practice Co-director COM Global Health Track A. Stevens Wrightson MD Medical Director, Bluegrass Community Health Center (BCHC) copyrighted image removed for upload

3 objective Consider how community health centers are uniquely positioned to contribute to global health education for medical students and residents

4 What do we want our workforce to look like? CHC doctor-patient copyrighted image removed for upload

5 Global Health Education: the missing piece Whole person care Sociocultural diversity Primary care focus, community context Interprofessional, team-based care Equitable, cost-effective care the missing piece copyrighted image removed for upload

6 Challenges of the Academic Medical Center Woody Allen – hospital patient copyrighted image removed for upload

7 Our Global Health Partnership

8 Medical Student Global Health Track Graduation! Start here M1M2M3M4 Medical Spanish, intro to BCHC Introduction to Global Health w/ shadowing @ BCHC Multicultural Health Fair w/ BCHC Research Assistantship @ BCHC Student groups (CONMIGO, IFMSA) Interprofessional Teamwork in Global Health (IPTWGH) + STSG (Ecuador) Medical Spanish summer immersion (Costa Rica) AHEC @ BCHC FM AI @ BCHC International clerkship

9 FCM Resident Global Health Track Start here PGY1PGY2PGY3 Graduation! Global Health I: BCHC + STSG* Global Health II: BCHC + STSG* Global Health III: Zambia *Shoulder to Shoulder Global AAFP GH W/S Monthly Journal / Book club (ongoing) Self-paced modules (ongoing) Interprofessional Teamwork in Global Health (annually)

10 Migration and Immigration: Student perspective 68yo man From Bhutan, via Nepali refugee camp AFib, HTN, CHF, MDD Nepali man copyrighted image removed for upload

11 Migration and Immigration: Resident perspective 76 yo Mexican woman Legal US resident Lives alone MDD, OA, hearning loss Mexican woman copyrighted image removed for upload

12 Preliminary Outcomes College of Medicine Global Health Track: 20116 awards: 2 FM, 2 Peds, 1 OB, 1 SURG 20125 awards: 1 Med-Ped, 3 IM, 1 OB 20138 awards Poster presentations at AAFP GHWS (1), SGEA (1) Family & Community Medicine Global Health Track graduates 20111 hospitalist, 1 private practice, Hispanic pops 2 posters at STFM 20122 graduates to FQHC’s 2 posters at AAFP GHWS 20131 GH faculty, 1 FQHC 1 poster at AAFP GHWS 20141 considering FQHC, 1 applying to fellowship then abroad

13 Future directions Qualitative analysis for attitudinal and behavioral changes Interprofessional learning teams at BCHC

14 Take home: Global Health Education Helps learners develop a relationship with the community Bridges the gap in addressing social causes of disease Community Health Centers Model interprofessional patient-oriented care Sociocultural immersion in a community oriented practice

15 Thanks and acknowledgements to: Bluegrass Community Health center staff Shari Levy, UK FCM Medical student clerkship coordinator Belinda Rubio, administrative assistant Global Health Initiatives Michael King, MD, FCM Residency Director Kevin Pearce, MD FCM Chairman Shoulder to Shoulder Global Student & resident participants

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