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

2. Overview Purpose of the GHEDP Mission Statement Requirements
Upcoming Events

3. 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

4. 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

5. 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

6. 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.

7. 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

8. 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 March-April; 81(2):

9. 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

10. 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

11. 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 )
Global Mental Health Symposium (ongoing)
Global Health Night Out (ongoing)
Earn credits for attendance + CUGH competency-based reflection

12. 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

13. 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

14. 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)

15. Residents who have participated in the process
Thank you!
Marguerite Balasta, John McGinniss - Global Health Chief Residents ( )
Yogesh Khanal, Peter Moyer – Global Health Chief Residents ( )
Amir Mohareb, Kristen Moyer – Global Health Chief Residents ( )
Asghar Rastegar - Director, Office of Global Health
Residents who have participated in the process