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Comprehensive Curriculum in Global Health

Proposal to the Academy of Medical Educators
Thomas E. Novotny, MD, MPH, George W. Rutherford, M.D.
Thomas L. Hall, MD, DrPH , John Peabody, MD, PhD, DTM&H
Paula Braveman, MD, MPH


Executive Summary:
This is a proposal in response both to the pressing need worldwide for clinicians who are knowledgeable in global health matters, and to the considerable student interest at UCSF in helping to meet this need. While the teaching of international health at UCSF has heretofore been intermittent and irregular, this proposal seeks to establish a coordinated, purposeful, and informed teaching program in global health for UCSF medical students. It will bridge disciplines to work with other academic partners such as the School of Pharmacy; the School of Nursing; the Departments of Medicine, Pediatrics, Family and Community Medicine, Microbiology, Ophthalmology and Anthropology, History & Social Medicine; and the UC Berkeley School of Public Health.

Goals of Project:
· Improve the coordination and enhance the availability of global health curricular offerings across the entire UCSF campus.
· Establish a one-month intensive didactic course in Global Health for fourth-year medical students.
· Expand and coordinate mentoring of students interested in electives abroad, global health careers, and specialized training in subjects germane to global health.

How the Project's Goals Will Be Accomplished:
· Improving the coordination and enhancing the availability of global health curricular offerings across the entire UCSF campus by:
(1) Performing a detailed review of current offerings, including content, evaluation criteria, resources, and learning objectives;
(2) Developing a plan to integrate the first-year elective course, second-year required course, proposed fourth-year didactic course (see below), proposed area of concentration in International and Public Health, fourth-year overseas clinical and research electives, travel funds for medical student overseas travel, and international health programs for M.D./M.P.H. students while at UCB;
(3) Implementing and overseeing the integration plan.
· Establishing a two-month (half time) intensive didactic course in Global Health for fourth-year medical students.
· Expanding and coordinating the mentoring of students interested in electives abroad, global health careers, and specialized training in subjects germane to global health. This will be accomplished by:
(1) Developing and maintaining the Global Health Resource Web Site.
(2) Coordinating the mentoring of UCSF medical students enrolled in the MD/MPH program interested in masters-level study in international health. This will be facilitated by the PI's previous and current strong relationships with UCB. Those students in the MD/MPH program with global health career interests will be invited to work directly with IGH faculty. This will commence with the any students interested in such a program who are accepted to the MPH program at UCB and who are medical students during 2003.
(3) Students with university support or students who will be getting academic credit for electives abroad (from one to four months' duration) will be required to take preparatory courses.
(4) Yearly meetings involving all UCSF faculty members interested in global health to review academic activities and solicit mentors.
· Forming an advisory committee representing interested parties and departments from the School of Medicine and the School of Public Health. This would include students.

Plan for Measurement of Project Efficacy and Outcome
1. A review by an ad hoc curriculum committee of current international health course offerings is now underway. The information gathered during this review will help establish a more formal teaching program in global health for the UCSF campus under this proposal. A schedule, instructor list, and content description will be published on the web site. We will establish a standing faculty and student global health curriculum committee that will conduct periodic (yearly) reviews of this program, including student assessments, focusing on content and relevance. (There is a recent survey of faculty with interests in international and global health, and this will be evaluated with the program in mind). In addition, IGH will invite its partners from the UC Berkeley School of Public Health (UCB) to participate in this activity
2. Pre- and post-course student evaluation questionnaires will be developed to assess knowledge gained and professional interests served by the fourth year course.
3. The students taking electives abroad will be surveyed on their return to determine the value of the course material in preparing them for their electives. Trip reports will be required of all students receiving credit or university support for international electives, and the global health curriculum committee will formally evaluate these reports.
4. An interim report on the outcome of this project will be provided at the end of the project period in January 2004. It will include recommendations and possible additional proposals for curricular development, which might be considered by the AME.

Plan for Continuation of Project at the End of Funding Cycle
This project will continue under the budget resources of the IGH after the initial funding cycle, but IGH may request supplemental AME funding to assure that the planning and coordination is sustained for a second year.

For further information, please contact:
Thomas E. Novotny, MD MPH: novotnyt@globalhealth.ucsf.edu
George W. Rutherford: grutherford@psg.ucsf.edu
Thomas L. Hall, MD DrPH: Thomas.Hall@sfdph.org
John Peabody, MD PhD DTM&H: peabody@psg.ucsf.edu
Paula Braveman, MD, MPH: braveman@fcm.ucsf.edu

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