scholarly journals Pre-departure and Post-elective Requirements for Global Health Electives: Survey of Canadian Royal College Emergency Medicine Programs

Cureus ◽  
2020 ◽  
Author(s):  
Jodie Pritchard ◽  
Susan A Bartels ◽  
Amanda Collier
Keyword(s):  
Emergency Medicine ◽  
Global Health ◽  
Royal College ◽  
Global Health Electives

scholarly journals MP18: Pre-departure and post-elective requirements for global health electives: a survey of Canadian Royal College emergency medicine programs

CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S48-S49
Author(s):  
J. Pritchard ◽  
A. Collier ◽  
S. Bartels
Keyword(s):  
Emergency Medicine ◽  
Global Health ◽  
Royal College ◽  
Personal Development ◽  
Published Data ◽  
Cross Sectional ◽  
Residency Programs ◽  
Safety Issues ◽  
Training Requirements ◽  
Development Risks

Introduction: Participation in Global Health (GH) electives can improve resourcefulness, cultural and ethical insight, and personal development. Risks to trainees, hosts and institutions may be minimized through pre-departure and post-elective training. In 2016 such training was mandatory in only 3 Canadian residency programs, however there is no published data specific to Canadian Emergency Medicine (EM) programs. This study sought to identify current GH elective requirements and related perceived gaps among Royal College EM programs. Methods: We conducted two cross-sectional surveys in 2019 (one each for Royal College EM PDs and residents) via email regarding training requirements for GH electives. Additionally, a survey link was distributed in the CAEP EM resident newsletter. We also contacted university PGME and/or global health offices to understand and collate university-wide requirements and resources. Results: Nine PDs responded, with 78% reporting having 1-5 residents participate in GH electives yearly. Many PDs were unsure of the requirements surrounding GH electives; two reported that pre-departure training was required, while none reported requiring post-departure debriefs. Overall, 67% of PDs felt that their residents were moderately prepared for GH electives and 33% felt they were unprepared to some degree. Thirty-three percent believed that improvements should be made to either pre-departure training or both pre- and post-departure training, while 56% were unsure if improvements were needed. Forty-seven out of an estimated 380 residents responded. Thirty-five percent of residents had completed a GH elective during residency. Of residents who participated in a GH elective, only one (6%) reported feeling very prepared; 18 residents (43%) reported there was a need to improve trainings. Residents reported a number of challenges during electives (lack of resources, inadequate supervision, safety issues) and identified priority topics for training. Conclusion: Although EM residents are participating in GH electives, the majority of EM residency programs do not require pre- or post-departure training. Some PDs and residents report varying levels of preparedness, and residents acknowledge a variety of challenges during GH electives. This information can be used to inform pre-departure/post-elective GH training or to encourage EM residents to access university-wide training.

Global health and the Royal College of Emergency Medicine: a cross-sectional survey of members and fellows

2020 ◽  
Vol 38 (1) ◽  
pp. 14-20
Author(s):  
Emma Fernandez ◽  
Najeeb Rahman ◽  
James Hayton ◽  
Claire Crichton ◽  
Victoria DeWitt ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Global Health ◽  
Royal College ◽  
Emergency Care ◽  
Plan Recognition ◽  
Health Work ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Protected Time ◽  
The Uk

BackgroundThere is growing interest in global health participation among emergency care doctors in the UK. The aim of this paper was to describe the demographics of members and fellows of the Royal College of Emergency Medicine involved in global health, the work they are involved in, as well as the benefits and barriers of this work.MethodsWe conducted a survey to include members and fellows of the Royal College of Emergency Medicine describing the context of their global health work, funding arrangements for global health work and perceived barriers to, and benefits of, global health work.ResultsThe survey collected 1134 responses of which 439 (38.7%) were excluded. The analysis was performed with the remaining 695 (61.3%) responses. Global health involvement concentrated around South Asia and Africa. Work contexts were mainly direct clinical service (267, 38%), curriculum development (203, 29%) and teaching short courses (198, 28%). Activity was largely self-funded, both international (539, 78%) and from UK (516, 74%). Global health work was not reported to contribute to appraisal by many participants (294, 42.3%). Funding (443, 64%) and protected time (431, 62%) were reported as key barriers to global health productivity.DiscussionParticipants largely targeted specialty development and educational activities. Lack of training, funding and supported time were identified as barriers to development. Galvanising support for global health through regional networks and College support for attracting funding and job plan recognition will help UK-based emergency care clinicians contribute more productively to this field.

scholarly journals Support infrastructure available to Canadian residents completing post-graduate global health electives: current state and future directions

2016 ◽  
Vol 7 (3) ◽  
pp. e41-50 ◽  
Author(s):  
Lojan Sivakumaran ◽  
Tasha Ayinde ◽  
Fadi Hamadini ◽  
Sarkis Meterissian ◽  
Tarek Razek ◽  
...  
Keyword(s):  
Global Health ◽  
Institutional Support ◽  
Survey Study ◽  
Infrastructure Management ◽  
Post Graduate ◽  
Canadian Universities ◽  
Medical Trainees ◽  
Current State ◽  
Regulatory Bodies ◽  
Global Health Electives

Background: Global health electives offer medical trainees the opportunity to broaden their clinical horizons. Canadian universities have been encouraged by regulatory bodies to offer institutional support to medical students going abroad; however, the extent to which such support is available to residents has not been extensively studied.Methods: We conducted a survey study of Canadian universities examining the institutional support available to post-graduate medical trainees before, during, and after global health electives.Results: Responses were received from 8 of 17 (47%) Canadian institutions. Results show that trainees are being sent to diverse locations around the world with more support than recommended by post-graduate regulatory bodies. However, we found that the content of the support infrastructure varies amongst universities and that certain components—pre-departure training, best practices, risk management, and post-return debriefing—could be more thoroughly addressed.Conclusion: Canadian universities are encouraged to continue to send their trainees on global health electives. To address the gaps in infrastructure reported in this study, the authors suggest the development of comprehensive standardized guidelines by post-graduate regulatory/advocacy bodies to better ensure patient and participant safety. We also encourage the centralization of infrastructure management to the universities’ global health departments to aid in resource management.  

Pre-Departure Training for Global Health Electives at US Medical Schools

2017 ◽  
Vol 27 (3) ◽  
pp. 535-541 ◽  
Author(s):  
Taylor Goller ◽  
Alexandra Miller ◽  
Molly Moore ◽  
Anne Dougherty
Keyword(s):  
Global Health ◽  
Medical Schools ◽  
Global Health Electives

The Royal College of Emergency Medicine composite pain scale for children: level of inter-rater agreement

2017 ◽  
Vol 34 (6) ◽  
pp. 360-363 ◽  
Author(s):  
Ffion James ◽  
Rosie Edwards ◽  
Nirmal James ◽  
Rhian Dyer ◽  
Victoria Goodwin
Keyword(s):  
Emergency Medicine ◽  
Royal College ◽  
Pain Scale ◽  
Rater Agreement

Using Reflective Writing to Explore Resident Resilience during Global Health Electives

2022 ◽  
Author(s):  
Amy R. L. Rule ◽  
Stephen Warrick ◽  
David W. Rule ◽  
Sabrina M. Butteris ◽  
Sarah A. Webber ◽  
...  
Keyword(s):  
Global Health ◽  
Reflective Writing ◽  
Self Awareness ◽  
Health Issues ◽  
Personal Safety ◽  
Student Resilience ◽  
Personal Resilience ◽  
Resident Resilience ◽  
Global Health Electives

Pediatric residents participating in global health electives (GHEs) report an improved knowledge of medicine and health disparities. However, GHEs may pose challenges that include cost, personal safety, or individual mental health issues. The objective of this study was to describe the use of guided reflections to understand resident resilience during GHEs. Forty-five residents enrolled in two pediatric training programs were asked to respond in writing to weekly prompts during a GHE and to complete a post-trip essay. Analysis of the reflections and essays, including an inductive thematic analysis, was completed. Two coders performed a second analysis to support classification of themes within the Flinders Student Resilience (FSR) framework. Four themes emerged from the initial analysis: 1) benefits, 2) stresses and challenges, 3) career development, and 4) high-value care. Analysis using the FSR framework revealed the following themes: acknowledgment of personal limitations, importance of relationships in coping throughout the GHE, and discernment of career focus. Reflective writing provided insight into how residents mitigate GHE challenges and develop resilience. Despite statements of initial distress, residents focused on their personal benefits and growth during the GHE. The FSR framework revealed the residents’ robust self-awareness of limitations and that strong relationships on the ground and at home were associated with perceived benefits and growth. Programs should consider helping residents to identify healthy coping practices that can promote personal resilience during GHEs as part of pre-departure preparation and debriefing, as well as providing for supportive communities during the GHE.

Injury and illness on global health electives

2020 ◽  
Vol 27 (6) ◽  
Author(s):  
Mackenzie Schimpf ◽  
Kayla Donnawell ◽  
Cindy C Bitter
Keyword(s):  
Global Health ◽  
Global Health Electives
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