Global Health

Medicine-Pediatrics Residency Program

Care with a global reach

Christiana Care Health System and duPont Hospital for Children are committed for residents to be involved and participate in numerous opportunities across the globe, including in the U.S. To that end, the Med-Peds residents and faculty have been pivotal in the creation of a Global Health Initiative at Christiana Care Health System that works in conjunction with the Delaware Health Science Alliance, Delaware Academy of Family Physicians, Delaware Academy of Medicine and Sidney Kimmel Medical College at Thomas Jefferson University.

The program had been awarded an internal grant to expand the initiative throughout the institution.

The unique aspect of the program is a multidisciplinary approach to global health education. We include all residency programs at Christiana Care as well as other staff such as nurses, pharmacists, and other allied health professionals.

The goals specific to our residents are:

  • Provide practical public health and clinical perspectives on the management of health issues and diseases in resource-poor settings.
  • Train residents to provide culturally competent, patient-centered care for disease management and health promotion.
  • Teach residents to recognize and address the impact of social, economic, environmental, and political factors on health disparities, both abroad and in the U.S.
  • Promote skills in population-based research and community-oriented primary care.

The core curriculum consists of a monthly lecture series, which rotates over a two-year course. Speakers are both local and guest experts in their fields, and the lectures are recorded and accessible on the intranet. Annual events also include journal club, skills workshops, and resident presentations. In addition to the monthly series, we provide educational opportunities for residents to participate in international rotations. Currently, we are working to establish a multi-institutional international partner site. Our international partners include sites in India, Bangladesh, and England.

The core faculty includes: Drs. Karla Testa (Med-Peds), John Donnelly (Med-Peds), and Omar Khan (Family and Community Medicine). One of our recent graduates (Dr. Christopher Prater: Class of 2014) as a resident helped create and graduated from this track.

Our 2 year curriculum topics include:

Millennium Development Goals/Intro Emerging Issues in Global Health
Infectious Disease – HIV, TB, Helminths, Malaria, Dengue – Part 1 Infectious Disease – HIV, TB, Helminths, Malaria, Dengue – Part 2
Social Determinants of Health Primary Care in Developing World
Women Health Part 1 Global Health Policy
Women Health Part 2 Surgery/Trauma basics
Children’s Health Part 1 Travel Medicine
Children’s Health Part 2 Human Rights
Local Global Health Chronic Disease
Research and Ethics Global Health Experience
EM/Disaster Relief Eradication Programs
Skills Workshop

Specifically related to our med-peds program, Karla Testa, M.D. was honored with the 2011 National Med-Peds Residents’ Association Internation Travel Grant and co-recipient of the “Parag Bakshi, M.D. Scholarship” from our local chapter of American College of Physicians, both for “Helping Hands Health Education in Nepal.” One of our Alumni (Sangeeta Bhattacharya, M.D.) is Assistant Professor at the Indian Institute of Technology in Kharagpur India and Associate Faculty at Johns Hopkins University School of Public Health, Department of International Health, and her research focuses on improving vaccination rates on HIV children in India.

Residents’ travel is not limited to those participating in the global health track. Some other med-peds resident experiences:

  • Dominican Republic
  • Rwanda
  • Rural healthcare in Nepal.
  • Relief effort in Haiti.
  • Plymouth, England.
  • Medical Mission to Guatemala.
  • Community for Children – Brownsville, TX and Cuidad Victoria, Mexico.
  • Medical Ministries International – Peru.
  • ¡Bienvenidos a MedSpanish! – San Miguel and Guanajuato City, Mexico.

Presentations/Publications

  • Melby, Melissa K; Loh, Lawrence; Evert, Jessica; Khan, Omar A; Prater, Christopher; Lin, Henry. “Beyond Medical “Missions” to Impact-Driven Short-term Experiences in Global Health (STEGHs): Ethical Principles to Optimize Community Benefit and Learner Experience.” Academic Medicine. May 2016, 61 (5).
  • Khan, O, Donnelly, J, Prater, C, Testa, K, Merriam, A. Developing and sustaining residency tracks in global health at an independent academic medical center. Annals of Global Health journal (http://www.annalsofglobalhealth.org). Sept 2014.
  • Khan O, Derman R and Testa K. “Why We Should Care About Global Health”. Delaware Medical Journal. Feb 2014; 86 (2); 49-51.
  • Prater, Christopher. “Global Health Education Consortium: Developing Residency Training in Global Health. 2nd Ed.”  Contributing author and editor, Chapter 10, “Profiles of Global Health Programs.

Chris Prater, M.D. is a contributing author to the “Global Health Education Consortium Global Health Training in Graduate Medical Education” and presented his work at the 2014 American Public Health Association annual meeting. Presentations were also made at the Global Health Initiative at the Consortium of Universities for Global Health annual meeting.

Global Health Track

Building on the global health curriculum, the medicine program has approved the creation of a Global Health Track. Residents who complete the Global Health Track receive certification of global health training. The design is for the track to take 2 years to complete, but residents can choose to complete it over the duration of their residency.

The goal of the Global Health Track is to provide an opportunity for a more focused education in global health for residents who many want to pursue:

  • Clinical or academic career in global health.
  • Expand knowledge and experience of under-represented diseases.
  • Career in underserved communities in the US.
  • Improve healthcare for immigrants, refugees, travelers and underserved populations.
  • Increase competency in the care of multicultural society.
  • Increase understanding of disparities of care.

To complete certification in global health, participating residents must:

  • Attend or view online 80% of the 2 year Global Health Lecture curriculum.
  • Dedicate 6 weeks of electives time to global health related rotations that can include:
    • International destinations.
    • US underserved or Federally Qualified Health Center.
    • Global Health/Public Health Research.
    • Refugee Clinic.
  • A presentation of global health scholarly activity.
  • Attend 1 national global health conference.
  • Quarterly meetings with a global health faculty mentor.