Care with a global reach
Christiana Care Health System and A.I. duPont Hospital for Children are committed for residents to be involved and participate in numerous opportunities across the globe, including within the U.S. To that end, Global Health Initiatives at Christiana Care Health System work 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 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. Speakers are both local and guest experts in their fields. Annual events also include journal club, skills workshops, and resident presentations. In addition to the monthly series, we provide support for residents looking for educational opportunities to participate in rotations in resource-limited settings (internationally and domestic).
The core faculty includes: Drs. Michael Maguire (Med-Peds), Anna Filip (Family and Community Medicine), Lilian Msambichaka (Med-Peds), Karla Testa (Med-Peds), John Donnelly (Med-Peds), and Omar Khan (Family and Community Medicine). One of our graduates (Dr. Christopher Prater: Class of 2014) as a resident helped create and graduated from this track.
Curriculum:
| Sample of 2 year curriculum topics include: | ||
|---|---|---|
| Millenium 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’s Health Part 1 | Global Health Policy | |
| Women’s 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 | ||
Many of our alumni have participated in the Global Health Track (see below) and continue to remain active in Global Health.
Note Residents’ travel is not limited to those participating in the global health track, but supported by the track. Examples of active (recurring) and past experiences of residents:
- Dominican Republic (annual opportunity with Dr. Maguire)
- Haiti (annual opportunity with CCHS)
- Gambia (recurring every 1-2yrs with AIDHC)
- Haiti (recurring opportunity every 1-2yrs with AIDHC)
Past:
- Guatemala (Rural Healthcare)
- Cuidad Victoria, Mexico (Community for Children)
- San Miguel and Guanajuato City, Mexico (¡Bienvenidos a MedSpanish!)
- Nepal (Rural Healthcare)
- New Mexico (Indian Health Service)
- Peru (Medical Ministries International)
- Port-au-Prince, Haiti (Relief Efforts)
- Plymouth, England (Healthsystem Survey)
- Rwanda (Preventive Medicine and Education)
- Brownsville, TX (Community for Children)
- Uganda (Hospital Medicine) *Yale/Stanford Johnson & Johnson GH Scholar
- Zambia (Village of Hope, Orphanage)
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 the Global Health Lecture curriculum.
- Dedicate elective 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.
- Scheduled meetings with a global health faculty mentor.