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Table 1 Global Health Competencies

From: Global health competencies and approaches in medical education: a literature review

Competency Competency Type % a Methods of Implementation b
Skills to better interface with different populations, cultures and healthcare systems [18, 19, 26, 28, 29] Knowledge/Behaviour 15.6 • Achieve meaningful community activities: experience working with at least 1 refugee family at a shelter for newly arriving refugee.
• Lunch time seminars from faculty member or guest speakers with experience in medicine abroad
• International health elective in fourth year
• Workshop in cross-cultural communication: sensitize students to cultural differences that influence communication, teach how to use translators by interviewing standardized patients portraying cross-cultural scenarios.
An understanding of immigrant health[7, 25, 29] Knowledge/Behaviour 9.4 • Internet-based training module focusing on refugees' experiences
• Self-assessment quiz focused on global and refugee health
• Cultural sensitivity workshop provided by medical faculty with expertise in refugee health.
Primary care within diverse cultural settings[24, 26, 29] Physical exam/Clinical skills 9.4 • 4-8 weeks resident rotations
• Second or third year internal medicine residents; 3 clinical rotations in the affiliated medical center of the host country
• Community activities: working with refugee families at a refugee shelter
Understand healthcare disparities between countries[17, 26] Knowledge 6.3 • Work with patients and healthcare professionals in international locations
An understanding of the burden of global disease[7, 25] Knowledge 6.3 • Teaching about world health reports and Disability-Adjusted Life Years (DALYs)
An understanding of travel medicine[7, 25] Knowledge 6.3 Not described
Develop a sense of social responsibility[24] Knowledge/Behaviour 3.1 • 4-8 weeks resident rotations
• Second or third year residents in the internal medicine training programs.
• Emphasis: clinical rotations in the affiliated medical center of the host country.
Appreciate contrasts in healthcare delivery systems and expectations[17] Knowledge 3.1 • Work with patients and healthcare professionals in international locations.
Humanism[10] Knowledge/Behaviour 3.1 Not described
Scientific and societal consequences of global change[27] Knowledge 3.1 Not described
Evolving global governance issues[27] Knowledge 3.1 Not described
Cost of global environmental change[27] Knowledge 3.1 Not described
Taking adequate patient histories and physical examinations in resource poor settings[10] Physical exam/Clinical skills 3.1 Not described
Cost-consciousness; using physical diagnosis without high technologic support[24] Clinical skills 3.1 Not described
  1. aThe percent of articles mentioning competencies was calculated by dividing the total number of articles discussing a certain competency by the total number of retrieved articles.
  2. bArticles discussing competencies without examples of how these competencies were implemented were listed as not described under the category of Methods of Implementation.