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. |
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. | |
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 | |
Knowledge | 6.3 | • Work with patients and healthcare professionals in international locations | |
Knowledge | 6.3 | • Teaching about world health reports and Disability-Adjusted Life Years (DALYs) | |
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 |