Global Health Pathway

Purpose
The Internal Medicine Global Health Pathway is designed for residents in the Internal Medicine and Medicine-Pediatrics residency who desire a more rigorous education in global health.  This may include any of the following areas:

• Improving healthcare for immigrants, refugees, and travelers
• Developing a clinical or academic career in global health 
• Expanding understanding of under-represented diseases
• Increasing competence of care for a multicultural society
• Pursuing a career in underserved communities in the United States
• Building local, national, and international community collaborations 

Program Eligibility
The Pathway is open to any resident currently enrolled in the Internal Medicine or Medicine-Pediatrics residency program. 

Program Requirements
Residents must:

1. Apply and enroll in the Global Health Pathway during orientation or in the first year of residency.
2. Maintain good standing within the residency program.
3. Attend at least six of the Tropical and Travel Medicine Lecture Series presentation or the Global Pediatrics Lecture Series per year.
4. Maintain an electronic portfolio of global health experiences (case presentations, international rotation summary, etc.).

Other Program Opportunities
Residents are strongly encouraged to participate in any of the following:

1. Complete the two month Global Health Course that is offered annually during July and August.
2. Participate in a continuity clinic elective with an emphasis on serving immigrant patients.
3. Complete one to two months international elective rotation (two months required for ASTMH certification).
4. Complete an academic project or scholarly activity related to global health (required for all residents taking an international elective).
5. Take the ASTMH examination leading to Certification of Knowledge in Clinical Tropical Medicine and Travelers’ Health (requires taking the entire Global Health Course and two months of international experience). See www.astmh.org for more information.

Benefits of the Global Health Pathway to Residents

1. International rotations including a rich educational experience, facilitation of research projects, and opportunities to contribute to the health of developing countries.
2. Priority scheduling for international rotations and continuity clinics that serve immigrant populations.
3. Participation in collaborations at international sites that are formally affiliated with the Global Health Pathway.
4. Priority enrollment into the Global Health Course.
5. A stipend for international travel or global health research project upon completion of the project. 
6. An opportunity to connect with a faculty mentor regarding career interests in global health.
7. Career guidance for residents interested in pursuing, either partially or fully, international work in their career plans. 

X = Can participate in this program component during that year. 

Notes Regarding Timeline  

1. Enroll in Global Health Pathway. Residents are encouraged to apply to the Pathway at the beginning of their intern year of residency.
2. Mentor Meetings. Residents are required to meet with their mentor on a yearly basis to schedule projects and track progress.
3. Lectures. Residents are required to attend a total of six lectures from either the Travel and Tropical Medicine Seminar Series or the Pediatric Global Health Lecture Series. *There are 18 lecture opportunities per year.
4. Scholarly Project. Projects are required to complete residency program.
5. Global Health Course. Residents are required to complete the eight-week course. Both blocks should be taken prior to international rotations.
6. Continuity Clinic. Residents are based in clinics that serve immigrant populations as space is available. 
7. Local Elective. Optional. Local electives must be approved by the residency program.
8. International Rotation Elective. Residents are strongly encouraged to complete a one to two month international rotation after their intern year of residency. All international electives must be approved by the Internal Medicine or Medicine-Pediatrics
   Residency Program Director and the Global Health Pathway Program Director.
9. ASTMH Exam. Residents are expected to sit for the ASTMH exam. The exam requires the completion of the Global Health Course and two months of work in a tropical country. *The next exam will be in Atlanta, GA in 2010.
10. ePortfolio. Residents are required to maintain a portfolio of their progress.  *The Pathway has developed a moodle site for this requirement.