Abstract
Background:Increasing access to safe, timely, and affordable acute care in low- and middle-income countries is a worldwide priority. Longitudinal curricula on systems of acute care have not been previously described.Objectives:The authors aimed to develop a novel four-year longitudinal curriculum for medical students addressing systems development across multiple acute care specialties.Methods:The authors followed Kern’s six-step framework for curriculum design. After review of literature, a group of medical students and school of medicine faculty conducted a targeted needs assessment. Foundational goals and objectives were adapted from the 39 interprofessional global health competencies by the Consortium of Universities for Global Health. Educational strategies include didactic sessions, workshops, journal clubs, preceptorships, and community outreach. Clinical years include specialty-specific emphases, guided junior-level discussions, and a capstone project. Yearly SWOT and Kirkpatrick model analyses served as program evaluation.Findings:The Curriculum Council approved the program in July 2019. During the first cycle, the program matriculated 30 students from classes of 2023 (14) and 2022 (16). The first year produced 11 interactive sessions, 6 journal clubs, and 10 seminars led by 31 faculty and guest speakers; 29/30 students completed requirements; 87 evaluations reflected 4.57/5 content satisfaction and 4.73/5 instructor satisfaction. The 2023 cohort reported improved understanding of session objectives (3.13/5 vs. 3.82/5, p = 0.03). Free-text feedback led to implementation of pre-reading standardization and activity outlines.Conclusion:The Program was well-received and successfully implemented. It meets the needs of graduating medical students interested in leading global health work. This novel student-faculty collaborative model could be applied at other institutions seeking to provide students with a foundation in global acute care.
Highlights
Annals of Global HealthGlobal health has attracted substantial interest and participation amongst medical trainees
These interests coincide with global recognition that access to safe, timely, and affordable emergency and surgical care in low- and middle-income countries (LMICs) should be a worldwide priority [2, 3]
Multispecialty curriculum for medical students interested in capacity building, systems strengthening, and the delivery of acute care specialties in low-resource settings
Summary
Annals of Global HealthGlobal health has attracted substantial interest and participation amongst medical trainees. These interests coincide with global recognition that access to safe, timely, and affordable emergency and surgical care in low- and middle-income countries (LMICs) should be a worldwide priority [2, 3]. It is thought that global health initiatives require knowledge and implementation of health systems strengthening approaches to foster long-term positive impact on both trainees and the communities they serve [7]. Understanding and implementing such an approach requires a breadth and depth of global health training that core preclinical and clinical curricula do not provide [8]. Longitudinal curricula on systems of acute care have not been previously described
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