1. Redefining Global Health through Local and National Experiential Learning
Javeed Sukhera
Melanie Katsivo
Leah Mawhinney
Patricia Potter
George Kim
CCME 2015

2. Office of Global Health
CCME 2014

3. Global Health Awareness:
A fundamental ability to link and transfer local issues to global contexts and vice versa.
CCME 2014

4. Vision: To optimize integration of global health into student learning at the Schulich School of Medicine & Dentistry.
Mission: To provide the best global health learning experience to all medical, dental and basic medical science students at the Schulich School of Medicine & Dentistry.
CCME 2014

5. Why go Local? Common areas under accreditation (ED10 topics)
Cross-cultural issues include diverse communities within national boundaries
Common mission:
Ethical community engagement
Clinical practice with limited resources
ED 10: The curriculum of a medical education program must include behavioral and socioeconomic subjects in addition to basic science and clinical disciplines. ED10 topics include communication skills, community health, complementary/alternative health care, cultural competence, domestic violence, global health issues, health care financing/systems, health disparities, medical ethics/humanities, medical socioeconomics, population based medicine and substance abuse
CCME 2014

6. Consensus Global Health Competencies
Global burden of disease
Social and Environmental Determinants of Health
Health Implications of Migration, Travel, and Displacement
Globalization, Health and Healthcare
Health as a Human Right and Resource for Development
Health in Low Resource Settings
Ethical and Sustainable Collaborations to Address Global Health Issues
Office of Global Health’s curriculum program includes global health competencies that have considerable overlap with local, regional and national underserved communities.

7. Local, Regional and National
GLOBAL HEALTH
Electives
CCME 2014

8. Local Electives Recruited community sites and infrastructure
Expanded existing local sites from 4 to 7
Recruited students
Examples of Local Global Health Sites
Community family medicine
Local public health unit
Child and adolescent psychiatry
Geriatric medicine
Southwestern Ontario Aboriginal Health Access Centre
CCME 2014

9. Local case study: LIHC Core site for local global health
Offers health and social services to those experiencing barriers to care (including poverty, homelessness, chronic health conditions, mental health and addictions)
Extensive engagement and time investment required to build mutually beneficial relationship
Strong parallels with ethical international partnership development
Considerable effort and time went into building a relationship with LIHC which offers the most clinical time to students interested in local global health. As a community organization under increasing pressure and fiscal constraint, it is important to ensure that the organization is not simply a vehicle to provide students with placements and rather has a positive and ethical relationship with the medical school and university.
CCME 2014

10. Regional Electives
Aligning work with existing Distributed Medical Education (DME) infrastructure
Collaborating with DME leadership and existing preceptor recruitment processes
Goal is sustainable recruitment of preceptors with ‘global health awareness’
Established faculty awareness scale
The medical school is undergoing a significant restructuring in our DME program with new leadership and strategic planning. It was important for OGH to avoid duplicating efforts with DME and collaborate to recruit preceptors through existing DME approaches. Rather than overwhelming community preceptors with requests from multiple programs within the same medical school, it became of vital importance to align both areas and collaborate. This has slowed preceptor recruitment, however, emphasis is on sustainable recruitment to build relationships with preceptors that are sustainable and mutually beneficial.
CCME 2014

11. National Electives
Built directory of global health related electives at accredited Canadian partner schools open to visiting students.
Hope to build upon existing infrastructure and improve collaboration on global health learning within Canada.
Planning for aggressive marketing and recruitment campaign.
CCME 2014

12. Assessment & Evaluation
Linked to Broader UME Metrics (baseline, 3 year and 5 year measures)
Review/synthesis of key words related to global health in course/module content
Data from AAMC Canadian Graduation Questionnaire
End of course survey data (course-specific)
BCOE survey data (course-specific)
OGH Specific Metrics (baseline, 3 year and 5 year measures)
Percent of students who participate in local/international experiential learning
Percent of graduates working with in the global health field
Revised pre and post experiential learning questionnaire
Focus Groups with collaboration from students
Pre-departure Training Evaluation
OSCE data from Clerkship OSCE
CCME 2014

13. Preliminary Results
700% increase in student participation in local/regional/national global health
Some students are combining local/regional/national global health with international clinical science electives in fourth year
Possibility that aligned approach will be further integrated into undergraduate curriculum with service learning
CCME 2014