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Leveraging Economies of Scale via Collaborative Interdisciplinary Global Health Tracks (CIGHTs): Lessons From Three
Megan S McHenry1, Jennifer T H Baenziger, Lori G Zbar
1M.S. McHenry is assistant professor of pediatrics and director, Pediatric Resident Global Health Education, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0001-6753-0928. J.T.H. Baenziger is assistant professor of clinical medicine and pediatrics, assistant director of education, Indiana University Center for Global Health, and director, Interdisciplinary Global Health Track, Indiana University School of Medicine, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0001-9221-5401. L.G. Zbar is assistant professor of medical education and pediatrics and director, Student Health and Wellness, Icahn School of Medicine at Mount Sinai, New York, New York; ORCID: https://orcid.org/0000-0002-3643-341X. J. Mendoza is assistant professor of pediatrics, University of Virginia, and is patient safety and quality improvement officer, University of Virginia Children's Hospital, Charlottesville, Virginia; ORCID: https://orcid.org/0000-0002-2994-7594. J.R. den Hartog is associate professor of medicine and program director, Global Health Leadership Track, University of Virginia, Charlottesville, Virginia; ORCID: https://orcid.org/0000-0001-9903-7089. D.K. Litzelman is D. Craig Brater Professor of Global Health Education, Indiana University School of Medicine, director of education, Indiana University Center for Global Health, and senior research scientist, Regenstrief Institute, Indianapolis, Indiana; ORCID: https://orcid.org/0000-0003-2162-8756. M.B. Pitt is associate professor, director of Global Health Education, and associate residency program director, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-7123-2613.
Abstract:
As interest in global health education continues to increase, residency programs seeking to accommodate learners' expectations for global health learning opportunities often face challenges providing high-quality global health training. To address these challenges, some residency programs collaborate across medical specialties to create interdisciplinary global health residency tracks or collaborative interdisciplinary global health tracks (CIGHTs). In this Perspective, the authors highlight the unique aspects of interdisciplinary tracks that may benefit residency programs by describing 3 established U.S.-based programs as models: those at Indiana University, Mount Sinai Hospital, and the University of Virginia. Through collaboration and economies of scale, CIGHTs are able to address some of the primary challenges inherent to traditional global health tracks: lack of institutional faculty support and resources, the need to develop a global health curriculum, a paucity of safe and mentored international rotations, and inconsistent resident interest. Additionally, most published global health learning objectives and competencies (e.g., ethics of global health work, predeparture training) are not discipline specific and can therefore be addressed across departments-which, in turn, adds to the feasibility of CIGHTs. Beyond simply sharing the administrative burden, however, the interdisciplinary learning central to CIGHTs provides opportunities for trainees to gain new perspectives in approaching global health not typically afforded in traditional global health track models. Residency program leaders looking to implement or modify their global health education offerings, particularly those with limited institutional support, might consider developing a CIGHT as an approach that leverages economies of scale and provides new opportunities for collaboration.
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