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Development and Implementation of a Longitudinal Global Acute Care and Systems Strengthening Program
Cybil S Stingl1, Kyle J Alexander1, James M Dittman1
1Virginia Commonwealth University School of Medicine, Richmond, Virginia, US.
Annals of Global Health
|January 17, 2022
Summary
A new four-year curriculum for medical students was developed to improve acute care systems in low- and middle-income countries. The program was well-received, meeting student needs and showing improved understanding of objectives.
Area of Science:
- Global Health Education
- Medical Curriculum Development
- Acute Care Systems
Background:
- Improving access to safe, timely, and affordable acute care is a global priority.
- Longitudinal curricula for acute care systems have not been previously described.
Purpose of the Study:
- To develop a novel four-year longitudinal curriculum for medical students focused on acute care systems development.
- To address systems development across multiple acute care specialties.
Main Methods:
- Utilized Kern's six-step framework for curriculum design.
- Incorporated needs assessment, adapted global health competencies, and employed diverse educational strategies (didactics, workshops, preceptorships).
- Included specialty-specific clinical training, discussions, capstone projects, and program evaluation using SWOT and Kirkpatrick models.
Main Results:
- The curriculum was approved and successfully implemented, matriculating 30 students.
- High satisfaction rates (4.57/5 content, 4.73/5 instructor) were reported.
- The 2023 cohort showed improved understanding of session objectives (p = 0.03), leading to curriculum refinements.
Conclusions:
- The novel curriculum was well-received and successfully implemented, meeting the needs of students interested in global health.
- This student-faculty collaborative model offers a foundation in global acute care and can be adapted by other institutions.
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