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Increasing Care for Underserved Communities Through a Global Health Residency Training Program.

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Global health training programs significantly enhance residents' knowledge and preparedness for underserved populations. This education may help address physician shortages in these critical areas.

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Area of Science:

  • Medical Education
  • Global Health
  • Health Equity

Background:

  • Global health education is crucial for addressing health disparities.
  • Physician shortages in underserved areas necessitate increased training exposure.
  • The Global Health Scholars Program (GHSP) was developed to address these needs.

Purpose of the Study:

  • To evaluate the impact of the GHSP on residents' perceived preparedness.
  • To assess the program's influence on residents' intention to serve underserved populations.

Main Methods:

  • Observational mixed-method evaluation of the GHSP intervention.
  • Longitudinal training covered ethics, health equity, structural determinants, racism, colonialism, and systems-based practice.
  • Elective rotations included local underserved clinics, tribal/IHS sites, and Botswana; a 16-item survey and qualitative analysis were used.

Main Results:

  • Significant increases in perceived knowledge post-training were observed in the pre-COVID cohort.
  • Residents in the COVID cohort had higher baseline scores.
  • Qualitative data confirmed GHSP as transformative; 69.7% of current trainees reported moderate to very high intention to practice in underserved settings, and 40.9% of graduates practice in such settings.

Conclusions:

  • The GHSP offers transformative educational experiences, enhancing residents' global health knowledge.
  • The program shows potential to mitigate physician workforce shortages in underserved areas.
  • The intervention positively impacts residents' preparedness and intention to practice in underserved settings.