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Global Health in U.S. Internal Medicine: Pulling Strands into a Web
James C Hudspeth1, Thuy Bui2, Reem M Hanna3
1Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA. james.hudspeth@bmc.org.
Journal of General Internal Medicine
|January 20, 2026
Summary
U.S. internists in global health need better coordination. Increased collaboration can enhance best practices, amplify program impact, and foster international partnerships.
Area of Science:
- Global Health
- Internal Medicine
- Academic Medicine
Background:
- U.S. global health has grown significantly over 25 years.
- Internal medicine lacks coordination in global health initiatives.
- Pediatricians have successfully networked, creating impactful resources.
Purpose of the Study:
- To argue for increased collaboration among U.S. internists in global health.
- To identify benefits of collaboration: promoting best practices, amplifying impact, increasing multilateral projects, and simplifying partnerships.
- To suggest networking benefits for other academic medicine specialties.
Main Methods:
- Qualitative analysis of current global health initiatives in U.S. internal medicine.
- Comparative analysis with successful collaboration models in other specialties (e.g., pediatrics).
- Argumentative and hypothesis-driven approach based on observed trends.
Main Results:
- Absence of coordination identified as a key challenge in U.S. internal medicine global health.
- Potential benefits of collaboration are outlined, including improved ethics, advocacy, and project scope.
- Networking is hypothesized to be beneficial, especially amid reduced funding.
Conclusions:
- Enhanced collaboration is crucial for advancing U.S. global health efforts in internal medicine.
- Structured networking can lead to more effective and impactful global health programs.
- The model of collaboration may be applicable to other specialties facing similar challenges.
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