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Educational Program Implementation in Academic Global Health Partnerships.

John Kulesa1, Ian Chua2, Kathy Ferrer3

  • 1Icahn School of Medicine at Mount Sinai, Department of Pediatrics (J Kulesa), New York, NY; Kravis Children's Hospital, Division of Hospital Medicine (J Kulesa), New York, NY.

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Summary
This summary is machine-generated.

Global health (GH) educational programs face implementation challenges due to differing training, cultural misunderstandings, racism, and competing priorities. Addressing these factors is crucial for effective international collaboration and program success.

Keywords:
basic qualitative studycapacity buildingdecolonizationglobal healthinterdisciplinary education

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Area of Science:

  • Global Health
  • Medical Education
  • International Partnerships

Background:

  • Global health (GH) partnerships between high-income countries (HICs) and low-/middle-income countries (LMICs) aim to address workforce shortages through educational programming.
  • Understanding factors influencing educational program implementation is vital for improving academic GH initiatives.

Purpose of the Study:

  • To identify factors influencing the implementation of academic GH educational programs from the perspective of US-based physicians.
  • To gather diverse perspectives on challenges in GH program implementation.

Main Methods:

  • Semi-structured interviews were conducted with 20 US-based pediatric GH practitioners in 2021.
  • Data analysis employed an iterative, inductive general interpretivist approach, using Rogan and Grayson's framework for curriculum implementation in LMICs.

Main Results:

  • Key themes emerged, including dissimilar training paradigms among international partners.
  • Western educators' limited understanding of host-country systems and racism were identified as significant barriers.
  • Competing priorities of host-country faculty, interpersonal tensions, and challenging work environments negatively impacted implementation.

Conclusions:

  • The study highlights US-based perspectives on GH educational program implementation challenges.
  • Findings underscore the negative impact of well-intentioned but potentially misaligned HIC involvement.
  • GH partners should critically evaluate implementation strategies early in program design to foster more effective collaborations.