Virtual Global Health Elective
CFHI Virtual Global Health Elective brings together inter-disciplinary health professions students (medical, PA, NP, allied health, residents, fellows) to build key Global Health competencies. Given the COVID-19 pandemic international electives have been canceled for Winter/Spring 2021. We are continually assessing the feasibility of resuming place-based electives and updates will be made to our website. CFHI, in partnerships with Aperian Global and leaders across the world, are taking advanced level electives virtual. These electives will develop competencies in low-resource clinical reasoning, health systems & access, critical reflection, cross-cultural effectiveness & adaptability, continuous quality improvement (CQI) and much more. Electives are 3 or 4 weeks in duration. They are intended to be a 'full time' commitment and replace place-based electives. There are both synchronous and asynchronous components (ie. live sessions with peers/global faculty and self-paced content). Note there is the option of medical Spanish lessons for students who would like to advance their langauge acquisition. Email CFHI Sr. Medical Education Consultant, Jenny Samaan, PhD (jsamaan@cfhi.org) with questions.
Duration
CFHI’s faculty draws on international leaders in academic, community-based, governmental and non-governmental sectors. Meet a sample of CFHI’s amazing team below! A finalized list of faculty and facilitators will be updated prior to the elective start date.
Dra. Susana Alvear is an expert on socioeconomic determinants of health in the region and healthcare delivery strategies in low-resource settings. She has partnered with CFHI since 1996 as Medical Director- Quito, Ecuador. She is an accomplished family physician who obtained her MD and specialty certificates in Ecuador. She then completed clinical education courses at the University of New Mexico and workshops at McGill University in Montreal, Canada. Dr. Alvear teaches at Pontificia Universidad Catolica del Peru, where she manages their residency program. Dra. Alvear has participated in multiple disaster response efforts globally, keynote the American Academy of Family Physicians Global Health Workshop, and led in the transformation of Ecuador’s health system recognized for strengthening primary care and access.
Dr. Joel Buenaventura is a passionate physician who is involved in global health diplomacy and in issues addressing health disparities and inequities in the Philippines and around the world. In 2004, Dr. Buenaventura graduated with honors at the University of Santo Tomas Faculty of Medicine and Surgery. The following year, he completed his postgraduate internship at the University of the Philippines General Hospital. In 2011, he earned a Masters in Public Health at Boston University, with a dual concentration in International Health and Health Policy and Management and bestowed the John Snow, Inc. Award in International Health, after doing prestigious internships at the World Health Organization Headquarters in Geneva, Switzerland and the Médecins Sans Frontières (or Doctors Without Borders) US Office in New York. He has served as a Doctor-to-the Barrio, with seven years of grassroots experience as a rural health physician and later as a Municipal Health Officer in a poor, sixth class, remote island, serving as the only doctor in a town of approximately 10,000 people. Dr. Buenaventura currently serves as the Chief Health Program Officer for the Department of Health-Philippines with a focus on alignment of international health cooperation to local health system needs. Altogether, his valuable education and experience with global health and medicine made him a recipient of various grants and scholarships recognizing his leadership skills and academic excellence.
Hema Pandey oversees dozens of CFHI programs throughout the expansive country of India. Hema has been instrumental in establishing CFHI's growing presence in India, developing new program sites and researching CFHI's growth potential in-country. She has worked for CFHI since 2005. She holds a Bachelor’s Degree in Business & Commerce from Kurukshetra University and a PG diploma Fashion Design from International Institute of Fashion Technology. Her professional interests include rural and urban healthcare, water and sanitation, gender, social development. Hema serves a key role as a cross-cultural effectiveness advisor and educator for students as they navigate their growth in awareness of cultural dimensions of health and human interactions.
Dr. Charles Chineme Nwobu is a Public Health Physician in Maternal, Adolescent, Reproductive, Sexual and Child Health and a Development Specialist. He holds a Master’s in Public health for development from the London School of Hygiene and Tropical Medicine (LSHTM) and was a student ambassador of this leading institution in public health. He also has a certification in International Development from the prestigious University of Cambridge, UK. He additionally holds a BSc in Medical Sciences and a medical degree (MBChB) from the University of Ghana Medical School. He has experience working in the public and the private health sector in Ghana as a Physician - Family/General Practitioner mostly in Maternal and Child Health. He is a strong global health advocate with prior experience working as a regional leader in the global health organisation IFMSA (International Federation of Medical Students Associations) where he served as the IFMSA Regional Coordinator for Africa for two consecutive years and next as the Alumni Relations Support Division Director. He is part of the Junior Doctors Network (JDN) of the World Medical Association (WMA). Along with serving as CFHI’s Medical and Program Director for Ghana, he also currently serves as a steering and working committee member of an international network known as CHIFA (Child Health and Rights Information for All), with the head office based in the U.K. In the African region, he currently serves as one of the chosen consultants in the expert community of the current African Union Youth Envoy.
Dr. Cecilia Uribe is the expert on socioeconomic determinants of health in the region and healthcare delivery strategies in low-resource settings. Dr. Uribe is a pediatrician in community-based practice in La Paz, Bolivia. She has dedicated her life to serving the largely indigenous population, eliminating health disparities and utilizing her positionality as a physician to advocate for the addressing of social determinants of health. She also works at a municipal hospital located in El Alto and is the Secretary General of the Committee of Adolescents for the Bolivian Society of Pediatrics. Dr. Uribe is the inspiration behind the Center for Empowerment of Young Mothers, a locally-lead community health project supported by CFHI.
Dr. Geoffrey Anguyo is the Founder and Executive Director of CFHI’s local partner, a Ugandan non-profit organization that prides itself on the creation of an “Activated Community." Dr. Anguyo has been practicing medicine for over twenty years in Uganda, working in government hospitals, private clinics, and through non-profit healthcare delivery. His specialty is HIV/AIDS. Dr. Anguyo grew up in Northern Uganda. As a child, his family was displaced by political violence, fleeing to Congo DRC. These early experiences were formative, and today Dr. Anguyo remains committed to developing practical solutions to improving healthcare and livelihood in Uganda. Dr. Anguyo is currently working on his Doctorate in Public Health at Bath University in the United Kingdom.
Dr. Jessica Evert straddles international education and the medical profession. As Executive Director of Child Family Health International (CFHI) she leads one of the largest and most well-respected Global Health experiential learning organizations, with over 40 programs in 11 countries, and over 200 collaborating universities. Dr. Evert is Faculty in the Department of Family and Community Medicine at the University of California, San Francisco, where she instructs in Global Health and community-based underserved care and helped develop, as well as completed, the Global Health Clinical Scholars residency track. Dr. Evert is a graduate of the Ohio State University College of Medicine and is a longtime advocate for health-related international education quality and ethical standards. She is author and editor of multiple chapters, articles and books in global health with a focus on education, ethics, and asset-based engagement, including the seminal texts, including Global Health Experiential Education: From Theory to Practice, Developing Global Health Programming: A Guidebook for Medical and Professional Schools, 2nd Ed, Global Health Training in Graduate Medical Education, 2nd Ed and Reflection in Global Health: An Anthology. She helped develop the Forum on Education Abroad's Standards for Health-Related Undergraduate Programs. Dr. Evert is a recipient of Global Health Education Consortium's prestigious Christopher Krogh Award for her dedication to underserved populations at home and abroad. Dr. Evert's research and advocacy areas of focus are the ethics of global educational engagement, competency-based international education, health disparities, asset-based programmatics and reflection.
CFHI Virtual Global Health Electives are a full-time commitment that include virtual synchronous sessions, small group project work, formal presentations, clinical reasoning case-based seminars and self-paced asynchronous components.
The elective begins on the first Monday in October 2021, February 2022, and March 2022. Trainees can enroll in the elective for either 3 or 4 weeks.
A Google Classroom/calendar will be used to organize synchronous and asynchronous components. Live sessions will be 2-5 hours per day, with small groups and self-directed for the remainder. Most commitments will be Monday through Friday. Please find a sample schedule listed below.
WEEK 1
Monday
Orientation to CFHI Virtual Global Health Elective (2 hours)
Logistics & Content/Structure Overview
Competency-aims, interpersonal & professional development goals
Introduction to Faculty & Global Partners
Introduction to Aronson Method Critical Reflection
Deliverables & Assignments: Building your Global Health Portfolio
Global Health Seminars & Workshops (2.5 hours)
Key Players & Definitions: Global Health, Public Health, Planetary Health & One Health:
Global Burden of Disease Study: Overview & Metrics
Asynchronous Assignments & Small Group Work (3.5 hours)
GlobeSmart & Intercultural Effectiveness Scale (IES)
Cross-Cultural Effectiveness & Adaptability Module
Tuesday
Cross-Cultural Effectiveness & Adaptability Skills Building Workshop (2 hours)
Intersections of Culture & Healthcare
Dimensions of Culture
GlobeSmart & IES Self-Assessment
Comparative Health Systems Roundtable: Universal Health Care & Global Health 2035 (2 hours)
Overview of Universal Health Care (UHC)
Roundtable of Global Health leaders from Asia, Africa, North America & Latin America
Journal Club: Universal Health Care (UHC) (1.5 hours)
Assignments & Small Group Work (2.5 hours)
IES Personal Development Plan Draft
Global Health E-Portfolio
Journal Club Write-Up
Wednesday
Low-Resource Clinical Decision Making Workshop & Case Discussion (3 hours)
Principles of Low Resource Clinical Decision Making
Physical Exam Pearls
Intersections of Pre-Paid Health Care & Clinical Decision Making
Low Resource Clinical Decision Making Cases
Undifferentiated Fever
Altered Mental Status & Coma
Diarrheal Disease
Global Health Ethics & Biomedical Ethics Seminar (2 hours)
Global Health Ethics
Biomedical Ethics & Cultural Context
Assignments & Small Group Work (3 hours)
IES Personal Development Plan Draft
Global Health E-Portfolio
Clinical Reasoning Case Write Up
Thursday
Introduction to Global Mentor & Country-Specific Immersion (3 hours)
Overview of Health System & Global Burden of Disease
Cultural Influences to Health & Health Care
Continuing Quality Improvement in the Local Context
Defining Locally-Mentored Project & Expectations
Introduction to Know-Do Gap Analysis
Global Health Seminars & Workshops (2.5 hours)
Planetary & One Health
Social Determinants of Disease & Sustainable Development Goals (SDGs)
Assignments & Small Group Work (2.5 hours)
IES Personal Development Plan Draft
Global Health E-Portfolio
Know-Do Gap Analysis: Literature Review
Aronson Method Critical Reflection
Friday
Local Global Health Seminars (1.5 hours)
Reverse Innovation in Global Health
Local/Global Health Disparities
Trainee Presentations: IES Personal Development Plan (2.5 hours)
Mentor & Peer Feedback
Asynchronous Assignments & Small Group Work (4 hours)
Know-Do Gap Analysis: Literature Review
Global Health E-Portfolio
Feedback Integration: IES Personal Development Plan
Local Health Disparities Epidemiological Overview
Aronson Method Critical Reflection
WEEK 2
Monday
Global Health Seminars (2.5 hours)
Health Systems Comparatives: US Healthcare in a Global Context
Human Resources for Health (HRH): Exploring Gaps & Solutions
Case-Based Ethics & Collaboration Workshop (2.5 hours)
Global Health Research Ethics
Fair-Trade Partnerships & Collaborations
Asset-Based Community Development (ABCD)
Understanding Global Health Systems (1.5 hours)
Central America (Costa Rica, Mexico)
Asynchronous Assignments & Small Group Work (2 hours)
Know-Do Gap Analysis: Literature Review
IES Personal Development Plan Revisions
Global Health E-Portfolio
Local Health Disparities Epidemiological Overview
Tuesday
Comparative Health Systems Roundtable: Global Perspectives on Maternal/Child Health (3 hours)
Contemporary Issues in Maternal/Child Health
SDGs & Maternal/Child Health
Roundtable of Global Health leaders from Asia, Africa, North America & Latin America
Journal Club: Maternal/Child Health (1.5 hours)
Assignments & Small Group Work (3.5 hours)
IES Personal Development Plan Revisions
Journal Club Write-Up
Global Health E-Portfolio
Local Health Disparities Epidemiological Overview
Know-Do Gap Analysis: Literature Review
Wednesday
Low Resource Clinical Decision Making Workshop & Case Discussion (3 hours)
Diverse Presentations of Tuberculosis
HIV in Pregnancy
Diabetes in Africa
Global Health Innovations & Approaches (1.5 hours)
Palliative Care in Global Health
Assignments & Small Group Work (3.5 hours)
Global Health E-Portfolio
Clinical Reasoning Case Write-Up
Know-Do Gap Analysis: Literature Review
Ethics of Photography/Images in Global Health Module
Thursday
Country-Specific Immersion & Quality Improvement (3 hours)
Focus Groups: Know-Do Gap Analysis
Virtual Tour of Community
Continuing Quality Improvement Project
Global Health Seminars & Workshops (2.5 hours)
Case Studies in Planetary Health
Building Advocacy & Influencer Skills
Assignments & Small Group Work (2.5 hours)
Global Health E-Portfolio
Know-Do Gap Analysis
Aronson Method Critical Reflection
Multi-media Global Health: Film & Media Studies
Friday
Local Global Health Seminars (1.5 hours)
Journey in Anti-Racism: Essential Tools & Approaches
Trainee Presentations: Local Health Disparities Epidemiological Overview (2 hours)
Skills Building Workshop (2 hours)
Succeeding at Project Management
Asynchronous Assignments & Small Group Work (2.5 hours)
Know-Do Gap Analysis
Global Health E-Portfolio
Aronson Method Critical Reflection
Multi-media Global Health: Film & Media Studies
WEEK 3
Monday
Global Health Seminars & Workshops (2.5 hours)
Political Systems & Health: Interdisciplinary Intersections in Global Health
Public Health & Global Health: Key Concepts & Case Studies
Understanding Global Health Systems (2 hours)
South America (Ecuador, Bolivia, Argentina)
Asynchronous Assignments & Small Group Work (3.5 hours)
Global Health E-Portfolio
In-country CQI Project
Tuesday
Comparative Health Systems Roundtable: Global Perspectives on Non-Communicable Diseases (NCDs) (3 hours)
Global Burden of Non-Communicable Diseases
WHO Essential Medications
Roundtable of Global Health leaders from Asia, Africa, North America & Latin America
Journal Club: NCDs (1.5 hours)
Assignments & Small Group Work (3.5 hours)
Journal Club Write-Up
Global Health E-Portfolio
In-country CQI Project
Wednesday
Low Resource Clinical Decision Making Workshop & Case Discussion (3 hours)
Skin Ulcers: Thinking Outside with Western Box
Thyroid Disease & Goiter
Presentations of Malignancy
Global Health Innovations & Approaches (1.5 hours)
Low Cost Technologies
Public/Private Partnerships
Assignments & Small Group Work (3.5 hours)
Global Health E-Portfolio
Clinical Reasoning Case Write-Up
Inclusive Behavior Inventory (IBI) Module
Thursday
Country-Specific Immersion & Quality Improvement (3 hours)
Virtual Cultural Immersion
Understanding Infrastructure & Health
Continuing Quality Improvement Project
Global Health Seminars & Workshops (2.5 hours)
Evidence-Based Medicine & Public Health
Interprofessionalism: Climate Change & Global Health
Assignments & Small Group Work (2.5 hours)
Global Health E-Portfolio
In-Country CQI Project
Aronson Method Critical Reflection
IBI Presentation
Friday
Local Global Health Seminars (1.5 hours)
Advocacy in the Local/Global Context: Developing Media & Communication Skills
Trainee Presentations: Inclusive Behavior Inventory (2 hours)
Skills Building Workshop (2 hours)
Capacity Building & Global Health
Asynchronous Assignments & Small Group Work (2.5 hours)
In-Country CQI Project
Global Health E-Portfolio
Aronson Method Critical Reflection
WEEK 4
Monday
Global Health Seminars & Workshops (2.5 hours)
Food Security & Global Health
Malnutrition & Childhood Disease
Understanding Health Systems (2 hours)
Sub-Saharan Africa (Uganda, Ghana, South Africa)
Asynchronous Assignments & Small Group Work (4 hours)
In-country CQI Project
Global Health E-Portfolio
Tuesday
Comparative Health Systems Roundtable: Global Perspectives on the COVID-19 Pandemic (3 hours)
COVID-19 Globally: Epidemiology, Diagnostics, Response, & Treatments
Roundtable of Global Health leaders from Asia, Africa, North America & Latin America
Journal Club: Epidemics & Pandemics (1.5 hours)
Assignments & Small Group Work (3.5 hours)
Journal Club Write-Up
Global Health E-Portfolio
In-country CQI Project
Wednesday
Low Resource Clinical Decision Making Workshop & Case Discussion (3 hours)
Commonly Observed, But Rarely Seen - Survivors
Slippin Away in Pain
Diverse Presentations of HIV
Malaria
Global Health Innovations & Approaches (1.5 hours)
Community Health Workers & Last Mile Health
Women & Gender in Global Health
Assignments & Small Group Work (3.5 hours)
Global Health E-Portfolio
Clinical Reasoning Case Write-Up
Thursday
Country-Specific Immersion & Quality Improvement (3 hours)
Continuing Quality Improvement Project
Final Presentations/Project Updates
Global Health Seminars & Workshops (1.5 hours)
LGBTQI Health Globally
Health of Displaced Persons Globally
Skills Building Workshop (2 hours)
Understanding Organizational Structures & Sustainability
Assignments & Small Group Work (1.5 hours)
Global Health E-Portfolio
Aronson Method Critical Reflection
Friday
Local Global Health Seminars (2 hours)
Medicaid Expansion & US Health System Reforms
Refugee & Immigrant Health in US
Trainee Presentations: Know-Do Gap Analyses & Lessons Learned (2 hours)
Asynchronous Assignments & Small Group Work (2.5 hours)
Global Health E-Portfolio
Aronson Method Critical Reflection
This elective is built for senior/advanced health professions trainees including residents, physician assistant trainees, NPs, pharmacy final year students, and other advanced health professions trainees.
CFHI Virtual Global Health Electives have the following learning objectives and competency development goals:
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Apply inquiry-oriented and analytic approach to learning and patient care, develop and implement approaches for generating and applying new knowledge with a focus on low resource clinical reasoning applied to case-based adult and pediatric patients.
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With respect to patients and populations, articulate the relationship between health and the social determinants of health.
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Demonstrate an understanding of cultural and ethical issues in working with and learning within the context of underserved populations.
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Demonstrate an understanding of barriers to health, as well as healthcare delivery strategies and systems in low-resource settings, and how these influence access to care.
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Demonstrate a commitment to professional behavior in cross-cultural settings and a respect for differences in knowledge, practices, and culture.
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Identify the major causes of morbidity and mortality affecting global populations and health disparities between populations.
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Utilizing validated tools assess, reflect on, and develop in quantifiable terms multiple dimensions of intercultural effectiveness.
The above framework was developed for post-graduate medical education, however it encapsulates the educational approach required for advanced undergraduate medical education. Utilizing this model, CFHI Virtual Global Health Electives blend multiple education modalities embedded in an ethically-informed approach to pedagogy and practice.