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APHA Scientific Session and Event Listing

Recorded presentation

Charmaine S. Lastimoso, MPH candidate, Rachel Knott, Adolfo Caldas, MSW candidate, Cynthia Young, MSc, and Jennifer J. Furin, MD, PhD. Division of Social Medicine and Health Inequalities, Brigham and Women's Hospital, 1620 Tremont St., 3rd floor, Boston, MA 02120, 6175257616, rknott1@partners.org

Background: While several international opportunities exist for residents, few aim past clinical experiences to provide additional training in public health and human rights. In 2004, an innovative program, the Howard Hiatt Residency in Global Health Equity (HHGHE) and Internal Medicine, was developed to address the increasing interests of young physicians in medical careers focused on improving the health of underserved populations in the US and abroad. This four-year program includes training in internal medicine; coursework in research methods, public policy and global health advocacy; as well as fieldwork in resource-poor settings. Fieldwork has been conducted at various sites including Boston, Haiti, Peru, Mexico, Russia, Rwanda, Tanzania, and Uganda. Objective: The project aims to describe and assess the experiences of HHGHE residents who apply clinical and population-based perspectives in resource-poor settings. Methods: Qualitative methodology will be used to collect the data presented. Focus groups and open-ended interviews will be carried out with 6 residents. Additional interviews will be conducted with 4 faculty members. All interviews will be recorded, transcribed, and analyzed for theme and content by a team of trained ethnographers. Hypothesis: The global health equity residency model brings future clinicians face to face with numerous challenges in providing quality care for vulnerable patients while also participating in initiatives to address health equity among patient communities. Implications: Results will inform program leadership in order to develop materials and methods specifically addressing these challenges to continue to train competent clinicians and global health equity advocates.

Learning Objectives:

• · Describe a comprehensive residency program uniquely focused on health equity in resource-poor settings, both domestic and international
• · Illustrate the challenges that participants face through a review of data from qualitative interviews, particularly in merging clinical and population-based perspectives
• · Identify ways in which a global health equity residency model can more effectively train both competent clinicians and global health advocates

Keywords: Global Education, Vulnerable Populations

Related Web page: www.brighamandwomens.org/socialmedicine/gheresidency.asp

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation