Introduction: Recently, participation in clinical global health rotations has significantly increased among graduate medical education (GME) trainees. Despite the many benefits these experiences provide, many ethical challenges exist. Well-intentioned partnerships and participants often encounter personal and professional dilemmas related to safety, social responsibility, and accountability. We designed a curriculum to provide trainees of all specialties with a comprehensive educational program aimed at delivering culturally mindful and ethically responsible clinical care in resource-constrained settings. Methods: The McGaw Global Health Clinical Scholars Program (GHCS) at Northwestern University offers a 2-year curriculum for selected GME trainees across specialties interested in global health. Each trainee must complete the following components: core lectures, peer journal club, specialty-specific lectures, a mentorship agreement, ethics and skill-based simulations, a global health field experience, a poster presentation, and a mentored scholarly project. Results: Since 2014, 84 trainees from 13 specialties have participated in the program with 50 current trainees and 39 graduates. Twenty-five trainees completed exit surveys, of which 95% would recommend this program to other trainees and 84% felt more prepared to deliver global health care. In addition, 78% reported career plans that included global health and/or work with underserved populations. Trainees described “acceptance of differences and respect for those differences” and “understanding sustainability” as learning points from the program. Discussion: Providing a comprehensive global health education program across specialties can be feasible and effective. GME trainees who participated in this program report feeling both more prepared for clinical experiences and more likely to serve the underserved anywhere.

中文翻译：

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从创建到评估：针对研究生医学教育学员的综合性全球健康学者计划

简介：最近，研究生医学教育 (GME) 学员参与临床全球健康轮转的人数显着增加。尽管这些经历带来了许多好处，但仍然存在许多道德挑战。善意的合作伙伴和参与者经常会遇到与安全、社会责任和问责相关的个人和职业困境。我们设计了一个课程，为所有专业的学员提供全面的教育计划，旨在在资源有限的环境中提供注重文化和道德负责的临床护理。方法：西北大学的 McGaw 全球健康临床学者计划 (GHCS) 为对全球健康感兴趣的专业的选定 GME 学员提供为期 2 年的课程。每位学员必须完成以下组成部分：核心讲座、同行期刊俱乐部、专业讲座、导师协议、基于道德和技能的模拟、全球健康领域经验、海报演示和指导学术项目。成果：2014年以来，已有13个专业的84名学员参加了该项目，其中在校学员50名，毕业生39名。25 名学员完成了退出调查，其中 95% 的学员会向其他学员推荐该计划，84% 的学员感到为提供全球医疗保健做好了更充分的准备。此外，78% 的人报告了职业计划，其中包括全球健康和/或与服务不足的人群一起工作。学员将“接受差异并尊重这些差异”和“理解可持续性”描述为该计划的学习要点。讨论：提供跨专业的全面的全球健康教育计划是可行且有效的。参加该计划的 GME 学员表示，他们感觉自己对临床经验有了更充分的准备，并且更有可能为任何地方服务不足的人提供服务。