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Abstract
Background
Global health (GH) education is offered in post-graduate medical education (PGME) programs and local experiences are desired by trainees and educators. This scoping review aimed to map the literature on local GH education in PGME, to describe curricular components, factors facilitating successes, and challenges to implementation using a validated education intervention checklist and inclusion of seven components of local GH programming.
Methods
A decolonization conceptual framework informed a 5-step scoping review. In May 2022, eight databases and MedEdPORTAL were searched using key words describing local GH education curricula.
Results
Sixty-eight full-text articles described local GH education programs in residencies (n = 52; 76.4%) and fellowships (n = 10; 14.7%) spanning multiple specialties, predominantly in North America (90%). Successful programs included faculty mentoring, community-based partnerships, and a multidisciplinary component. Scheduling challenges, cultural and linguistic differences, and trainee workload contributed to implementation difficulties. Only four programs included all seven local GH health equity/decolonization components.
Conclusions
Local GH curricula vary widely in clinical experiences, didactic sessions, and inclusion of mentorship and partnerships. Local populations within the communities of these training programs could benefit from standardized inclusion of components for local global health education with careful consideration of health equity.
Additional information
Funding
Notes on contributors
Suet Kam Lam
Drs. Suet Kam Lam, Carmen Cobb, Kristin Van Genderen, and Constance Gundacker are Assistant Professors of Pediatrics and lead global health education at different institutions. Dr. Carmen Cobb is an Associate Clinical Professor in Internal Medicine & Pediatrics and leads global health education.
Brianna Celix
Brianna Celix and Nora Lenhard are senior medical students.
Nora Lenhard
Brianna Celix and Nora Lenhard are senior medical students.
Carmen Cobb
Drs. Suet Kam Lam, Carmen Cobb, Kristin Van Genderen, and Constance Gundacker are Assistant Professors of Pediatrics and lead global health education at different institutions. Dr. Carmen Cobb is an Associate Clinical Professor in Internal Medicine & Pediatrics and leads global health education.
Kristin Van Genderen
Drs. Suet Kam Lam, Carmen Cobb, Kristin Van Genderen, and Constance Gundacker are Assistant Professors of Pediatrics and lead global health education at different institutions. Dr. Carmen Cobb is an Associate Clinical Professor in Internal Medicine & Pediatrics and leads global health education.
Constance Gundacker
Drs. Suet Kam Lam, Carmen Cobb, Kristin Van Genderen, and Constance Gundacker are Assistant Professors of Pediatrics and lead global health education at different institutions. Dr. Carmen Cobb is an Associate Clinical Professor in Internal Medicine & Pediatrics and leads global health education.
Mary Schleicher
Mary Schleicher is a medical librarian.
Colleen Y. Colbert
Dr. Colleen Colbert is a professor of medicine, directs professional development programs for health professions educators, and is a HPE researcher.