Best Practices for Global Health Programs

Identifying interesting approaches to global health education

Critical Mass of Campus Interest/ Partnership Potential

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Identify those programs in which an established relationship with UCSF already exists or is under development, and in which there is broad campus interest in developing a partner relationship. You may also want to include programs that have existing partnerships with outside universities or organizations and at what capacity.   

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IGOT has strong relationships with GHS leadership & across the greater surgical/trauma sub-specialties.

As part of our Global Advocacy & Leadership pillar we are involved in leadership roles across the AAOS-American Academy of Orthopaedic Surgeons, OTA-Orthopaedic Trauma Association, HVO-OO Health Volunteers Overseas/Orthopaedics Overseas, MSF, ICRC, AO & Operation Rainbow.

We collaborate with SIGN-Fracture Care International (NGO in WA) for our annual Summit & SMART Course. We work with Stanford & the ACS anually for their Humanitraian Skills Course. 

As a Department we have strong relationships with industry & have successful track record with obtaining industry grants for our programs.

On an international scale we are active at the World Congress of Surgery, Anaethesia & Trauma, WHO, SICOT, WACS.

 

The Roatan Interprofessional Program began its relationship with UCSF at the time of its founding in 2002 by UCSF alumni/current faculty Arup Roy-Burman (Pediatrics) and Sheila Jenkins (Neurology); much of the program’s first decade of clinical development was coordinated through Children’s Hospital Oakland (CHO), which is now acquired as the newest campus of UCSF.  The Program’s resident clinical elective has attracted >100 residents from training programs across the US, stretching from Boston to Miami to Seattle and San Diego.  Dozens of residents have come from UCSF, CHO (now also UCSF), and Stanford.  Many alumni are now current UCSF Faculty (e.g., Datar, Fiore, Shimano).  Since FY12, there has been much progress with more formal integration with the UCSF academic mission, across all four professional schools, from senior faculty to various learner levels.  SOD Faculty: Greenspan, Zhan, Den Besten.  SON: Lynch, Baltzell, Rankin.  SOM: Rutherford, Dandu, Stewart. SOP: Brock, Stofella, Scarspace.  In FY14, the Program has hosted 5 Clinical Scholars, 3 Pathways students, and 1MS student, representing all four schools.  Current academic partnerships extend to BSRI (Busch, Bloch), UCB (Sokal-Gutierrez; E. Harris), UCSB (Loprez-Carr, Geography), UCD (Chantry and Herlihy, Pediatrics and Demography); UCM (Roussos, Blum Center for Developing Economies).

The International Training and Education Center for Health (I-TECH) collaboration between UCSF and University of Washington has developed a variety of products that are innovative and of potential use to UCSF learners.

They include:

  • Training Effectiveness Framework and Tools (TEFT) - TEFT is a set of resources designed to help evaluators, implementers, and program managers at all levels plan successful evaluations of in-service training program outcomes.  The resources are organized as six steps to guide the planning of a training outcome evaluation.
  • Everyday Leadership: This collection of learning and training tools is designed to support global health leaders and managers, and includes a rich cross section of videos clips and curriculum materials suitable for use in classroom trainings, distance learning programs, and as tools for self-reflection. Includes video vignettes from UCSF faculty (Debas, Feachem, Reyes).
  • Clinical Mentoring Toolkit: This clinical mentoring toolkit is a CD-ROM (and website) of comprehensive tools for developing, implementing, and evaluating clinical mentoring programs.

All resources can be found on the I-TECH website here:  http://www.go2itech.org/resources

Great resources as we move forward. I-TECH has been a great leader in developing tools and information sources.

The University of Namibia Schools of Medicine, Nursing, and Pharmacy offer a wonderful opportunity for enhanced collaboration with UCSF.  UCSF already has some partnerships in the country (eg, http://www.ucsf.edu/news/2014/04/113841/ucsf-work-namibia-contributes-sh...) both as standalone work and in partmership with ITECH.  Their leaders have been to UCSF and some of ours have been to Windhoek.  These are relatively young training programs with good facilities and access to supplies.  For trainees, there are good roads and decent wifi.  What they don't have is enough trained preceptors - across the professions - as well as models for interprofessionalism.  There are a lot of NGOs that are interested in working with UNAM (including some nice educational support funding from the CDC) - but not a lot of ears that are listening to what they say they need.  Developing a coordinated and locally responsive collaboration effort to support them as they grow and mature could improve health in Namibia and also provide a UCSF template for collaboration (not colonization).

Do we have any formal agreements active in Namibia?

The pharmacy work is done via a USAID contract; so the SOP does not have a TAA for learner as yet.  In a GH meeting of Namibia consultants last year, we had a full room so I expect there are some TAAs in place... just don't have access to this info.

FYI, the University of California Committee on International Education (UCIE) is proposing important bylaw changes relevant to Global Health Education.

for example proposed changes are in bold italic:

"B. Duties. Consistent with Bylaw 40, the Committee shall: (Am 28 May 2003)
1. Consider and report on matters of international education and research referred to the Committee by the President of the University, the Academic Council, the Assembly, a Divisional or any Senate Committee (Am 28 May 2003).
2. Report to the Academic Council and other agencies of the Senate and confer with and advise the President and agencies of the University Administration on matters concerning international engagement, including:
i. International research in which UC students and/or faculty participate.
ii. Participation of UC faculty and/or students in international exchange agreements.
iii. The status and welfare of international students and scholars on the UC campuses.
iv. Educational Centers run by UC campuses abroad (other than UCEAP)."

http://senate.universityofcalifornia.edu/underreview/documents/ReviewofSB1823-15.pdf

Jyu-Lin Chen (Jyu-Lin.Chen@ucsf.edu) is the UCSF rep to UCIE.

send comments to UCSF Academic Senate Chair Farid Chehab (Farid.Chehab@ucsf.edu).

Thank you for bringing this to the attention the global health researchers and educators! Will take some time to review and digest!

Very helpful information, Stuart.  Thanks

Global Partners in Anesthesia & Surgery (www.globalsurgery.org)

The number of global health initiatives focusing on surgical disease has increased signficiantly in recent years. Since formation, GPAS has created partnerships with numerous faculty from multiple disciplines not only at UCSF but also with a number of other universities and non-academic partners (UBC, Duke, UW, Harvard, Stanford, Makerere University, Mbarara University, The Red Cross, iGOT...). These partnerships have included MOUs, collaborative fundraising, shared mentorship, and collaborative project design and implementation. 

Our mission is dependent on a multidisciplinary team with leadership from all partners (as reflected in our board of directors).

As international and campus-wide interest in global surgery increases, the critical mass of surgery-focused global health groups has potential to make UCSF a leader in this burgeoning area of public health. 

 

...also significant new projects and partnership underway with the new Center for Global Surgical Studies.

Center for Global Surgical Studies (CGSS)

Much of the work of CGSS is made possible by its strong partnerships across UCSF and abroad. With a history of injury surveillance research in Cameroon, CGSS maintains a strong relationship with the Ministry of Public Health of Cameroon, collaboratively implementing and evaluating a national trauma surveillance system. CGSS also works in partnership with the leadership and staff of Soroti Regional Referral Hospital in rural Uganda. CGSS also has an ongoing collaboration with Lokmanya Tilak Municipal Hospital to investigate patterns of injury in Mumbai, India. New and ongoing projects are also being developed in partnership with GPAS and CGSS works closely with GHS and IGOT to define goals and develop content for focused educational opportunities surrounding global surgery. Given our areas of common interest and research, there is potential for greater partnership across surgical specialties at UCSF.