APGO

Background: While resident interest in global health education has increased, the administrative demands of providing a meaningful and safe international experience have also grown.  In 2012, the Department of OBGYN at the Medical College of Georgia (MCG) established a global women’s health program, including an international rotation.

Methods: After constructing a program outline, identifying stakeholders, establishing educational goals and objectives, and determining available resources, an educational program in global women’s health was developed.  Barriers related to finance, educational structure, and personal/professional liabilities were resolved.  ACGME requirements were reviewed, including 1) supervision, 2) establishment of competency-based goals and objectives, and 3) evaluation.  A program letter of agreement was signed with the international practice site.

Results: Since program inception, 88% of eligible residents (16 of 18) have completed the educational modules and international rotation, averaging four weeks abroad.  Educational goals and objectives are based on epidemiology related to global health and disease-specific clinical practice.  Residents complete online modules and participate in weekly departmental conferences via videoconference.  Residents log procedural data and duty hours while abroad.  A competency-based evaluation is completed by the supervising physician.  The average cost per resident for travel, insurance, and housing is $2,416, paid by the department.  The supervising physician is compensated by the department.  MCG pays resident salary and benefits while abroad.  

Discussions: As popularity for global health education has grown, the administrative requirements have become prescriptive to ensure a meaningful educational experience.

Keywords: Curriculum Development/Evaluation, Global Health, Underserved Communities