General Pediatric Global Health Curriculum:
Morning Report
Biweekly International Health Cases, either from returning faculty or residents from abroad. We eventually hope to use telemedicine via video phone to present cases in real time from staff working internationally.
Conferences
An International Health Curriculum has been formally introduced into the conference schedule. We anticipate that a monthly lecture at each institution will be initiated covering the following essential topics: Tuberculosis, HIV, Malaria, Malnutrition, Vitamin and Micronutrient Deficiencies, Parasitic Infections, Child and infant mortality in the developing world, Traditional medicine and healers, Politics in Global Health, Maternal and Reproductive Rights, Child Human Rights, War and Conflict, and Developing Effective Health Care Systems in Resource Poor Settings.
Primary Care Training
In the BCRP, there are two main educational forums for primary care residents: a 2- week primary care block (PGY1) and a monthly primary care lecture series for PGY-2 & -3. In these forums, resident education includes topics such as primary care for immigrants/refugees, legal issues and advocacy for immigrants, and travel medicine.
International Health Clinics
Boston Medical Center presently has an international refugee/travel clinic, a tuberculosis clinic, and international primary care clinic, and a Latino clinic. All residents have the opportunity to rotate through the first two clinics during their elective periods. Residents particularly interested in international health have the opportunity to be placed in the international primary care clinic for their continuity experience. This resident clinic primarily serves immigrants and refugees and is staffed by preceptors with particular interest and training in international child health.
Cultural Awareness
Within the curriculum, we explore different cultural beliefs and traditions surrounding health and illness. This may include: readings from Ann Fadiman’s The Spirit Catches You and You Fall Down; meeting patient victims of female circumcision; or learning from traditional healers (such as shaman, santiguadoras, or acupuncturists).
Grand Rounds
Boston Medical Center sponsors an annual Global Child Health Grand Rounds with leading clinicians and researchers.
International Health Dinner Series
The program will host a quarterly Global Health Dinner, with invited speakers and faculty involved in international health. This will include a pre-dinner talk by visiting international physicians or invited speakers, and informal time for discussion.
Mentorship Program
We are currently establishing a list of faculty at BMC/Children’s working in international health and creating a database of ongoing clinical research. This will enable us to pair interested residents and faculty.
International Electives:
Residents have elective time during which they can pursue international rotations. PGY1’s have 2 weeks call free elective, PGY2’s have 2-4 weeks, and PGY3’s have 6 weeks. Several PGY1's have gone with Chi Huang, MD to Bolivia to provide tuberculosis care. We have also started a partnership with a hospital in Southern Africa in which our residents regularly provide inpatient and outpatient care in a collaborative manner. See Lesotho partnership.