Global Health in Medical Education: A Call for More Training and Opportunities

Worldwide increases in global migration and trade have been making communicable diseases a concern throughout the world and have highlighted the connections in health and medicine among and between continents. Physicians in developed countries are now expected to have a broader knowledge of tropical disease and newly emerging infections, while being culturally sensitive to the increasing number of international travelers and ethnic minority populations. Exposing medical students to these global health issues encourages students to enter primary care medicine, obtain public health degrees, and practice medicine among the poor and ethnic minorities. In addition, medical students who have completed an international clinical rotation often report a greater ability to recognize disease presentations, more comprehensive physical exam skills with less reliance on expensive imaging, and greater cultural sensitivity. American medical students have become increasingly more interested and active in global health, but medical schools have been slow to respond. The authors review the evidence supporting the benefits of promoting more global health teaching and opportunities among medical students. Finally, the authors suggest several steps that medical schools can take to meet the growing global health interest of medical students, which will make them better physicians and strengthen our medical system.

[1]  R. Einterz,et al.  General internal medicine and technologically less developed countries , 1990, Journal of General Internal Medicine.

[2]  S. Lemon,et al.  Ensuring an Infectious Disease Workforce: Education and Training Needs for the 21st Century--Workshop Summary. , 2006 .

[3]  C. Murray,et al.  Eight Americas: new perspectives on U.S. health disparities. , 2005, American journal of preventive medicine.

[4]  S. Niemantsverdriet,et al.  An explorative study into learning on international traineeships: experiential learning processes dominate , 2005, Medical education.

[5]  A. Kimball,et al.  Trade related infections: farther, faster, quieter , 2005, Globalization and health.

[6]  F. Mullan,et al.  Healers abroad : Americans responding to the human resource crisis in HIV/AIDS , 2005 .

[7]  C. Murray,et al.  Global patterns of healthy life expectancy in the year 2002 , 2004, BMC public health.

[8]  P. Imperato A Third World International Health Elective for U.S. Medical Students: The 25-Year Experience of the State University of New York, Downstate Medical Center , 2004, Journal of Community Health.

[9]  A. Haines,et al.  Informed choices for attaining the Millennium Development Goals: towards an international cooperative agenda for health-systems research , 2004, The Lancet.

[10]  R. Deckelbaum,et al.  A Medical School for International Health Run by International Partners , 2004, Academic medicine : journal of the Association of American Medical Colleges.

[11]  C. V. D. van der Vleuten,et al.  ‘I found myself to be a down to earth Dutch girl’: a qualitative study into learning outcomes from international traineeships , 2004, Medical education.

[12]  M. Rowson,et al.  Understanding global health issues: are international medical electives the answer? , 2004, Medical education.

[13]  D. Boulware,et al.  Travel medicine considerations for North American immigrants visiting friends and relatives. , 2004, JAMA.

[14]  C. Gjerde,et al.  Career influence of an international health experience during medical school. , 2004, Family medicine.

[15]  Kelley Lee Globalization and Health: An Introduction , 2003 .

[16]  J. J. Miranda,et al.  Introducing medical students to global health issues: a Bachelor of Science degree in international health , 2003, The Lancet.

[17]  J. Savageau,et al.  The effect of medical students' international experiences on attitudes toward serving underserved multicultural populations. , 2003, Family medicine.

[18]  L. Pinsky,et al.  Educational Effects of International Health Electives on U.S. and Canadian Medical Students and Residents: A Literature Review , 2003, Academic medicine : journal of the Association of American Medical Colleges.

[19]  D. Shaywitz,et al.  Global health: a chance for Western physicians to give-and receive. , 2002, The American journal of medicine.

[20]  J. Lawrence Dying for Growth: Global Inequality and the Health of the Poor , 2002 .

[21]  J. Zuckerman Travel Medicine , 2002, BMJ : British Medical Journal.

[22]  R. Deckelbaum,et al.  Bringing global issues to medical teaching , 2002, The Lancet.

[23]  D. Lawlor,et al.  Global issues in medical education , 2002, The Lancet.

[24]  M. Rowson,et al.  Teaching international health issues to medical students , 2001, Medical education.

[25]  D. Wear,et al.  The spirit catches you and you fall down: a Hmong child, her American doctors, and the collision of two cultures. , 2001, Academic medicine : journal of the Association of American Medical Colleges.

[26]  J. Savageau,et al.  The effect of a global multiculturalism track on cultural competence of preclinical medical students. , 2001, Family medicine.

[27]  C. Gjerde,et al.  New world views: preparing physicians in training for global health work. , 2000, Family medicine.

[28]  C. Wells,et al.  The International Health Program: the fifteen-year experience with Yale University's Internal Medicine Residency Program. , 1999, The American journal of tropical medicine and hygiene.

[29]  C. Wilson,et al.  Why teach international health? A view from the more developed part of the world , 1999 .

[30]  S. Rousseau,et al.  International health training in family practice residency programs. , 1998, Family medicine.

[31]  W. Miller,et al.  International health and internal medicine residency training: the Duke University experience. , 1995, The American journal of medicine.

[32]  T. Chiller,et al.  International health training. The Tulane experience. , 1995, Infectious disease clinics of North America.

[33]  R. Bissonette,et al.  The educational effect of clinical rotations in nonindustrialized countries. , 1994, Family medicine.

[34]  The overseas elective: purpose or picnic? , 1993, The Lancet.

[35]  R. Pust,et al.  A core curriculum for international health: evaluating ten years' experience at the University of Arizona , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[36]  D. Wedemeyer,et al.  A survey of American medical schools to assess their preparation of students for overseas practice , 1991, Academic medicine : journal of the Association of American Medical Colleges.

[37]  H. Lobel,et al.  Travel Medicine , 1989, Springer Berlin Heidelberg.

[38]  M. Last The anthropology of medicine. From culture to method , 1985, Medical History.

[39]  F. C. Zapffe The Association of American Medical Colleges , 1938 .