Internal Medicine Residency

Global Health Equities Track - Curriculum Didactics

Recognizing that patients and health care providers are constrained by the socioeconomic and political context in which they work, this program strives to include education on the inequities and structural barriers that are important factors in the creation of health or disease for many populations around the world.

Global Health Course
Residents in the program participate in an intensive two week course exploring contextual issues in global and community health, and examine different strategies used to address these issues. Topics covered in this course range from health system integrity and health care financing to interactions between gender and health. Throughout the course, residents meet and interact with experts in various fields that relate to health equity. Speakers are drawn from academia, policy makers, and community advocates in order to expose residents to a broad range of stakeholders in health. Residents also participate in analyzing cases studies in order to engage trainees in critical problem solving. This course is open to all global health residents and includes residents from Medicine, Med/Peds, CHOP Pediatrics, Family Medicine, Emergency Medicine, Dermatology, and Radiology.

Career Building Seminar
In the third year, residents participate in a career-building seminar series that focuses on building experiences, making connections, and defining learning goals for a career in global health. Specific curriculum components address:

1)careers in global health academia;
2)careers in NGO’s in access, policy, advocacy, and operational work;
3)community health careers;
4) further educational opportunities such as advanced degrees or further training. During the course, speakers from each of the areas provide mentorship to residents, and residents lay out a potential career plan with the assistance of the course directors and speakers.

On-Going Curriculum
Residents continue to participate in didactic experiences throughout the two years of the program through our on-line curriculum and lecture series.

1) Online Curriculum: In order to focus on clinical aspects of global diseases, residents participate in a web-based curriculum. This component features both self-guided modules and unknown cases.
2) Lecture Series/Potlucks: The GHE track hosts a bi-monthly potluck discussion or noon session. Speakers or invited discussants may be included.
3) Resident Presentations: GHE track residents each lead one resident report about a topic on which they are working. The topic may be drawn from their scholarly project, their abroad experience or their community continuity site work.

Clinical Work

Abroad Time

Each resident will be able to spend one month abroad in the PGY2 year and one month in his/her PGY3 year. The PGY2 year is focused on clinical care, whereas the PGY3 time abroad may be either clinical or, where appropriate, spent working towards the resident’s scholarly project goals.

Currently, the GHE track is working with sites in Botswana, the Dominican Republic (Med/Peds), Guatemala (EM and Family Medicine only) and the Indian Health Service. The goal is for the program to engage in long-term relationship building that will allow mutually beneficial exchange of ideas and capacity building for both partners. Residents are expected to work with one site for both years.

Scholarly project

All GHE track residents must complete a scholarly project. The format for the activity itself is flexible and can range from clinical research to policy research or community service project. Where appropriate, residents are supported to work closely with partner organizations outside of the University to complete these projects. The project may involve working on a pre-existing project or may be a novel project. All scholarly projects must be reviewed and cleared through the Global Health Equities Track directors and the resident’s mentor. The goals, objectives and products of the scholarly project will vary depending on the topic and format selected by the resident. Each resident is paired with a Penn mentor who will help guide them through this process.

Career building and Community

Recognizing that many residents who choose this program are looking towards careers in global health, this program supports residents to attend career fairs. The global health program also aims to foster relationships between program participants and experts in the field of global health. The GHE track group also gets together at potlucks to have informal discussions as well as present and workshop their projects and partnerships.