An Implementation Guide for Program Directors | 1

1 TABLE OF CONTENTS An Implementation Guide for Program Directors | 1 GLOBAL HEALTH IN PEDIATRIC EDUCATION: An Implementation Guide for Program Directors Global Health Task Force of the American Board of Pediatrics A COMPREHENSIVE RESOURCE DESIGNED FOR: Pediatric Program Directors (Residency & Fellowship):Educators have seen significant changes in the field of global health (GH) education over the past two decades, withcalls for universal pre-departure preparation for GH electives, increased emphasis on stateside GH training, andawareness of the ethical issues pertaining to short-term GH experiences. Meeting the demands of applicants andstakeholders in GH education is difficult for graduate medical educators, particularly when some of these traininginterests fall outside of core curriculum requirements.

2 The authors developed this Guide to help busy educatorsimplement pediatric GH education both stateside and internationally as easily as possible, regardless of programsize or budget. Resources include suggestions for GH competencies, strategies for integrating GH education intoexisting frameworks, free online curricula, adaptable templates for GH-related policies and procedures,comprehensive checklists, and more. Chairs, Designated Institutional Officers, Graduate Medical Education Committees, & InstitutionalLeaders:Trainee demand is not the only driving force for pediatric GH education the call is coming from other stakeholdersas well. The Federation of Pediatric Organizations recommended in 2007 that all pediatric residency programs offercore GH training.

3 To assist departments and institutions seeking to create an infrastructure to support GH training,the Guide provides checklists for safety, health, logistical, and legal considerations for trainees working globally;offers suggestions pertaining to assessment and evaluation of trainees, programs, and electives; and outlines bestpractices for GH electives and training partnerships. Global Health Educators:Already have a GH educational infrastructure? This Guide is equally useful for early and seasoned GH educators, tooffer a foundation upon which to build a Program or to augment an already robust GH Track. The authors all GHeducators created these resources to save time, share innovations, and promote best practices.

4 Pediatric Trainees:Looking to incorporate GH into your training and/or career? The Guide has myriad resources for trainees seeking GHtraining, including online curricula, creative suggestions for integrating GH topics into stateside work, and guidanceon how to engage in safe, ethical GH experiences. Global Training Partners:The Guide emphasizes the importance of sustainable, ethically sound, mutually beneficial training partnerships,particularly surrounding GH electives. Checklists for sending institutions are provided, and tips for bidirectionalrelationships are is the Guide ? WHO is it for? WHEN was it developed? WHERE should it be used? WHY is it important? HOW was it developed? A comprehensive, practical resource for incorporating global health education into pediatric training programs Educators Trainees Program coordinators Departmental & institutional leaders Global partners 2017, with planned updates every 3 years (or as needed) by authors and the American Board of Pediatrics (ABP) Education and Training Committee Any pediatric residency or fellowship training Program that offers GH electives and stateside GH education It is the first comprehensive resource to Guide educators through all aspects of GH in pediatric residency and fellowship.

5 Stateside GH training, GH electives, & global partnerships By the ABP Global Health Task Force Trainee Workgroup, in collaboration with the Association of Pediatric Program Directors Global Health Learning Community and the American Academy of Pediatrics Section on International Child Health TABLE OF CONTENTS An Implementation Guide for Program Directors | 4 Global Health in Pediatric Education: An Implementation Guide for Program Directors EDITOR Nicole St Clair, MD, University of Wisconsin School of Medicine and Public Health CHAPTER AUTHORS Sumeet Banker, MD, MPH, Columbia University Sabrina Butteris, MD, University of Wisconsin School of Medicine and Public Health Tania Condurache, MD, MSc, University of Louisville School of Medicine Heather Crouse, MD, Baylor College of Medicine Jill Helphinstine, MD, Indiana University Heather Lukolyo, MD, MHS, Baylor College of Medicine Stephanie Marton, MD, MPH, Baylor College of Medicine Patricia (Trish)

6 McQuilkin, MD, University of Massachusetts Medical Center Michael Pitt, MD, University of Minnesota Marideth Rus, MD, MEd, Baylor College of Medicine Christiana Russ, MD, Boston Children s Hospital Charles (Chuck) Schubert, MD, Cincinnati Children s Hospital Medical Center Gordon Schutze, MD, Baylor College of Medicine Nicole St Clair, MD, University of Wisconsin School of Medicine and Public Health Andrew Steenhoff, MBBCh, Children s Hospital of Philadelphia Omolara Uwemedimo, MD, MPH, Cohen Children s Medical Center of New York Jennifer Watts, MD, MPH, Children s Mercy Kansas City PREFACE AUTHORS Alhassan Abdul-Mumin, MD, Cert PGPN, FGCP, School of Medicine and Health Sciences and Tamale Teaching Hospital, Tamale, Ghana Peter Nicholas Kazembe, MBChB, FRCPC, Associate Professor, Baylor College of Medicine.

7 Executive Director, Baylor College of Medicine Children s Foundation Malawi This Guide is one of several tools developed by the American Board of Pediatrics (ABP) Global Health Task Force with the goal of improving the health of infants, children, adolescents, and their families globally. This Guide was developed under the leadership of the ABP s Global Health Task Force Trainee Workgroup, in close collaboration with the Association of Pediatric Program Directors Global Health Learning Community, the American Academy of Pediatrics Section on International Child Health, and the American Board of Pediatrics Education and Training Committee. Funding support was provided by the American Board of Pediatrics Foundation.

8 The content is solely the responsibility of the authors and does not necessarily represent the official view of the American Board of Pediatrics or the American Board of Pediatrics Foundation. St Clair NE, Abdul-Mumin A, Banker S, Condurache T, Crouse H, Helphinstine J, Kazembe P, Lukolyo H, Marton S, McQuilkin P, Pitt MB, Rus M, Russ C, Schubert C, Schutze G, Steenhoff A, Uwemedimo O, Watts J, Butteris S. Global health in pediatric education: an Implementation Guide for Program Directors . American Board ofPediatrics Global Health Task Force Publication, in collaboration with the American Academy of PediatricsSection on International Child Health and the Association of Pediatric Program Directors Global HealthLearning Community.

9 September, 2018. OF CONTENTS An Implementation Guide for Program Directors | 5 September 1, 2018 Dear Colleagues, We are pleased to offer Global Health in Pediatric Education: An Implementation Guide for Program Directors . The purpose of this Guide is to provide a comprehensive, practical resource for incorporating global health education into pediatric residency and fellowship training programs. The American Board of Pediatrics (ABP) sets standards for certification in pediatrics. To do so, our leadership is closely aligned with educators, departmental and institutional leaders, general and subspecialty pediatricians, and other certifying organizations. Through these collaborations, we have the unique ability to identify emerging areas of priority within pediatrics, convene and engage experts, and develop resources to support educators and pediatricians.

10 The ABP s Global Health Task Force, convened in 2013, is one such important collaboration that has offered several recommendations to the ABP, including a suggestion to develop this Guide for Program Directors . We believe that this Guide will offer valuable assistance to most programs, but we also recognize that not all graduate medical education programs in pediatrics have the capacity or the priority to offer global health education to their residents and fellows. This Guide is not intended to represent a requirement for programs but instead to support new and long-standing global health programs. We welcome feedback and suggestions for improvement at Sincerely, David G. Nichols, MD, MBA President and CEO American Board of Pediatrics Sabrina Butteris, MD Chair, Global Health Task Force American Board of Pediatrics Laurel K.