TY - JOUR
T1 - Evolution of a Bidirectional Pediatric Critical Care Educational Partnership in a Resource-Limited Setting
AU - Gardner Yelton, Sarah E.
AU - McCaw, Julia M.
AU - Reuland, Carolyn J.
AU - Steppan, Diana A.
AU - Evangelista, Paula Pilar G.
AU - Shilkofski, Nicole A.
N1 - Funding Information:
The senior author NS has received research funding from the U.S. Department of Education Fulbright-Hays Group Projects Abroad Program and from the Laerdal Foundation to support work that is unrelated to the research outlined in the manuscript. These funding sources did not provide any support for the conduct of the research described herein.
Funding Information:
We would like to acknowledge Claire Levine, MS, ELS (Scientific Editor, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University) for her assistance in editing this manuscript.
Publisher Copyright:
© Copyright © 2021 Gardner Yelton, McCaw, Reuland, Steppan, Evangelista and Shilkofski.
PY - 2021/10/15
Y1 - 2021/10/15
N2 - Introduction: Children in resource-limited settings are disproportionately affected by common childhood illnesses, resulting in high rates of mortality. A major barrier to improving child health in such regions is limited pediatric-specific training, particularly in the care of children with critical illness. While global health rotations for trainees from North America and Europe have become commonplace, residency and fellowship programs struggle to ensure that these rotations are mutually beneficial and do not place an undue burden on host countries. We created a bidirectional, multimodal educational program between trainees in Manila, Philippines, and Baltimore, Maryland, United States, to improve the longitudinal educational experience for all participants. Program Components: Based on stakeholder input and a needs assessment, we established a global health training program in which pediatricians from the Philippines traveled to the United States for observerships, and pediatric residents from a tertiary care center in Baltimore traveled to Manila. Additionally, we created and implemented a contextualized simulation-based shock curriculum for pediatric trainees in Manila that can be disseminated locally. This bidirectional program was adapted to include telemedicine and regularly scheduled “virtual rounds” and educational case conferences during the COVID-19 pandemic. Providers from the two institutions have collaborated on educational and clinical research projects, offering opportunities for resource sharing, bidirectional professional development, and institutional improvements. Conclusion: Although creating a mutually beneficial global health partnership requires careful planning and investment over time, establishment of a successful bidirectional educational and professional development program in a limited-resource setting is feasible and benefits learners in both countries.
AB - Introduction: Children in resource-limited settings are disproportionately affected by common childhood illnesses, resulting in high rates of mortality. A major barrier to improving child health in such regions is limited pediatric-specific training, particularly in the care of children with critical illness. While global health rotations for trainees from North America and Europe have become commonplace, residency and fellowship programs struggle to ensure that these rotations are mutually beneficial and do not place an undue burden on host countries. We created a bidirectional, multimodal educational program between trainees in Manila, Philippines, and Baltimore, Maryland, United States, to improve the longitudinal educational experience for all participants. Program Components: Based on stakeholder input and a needs assessment, we established a global health training program in which pediatricians from the Philippines traveled to the United States for observerships, and pediatric residents from a tertiary care center in Baltimore traveled to Manila. Additionally, we created and implemented a contextualized simulation-based shock curriculum for pediatric trainees in Manila that can be disseminated locally. This bidirectional program was adapted to include telemedicine and regularly scheduled “virtual rounds” and educational case conferences during the COVID-19 pandemic. Providers from the two institutions have collaborated on educational and clinical research projects, offering opportunities for resource sharing, bidirectional professional development, and institutional improvements. Conclusion: Although creating a mutually beneficial global health partnership requires careful planning and investment over time, establishment of a successful bidirectional educational and professional development program in a limited-resource setting is feasible and benefits learners in both countries.
KW - children
KW - global health
KW - medical education
KW - program development
KW - simulation
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U2 - 10.3389/fped.2021.738975
DO - 10.3389/fped.2021.738975
M3 - Article
C2 - 34722421
AN - SCOPUS:85118240955
SN - 2296-2360
VL - 9
JO - Frontiers in Pediatrics
JF - Frontiers in Pediatrics
M1 - 738975
ER -