Table 1
Global Health Rotation Training Summary.
| PRE-ROTATION TRAINING | GLOBAL HEALTH ROTATION | POST-ROTATION DEBRIEFING |
|---|---|---|
| Global health curricula | Post-arrival orientation | Written Reflections |
| Pre-departure orientation to site | Post-arrival cultural sensitivity training | Face-to-face meetings with U.S. based supervisors |
| Cultural sensitivity training | Post-arrival safety and security briefing | Scholarly output (presentations, posters, etc.) |
| Ethics Training/simulations | Formal feedback mechanism (survey, evaluations) used to evaluate the program | |
| Pre-departure safety and security briefing |
Figure 1
Four learner categories in global health experiences.
Table 2
Re-orientation Example Format.
| RE-ORIENTATION QUESTION | DESCRIPTION |
|---|---|
| “Tell me how your week has gone so far.” | Encourage trainee(s) to bring up key experiences to help guide the discussion. |
| “What clinical activities have you been involved with? What academic activities? How have those gone?” | Assess their level of engagement in clinical and educational activities. |
| “What successes or positive experiences have you had this week?” | Assess how they are defining “success” as they engage with the experience. |
| “What challenges have you faced this week?” | Assess how they are handling these challenges. Are they doing so in ways that demonstrate humility and a willingness to learn? |
| “How are things with your team? What is your role?” | Assess level of engagement with their local colleagues and level of cultural humility. |
| “Any questions or concerns about patient care?” | Assess if they are challenging their own biases and assumptions and seeking to understand before passing judgment. |
| “Any questions or concerns about your team?” | Assess if they are challenging their own biases and assumptions and seeking to understand before passing judgment. |
| “What feedback did you receive this week from your team or local supervisor?” | Encourage trainee to actively seek and humbly reflect on feedback from colleagues and local supervisors. |
| “Any questions or concerns how the rotation is going?” | Cover any other relevant concerns or issues. |
| “What lessons have you learned that you will apply in the coming days?” | Encourage trainee to come up with practical ways to engage more effectively and/or with cultural humility. |