QUICK REFERENCES:

Overview/Syllabus

Schedule with Session Locations

Course Objectives

Directions to Christ Hospital

Session/Module Feedback Form

GH Field Experience Notebook (Evernote)

OVERVIEW

Welcome to the Global Health Student Course!  A variation of this course has been offered for UC students and residents since 1994.  The Global Health Student Course is offered four times a year, designed especially for our UC COM medical student rotations and integrated with our UC Family Medicine Guatemala Field Experience.  The course is also offered to UC nursing, pharmacy, and other allied health professions students and non-UC students participating in the integrated Guatemala Field Experience.  For more information on the Course, contact Dr. Collins (collindu@ucmail.uc.edu) or, for questions related to the Guatemala Field Experience, contact Dr. O'Dea (odeacj@ucmail.uc.edu) or visit the GH Field Experience page.  

Most course topics are now designed as independent learning modules (below).  Live sessions, including the Course Orientation, take place at The Christ Hospital/University of Cincinnati Family Medicine Residency offices located at The Christ Hospital Medical Office Building (Suite 340 Residency Office conference room, Suite 235 FMC conference room), or at The Christ Hospital (The Christ Hospital Nippert Education Center, Hospital A-level, near the cafeteria, or Joint & Spine Center conference rooms).  See the Schedule/Calendar (linked above) for the location of live sessions.

TOPICS & READINGS

Learning Modules for the topics covered in the Global Health Course are available below, listed under the following curricular areas:

• GENERAL & INTRODUCTORY TOPICS:  Approach to Clinical Care in Low Resource Settings, Assessing Global Health Priorities on a Macro Level/Global Health Measurement, Community Health Workers, Development Overview & the SDGs, Social Determinants of Health, Pharmacy Essentials in Global Health, Leadership in Global Health
• GLOBAL HEALTH TRIP ORIENTATION:  Global Health Trip Orientation, Effective Short-Term Trips
• CULTURE & HEALTH:  Cultural Competency & Humility, Culture in Guatemala, Book Discussion
• INFECTIOUS DISEASE:  Infectious Disease & NTDs/TMR Project, Approach to Fever in Tropics, HIV, TB, Malaria
• WOMEN'S HEALTH:  Cervical Cancer Screening/Population Health, Family Planning, Maternal Mortality
• CULTURE & HEALTH:  Cultural Competency & Humility, Culture in Guatemala, Book Discussion
• DOMESTIC UNDERSERVED & HEALTHCARE POLICY:  Health Policy 101 & Reform, Medicaid, Population Health/Cincinnati Health, SDH Domestic Field Experience & Toolbox
• MENTAL HEALTH IN GLOBAL HEALTH
• NON-COMMUNICABLE DISEASES:  Hypertension, Diabetes, Obesity, Cancer
• NUTRITION & MALNUTRITION:  Anthropometrics, Protein-Energy Malnutrition, Micronutrient Deficiencies

Please email Dr. Collins if you have any questions about the material, encounter a link error, etc.  Some sessions involve online learning modules through Canvas - you will receive an invitation via email from Dr. O'Dea with links to the Canvas-based modules.  

GENERAL & INTRODUCTORY TOPICS:

Introduction to Global Health

• MODULE GUIDE (Open this first):  Introduction to Global Health Learning Module Guide
• WATCH:  Introduction to Global Health Powerpoint
• READ: Declaration of Alma Ata (Read before or after session)
• READ: Mountains Beyond Mountains Excerpt (Read before or after session, bracketed areas only:  pp20-25, 29-30, 36, 36-38, 41-42)
• EXTRA:  Toward a Common Definition of Global Health (Lancet) (Optional reading)
• EXTRA:  What is Global Health Mini-Video
• EXTRA:  Take the "Gap Minder" test to see if you know your global facts (LINK)
• EXTRA:  The State of Global Health (10 Facts) (TWIGH Video:  Scroll down to find the video on Greg Martin's page)

Approach to Clinical Care in a Low Resource Settings

• READ:  Practical Realities of Doing Volunteer Work in the Developing World  (Read before session)
• EXTRA: My Top 10 Misconceptions About International Health (Optional reading)
• REFERENCE:  IMCI 2012 Protocol (In-session activity)
• REFERENCE:  IMCI Worksheet (In-session activity)
• Presentation Powerpoint PDF with MP3 audio lecture for remote learning is available on request.  Email Doug Collins at collindu@ucmail.uc.edu.

Assessing Global Health Priorities on a Macro Level / Global Health Measurement

• COMPLETE:  Assessing Global Health Priorities Worksheet:  Please complete this and bring to class, ready to discuss.  Use the reading and websites below to complete.
• WATCH:  What is the Global Burden of Disease Study?  (Watch this short video before reading the assigned reading)
• READ:  Skolnik Chapter 2 (Read before session)
• REFERENCE:  Institute for Health Metrics and Evaluation website
• REFERENCE:  World Bank Data website

Community Health Workers in Global Health

• COMPLETE:  Community Health Worksheets  (We will be completing this in class; copies will be provided.)
• READ:  Community Health Workers:  What do we know about them?  A report from WHO (Please read Executive Summary before session.)
• REFERENCE:  Community Health Workers in Family Medicine Resident Education 

Development Overview & The Sustainable Development Goals (SDGs)

• READ: From Millenium Development Goals to Sustainable Development Goals (Read before or after the development introduction session)
• COMPLETE: Reading & Presentation Guide:  Perspectives on Development (Use this guide to review your assigned development book that you will present at the development review session)
  • Walking with the Poor, Myers
  • The End of Poverty, Sachs
  • White Man's Burden, Easterly
  • Voices of the Poor 2000, World Bank
  • Culture Matters, Harrison (Please contact/text/email course director for PDF)
  • The Bottom Billion, Collier
  • Development as Freedom, Sen

Pharmacy Essentials for Global Health

• READ: WHO Essential Drugs List (Skim before session; be familiar with general organization/categories)
• READ: Wuqu Kawoq Formulary (Read before session)
• EXTRA: Village Life Pharmacy Guide (Formulary example for SSA; Read only if participating in VLOP Tanzania field experience)

SDHs (Social Determinants of Health) Overview

• READ:  The Social Determinants of Health:  Its time to consider the causes (Read before session)
• READ:  The Solid Facts (Skim before session)
• EXTRA:  Addressing the Social Determinants of Health in the Adolesent Medical Home 
• EXTRA:  Health Starts for All Policy Prescriptions
• EXTRA:  Fair Society, Healthy Lives
• WATCH:  Social Determinants of Health Ted Talk Claire Pomeroy (Watch if you missed class)
• REFERENCE:  Determinants of Health Presentation (PPT)(For use in class)  
• REFERENCE:  Determinants of Health Cases (For use in class)

GLOBAL HEALTH TRIP ORIENTATION & ETHICS

Global Health Trip Orientation

• READ:  Guatemala Intro (Read before session)
• REFERENCE:  Guatemala Powerpoint
• EXTRA:  Guatemala Languages

Effective Short-Term Trips

• READ:  Short Term Global Health Experiences (Read before session) 
• REFERENCE:  Making Short Term Medical Trips Work
• REFERENCE:  Global Health Training:  Ethics and Best Practice Guidelines for Training Experiences in Global Health

Global Health Ethics

• REFERENCE:  Skolnik Chapter 4 (Ethics & Human Rights) (Selections) (In-class reference)
• REFERENCE:  Pathologies of Power (Selections) (In-class reference)
• REFERENCE:  Short Course AZT Trial (1994) and NEJM Editorial (1997) (In-class reference)
• REFERENCE:  Declaration of Helsinki (2013)

INFECTIOUS DISEASE IN GLOBAL HEALTH

Infectious Disease & NTDs in GH / Tropical Medicine Review (TMR) Projects

• REFERENCE:  Tropical Medicine Taxonomy Overview Page (Printed copy in course folder)
• COMPLETE:  Tropical Medicine Review Worksheet (Table) (Complete during course; printed copy in course folder)
• REFERENCE:  NTD Powerpoint
• REFERENCE:  WHO NTD Preventive Chemotherapy MDA Guide (In-class activity)
• TMR Clinically Grouped Cases:
  • Clinically Grouped Case List & Instructions
  • Group 1:  Soil Transmitted Helminthiasis & Malnutrition
  • Group 2:  Blindness, Case 1
  • Group 2:  Blindness, Case 2
  • Group 3:  Skin Disease 1, Case 1
  • Group 3:  Skin Disease 1, Case 2
  • Group 4:  Neurologic Diseases Case / Case Discussion
  • Group 5:  Hepatic Disease & Hepatosplenomegaly Case / Case Discussion
  • Group 6:  Diarrhea 1 Case / Case Discussion
  • Group 7:  Diarrhea 2
  • Group 8:  Skin Disease 2
• EXTRA:  WHO NTD Roadmap 2012
• EXTRA:  Disease Eradication (NEJM 2013)

Approach to Fever in the Tropics

• READ:  Fever in the Returned Traveler (Encouraged but optional reading)

HIV in Global Health (2 HOUR ONLINE LEARNING MODULE)

• COMPLETE: HIV Learning Module Guide & Worksheet (Complete this worksheet before the HIV/TB review session)
• READ/SKIM:  Lancet HIV article (Use with the worksheet guide)
• HIV PT 1: Epidemiology & Trends (VIDEO) (Use with the worksheet guide)
• HIV PT 2: History & Programs (VIDEO) (Use with the worksheet guide)
• HIV PT 3: Prevention & Treatment (VIDEO) (Use with the worksheet guide)
• EXTRA:  HIV/AIDS in 2016 and Beyond (JAMA) (Excellent two-page update of global status and vaccine hunt)

Tuberculosis in Global Health (2 HOUR ONLINE LEARNING MODULE)

• COMPLETE:  TB Learning Module Guide & Worksheet (Complete this worksheet before the HIV/TB review session.)
• READ/SKIM: Lancet TB article (Use with the worksheet guide)
• TB Pt 1: Epidemiology (VIDEO) (Use with the worksheet guide)
• TB Pt 2: Pathophysiology & Clinical Features (VIDEO) (Use with the worksheet guide)
• TB Pt 3: Diagnosis & Management (VIDEO) (Use with the worksheet guide)
• TB Pt 4: History, Programs, & Prevention (VIDEO) (Use with the worksheet guide)

Malaria/Mosquito-Borne Diseases (See also HIV & TB for "The Big Three")

• COMPLETE: Malaria reading guide worksheet (Complete this worksheet before the Malaria session)
• READ: Lancet Malaria article (Review, using worksheet as guide)
• EXTRA: The Winged Scourge (Disney, 1943)
• EXTRA: Sonia Shah's Why Malaria's Still Around (TED Talk)

WOMEN'S HEALTH & POPULATION HEALTH

Cervical Cancer Screening / Population Health

• READ:  Evidence-based Alternative Methods for Cervical Cancer Screening in Low Resource Settings (read before session)
• REFERENCE:  Global Strategies for Cervical Cancer Prevention 
• REFERENCE:  HPV screening in Rural India 

Family Planning

• REFERENCE:  Family Planning Powerpoint
• COMPLETE:  Family Planning Worksheet (We will complete in class.)
• REFERENCE:  Girl Effect Video 
• REFERENCE:  Community Based Provision of Family Planning 
• REFERENCE:  Improving Contraceptive Use in the US 

Maternal Mortality in Global Health

• START HERE:  Maternal Mortality Learning Module Guide
• READ:  Strategies for addressing Maternal Mortality (Encouraged but optional reading)
• EXTRA:  Maternal Mortality, AAFP 2013 Global Health Workshop Presentation Slides (Optional)

CULTURE & HEALTH - GENERAL & GUATEMALA

Cultural Competency & Humility

• COMPLETE:  Before our discussion, please complete any one of the implicit bias questionnaires on this website and be prepared to discuss the results.
• REFERENCE:  Cultural Humility and Navigating Cross Cultural Encounters powerpoint
• REFERENCE:  Handout

Culture in Guatemala

Book Discussion on Guatemala Culture & History:  I, Rigoberta Menchu

• COMPLETE: I, Rigoberta Menchu Reading Guide (Use this resource to guide your reading of selections from the book before the Book Discussion session)

DOMESTIC UNDERSERVED & HEALTHCARE POLICY

Health Policy 101 & Reform

• ACA Summary - KFF
• Millbank Editorial on ACA

Medicaid

• Ohio Medicaid Basics
• Ohio Medicaid Summary KFF

Population Health / Cincinnati Health

• What is Population Health
• Health Data Websites

SDH Domestic Field Experience & Tools for Practice

• PhotoVoice
• Nickel & Dimed - "Evaluation" Chapter 

MENTAL HEALTH

Mental Health in Global Health / Low Resource Settings

• READ:  Lancet article:  Global Burden of Substance Abuse (Read before session)
• REFERENCE:  Mental Health Intervention Guide (mhGAP Tool; for in-class use) 
• REFERENCE:  WHO Mental Health Intervention Guide with Dementia

NONCOMMUNICABLE DISEASES (NCDs) IN GLOBAL HEALTH

NCDs (Non-Communicable Diseases) in Global Health:  Diabetes, Hypertension, Lower Respiratory Illness, & Cancer/Pain

• COMPLETE: Learning Module Guide & Worksheet (Complete this worksheet prior to the NCD review session)
• Global Status Report on NCDs:  Executive Summary (Use with the worksheet guide)
• WHO Hypertension Report:  HTN1 (Use with the worksheet guide)
• ISH Hypertension Guidelines:  HTN3 (Use with the worksheet guide)
• The Good News About Cancer, Lancet 2011 (Use with the worksheet guide)
• Closing the Cancer Divide (GTF.CCC), 2011 (Use with the worksheet guide)

NUTRITION & MALNUTRITION IN GLOBAL HEALTH

Nutrition:  PEM & Measurement / Micronutrient Deficiencies

• IN-CLASS: Merson, Chapter 6
• IN-CLASS: Micronutrient worksheet
• READ: Skolnik, Chapter 8 (Read before session)
• EXTRA: WHO Multicenter Growth Reference Study
• PRE-WORK:  Nutrition cases / WHO Growth Charts for nutrition cases (Complete before session)