Area of Concentration

Drs. Winston Liaw and Andrew Bazemore have been active in the Society of Teachers of Family Medicine's Group on Global Health. Through this group, they developed the Global Health Survey Question Database to help programs better evaluate their global health curricula.

Download the Global Health Survey Question Database. (Excel)

Please also download the Global Health Survey Question Database Instructions.

Global and Community Health Track

Mission:

To train residents to work alongside underserved populations worldwide

Competencies:

Upon completion of G&C, residents will be able to:

  1. Organize and collaborate with multi-disciplinary teams domestically and internationally
  2. Assess community needs and implement community level projects in conjunction with local stakeholders
  3. Deliver care in resource low settings in a culturally sensitive fashion
  4. Advocate for vulnerable populations

Entrance into the Track:

In January of intern year, interns will be introduced to G&C. Those who are interested will complete a brief application form which will be due on March 1. The number of persons who can participate in the track is limited to 2 residents per year. Those not in the track are welcome to participate in G&C meetings, didactics, experiences, and electives but will not have priority in the selection of domestic and international electives.

Benefits of Track Participation:

  • Priority in selection of domestic and international electives
  • Certificate of completion upon satisfying the track requirements
  • Leadership and scholarly opportunities with a global and community health focus
  • Mentoring and didactics focused on global and community health

Components and Expectations:

  • Completion of two approved, domestic and / or international electives
    • Current Electives:
      • November Honduras elective
      • February Honduras elective
        • The residency has been participating in the Pinares project since 2005. This project collaborates with Shoulder to Shoulder (www.shouldertoshoulder.org). During the November and February electives, participants see patients at the Pinares clinic, assist with the Child Health Initiative (delivers a basket of evidence based interventions and screening tests to children at remote, surrounding villages), assist with a cervical cancer screening program, and assist with community projects (ceramic water filters and indoor cook stoves).
      • June Dominican Republic elective
      • July Remote Area Medical clinic in Wise County, Virginia
    • We hope to convey the importance of continuity when performing global health work. Therefore, we have purposefully limited the number of available rotations in order to focus our resources. However, we recognize that residents may have interest in or have existing relationships with other domestic and international projects. G&C residents can participate in these projects assuming that they satisfy our requirements for education and safety.
    • 1-2 G&C participants will be selected as the leader(s) of the February Honduras elective. In this role, you will coordinate the trip, arrange for pre-trip preparation didactics and readings, facilitate group learning activities during the brigade, assist with research projects, complete a trip report, and assist with brigade evaluation.
    • The residency program provides residents (both for track and non-track participants) with $1000 (over two years) for travel expenses associated with these electives. Residents are encouraged to apply for funding through the Benjamin H. Josephson fund to cover additional expenses. More funding may be available for resident travel depending on the number of residents interested in international electives.
    • Years: PGY2 and PGY3
    • Track requirements: completion of two approved electives
  • Scholarly project with a global or community health focus
    • With assistance from G&C faculty and staff, participants will explore an area of interest within the global and community health domain. These projects can be quality improvement, research-oriented, or educational in nature. They do not need to be published in journals or presented at conferences though these dissemination mechanisms will be encouraged.
    • Scholarly projects of past residents:
      • Effectiveness of Pre-Travel Consultation in the Primary Care Setting
        • Presented at the International Society of Travel Medicine Annual Conference
      • Assessing the Prevalence of Anemia in Children One Month to Eighteen Years in Pinares, Honduras
        • Presented at the North American Primary Care Research Group
      • Prevalence of Stunting in Rural Pinares, Honduras
        • Presented at the American Academy of Family Physician Global Health Workshop
      • Cervical Cancer Screening in Rural Honduras: Incidence of Positive VIAs
        • Presented at the American Academy of Family Physician Global Health Workshop
      • Continuity of Care in a Rural Honduran Preventive Medicine Program
        • Presented at the American Academy of Family Physician Global Health Workshop
      • Obesity Prevalence By Zip Code Using Geographic Information Systems
      • Primary Care Workforce Access Improvement Act Primer
        • Presented at the Health Policy Workshop
      • Minimizing Malaria Risk When Traveling
        • To be published in the Journal of Family Practice
  • Organize bi-annual global health meetings
    • The residency has a long history of hosting global health speakers. The G&C participants will be responsible for organizing these bi-annual meetings with assistance from G&C faculty.
    • Past speakers have included:
      Speaker Title / Institution Topic
      Patrick Mason, MD, PhD Inova Pediatric Residency; International Adoption Center
      1. Malnutrition in Guatemala
      2. Relief work in Haiti
      Kathryn Jacobsen, PhD Assistant Professor, Department of Global and Community Health; George Mason University Health effects of economic and infrastructural development
      Cynthia Horner, MD Helping Children Worldwide Addressing infant mortality and building a hospital in Sierra Leone
      Femi Adenuga, MD Family Medicine Residency Program Director; Howard University Improving health in Nigeria
      Khama Rogo, MD Lead Health Sector Specialist and Advisor for Population and Reproductive Health; World Bank Population and reproductive health
      Georgis Kefale, MD Addis Ababa Fistula Hospital Childbirth complications in developing countries
      Elizabeth Whelan and Margaret Zeigler Congressional Hunger Center Food security in Haiti
      Robert Ferris, DO USAID HIV prevention in Africa
      Megan Shepherd-Banigan, MPH USAID Building health systems in post-conflict situations
    • Year: PGY3
    • Track requirement: Organize 2 meetings
  • Participate in bi-annual global health journal / book clubs
    • Twice per year, G&C participants and faculty will discuss current journal articles or books pertaining to global health topics.
    • Years: PGY2 and PGY3
    • Track requirement: Attend 75% of sessions
  • Deliver travel medicine visits independently
    • During PGY2, all residents shadow and participate in pre travel consultation visits. During PGY3, G&C participants will see these patients independently with G&C faculty as preceptors.
    • Year: PGY3
    • Track requirement: See pre travel consultation visits independently on 4 half days
  • Attend one global health conference
    • G&C participants will be expected to attend one conference pertaining to a global health or tropical medicine topic.
    • Funding and time for the conference will be paid for by the resident’s continuing medical education funds and days
    • If the resident is a presenter at the conference, the VCU Department of Family Medicine has traditionally paid for conference expenses
    • Conferences attended by prior residents:
      • International Society of Travel Medicine
      • Consortium of Universities for Global Health
      • American Academy of Family Physicians Global Health Workshop
    • Years: PGY2 or PGY3
    • Track requirement: attend one conference
      • Presenting at the conference is not required but is encouraged
  • Serve as the Coordinator for the HealthWorks for Northern Virginia
    • PGY2s and PGY3s see patients at HealthWorks for Northern Virginia (a federally qualified community health center).
    • Coordinators assist in the orientation of rising PGY2s to the clinic and participate in additional Thursday evening sessions while a PGY3
    • Years: PGY3
    • Track requirement: Attend four extra evening clinics
  • Didactics related to global and community health
    • These didactics are given to all residents (Responsible faculty in parentheses):
      • Global Health I (AB)
      • Global Health II (AB)
      • Global Health Systems and Policy (AB)
      • Travel Medicine I (AB)
      • Travel Medicine II (AB)
      • Community Oriented Primary Care (WL and BP)
      • Community Oriented Primary Care Practical (WL)
      • Introduction to Health Disparities (WL)
      • Tools for Reducing Health Disparities (WL)
      • The Safety Net in Fairfax County (WL)
      • Social Determinants of Health (WL)
      • Seeing Patients in Resource Low Settings (TM) – typically given prior to Honduras brigades
      • Micronutrient Deficiencies in Children (WL) – typically given prior to Honduras brigades
      • Health Policy Workshop
        • Yearly advocacy workshop on Capitol Hill
        • Workshops on current health care legislation, current health care policy issues and advocacy
        • Participants attend Hill visits with their representatives and senators
        • Space is limited
    • Year: PGY3
    • Track requirement: See pre travel consultation visits independently on 4 half days
  • Track Selection:
    • Track participation will be limited to 2 residents per year though this can be increased at the discretion of the G&C faculty depending on funding and resident interest.
    • Non-track residents can participate in lectures, journal clubs, and scholarly activities.
    • Non-track residents can also attend trips depending on the level of funding in the Global Health budget and depending on the residency’s ability to reconcile scheduling conflicts.
    • Track participants will have first priority for attending and scheduling global health electives.
    • During intern year, residents will have the opportunity to apply for the global health track.
    • To apply, residents cannot be on academic probation and must submit the application by the stated deadline.
    • The application will inquire about the residents’ past experiences and career goals.
    • G&C faculty will select the 2 residents based on:
      • Evidence of prior interest in global health
      • Whether participation in the track will contribute to the residents’ career plans
      • The residents’ potential for completing the track successfully (i.e. submitting an abstract to a global health conference and leading a brigade)
    • If the track participant is placed on academic probation, the G&C faculty will determine whether the participant is allowed to continue the track.
  • Track Selection:
    • To complete the track, participants must be in good standing (i.e. not on academic probation) and must complete the other requirements of the residency program
    • Those who have satisfied the track requirements will receive a certificate of completion.