Global Health Residency Program Curriculum per Department

Global Health Emergency Medicine Fellows/Residents

Global Health Residents/Fellows in Emergency Medicine will extend the duration of their residency by 24 months to gain specific global health core competencies. This extended residency/fellowship includes nine months of Master of Science in Global Health (MSc-GH) course work and a total of nine months providing clinical care and conducting mentored research at a Duke University international partner site. Please note that EM Global Health Residents/Fellows may be eligible for dual appointment as EM faculty during their GH training, allowing them to integrate into the Duke Emergency Department.

Eligible applicants will have completed ACGME requirements for Emergency Medicine and will be board eligible prior to participating in the Global Health Residency Program. Emergency Medicine residents who have successfully completed PGY2 (of a three year training program) are eligible to apply, with the approval of their Program Director. Internal and external candidates are encouraged to apply during the Fall of PGY3. In addition to a biweekly journal club, there will be ample opportunity to access special events and lectures throughout the training program.

Download the Global Health – Emergency Medicine Track Schedule.

Global Health Competencies for Emergency Medicine

Topic	Goals	Objectives
Health Disparities	Describe the knowledge, skills, and attitudes necessary for culturally competent care in low resource settings.	Trainees will maintain a log of instructive patient cases in which social determinants (e.g. education, access to clean water, food, security, housing, etc.) have played a major role in their health and health care access.
Communicable Diseases and Tropical Medicine	Discuss the knowledge and skills necessary to treat a number of high prevalence tropical diseases, including, but not limited to, tuberculosis, malaria, diarrheal diseases, and HIV/AIDS.	Through direct patient care, trainees will gain an acute appreciation for the impact of communicable and tropical diseases on the lives of people throughout regions of the developing world.
Emergency care in resource-poor settings	Describe and demonstrate resource-appropriate delivery of emergency care.	Trainees will provide care to a variety of patients, both pediatric and adult, with a myriad of urgent and emergent complaints, including major trauma, medical, and surgical issues. Trainees will also assess emergency medical system designs in a resource-poor setting.
Public Health	Identify the knowledge, skills, and attitudes needed to practice the basic principles of prevention.	Trainees will receive intensive didactic training in public health through completion of the MSc-GH program. They will demonstrate the practical implementation of this knowledge at the international clinical site.
Management of emergency health systems	Explain the needed knowledge and skills sets to design resource-appropriate emergency care systems.	Trainees will gain exposure to various emergency care systems in resource-limited settings. These limitations will force trainees to think in innovative ways about culturally-appropriate models for the delivery of emergency care internationally.

For more information about the Department of Emergency Medicine’s involvement in Global Health Initiatives, visit the Department of Emergency Medicine website.