Global Health Pathway
for Residents and Fellows

A Program in Partnership With Duke Global Health Institute

The Global Health Pathway provides Duke residents and fellows opportunities for intensive global health training.

Trainees integrate Master of Science in Global Health (MSc-GH) didactics with mentored research tailored to her/his specialty area. The most recent cohort of five new trainees joined the program in mid-2016 and include the program’s first global health - pediatric cardiology fellow and the first residents to work at sites in India and Thailand. They join the program’s five current trainees who are working on projects ranging from cardiac rehabilitation in Kenya to novel means of assessing fetal distress during obstetric labor in Tanzania. 

The Pathway

Departments1. Medicine 3. Obstetrics & Gynocology4. Pediatrics5. Psychiatry6. Radiation Oncology • General Medicine • Cardiology • Infectious Diseases • Pulmonary and Critical Care 2. Surgery • Emergency Medicine • General Surgery • NeurosurgeryGH Training (18-24mos)MSc-Global Health (9.5 mo)GH Research (8-14 mo)+Clinical Service (2.5-6 mo)+FutureAcademic AppointmentNIH/CDCService-Oriented OrganizationsSubspecialty Training

"For anyone who has ever worked in a resource-limited country, you know that nothing ever goes the way you plan. Rules suddenly change or visa applications go astray, your planned budget increases exponentially when trying to hire research assistants, your research assistants don’t speak English, the electricity surges and causes your very expensive equipment to explode, the lights go out in the OR as you suture the uterine artery on a hysterectomy, or you just get malaria."

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GHP Partners

“Rheumatic heart disease with multiple affected valves and significant congenital heart disease patients fill the clinic. The lesions are so severe that I usually know the diagnosis before the stethoscope comes out of my pocket. By placing my hand on the child’s chest or wrist, I can feel the diastolic thrill of mitral stenosis or Corrigan’s pulse of aortic insufficiency, for example. During many cases, I ask the clinical officer joining me in clinic for language, cultural, and system translation to begin discussing the need for surgery with the family as I bring my stethoscope to my ears.”

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Program Impact

Non-communicable diseasesGlobal CancerHealth SystemsGlobal Health TrainingCardiovascular diseasesEnvironmental healthMaternal and child healthInfectious diseasesMental healthInjury3223205378847

Global Health Research Areas in Scholarly Output of Trainees

23
23 Residents and Fellows Graduates
149
Publications
70+
Percent of Gradate Recipients of Fogarty Global Health Fellowship

Duke Global Health : Laura Lewandowski