Efficacy of a Novel, Self-Paced, Online Global Health Track Curriculum for Medical Residents

TL;DR

A new online global health curriculum for medical residents was tested and found to improve knowledge and confidence.

Contribution

A novel, self-paced online global health curriculum for residents with limited educational support was developed and evaluated.

Findings

Participants showed improved pre- and post-test scores and increased self-efficacy.

Most residents felt the modules were worth their time and reported increased confidence.

The curriculum is scalable and suitable for institutions with limited resources.

Abstract

Introduction

Global health education has become ubiquitous in medical training, yet many residency programs lack structured curricula. We developed a novel, self-paced, online global health curriculum designed for medical residents with limited educational support. The curriculum includes four modules covering global health theory, history, ethics, and cultural humility, supplemented by optional in-person sessions.

Methods

This study evaluates the effectiveness of our global health curriculum designed for medical residents at the University of Miami/Jackson Memorial Hospital Global Health Track. Pre- and post-tests, along with self-efficacy surveys, were used to assess the participants' knowledge and confidence.

Results

Twelve residents participated in piloting the curriculum, with the majority born outside the U.S. and over 70% having prior global health experience. Results demonstrated that there was a positive change in most pre- and post-test scores and narrower interquartile ranges for the self-efficacy scores after completing the course. Participants reported improved confidence in meeting the curriculum's objectives, and the majority stated that the modules were worth their time.

Discussion

The study was limited by several factors, including a small sample size and a single-site study. The self-paced, online format of the curriculum allows for flexibility and accessibility, particularly for institutions with limited funding or faculty support. This curriculum highlights an alternative option for global health training, and the course serves as a scalable model for other institutions seeking to provide global health training. Future directions for this type of curriculum include expansion to other residency programs and inclusion of other learners such as medical students or practicing health professionals.

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