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GLOBAL HEALTH COURSE; An Invitation to Ugandan Medical Students 24,25 &26 Feb,2016

INTRODUCTION TO GLOBAL HEALTH
24-26 February 2016


COURSE MATERIALS
Course Directors:   Bob Bollinger MD, MPH (rcb@jhmi.edu)
Natasha Chida, MD (nchida1@jhmi.edu)
Course Administrator: Ana Cervantes (acervan4@jhmi.edu)


Course Description
The 2016 Johns Hopkins School of Medicine TIME Global Health Course will introduce
basic concepts in global health that are relevant to future clinical and/or research practice.
This course is designed for 1st year medical students, who have limited clinical training or
experience. The 2016 course schedule of 3 consecutive mornings is obviously not sufficient
for in-depth discussion of most global health issues. However, we have tried to design a
curriculum that will provide some strategic educational benefits for first year medical
students with limited experience or interest in global health, as well as for students with
broader global health experience and interest. In addition to recommended reading, lectures
and small group sessions, course activities will include on-line and live video engagement
with students and faculty from medical schools in Uganda and India, through live and
asynchronous on-line discussion. All students participating in the course will compare,
contrast, and discuss the epidemiology, clinical management, health policy, ethical, and
cultural issues regarding maternal health, child health, asylee and refugee health,
international medical education, emerging diseases and chronic diseases both in the United
States and in the international setting.


Course Learning Objectives
1. Identify, describe and discuss six major global determinants of health.
2. Identify, describe and discuss the need for an integrated, interdisciplinary approach to
global health problems.
3. Recognize, describe and discuss the challenges and opportunities for global health
issues to impact clinical practice.
4. Identify, describe and discuss why a global perspective is needed to solve public health
problems.
5. Critically examine global health issues, as they are encountered in future practice and
training.
6. Recognize the limits of personal knowledge and experience and to demonstrate the
intellectual curiosity to actively pursue the acquisition of new knowledge and skills
necessary to refine and improve your medical practice or to contribute to the scientific
body of medical knowledge
7. Apply principles of teamwork with an interdisciplinary team in the clinical setting.
8. Describe and respond to factors that influence the social, behavioral, and economic
factors in health, diseases and medical care.
9. Understand and respond to factors that influence the social, behavioral, and economic
factors in health, diseases and medical care.
10. Use effective cross-cultural communication skills.
11. Recognize how health care delivery systems affect access to care, patient care, and
patient participation and empowerment.
12. Show self-assessment and improvement.
13. Practice tenets of professionalism in a cross-cultural setting.
14. Demonstrate understanding of and adherence to ethical principles, especially in working
with vulnerable populations.


Johns Hopkins School of Medicine/CCGHE
Introduction to Global Health Course
February 24 - 26, 2016


2016 Johns Hopkins TIME Global Health Course Schedule
Date Time
Eastern USA Location Comment/Assignments
Prior to
Monday 22 Feb
Before 2400
On-line • Register and Enroll in the Course
• Complete Pre-Course Survey
Prior to
Wed 24 Feb
Before
0800
Pre-Course
On-line


Assignments
• Review the overall course objectives
• Review learning objectives for the Day 1 Sessions
• Review the assigned Pre-course readings
• Post an answer to this question: What do you think is the
single most important barrier to mothers in the community,
served by your hospital, to access prenatal care
• Post an answer to this question: What do you think is the
single most important barrier to children born in the
community, served by your hospital, to access primary care
services within the first year of life?
Session Time Location
Armstrong Comment/Assignments


Day 1 Wednesday 24 Feb
1 0800-0915 Y1 Auditorium Introduction to Global Health (Webcast)
2 0915-1010 Y1 Auditorium Maternal/Child Health Overview (Webcast)
3 1030-1200 Y1 Auditorium Videotaped interview of LA Mothers
Panel Discussion with Maternal/Health experts
4 1200-1300 L2 Lobby Lunch Discussion with Panelists: Optional
5 Before 2359
Day 1
On-line
Assignments
• Review learning objectives for the Day 2 Sessions
• Review assigned readings
• Post an answer to this question: What do you think is the
single most important health care priority for foreign
refugees and asylum seekers in your community?
• Post an answer to this question: What do you think is the
single most important barrier in your community, for
refugees and asylum seekers to receive health services for
this priority?
Day 2
Thursday
25 Feb
6 0800-0915 Y1 Auditorium Chronic and Non-Communicable Diseases (Webcast)
7 0915-1010 Y1 Auditorium Refugee/Asylee Health (Webcast)
8 1030-1200 Y1 Auditorium Panel Discussion with Refugee Health Experts
9 1200-1300 L2 Lobby Lunch Discussion with Panelists: Optional
10 Before 2359
Day 2
On-line
Assignments
• Review the learning objectives for the Day 3 Sessions
• Review assigned readings
• Read your assigned clinical case
• Post your top 3 differential diagnoses for your case
• Prepare your group case presentation (JHU Only)
Day 3, Friday 27 Feb
11 0800-0845 Y2 Auditorium Emerging Diseases (Webcast)
12 0845-0945 Y2 Auditorium Global Medical Education (Live Video and Webcast)
13 1000-1130 Classrooms Emerging Diseases Cases Discussion
14 1130-1200 Y2 Auditorium Course Wrap-up (Webcast)
15 1200-1300 L2 Lobby Lunch with JHU global health faculty: Optional
By 2400 27 Feb 2016
(JHU Students)
By 2400 4 March 2016
(Non-JHU Students)
Final
On-line
Assignments
• Take and Pass the Final Exam
• Complete the Course Evaluation
Johns Hopkins Global Health TIME Course 2016
Registration and Enrollment Instructions
http://ccghe.net
Registration and enrollment is a 2-step process; you must first create an account with the website
and then go to the Online Learning section of the website to enroll in the course. Follow the steps
below.


Step 1: Account Registration
1. Go to http://ccghe.net
2. At top of page, click on “Sign-in”.
3. You are on the Sign Up/Login page. Click “Create an account”.
4. Complete the form and submit. You will receive a confirmation email.
5. Click the link in the email and follow the directions provided. This will allow you to set your
own password. Scroll to the bottom and click “Save”. MAKE NOTE OF YOUR USERNAME
AND PASSWORD. On future visits, you will enter your username and password to access the
course so please make note of these.


Step 2: Enrollment
1. If you are continuing from above, you are already logged in. If not, please Sign-in to
http://ccghe.net.
2. From the home page, click ‘Online Learning’ in the main navigation bar and select “Take a
Course/Go to My Courses” from the dropdown menu.
3. You are now on the Front Page of the CCGHE’s Moodle learning
system. From here, you will see a list of categories with open courses
available. Click on the General Medicine Category and then click on
the course, Johns Hopkins Global Health TIME Course 2016.
4. You will be asked one time for an enrollment key. Use the key corresponding to your
country location.
a. JHU-USA - Enter TIMECourse16-JHU and click “Enroll me”.
b. India - Enter TIMECourse16-India and click “Enroll me”.
c. Uganda - Enter TIMECourse16-Uganda and click “Enroll me”.
You will not need this again. You are now enrolled.
After you have enrolled, there are 2 ways to get to the Global Health Course page on subsequent
visits.
1. Follow Step 2 above #1-3.
OR
2. Sign-in to http://ccghe.net. There are a set of tabs under the main navigation bar and to the
right of the slide show. Click on the “My Course” tab and click on the Johns Hopkins Global
Health TIME Course 2016 link.
Course Dates: 24, 25 & 26 February 2016
Contact Ana Cervantes at acervan4@jhmi.edu for questoos or roobees wit reewsirrtoo roa eorobbeeoin
2016 JHU Global Health Course
Requirements for a Passing Grade
1. By 2400 Eastern US Time on Monday 22 February 2016, all students must register
and enroll in the on-line course on the Moodle Site.
Note DEADLINE: 2400 US Eastern Standard Time (EST) on 22 Feb (Monday)
0800 Ugandan Time on 23 Feb (Tuesday)
1030 Indian Time on 23 Feb (Tuesday)
2. All students - After enrollment, please complete the brief on-line course pre-course
survey, before starting the course.
3. Hopkins students only are required to attend all course sessions, except for the 3
lunch discussions (Sessions 4, 9 and 15) which are optional. However, if you skip these
discussions, you will miss additional unique educational opportunities and free lunch.
4. All students must then complete the following 5 on-line posting assignments, by the
noted deadlines.
A. Before the start of the course at 0800 Eastern US time on Wednesday 24
February 2016 go to the Pre-Course Assignment Section of the course website
and:
• Post a response to the following question: What do you think is the single
most important barrier to mothers in the community, served by your hospital,
to access prenatal care?
• Post a response to the following question. What do you think is the single most
important barrier to children born in the community, served by your hospital, to
access primary care services within the first year of life?


SUGGESTION: DO NOT WAIT UNTIL THE LAST MINUTE TO REVIEW THE
READINGS AND POST YOUR TWO RESPONSES. DO IT BEFORE THE
COURSE STARTS!


B. All students - Before 2359 Eastern US Time on Wednesday 24 February 2016, go
to Session 5 of the course website and:
• Post a response to the following question: What do you think is the single most
important health care priority for foreign refugees and asylum seekers in your
community?
• Post a response to the following question: What do you think is the single most
important barrier in your community, for refugees and asylum seekers to
receive health services for this priority?
C. Before 2359 Eastern US Time on Thursday 25 February 2016, go to the course
website Session 10 and:
• Post your top 3 differential diagnoses for your assigned case
5. Hopkins Students Only - Before Friday’s small group session, get together with your
small group colleagues assigned to the same clinical case and prepare the following 5
slide, 15 minute powerpoint presentation for Friday’s small group discussion
The 5 slides should cover the following issues:
• Slide 1. What is your expanded differential diagnoses list for this case?
• Slide 2. What is the diagnosis? Why is this considered an “emerging” disease?
• Slide 3. How is this disease transmitted to humans? What are the host risk
factors for human infection and/or clinical disease?
• Slide 4. What are the key environmental and social conditions that contribute
to human infection and/or clinical disease?
• Slide 5: What is your single most important recommendation to reduce human
infection and/or clinical disease? Since there are many possible
recommendations, including clinical interventions, community/provider
education, public health policies or prioritizing new research, justify your
recommendation. Why is your recommendations most important?
6. All students must complete the global health quiz with score >80% correct. The quiz
will assess competencies defined by the Course and Session-specific Learning
Objectives. The quiz is open book. You can use any resource you would like to help you
answer the questions. Note: “A word to the wise”: The quiz will cover content from
assigned readings, the lectures, the video discussions and online discussions/forums. If
you don’t pass the first time, the quiz can be retaken multiple times prior to the deadline.
Deadline for Hopkins Students: You can take the quiz at any time before midnight Friday
26 February 2016.


Deadline for Non-Hopkins Students: You can take the quiz at any time before midnight
Friday 4 March 2016.
7. All students - Please complete the course evaluation. We welcome your suggestions to
improve this course for next year.
2016 TIME Global Health Course
Suggestions to Optimize Learning
1. BEFORE Wednesday 24 February 2016, test your ability to access the webcast
recordings and pdf files for the course. For any problems with the website contact Ana
Cervantes (acervan4@jhmi.edu)
2. Review core course and session-specific learning objectives in advance.
3. Complete recommended readings before the next day’s Sessions.
4. Post your assignments/comments on the Moodle site each day. You are welcome to
post them at any time in advance of the session deadlines.
5. The course quiz is open-book. You can use any resource you want. However, it is
recommended that you have a look at the learning objectives, the recommended
readings, as well as paying attention to the lectures, lecture slides and course
discussions. You can take the quiz at any time prior to the course deadline, if you wish.
You can also take the quiz as many times as you would like, prior to the deadline, until
you get >80% correct.
6. By Friday 4 April 2016, please complete the Post-Course Evaluation. This is very much
appreciated.

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