Global Health Fellowship Orientation 7/7/2011 St. Luke’s Roosevelt Hospital.

Global Health FellowshipGlobal Health FellowshipOrientationOrientation7/7/20117/7/2011

St. Luke’s Roosevelt HospitalSt. Luke’s Roosevelt Hospital

The Big PictureThe Big Picture

Lay the foundation to Lay the foundation to develop a career in develop a career in

global healthglobal health

1) Develop clinical expertise in infectious 1) Develop clinical expertise in infectious and tropical disease particularly in HIV/TB and tropical disease particularly in HIV/TB and Malaria and Travel Medicineand Malaria and Travel Medicine

Tropical/Travel Medicine ClinicTropical/Travel Medicine Clinic HIV Clinic HIV Clinic Tropical Medicine CourseTropical Medicine Course *CTropMed certification*CTropMed certification Read assigned textsRead assigned texts Fieldwork abroadFieldwork abroad

*Not required but recommended

2) Plan for an Excellent Field Work 2) Plan for an Excellent Field Work ExperienceExperience

Further develop strong clinical skills and Further develop strong clinical skills and build resume by working abroad for up to build resume by working abroad for up to 3-6 months. 3-6 months.

Possibility of working with NGO’sPossibility of working with NGO’s

IRCIRC

Health Rights InternationalHealth Rights International

IMCIMC

IFAPIFAP Plan early!Plan early!

3) Develop a working knowledge of the 3) Develop a working knowledge of the issues in Global Public Healthissues in Global Public Health

Participate in weekly Global Health Participate in weekly Global Health TutorialTutorial

Reading assignmentsReading assignments Case presentations/Didactic lecturesCase presentations/Didactic lectures Book-Film Club/Journal ClubBook-Film Club/Journal Club 10 Question Quiz and short answer after 10 Question Quiz and short answer after

each module based on readings and each module based on readings and lectureslectures

2 Papers on topics of fellow’s interest due 2 Papers on topics of fellow’s interest due at the end of each academic year at the end of each academic year

Clinical Rotation EvaluationsClinical Rotation Evaluations

Exam on HIV/TBExam on HIV/TB Exam on Basics of Travel Medicine Exam on Basics of Travel Medicine Clinical Evaluation by CCC preceptorsClinical Evaluation by CCC preceptors

Opportunities within this FellowshipOpportunities within this Fellowship

Ability to develop a niche in Global Health by Ability to develop a niche in Global Health by focusing on Tropical Medicine/ Infectious focusing on Tropical Medicine/ Infectious Disease/HIV/TB/Travel MedicineDisease/HIV/TB/Travel Medicine

Ability to obtain a Diploma in Tropical Medicine Ability to obtain a Diploma in Tropical Medicine and IDHA certificateand IDHA certificate

Ability to Partner with NGO’s for Field workAbility to Partner with NGO’s for Field work Ability to obtain MPHAbility to obtain MPH Human Rights Clinic-Management of Victims of Human Rights Clinic-Management of Victims of

TortureTorture CTropMed® - Certificate of Knowledge in Clinical CTropMed® - Certificate of Knowledge in Clinical

Tropical Medicine and Travelers' HealthTropical Medicine and Travelers' Health

The ED RequirementsThe ED Requirements

18/20 hours per week of ED time 18/20 hours per week of ED time All junior attendings work a All junior attendings work a

maximum of 13 overnight weekendsmaximum of 13 overnight weekends (Friday, Saturday, Sunday) per year(Friday, Saturday, Sunday) per year

1/3 of all shifts in pediatrics1/3 of all shifts in pediatrics In the second year, overnight In the second year, overnight

weekends in pediatricsweekends in pediatrics

ED TimeED Time

• Prior to submitting schedule requests to Prior to submitting schedule requests to Pat Carey, please run your requests by Pat Carey, please run your requests by John CahillJohn Cahill

• Save all important email Save all important email communications to Pat Carey especially communications to Pat Carey especially through when to work.through when to work.

HIV and Travel Medicine ClinicsHIV and Travel Medicine Clinics

2 months of HIV clinic ( 45 sessions)2 months of HIV clinic ( 45 sessions)

45 half day sessions over two or more45 half day sessions over two or more

monthsmonths 2 months of Travel Medicine Clinic (30 sessions)2 months of Travel Medicine Clinic (30 sessions)

30 half day sessions over two 30 half day sessions over two

monthsmonths TB clinic rotation can be arranged in the DRTB clinic rotation can be arranged in the DR

Travel Medicine and HIV Clinic Blocks are not Travel Medicine and HIV Clinic Blocks are not mutually exclusivemutually exclusive

Tropical Medicine CourseTropical Medicine Course Dublin, Ireland August 17Dublin, Ireland August 17thth- Sept 28- Sept 28thth

Spot is reserved for you but must still Spot is reserved for you but must still apply by deadlineapply by deadline

Course TuitionCourse Tuition(~$5,000)(~$5,000) is covered by is covered by FellowshipFellowship

Use CME funding to cover the examination Use CME funding to cover the examination fee fee (~$1,500),(~$1,500), housing, food, airfare and housing, food, airfare and ground transportationground transportation

IDHAIDHA

Held at Fordham University New York Held at Fordham University New York CityCity

Tuition fee Tuition fee (~$5,200)(~$5,200) covered by covered by FellowshipFellowship

Spot is reserved for you but must still Spot is reserved for you but must still apply by deadline.apply by deadline.

June 3rd-June 29June 3rd-June 29thth in your second in your second yearyear

Columbia Summer Research Columbia Summer Research Institute (CSRI)Institute (CSRI)

Opportunity to gain fundamental skills in research Opportunity to gain fundamental skills in research design and statistical analysis for patient oriented design and statistical analysis for patient oriented research in an intensive summer format.research in an intensive summer format.

Core knowledge in epidemiology and biostatistics, Core knowledge in epidemiology and biostatistics, as well as more specialized study of randomized as well as more specialized study of randomized trial design, health disparities research, decision trial design, health disparities research, decision analysis and cost effectiveness analysis.analysis and cost effectiveness analysis.

10 credits towards a Masters10 credits towards a Masters $14,000$14,000 Funding available – CERSTAT, PRIDE GrantsFunding available – CERSTAT, PRIDE Grants

http://irvinginstitute.columbia.edu/education/http://irvinginstitute.columbia.edu/education/cer.html#label3cer.html#label3

Other Grants

Johnson and Johnson Yale Scholarship

The Fellowship is an investment The Fellowship is an investment into your futureinto your future

You can count on…You can count on… $87,000$87,000 annual salary annual salary $5,000$5,000 CME over two years CME over two years ~$10,000~$10,000 to cover costs of IDHA and Trop Med to cover costs of IDHA and Trop Med $1,500$1,500 over to cover Tropical Medicine costs over to cover Tropical Medicine costs

Less reliable…Less reliable… FPP of about ~$2,500 per yearFPP of about ~$2,500 per year Tax deduction for MPHTax deduction for MPH

Reading is FundamentalReading is FundamentalMerson, Michael H, Black, Robert E. and Anne J. Mills Merson, Michael H, Black, Robert E. and Anne J. Mills (editors). (editors). International Public Health-Diseases, Programs, International Public Health-Diseases, Programs, Systems, and Policies. Systems, and Policies. Boston, M.A.: Jones and Bartlett Boston, M.A.: Jones and Bartlett Publishers, 2006. (730 p.) Publishers, 2006. (730 p.) Jamison, Dean T. et al (editors) Disease Control Priorities in Jamison, Dean T. et al (editors) Disease Control Priorities in Developing Countries, 2Developing Countries, 2ndnd edition, Oxford University Press, edition, Oxford University Press, 20062006A version of Jamison available online- Priorities in HealthA version of Jamison available online- Priorities in HealthMedecins Sans Frontiers. Medecins Sans Frontiers. Refugee Health-An Approach to Refugee Health-An Approach to emergency situations.emergency situations. Oxford.:MacMillan Education, 2008. Oxford.:MacMillan Education, 2008. (380 p.) available on line(380 p.) available on line

Global HIV/AIDS Medicine (2008) – ed. Paul Volberding, et al.

Travel Medicine 2nd Ed. (2008) – eds. Jay Keystone, et al.

Manson’s Tropical Diseases Lecture Notes Tropical medicine

Website

slredglobalhealth.org Password- slredgh1

Successful Completion of your Successful Completion of your Fellowship entails….Fellowship entails….

Completion of Tropical Medicine Course and IDHA courseCompletion of Tropical Medicine Course and IDHA course

Attendance of 45 HIV and 30 Travel Medicine clinic sessionsAttendance of 45 HIV and 30 Travel Medicine clinic sessions

Participation in weekly Global Health Tutorial (Participation in weekly Global Health Tutorial (pending approval for pending approval for 3 credits by Mailman School of Public health3 credits by Mailman School of Public health))

Completing at least 3 months of International Field WorkCompleting at least 3 months of International Field Work

Passing clinical and didactic evaluationsPassing clinical and didactic evaluations

Developing two formal lecture topics to be given to residency, one per yearDeveloping two formal lecture topics to be given to residency, one per year

Attend 2 CCC journal clubs per month and 1 ID journal club per monthAttend 2 CCC journal clubs per month and 1 ID journal club per month

Developing lecture series to be given in senior yearDeveloping lecture series to be given in senior year

2 papers on topics of interest, one due on January 152 papers on topics of interest, one due on January 15thth 2012 and second due January 15 2012 and second due January 15thth 20132013

Scholarly projectScholarly project

Pass final examPass final exam

Scholarly Project- research databases

Geo-sentinel HIV database at CCC

2 year Timeline2 year Timeline

Tentative Global Health Schedule for Fellows not pursuing an MPH

Year 1                        

ED/TM ED/TM ED/HIV ED/HIV ED/HIV ED   FW FW ED ED ED IDHA

July Aug Sept Oct Nov Dec Jan Feb March April May June

Year 2                        

ED/CSRI TropMed TropMed ED/TM ED/TM ED   FW FW FW FW ED ED

July Aug Sept Oct Nov Dec Jan Feb March April May June

2 Year Timeline-MPH2 Year Timeline-MPH

Version 3- Tentative Global Health Schedule for Fellows Pursuing MPH at Columbia

Year 1 10 credits       10 credits      

ED/ TM ED/ TM ED/CW ED/CW ED/CW FW/CW   FW/CW ED/CW ED/CW ED/CW ED/CW IDHA

July Aug Sept Oct Nov Dec Jan Feb March April May June

Year 2                        

CSRI TropMed TropMed ED/HIV ED/HIV ED/HIV   FW FW FW FW ED ED

July Aug Sept Oct Nov Dec Jan Feb March April May June

Calendar- July to Dec 2011Calendar- July to Dec 2011 May 30th- June 30th IDHA course (Claire and Vanessa) June 1st Director’s Planning Meeting July 5th –August 9th CSRI course (Claire) July 7th New Fellows Orientation and Welcome Event July 14th, 21st, 28th New Fellows Introductory Lectures on Nutrition July 14th, 21st or 28th Ultrasound, Simulation and GH Fellows Welcome Party August 11th Book Club (Helen Epstein- The Invisible Cure) August 4th – September 29th Jamie Eliades’s Investigative Methods Course (6 lectures) September 8th Movie Night August 15th- September 30th Tropical medicine course (Claire and Vanessa) September Formal Quarterly Reviews with Rafik and Brandi October 6th,13th, 20th, 27th Lectures October Formal Quarterly Reviews with Claire and Vanessa October 13th Book Club November 3rd, 10th, 17th Lectures November 10th Application Deadline November 17th Book Club November 24th Thanksgiving Holiday December 1st, 8th, 15th Interviews December 15th Movie Night and Fellowship Holiday Party December 22nd Directors End of Year Meeting December 22nd Formal Quarterly Review with Rafik and Brandi December 22nd Formal Quarterly Review with Claire and Vanessa

Calendar- January to June 2012Calendar- January to June 2012 January Fellows Travel/ Independent Study Topics January 26th Book Club February Fellows Travel/Independent Study Topics February 23rd Movie Night March 1st 8th, 15th, 22nd, 29th Lectures March 1st and 8th Formal Quarterly Interviews with R&B March 15th and 29th Formal Quarterly Reviews with C&V April 5th, 12th, 19th Lectures April 26th Book Club May 3rd, 10th 17th Lectures May 24th Final Exam (50 MC and short essays) May 31st Global Health Graduation at Player’s Club May 31st Formal Quarterly Reviews with R&B June 7th and 14th Exit Interviews (Claire and Vanessa) June 3rd – June 29th IDHA course (Rafik and Brandi) June 19th Residency Graduation/Certificate

ChallengesChallenges TimeTime

-Bank a weekend or two in the -Bank a weekend or two in the schedule prior to fieldworkschedule prior to fieldwork MoneyMoney

-Per diem shifts-Per diem shifts

-Grants-Grants ScheduleSchedule

-13 overnight weekends-13 overnight weekends

-Switch with other fellows (Sim and US)-Switch with other fellows (Sim and US)

-Every attending required to work at least one holiday per -Every attending required to work at least one holiday per blockblock

It will be very difficult to schedule fieldwork more than 3 months at a time It will be very difficult to schedule fieldwork more than 3 months at a time due to your ED requirements (weekends and holiday)due to your ED requirements (weekends and holiday)

Best time to schedule a big block of FW time is in the Spring of your second Best time to schedule a big block of FW time is in the Spring of your second yearyear January, February, March January, February, March or or March, April, May March, April, May of 2013of 2013

Stagger field time so that both of you are not gone for the exact same Stagger field time so that both of you are not gone for the exact same periodperiod

The Big PictureThe Big Picture

2 Years of protected time to obtain a 2 Years of protected time to obtain a sizable amount of unique and interesting sizable amount of unique and interesting knowledge outside of your immediate fieldknowledge outside of your immediate field

Develop a niche in EM that will expand Develop a niche in EM that will expand your world beyond medicine into fields your world beyond medicine into fields such as human rights, health policy, such as human rights, health policy, economics, etc.economics, etc.

Develop a niche in EM that will make you Develop a niche in EM that will make you marketable when you graduate marketable when you graduate

Plan, plan, plan!Plan, plan, plan!

We are here to help you succeed. This We are here to help you succeed. This fellowship has the structure for you to fellowship has the structure for you to develop an expertise and the flexibility develop an expertise and the flexibility

to allow you to develop your own to allow you to develop your own interests. interests.