The UTH-UMB Global Health Education Collaboration: Building a Bidirectional Exchange Based on Equity and Reciprocity.

Autor:	Mupeta F; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Sivile S; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Ministry of Health, Ndeke House, Lusaka, ZM., Toeque MG; Center for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.; University of Maryland School of Medicine, Baltimore, MD, USA., Fwoloshi S; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Zulu PM; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Chanda D; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Mbewe N; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Department of Internal Medicine, Ndola Teaching Hospital, Ndola, ZM., Mwitumwa M; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Chanda C; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Zambia National Public Health Institute, Lusaka, ZM., Kandiwo N; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Ziko L; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Mwansa T; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Matibula P; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Mugala A; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM., Traver EC; University of Maryland School of Medicine, Baltimore, MD, USA., Tripathi RK; University of Maryland School of Medicine, Baltimore, MD, USA., Heil EL; University of Maryland School of Pharmacy, Baltimore, Maryland, USA., Patel DM; University of Maryland School of Medicine, Baltimore, MD, USA., Riedel DJ; Center for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.; University of Maryland School of Medicine, Baltimore, MD, USA., Hachaambwa L; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Center for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.; University of Maryland School of Medicine, Baltimore, MD, USA., Mulenga L; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Ministry of Health, Ndeke House, Lusaka, ZM., Claassen CW; Division of Infectious Diseases, Department of Medicine, University of Zambia School of Medicine, Lusaka, ZM.; Adult Infectious Diseases Center, University Teaching Hospital, Lusaka, ZM.; Center for International Health, Education, and Biosecurity, University of Maryland School of Medicine, Baltimore, MD, USA.; University of Maryland School of Medicine, Baltimore, MD, USA.
Jazyk:	angličtina
Zdroj:	Annals of global health [Ann Glob Health] 2023 Aug 11; Vol. 89 (1), pp. 52. Date of Electronic Publication: 2023 Aug 11 (Print Publication: 2023).
DOI:	10.5334/aogh.3718
Abstrakt:	The global health exchange program between the University Teaching Hospitals (UTH) of Lusaka, Zambia and the University of Maryland, Baltimore (UMB) has been operating since 2015. As trainees and facilitators of this exchange program, we describe our experiences working in Lusaka and Baltimore, and strengths and challenges of the partnership. Since 2015, we have facilitated rotations for 71 UMB trainees, who spent four weeks on the Infectious Disease (ID) team at UTH. Since 2019 with funding from UMB, nine UTH ID trainee physicians spent up to six weeks each rotating on various ID consult services at University of Maryland Medical Center (UMMC). Challenges in global health rotations can include inadequate preparation or inappropriate expectations among high-income country trainees, low-value experiences for low- and middle-income country trainees, lack of appropriate mentorship at sites, and power imbalances in research collaborations. We try to mitigate these issues by ensuring pre-departure and on-site orientation for UMB trainees, cross-cultural mentored experiences for all trainees, and intentional sharing of authorship and credit on scientific collaborations. We present a description of our medical education collaboration as a successful model for building equitable and reciprocal collaborations between low- and middle-income countries and high-income countries, and offer suggestions for future program initiatives to enhance global health education equity among participants and organizations. Competing Interests: The authors have no competing interests to declare. (Copyright: © 2023 The Author(s).)
Databáze:	MEDLINE
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