Pulmonary & Critical Care Medicine Fellowship

Global Health Pathway

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In recognition of the importance of training fellows to tackle the burden lung disease around the world and Seattle's leading position as a global health hub, the Division of Pulmonary and Critical Care Medicine has formally instituted a Global Health Pathway (GHP) in the fellowship training program this academic year. Supported by the Division's Global Health Program and the UW International Respiratory and Severe Illness Center (INTERSECT), the GHP integrates with all tracks of the training program to enhance trainees' clinical experiences and augment the existing research training tracks. One to two trainees per year are expected to enter the GHP. All trainees participating in the GHP are expected to have prior international clinical experience before entering fellowship. GHP trainees complete the standard comprehensive clinical pulmonary training curriculum required of all fellows, and select one of the existing research tracks to provide a focus for their GHP activities. Trainees participate fully in the standard research track in addition to completing the GHP requirements. In this manner, the GHP builds on a highly successful existing research training platform, and nurtures the development of internationally focused clinical researchers, basic scientists, and translational investigators.

During their clinical training year, GHP fellows undertake a weekly longitudinal internationally-oriented experience for six months locally (e.g. attending tuberculosis, immigrant, or travel clinics at UW). They complete a six week ambulatory global health rotation in Seattle (e.g. site visits to PATH, Bill and Melinda Gates Foundation, Health Alliance International, International Training and Education Center for Health; learning respiratory virus diagnostics at the Seattle Cancer Care Alliance or tuberculosis diagnostics at the Washington state laboratory) and have the option of participating in other domestic electives of interest. They participate in the newly established PCCM core global health lecture series and semi-annual global health journal club. Trainees are encouraged to apply to the month long UW Integrated Residency Global Health Leadership Course, to participate in the numerous multidisciplinary Department of Global Health seminars, and to attend Washington Global Health Alliance Discovery Series lectures.

At the commencement of their research years, GHP trainees are required to complete UW courses GH 531 "Research Methods in Developing Countries" and GH 532 "Responsible Conduct of International Research." GHP fellows are encouraged to select mentors or co-mentors with established research programs abroad or international collaborations. In addition to a broad selection of global health investigators within the UW, there are numerous global health researchers at local organizations such as the Fred Hutchinson Cancer Research Center, Seattle Children's, the Infectious Disease Research Institute, Seattle Biomed, and the Institute for Systems Biology. Along with funding from mentors, GHP trainees are supported by INTERSECT to undertake a 1-2 month international research elective to initiate their projects. Although brief, this elective sets the stage for the submission of career development award applications (e.g. individual NRSA award, the Parker B. Francis Fellowship in Pulmonary Research, the American Lung Association Fellowship Award, and ultimately K series awards) to support trainees' continued global health lung research. GHP fellows will present their work locally at weekly research works in progress sessions, the monthly Pulmonary Research Seminar and at monthly International Respiratory and Severe Illness Center meetings, as well as at national/international meetings such as the American Thoracic Society International Conference or the International Union Against Tuberculosis and Lung Disease World Conference on Lung Health.

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