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Global Health Track

The UW Global Health in Academic Surgery Fellowship Track was created in 2009. The purpose of the fellowship is to train surgical leaders with scientific research tools and knowledge necessary to sustain an academic surgical career with a focus on surgical Global Health that will advance surgical care, research and education in the global or rural surgery settings.

Program Goals

To train leaders in global surgery. Graduates will acquire rigorous scientific research tools and knowledge necessary to sustain an academic surgical career with a focus on Global Health enabling broad impact research in Global/Rural surgical care. The program is also designed to train surgeons who will participate in humanitarian relief as well as the development, implementation and evaluation of surgical programs and their clinical effectiveness in conjunction with governmental and non-governmental organizations worldwide. The program will foster knowledge of global public health issues, clinical effectiveness, governmental and nongovernmental organizations, and health care infrastructure around the world. Each program will be tailored to the trainees' interests and background.

Objectives

The trainee will acquire research tools, policy skills, and knowledge that can be applied to future research and other work in global health in the following ways:

  1. Successfully complete an advanced degree or certificate. Advanced degrees must be obtained at the University of Washington. Options include the following degrees although other degrees at UW can be considered in consultation with faculty mentors, depending on the resident's interest:
  2. Successfully complete the Department of Global Health Pathway leading to a Global Health Certificate or a Graduate Certificate in Global Injury and Violence Prevention.
  3. Participation in the monthly Department of Global Health Journal Club.
  4. Participation in the Department of Surgery Global Health Interest Group (quarterly meetings).
  5. Participation in the monthly SORCE (Surgical Outcomes Research Center) and CHASE (Centers for Health System and Comparative Effectiveness) meetings.
  6. Demonstrate an understanding of grant writing and application processes including obtaining IRB approval.
  7. Research project focus under the guidance of a faculty mentor(s) leading to scientifically rigorous publications in one or more of the following areas:
    • Rural health care issues
    • Health care system development
    • Health policy
    • Applied clinical epidemiology in trauma and injury prevention, cancer, gastrointestinal diseases, and other surgical issues.
    • Health services and health economics research
    • Health metrics and evaluation
  8. Educational rotations or research with agencies such as WHO are encouraged after consultation with fellowship mentors.
  9. UW Medicine Surgical Care and Education: Post-graduate fellows in Pathway B who are board-eligible in general surgery can apply to receive clinical appointments at UWMC and Harborview Medical Center and an academic appointment at University of Washington School of Medicine. Fellows with appropriate training and credentials will have the opportunity to obtain staff physician privileges in order to supervise and teach UW surgery residents and medical students. Fellows can staff inpatient, outpatient, and emergency room patients with the residents. This system allows the fellow to mentor and educate residents, maintain surgical skills, and maintain clinical decision making processes.

Training Structure

The fellowship duration is 2 or 3 years. The trainee may choose between one of three tracks:

  Track A
3/2/2
Track B
3/3/2
Track C
5/2
GS Residency 3 years
standard rotations
3 years
standard rotations
5 years
standard rotations
GH Track 2 years
  1. MPH at UW - Year 1
  2. Coursework in the Dept of GH Pathway leading to a GH Certificate or a Certificate in Global Injury Control - Year 1
  3. Field research project(s) - Year 2

 

3 years
  1. UW T32 Training Grant Award (requires 2yr Seattle commitment):
    1. Includes MPH at UW
    2. Coursework in the Dept of GH Pathway leading to a GH Certificate or a Certificate in Global Injury Control (Year 1)
  2. Field research project(s) - Year 3
2 years
  1. MPH at UW - Year 1
  2. Coursework in the Dept of GH Pathway leading to a GH Certificate or a Certificate in Global Injury Control - Year 1
  3. Field research project(s) - Year 2

 

GS Residency 2 years
standard rotations
2 years
standard rotations
n/a
Funding for Salary/Benefits
  • All residents in Track A must apply for extramural funding for both years with the assistance of the SORCE staff and the UW Funding Service
  • Shortfall can be provided by Schilling Resident Research Endowment for both years pending fund availability (max available stipend @ 1 per year). During abroad year, resident's salary will be smaller than T32 trainees (in line with WHO policy).
  • A T32 will provide salary and tuition for years 1 and 2.
  • Applications should be made for extramural funding for Year 3 through SORCE staff and the UW Funding Service
  • Shortfall can be provided by Schilling Resident Research Endowment for Year 3 pending fund availability (max available stipend @ 1 per year). During abroad year, resident's salary will be smaller than T32 trainees (in line with WHO policy).
  • All residents in Track C must apply for extramural funding for both years with the assistance of the SORCE staff and the UW Funding Service
  • Shortfall can be provided by Schilling Resident Research Endowment for both years pending fund availability (max available stipend @ 1 per year). During abroad year, resident's salary will be smaller than T32 trainees (in line with WHO policy).

Candidates

UW Categorical General Surgery Residents should apply for this track through the standard application process for doing research following their PGY3 or PGY5 year (Pathway A, B or C). The number accepted each year will depend on funding availability

Competitive candidates will be those with a vested interest in an academic career based in a university hospital setting. A career interest involving scholarship and grant funding along with part or full-time field work in the global setting with a career goal of promoting sustainable surgical services throughout the world is required. The program will recruit trainees who already have substantial experience in the global health care setting in low and middle income countries prior to residency training. The completion of the Global Health Fellowship Track would focus mostly on education and acquisition of research tools to be used in the global setting and the development of mentor relationships and national and international connections in the field of Global Health. It should be emphasized that a major focus of this program should be research productivity with publication of high quality clinical research papers. Although not part of this program, we would anticipate that graduates would be interested to spend another one to three years in a global health clinical setting following board certification to further continue their career development.