EXPLORING GLOBAL PUBLIC HEALTH AND SOCIAL …

AcknowledgementsandPresentation

CONCLUSIONANDFUTUREDIRECTIONINNOVATION

EXPLORINGGLOBALPUBLICHEALTHANDSOCIALDETERMINANTSOFHEALTHTHROUGHANINTERDISCIPLINARYAPPROACH

JulieGleason-Comstock,PhD,MCHES1;VijayaArunKumar,MD,MPH2;TsvetiMarkova,MD,FAAP3;JuliannBinienda,PhD4

FRAMEWORK

Globalhealthisacknowledgedasaninterdisciplinaryapproachinwhichaddressingsocialdeterminantsofhealth(SDOH)isincreasinglycriticalforaddressingglobalhealthequity(Abeuelezam,AmerJofPublicHealth,2020).• TheWayneStateUniversity(WSU)DepartmentofFamilyMedicine&

PublicHealthSciences(DFMPHS)offeredanewdidacticgraduatecourse,FPH7120:GlobalPublicHealthinSS2019.

• StudentsfrompublicandalliedhealthexaminedapplicationofSDOHtoglobalhealthinterventionsandWorldHealthOrganization(WHO)2030SustainableDevelopmentGoals(SDG).

TheclassinnovativelyintegratedexplorationofSDOHwithSDG.MentoredstudentsfrompublicandalliedhealthexpandedtheirglobalhealthperspectivesbysubmittingabstractsonselectedclasstopicsandSDOHtoaUniversitypeer-reviewedglobalresearchconference.

A13week hybridelectivegraduatecoursewasavailabletopublichealth,medicalandalliedhealthstudents.OnlinedidacticcomponentsandknowledgecontentquizzeswereprovidedthroughanonlinetextbookandWHOwebsitecomponents.Globalhealthexpertguestsparticipatedinanonlinepanel,ledclassgroupsandfacilitatedinteractiveculturalcompetencyexercises.• StudentswereassignedaWHOglobalgeographicarea,withSDOHandSDGwerechosenbymutualagreementwiththeInstructor.

• WSUfacultyandstudentsparticipatedintheclasstoprovideculturalcontextandguidanceforpotentialresearchinformedconsent(Figure1).

• EvaluationwasconductedthroughtheWSUStudentEvaluationofTeachingandqualitativefeedbackfromguestlecturers.

• TheculminatingstudentprojectwasaSymposiuminwhichtheInstructorassignedstudentstoWHOglobalgeographicareas.

Fivementoredstudentssuccessfullysubmittedabstractsforpeer-reviewedposterpresentationsattheinauguralWSUDivisionofResearch2019GlobalHealthJusticeandtheEnvironmentConference“ultimatelybringingclassroomlearningintotherealworld.”

• “GraceMahasi’sposter‘SubstanceAbuseTreatmentAlongtheNorthernMexicoBorder:ASurveyProspectus’ledhertoreflectontheinterdisciplinarynatureofresearchandthegrowingglobalizationoftransnationalrelationships.

• SaherYunus addressedthetopicof‘CanadaandRoadInjury:YoungandDistractedDrivers’becausetrafficdeathsareamajorcontributortounintentionaldeathsduetoinfrastructureissues.

• AlymamahMashrah’stopic‘WomeninEthiopia:AProposaltoUseMobilePhone AppstoReduceHIVInfection’relatedtoherstronginterestinsocialdeterminantsofwomen’shealthandhealtheducation.

• SaraAlosaimyapproached‘ImprovingOutcomesforPatientswithDualHIVandNeglectedTropicalDiseasesinBrazilbyEnhancingAwarenessofPreP’asanexplorationofhealthplatformsforreducinginfectiousdisease.

• PriyaSpencerexplored‘PromotionofaPatient-CenteredCommunity-DrivenMedicalModeltoCombatMulti-DrugResistantTBinChina’addressingbarrierstoeliminationofTBbecauseofdrugtoxicityanddiseaseburden.”

MEDICALEDUCATIONTAKEAWAY:WeEXPLOREDglobalpublichealthandWorldHealthOrganization2030SustainableDevelopmentGoalstoDETERMINEhowSocialDeterminantsofHealthcouldbeintegratedintoaninauguralcourse.WeFOUNDthatWSUSOMFacultyandGraduateStudentswereourmajorresourceinprovidingglobalexpertiseandculturalcompetency.

Thisinterdisciplinaryproblem-basedapproachholdspotentialforincorporationofGlobalPublicHealthandSocialDeterminantsofHealthcomponentsintomedicalandgraduatecurricula.FPH7120willagainbeofferedinSS2021.

WayneStateUniversitySchoolofMedicineAuthors:1AssistantProfessor,DFMPHSContact:jgleason@med.wayne.edu2AssociateProfessor,EmergencyMedicine;AssociateChair,Global&UrbanHealth3Professor&Chair,DFMPHS;AssociateDeanGraduateMedicalEducation4Professor,DFMPHSThank you:• Ghadir Mohamed Mozeb, BS, Public Health Honors, Poster Development

MedicalEducationResearchandInnovationConferenceWSUSOMDecember4-8,2020

CULTURALCOMPETENCY

LanguagesfromtwelvecountrieswereintroducedbyWSUStudentsandFacultytofacilitateintroductionofaprospectivepublichealthintervention,inclusiveoftheprocessofInformedConsent.PriortopresentingtheirposterintheSymposium,eachstudentparticipatedinafifteen-minutescenariofortheirproposedintervention,withthestudentactingasapublichealtheducatorandexplainingtheprojecttoanativespeaker.ShortFormConsentstemplateswereavailablefromtheWSUIRB.https://www.Research.wayne.edu/irb/informed-consent-short-form

Arabic ثحب يف ةكراشملا ىلع ةقفاوملل ریصق جذومن研究知情同意书简表 Chinese

अनसुंधान म* भाग लेने हेतु लघु 2प सहमतत HindiandBengali,Portuguese/Brazilian,English,Farsi,French/Canadien,

German,Malayalam,Spanish/Mexican,YorubaFigure1.GLOBALPUBLICHEALTHLINGUISTSSHOWN:LtoR:Dr.Gleason-Comstock;WilliamCostello,MPH(English);Dr.Kumar(Hindi);FatimaDiop,BS(French/Canadien);JacquelineReji,BSN(Malayalam);JabedaBegum,BS,MPHCandidate(Bengali)

SustainableDevelopment

Goals

SocialDeterminantsofHealth

EconomicStability

EducationAccess&Quality

Social&CommunityContext

HealthcareAccess&Quality

NeighborhoodBuilt

Environment

MaternalHealth xCommunicable

Diseases x x xx*

SubstanceAbuse x x x*Noncommunicable

Disease x x* xx

TrafficAccidents x*Sexual&Repro-ductiveHealth x*

Pollution x*WSUGlobalHealth,Justice&theEnvironment(GHJE)ConferencePosterPresentation

TABLE1.SOCIALDETERMINANTSOFHEALTHPARADIGM

Table1illustratesthe15studentpresentationsinaSDOH– SDGparadigm.EachSDGwasintersectedatleastoneSDOHtopic.SocialandCommunityContextwastheSDOHwasmostfrequentlyintersectedbySDG.

RESULTS

STUDENTASSESSMENTOFTEACHINGANDGUESTFEEDBACK

The15studentsgenerallyreportedsatisfactionwithclassparticipation,relevanceandgroupinteraction,withanWSUSETdiagnosticsaveragedscoreof4.4onascaleof(1)Stronglydisagreeto(5)Stronglyagree.

Qualitativefeedbackfromstudentsandguestlecturerincluded:• Moretimetoexploretheoverallcontentofglobalpublichealthtoaddresscurrentsituationsandbringconceptstogether,

• Enjoyingtheresearchapproachandhavingmultipleguests,• Symposiumwasagreatidea..wishmorecountriescouldbecovered.

GLOBALPUBLICHEALTHASSIGNMENTSDISPLAYEDATCAMPUSCONFERENCE