| Global burden of disease (α=0.75) |
|
|
|
Describe the major causes of morbidity and mortality around the world, and how the risk of disease varies with regions |
3.57 |
0.56 |
|
Describe major public health efforts to reduce disparities in global health (such as Millennium Development Goals and Global Fund to Fight AIDS, TB, and Malaria) |
3.60 |
0.53 |
|
Discuss priority setting, healthcare rationing and funding for health and health-related research |
3.48 |
0.58 |
| Health implications of migration, travel and displacement (α=0.79) |
|
|
|
Demonstrate an understanding the health risks posed by international travel or foreign birth |
3.04 |
0.61 |
|
Recognize when travel or foreign birth places a patient a risk for unusual diseases or unusual presentation of common diseases and make an appropriate assessment or referral |
3.06 |
0.62 |
|
Describe how cultural context influences perceptions of health and disease |
3.78 |
0.48 |
|
Elicit individual health concerns in a culturally sensitive manner |
3.67 |
0.53 |
|
Communicate effectively with patients and families using a translator |
3.14 |
0.63 |
|
Identify world regions and/or travel activities associated with increased risk for life-threatening diseases including HIV/AIDS, malaria and multi-drug resistant tuberculosis |
3.39 |
0.63 |
| Social and environmental determinants of health (α=0.83) |
|
|
|
Describe how social and economic conditions such as poverty, education and life styles affect health and access to health care |
3.88 |
0.32 |
|
List major social determinants of health and their impact on differences in life expectancy between and within countries |
3.63 |
0.58 |
|
Describe the impact of low income, education and communication factors on access to and quality of health care |
3.76 |
0.44 |
|
Describe the relationship between access to clean water, sanitation, food and air quality on individual and population health |
3.82 |
0.38 |
|
Describe the relationship between environmental degradation and human health |
3.81 |
0.40 |
| Globalization of health and health care (α=0.87) |
|
|
|
Analyze how global trends in healthcare practice, commerce and culture, multinational agreements and multinational organizations contribute to the quality and availability of health and healthcare locally and internationally |
3.25 |
0.62 |
|
Describe different national models or health systems for provision of healthcare and their respective effects on health and healthcare expenditure |
3.50 |
0.55 |
|
Analyze how travel and trade contribute to the spread of communicable and chronic diseases |
3.39 |
0.56 |
|
Analyze general trends and influences in the global availability and movement of healthcare workers |
3.26 |
0.58 |
|
Describe national and global healthcare worker availability and shortages |
3.37 |
0.59 |
|
Describe the most common patterns of healthcare worker migration and its impact on healthcare availability in the country that the healthcare worker leaves and the country to which he/she migrates |
3.09 |
0.64 |
| Healthcare in low-resource settings (α=0.81) |
|
|
|
Articulate barriers to health and healthcare in low-resource settings locally and internationally |
3.49 |
0.58 |
|
Demonstrate an understanding of cultural and ethical issues in working with disadvantaged populations |
3.71 |
0.47 |
|
Demonstrate the ability to adapt clinical skills and practice in a resource-constrained setting |
3.69 |
0.47 |
|
Identify signs and symptoms for common major diseases that facilitate nursing assessment in the absence of advanced testing often unavailable in low-resource settings (cardiovascular disease, cancer, and diabetes) |
3.69 |
0.51 |
|
Describe the role of syndromic management and clinical algorithms for treatment of common illnesses |
3.33 |
0.68 |
|
Identify clinical interventions and integrated strategies that have been demonstrated to substantially improve individual and/or population health in low-resource settings (e.g. immunizations, essential drugs, maternal child health programs) |
3.75 |
0.45 |
|
For students who participate in electives in low-resource settings outside their home situations, a demonstration that they have participated in training to prepare for this elective |
3.49 |
0.47 |
| Health as a human right and development resource (α=0.68) |
|
|
|
Demonstrate a basic understanding of the relationship between health and human rights |
3.78 |
0.42 |
|
Demonstrate familiarity with organizations and agreements that address human rights in healthcare and medical
research |
3.52 |
0.57 |
|
Describe the role of WHO in linking health and human rights, the Universal Declaration of Human Rights, International Ethical Guidelines for Biomedical Research Involving Human Subjects (2002), Declaration of Helsinki (2008) |
3.68 |
0.50 |
| Total for 30 competencies (α=0.92) |
105,68 |
9.47 |
