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S-PACK: A Modular and Modifiable, Comprehensive Predeparture Preparation Curriculum for Global Health Experiences

St Clair, Nicole E. MD; Butteris, Sabrina M. MD; Cobb, Carmen MD; Connolly, Emilia DO, MPH; Groothuis, Elizabeth MD, MPH; Jones, Andrea MD; Lauden, Stephanie MD; Miller, Kathleen MD; Winter, Jameel MD; Pitt, Michael B. MD; for the Midwest Consortium of Global Child Health Educators S-PACK Workgroup

doi: 10.1097/ACM.0000000000002794
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Problem Approximately 25% of trainees participate in a global health elective during their undergraduate or graduate medical education. Increasingly, educators in the United States and international partners are calling for improved predeparture preparation training for global health experiences. Yet, freely available, easily modifiable curricula are rare.

Approach Educators who created the Simulation Use for Global Away Rotations (SUGAR) curriculum formed a workgroup in September 2017 to develop the SUGAR Pre-Departure Activities Curricular Kit (S-PACK). Using Kern’s 6-step approach to curriculum development, they identified 10 essential domains for global health preparation, developed learning objectives, created interactive activities pertinent to those domains using different education strategies, piloted and refined the curriculum, packaged it for online facilitator training, and disseminated it in March 2018.

Outcomes The S-PACK curriculum includes 6 interactive, modifiable modules that use a variety of educational strategies to enable educators to comprehensively prepare trainees for global health electives. Modules incorporate simulations, procedural training, small-group case-based discussions, and reflection exercises on topics ranging from providing treatment when resources are limited to mitigating culture shock to considering wellness while away. Each module includes a facilitator training packet, curricular resources, and introduction videos. All are freely available at sugarprep.org.

Next Steps Since an initial in-person workshop at a national conference, the S-PACK curriculum has been available online. Further evaluation is underway, including developing assessments for educators to measure trainee readiness for global health electives. Piloting the feasibility of regional S-PACK preparation bootcamps to support training programs with limited global health resources is planned.

N.E. St Clair is associate professor and director, Pediatric Residency Global Health Track, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin; ORCID: https://orcid.org/0000-0002-5741-8542.

S.M. Butteris is associate professor, medical director, Division of Pediatric Hospital Medicine, vice chair of clinical affairs, and chief, Division of Global Pediatrics, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin.

C. Cobb is assistant professor and codirector, Pediatric Residency Global Health Track, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin; ORCID: https://orcid.org/0000-0002-6506-6620.

E. Connolly is assistant professor, Department of Pediatrics, University of Cincinnati and Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio; ORCID: https://orcid.org/0000-0002-1671-3190.

E. Groothuis is instructor and assistant program director, McGaw Global Health Clinical Scholars Program, Department of Pediatrics, Northwestern University Feinberg School of Medicine and Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, Illinois.

A. Jones is clinical assistant professor, Department of Pediatrics, University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin.

S. Lauden is assistant professor, Department of Pediatrics, The Ohio State University and Nationwide Children’s Hospital, Columbus, Ohio; ORCID: https://orcid.org/0000-0001-7932-1680.

K. Miller is adolescent medicine fellow and instructor, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0001-9130-578X.

J. Winter is assistant professor, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-9143-8483.

M.B. Pitt is associate professor and associate chair, Faculty Development, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota; ORCID: https://orcid.org/0000-0002-7123-2613.

Supplemental digital content for this article is available at http://links.lww.com/ACADMED/A684.

Funding/Support: The expansion of the Simulation Use for Global Away Rotations (SUGAR) curriculum was made possible in part by the support of the University of Wisconsin Health Clinical Simulation Program and the University of Minnesota African Studies Initiative.

Other disclosures: None reported.

Ethical approval: Reported as not applicable.

Previous presentations: The content of the S-PACK (Simulation Use for Global Away Rotations [SUGAR] Pre-Departure Activities Curricular Kit) curriculum was presented in a train-the-trainer workshop at the 2018 Association of Pediatric Program Directors annual spring meeting in Atlanta, Georgia, March 20–23, 2018.

Correspondence should be addressed to Nicole E. St Clair, University of Wisconsin School of Medicine & Public Health, H4/472, Mailcode 4108, 600 Highland Ave., Madison, WI 53792-4108; telephone: (608) 265-5545; email: nstclair@pediatrics.wisc.edu.

Copyright © 2019 by the Association of American Medical Colleges