CUGH Trainee Advisory Committee (TAC) survey: the trainee perspectives in global health

: 1.055_HRW CUGH Trainee Advisory Committee (TAC) survey: the trainee perspectives in global health L. McCulloch, J. Hébert, Y. Tcholakov, M. Ashorn, K. Blair, M. Byrne, E. Connolly, J. Evert, L. Goodman, T. Liu, M.K. LoPiccolo, W. Perez, J. Rhee, J. Shen, T. Tran, E. Wiley; Darmouth College, Hanover, NH/USA, University of Montreal, Montreal, Canada, University of Montreal, Montreal, Canada, University of Tampere, Tampere, Finland, Western University of Health Sciences, Lebanon, OR/USA, University of Loyola, Chicago, IL/USA, University of California, San Francisco, CA/USA, Child Family Health and UCSF, San Francisco, CA/USA, Harvard University, Boston, MA/USA, University of Illinois, Chicago, IL/USA, University of Vermont College of Medicine, Burlington, VT/USA, Oregon Health & Science University, Portland, OR/USA, Icahn School of Medicine, New York, NY/USA, University of Alabama, Birmingham, AB/USA, Duke Global Neurosurgery and Neuroscience, Durham, NC/USA, University of Maryland, Baltimore, MD/USA Project Purpose: A growing number of trainees have become involved in global health and the CUGH created the Trainee Advisory Committee (TAC) to bring training perspectives to CUGH. Following the 2015 CUGH Conference, the TAC conducted a survey to assess and evaluate the needs and desires of the trainees regarding the conference and helpful opportunities. Design: The goal was to identify and prioritize the services needed by trainees in order to advance their career or interest in global health. Moreover, it reflects the TAC’s goal to serve as an advocate for global health trainees. The respondents were trainees who attended the 2015 CUGH Conference. Outcomes & Evaluation: The results obtained from the 62 respondents were analyzed using descriptive statistics. Trainees were from a wide range of backgrounds, including anthropology, engineering, environmental geochemistry, epidemiology, global health practice, international affairs, law, medicine, midwifery, neuroscience, nursing, pharmacy, political science, public health, social policy and veterinary medicine. The respondents were mostly interested in research, advocacy, direct service, global health education, university partnerships and product development. The main reasons to attend the CUGH conference were to network (37%) and to learn more about global health (32%). Over 70% of the respondents were members of CUGH individually or through their institution. Eighty five percent were interested or possibly interested in a pre-conference, which the TAC is co-organizing for the 2016 CUGH conference. Going Forward: It is challenging to establish definite priorities due to diverse trainee specialties and geographic locations. This survey will be conducted annually among the trainees following the CUGH conferences. The TAC will work to implement strategies in order to encourage a higher response rate in the future and to aggregate data over numerous years. The CUGH TAC will continue work on concrete initiatives to meet the specific needs expressed by trainees through future surveys. A n n a l s o f G l o b a l H e a l t h , V O L . 8 2 , N O . 3 , 2 0 1 6 Human Resources and Workforce M a yeJ u n e 2 0 1 6 : 3 3 9 – 3 7 4 363

Design: This was a mixed-methods evaluation of the pilot study abroad program. US students were given semi-structured interviews focusing on their positive and negative experiences, impact on their future careers, and ideas for future iterations of the program. Key Kenyan stakeholders were given semi-structured interviews focusing on their experiences working with US students, challenges or difficulties they identified in this partnership, and ideas for future collaboration. Finally, surveys were distributed to audiences at continuing medical education (CME) presentations that were facilitated by US students. An epidemiology student was recruited to conduct the evaluations.
Outcome & Evaluation: Students completed 10 educational sessions and identified relationships with 8 staff members. Student semi-structured interviews (n¼6) and Kenyan stakeholder interviews (n¼10) revealed positive experiences from both students and staff, and highlighted areas for improvement. Facilitating student clinical engagement within the scope of a licensed registered nurse in order to partner with host staff was identified as a top priority. Evaluations indicated partnerships between US participants and Kenyan staff are possible and seen as mutually beneficial. Surveys (n¼17) given to host staff indicated that CMEs were either "useful" or "very useful." Going Forward: Challenges for future iterations include obtaining permission for students to engage in clinical work. The funding mechanism was seen as sustainable, although need for a teaching assistant will require modest increase going forward. Design: The goal was to identify and prioritize the services needed by trainees in order to advance their career or interest in global health. Moreover, it reflects the TAC's goal to serve as an advocate for global health trainees. The respondents were trainees who attended the 2015 CUGH Conference.

Outcomes & Evaluation:
The results obtained from the 62 respondents were analyzed using descriptive statistics. Trainees were from a wide range of backgrounds, including anthropology, engineering, environmental geochemistry, epidemiology, global health practice, international affairs, law, medicine, midwifery, neuroscience, nursing, pharmacy, political science, public health, social policy and veterinary medicine.
The respondents were mostly interested in research, advocacy, direct service, global health education, university partnerships and product development. The main reasons to attend the CUGH conference were to network (37%) and to learn more about global health (32%). Over 70% of the respondents were members of CUGH individually or through their institution. Eighty five percent were interested or possibly interested in a pre-conference, which the TAC is co-organizing for the 2016 CUGH conference.
Going Forward: It is challenging to establish definite priorities due to diverse trainee specialties and geographic locations. This survey will be conducted annually among the trainees following the CUGH conferences. The TAC will work to implement strategies in order to encourage a higher response rate in the future and to aggregate data over numerous years. The CUGH TAC will continue work on concrete initiatives to meet the specific needs expressed by trainees through future surveys.

Human Resources and Workforce
A n n a l s o f G l o b a l H e a l t h , V O L . 8 2 , N O . 3 , 2 0 1 6 M a y eJ u n e 2 0 1 6 : 3 3 9 -3 7 4 Funding: None. Methods: Medical program directors and nurse educators from two medical teaching hospitals were invited to participate in a 20hour workshop. The course material included clinical research papers found using HINARI, a guideline for critical research appraisal, a review chart and a PowerPoint presentation. Study design, bias, measures of association, statistical significance, techniques and approaches to facilitating a journal club were major concepts discussed. A pre-and-post-questionnaire was given to evaluate attitude. Participants were also asked to prepare and lead a journal club within their departments two-weeks after the training.
Findings: There were 16 participants for the workshop. Results from the pre-questionnaire demonstrated that 12.5% was very comfortable reading or presenting a clinical research article. None of the participants reported feeling comfortable participating in a journal club. Post-questionnaire results revealed an increased to 75% for reading, 25% for presenting a clinical research article and 87.5% for participating in a journal club. A total of 87.5% participants expressed moderate or high satisfaction with the workshop. After the course all the participants conducted in a journal club in their respective departments.
Interpretation: Zamni Lasante organized a research methodology workshop to strengthen the capacity of trainers to make appraisal of clinical research papers and effectively participate in a journal clubs. Participants felt more comfortable reading a clinical research paper and conducting a journal club. Potentially adding workshops to medical training institution's curriculum may help future research capacity building efforts.
Funding: None. Findings: A total of 40 physicians took the survey. Respondents were from Colombia, Brazil and Chile. Most were Emergency Medicine physicians (30, 75%). Primary objectives in hosting were evenly split between improving own medical knowledge (23%), clinical skills (26%) and broadening cultural exposure (30%). Knowledge exchange occurred in both directions, 54% felt they improved US trainee knowledge and 80% felt they had their own knowledge base improved by the trainee. Most thought that 4-8 weeks was the optimal time for a rotation (78%). Free text responses highlighted the value of cultural interaction to both parties. Suggested areas of improvement included the importance of the visiting trainee's ability speak their native language (92%). This was emphasized in free text responses. Other areas of improvement included knowledge of endemic diseases, understanding local culture and understanding host resources. All respondents would continue to host US trainees.
Interpretation: Most South American hosts take part in international exchange for educational and cultural purposes and find this interaction beneficial. Our survey suggests that the relationship works best when the medical trainee is a resident with the ability to speak the native language, a good fund of knowledge of endemic diseases and the ability to visit for four or more weeks. Overall, the relationships between US trainees and South American hosts appears beneficial to both parties in terms of medical and cultural experiences.
Abstract #: 1.058_HRW Improving hand hygiene at a district hospital in rural Rwanda I. Holmen 1,2 , N. Safdar 2 , C. Seneza 3 , B. Nyiranzayisaba 3 , V. Nyiringabo 3 ; 1 Health-PACT, Palo Alto, CA, 2 University of Wisconsin-Madison, Madison, WI, 3 Gitwe Hospital, Rwanda Background: Healthcare-associated infections remain a significant risk for hospitalized patients around the world. Hand hygiene is known to be a critical action in ensuring patient safety. The