Global Health Fellowship

Overview

Under the auspices of the Arnhold Global Health Institute, the Global Women's Health Program in the Department of Obstetrics, Gynecology and Reproductive Science is uniquely poised to tackle the complex issues that shape sexual and reproductive health of women across the globe. With faculty drawn from multiple subspecialties in the field of Obstetrics and Gynecology, the program offers the necessary tools to nurture the future leaders within the global women's health community.

The Mount Sinai Health System boasts the largest network of hospitals in New York City, and the Department of Obstetrics, Gynecology and Reproductive Science is one of the premiere residency and fellowship training centers in the country. Recognizing the need for training leaders who can drive the future of women's health, the program will train fellows to focus their services, build human capacity through sharing of knowledge, develop strong research skills and apply these skills and services to impact the lives of women around the world.

Goals: The goal of the Global Woman's Fellowship is to build on the training of physicians who have completed a 4-year residency in Obstetrics & Gynecology preparing them to become dedicated and innovative drivers of global women's health through service, education and research. The program will allow our fellows to make significant contributions, to the field, help to strengthen and develop health systems around the world, and play a significant role in reducing the health disparities that continue to plague women in developing countries.

Learning objectives: During the one-year fellowship fellows should develop skills and knowledge to become experts in the field of global women's health.

Knowledge: Fellows will be able to define both the proximal indicators of global health (direct measures of disease, morbidity and mortality) and the distal indicators of global health (indirect measures of social development, education and poverty) [a].

Comprehension: Fellows will develop a clear understanding of the social, cultural and political conditions that impact the health of women globally

Application: Fellows will be able to apply their skills to improve sexual and reproductive health of women, with a focus on reducing maternal morbidity and mortality, implementing family planning, treating issues surrounding female genital cutting, gender based violence and obstetric related fistulae and introducing screening for HIV, STIs, breast and cervical cancer.

Analysis: Fellows will be able to critique and analyze the most up to date public health literature as it pertains to women's health through journal clubs and independent reading. All fellows will participate in the design and execution of their own clinical and/or research projects using both quantitative and/or qualitative analysis. Fellows will be responsible for applying for IRB approval for those studies initiated by the fellow and conducted under the direction of a faculty mentor.

Synthesis: Fellows will be able to combine all aspects of their clinical and research training to produce a project of sufficient quality for publication in a peer-reviewed journal. They will be able to write and apply for funding for their projects through development of grant writing skills.

Evaluate: Fellows will be able to acquire skills that will allow for evaluation of women's health programs, with emphasis on determining the effectiveness, efficiency and impact of current programs being conducted at the Division's dedicated global health sites.

Program Curriculum

1. Global Health Instructional Video: Fellows will be expected to view all modules on the global health instructional video offered through the Department of Obstetrics and Gynecology.

2. Women's Health and Human Rights: Acquire in depth knowledge about women's health and human rights and understand how health choices are impacted by rape, sexual and domestic violence, armed conflict, internal displacement, human trafficking, early marriage, genital mutilation and paternalistic laws and edicts. Fellows should be familiar with the following declarations that address health and women's rights:

a. Declaration of Rights of the Women of the US 1876

b. UN Declaration of Human Rights 1978

c. Alma Ata Declaration 1978

In discussion with Dr. Holly Atkinson re: FGM asylee clinic coverage

3. Global Health Resource Review: Fellows will be introduced to resources that can be accessed for up to date information as references or projects:

a. The Human Poverty Index (HPI)

b. The Multidevelopment Poverty Index [MPI]

c. Global Burden of Disease

d. Globocan

Levy Library

4. Graduate School of Public Health: One course per semester. For non-MPH fellows, additional courses recommended with the goal of fulfilling requirements for MPH 

In discussion with Dr. Nils Hennig

5. Global Health Stakeholders: Fellows will become familiar with the major industries and organization that impact women's global health

a. National Ministries of Health

b. UN agencies (UN Foundation, UNFPA, UNICEF), US Agencies (USAID, USGHI)

c. Non Governmental Agencies (NGO)

d. Funding Resources (Foundation Center, NIH, CDC, NGOs, Belinda and Bill Gates Foundation, Clinton Foundation, PEPFAR)

6. Methods of Global Health Research: Fellows will participate in qualitative and quantitative research projects that address major women's health issues. Fellows are expected to have or develop a working knowledge of basic statistical and qualitative software (SPSS, Atlas ti) and geopgraphic information systems (GIS). Fellows will be expected to complete the IRB Human Subjects Research Training program offered on line through the Collaborative Institutional Training Initiative at the University of Miami (CITIProgram) www.citiprogram.org

7. Cultural Competency and Communication Skills: Fellows will be expected through a series of lectures and readings to develop and improve cultural competency and communication skills

8. Clinical Care: Fellows will be able to provide independent basic obstetric and gynecologic care for women in developing countries and if Board Certified or Board eligible can mentor ob-gyn residents' clinical and surgical projects when abroad. The fellow can mentor residents independently on all educational and non-clinical projects at any time.

Program Activities

Educational Seminars/Series

A weekly seminar led by the program director will cover areas of program writing, grant writing and basics of qualitative analysis.. The fellow will attend seminars given by Mt Sinai faculty in the field of women's rights, global cancer program development, maternal fetal medicine, family planning and uro-gynecology as they become available throughout the academic year.

Research Project: the fellow would be allowed protected time to develop and implement the research project of his/her choice The fellow will decide on a research project of his/her interest and give progress and receive feedback from the program director. All grant writing, IRB approval and program development will be completed by the fellow, in consultation with the assigned faculty mentor.

Journal Clubs

The fellow will participate in the weekly journal club offered by the graduate school of public health.

In discussion with global health institute

Field Experience

The fellow will participate in research projects offered at one or more of the division's three international sites:

  • Liberia
  • Dominican Republic
  • Colombia

Additional Global field experience available through one of 4 local organizations that GWHP has partnered with:

  • Basic Health International – Haiti, El Salvador
  • Saving Mothers – Guatemala
  • TheWomen.org – Liberia cancer projects
  • Jamaica

Conference

The fellow will be allowed to attend one Public Health Conference during the course of the year

Vacation

The fellow will be allowed 2-weeks(?) vacation during the course of the year.

Evaluation

Evaluation of the Fellow: The fellow will receive a mid year evaluation by members of the faculty and a an end of year evaluation that will indicate fellow's ability to complete assigned projects, and whether the fellow achieved the learning objectives and was successful in career plans.

Evaluation of Mentor: The fellow will complete an on-line survey evaluating their mentors in terms of their availability, ability to direct the project and the overall learning experience

Evaluation of the Program: The fellow will complete an on-line survey regarding the strength and weaknesses of the program, benefits or downside to their global health experience, availability of faculty, learning experience and suggestions for improvement.

Successful completion of the fellowship, requires that the fellow perform the following:

  • Complete at least one research project that has been submitted or is ready for submission to a peer-reviewed journal
  • Present this research project at the end of year “Fellows Research Day”
  • Write and apply for at least one privately or federally funded grant for a project in women's health
  • Be able to independently oversee implementation of a women's global health project
  • Be prepared to assume a leadership role in the field of global women's health.

Application Process

Applicants must have completed a 4 year approved residency and be Board eligible or Board Certified in Obstetrics and Gynecology at the start of the fellowship.

All application materials must be received by November 15th for the fellowship commencing July 1st.

The following will be required to complete the application process:

  1. A completed application form available on-line
  2. Curriculum Vitae updated to include all recent activities
  3. Personal statement
  4. Three letters of recommendation, one from the Program Residency Director or Chairman
  5. Official transcript of USMLE results

Application Process/Timeline

November: Applicants are due in November 15th prior to start of the fellowship

January: Interviews will be conducted in January prior to start of fellowship

March: Fellow will be notified of acceptance by March 15th prior to start of fellowship

May: Fellow will meet with the director to discuss research interests and specific needs

Appointment paper work initiated; final contracts signed

July 1st: Begin fellowship

Applications should be submitted on-line or by mail to:

Global Women's Health Program
Department of Obstetrics, Gynecology & Reproductive Services
Icahn School of Medicine
Mount Sinai Medical Center
1176 Fifth Avenue Box
New York, NY 10029
Email: charles.ascher-walsh@mssm.edu