Global Health

Overview & Vision

The University of Wisconsin Pediatric Residency Program’s focus on child global health and advocacy led to the launch of the Global Health Track in 2010-2011. What began as a resident-driven initiative blossomed into a longitudinal curriculum which spans all three years of residency. Its multidisciplinary nature provides residents with opportunities and relationships across the institution, the US, and abroad.  
 
The Global Health Track for pediatric residents is designed to foster personal growth while teaching topics and providing tools that will serve them in their careers. Residents have the opportunity to engage in local global experiences in addition to international and domestic rotations in a variety of locations that emphasize ethical and sustainable partnerships.

Components of the Global Health Track

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  • Fundamentals in Global Child Health: A critical portion of the track is an annual two-week course, typically occurring in the fall. During this protected time, track residents are provided with a comprehensive overview of key issues in global child health, both locally and abroad.  The two week course involves small and large group discussion of cases, simulation, educational modules, and lectures by global health faculty and visitors.  The first week of Fundamentals is multidisciplinary, including the Departments of Obstetrics and Gynecology, Family Medicine, Internal medicine, and Emergency Medicine, which provides a range of perspectives and experiences and provides track residents with more connections in the realm of global health.
  • Local Global Partnerships: During the second week of Fundamentals, pediatric residents participate in local global partnerships that provide opportunities for local advocacy.  Recent projects have focused on collaboration with Centro Hispano, a non-profit that provides services to Latino community members in Dane County.  Residents have assisted with the curriculum development for training of community health workers (promotoras) who provide perinatal and infant education to new mothers.
  • Strong Mentorship: Residents enrolled in the track are assigned global health mentors who help guide them throughout the course of their residency training and connect them with the resources available across UW-Madison to help them meet their personal goals. Mentors are also helpful in choosing a global health rotation.  
  • Tuesday Night Sessions: Track residents meet once a month on Tuesday nights to discuss a global health topic developed by the Global Health Chief Resident.  This is also the forum for an annual book club, with the book of the year chosen by track residents.
  • Participation in a Global Health Elective: Track residents are encouraged to participate in a global health elective during their residency training.  Domestic and international opportunities available through University of Wisconsin partnerships with Uganda, Ethiopia, Tanzania, and Indian Health Services.  Residents may participate in electives in other locations as well.

 

The Big Picture

Our residency offers the opportunity to connect with a large, active, and internationally renowned graduate and undergraduate campus network.  The University of Wisconsin-Madison Global Health Institute spans the campus and brings together faculty and students from across all disciplines to address health care, food security and sustainable agriculture, water and sanitation, environmental sustainability, and “one health” perspectives that integrate the health of humans, animals and the environment.  Through these networks, residents can work with and learn from professionals from an array of disciplines across campus.

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Hear From Our Residents

Kristen Marten, MD“The Global Health Track is a great part of our residency program. Over the last 3 years, I am blessed to have worked on a local-global project with Centro Hispano in Madison teaching new mothers about keeping their families healthy. The two week fundamentals course each year is something I always look forward to and always learn so much about treating those from other cultures both in Madison and abroad. The faculty involved are extremely dedicated and passionate. I'm also lucky to have the opportunity to travel to Uganda for a month in my third year, where I will work in a local hospital and also teach medical students and other providers. Thanks to the Global Health Program, I have a better understanding of how to treat children from other cultures that will serve me throughout my career.”

---Christina Amend, Global Health Chief Resident

 

Natalie Tedford, MD“The Global Health Track has greatly supplemented my residency training! We are exposed to many different educational opportunities as well as volunteer/advocacy efforts domestically and internationally. I have loved getting to learn various ways to adapt my practice to resource-limited settings as well as learn about ways to foster collaboration and partnerships with people worldwide as well as in our community. The Fundamentals of Global Health course each year offers protected learning time and opportunities to engage in active learning and networking with faculty. I was fortunate enough as a PGY2 to work through the UW undergraduate study abroad program and co-lead a course in Tanzania - traveling to Dar Es Salaam, Moshi, Arusha, & Zanzibar to learn more about healthcare systems and local culture as well as participate at a couple regional referral hospitals using urgent care approaches in patient care and teaching skills to provide knowledge exchange. As a PGY3, I am planning to rotate in Dehradun, India and participate in school health initiatives to improve preventative care for children and work at the local hospital and clinic to learn more about the pediatric care there. This track has impacted me and my career path in so many ways, I am thankful for participating and learning more about the health of all children.”

---- Natalie Tedford, Global Health Track Participant

Christine Brichta, MD“I was very excited I could join the Global Health track even after residency started. I've always loved public health and knew the track would provide great learning opportunities through the two week fundamentals course each year and monthly dinner discussion nights. Through the Global Health track I've been able to learn more about the Madison area and the patient communities we serve in addition to the available local resources. I'm very much looking forward to traveling abroad my third year to solidify my learning experience, expand my understanding of other cultures, and to improve my overall training as a physician.”

---- Christine Brichta, Global Health Track Participant

 

Meet Our People

  • Sabrina Butteris, MD

    Sabrina Butteris, MD

    Dr. Butteris is the Director of the Pediatric Global Health Track. She is the Medical Director of the Division of Pediatric Hospital Medicine and Vice Chair of Clinical Affairs for the Department of Pediatrics. Her work within global health focuses on curriculum development and education in the US and abroad. She co-founded and has served as the co-leader for the Global Health Pediatric Education Group of the Association of Pediatric Program Directors. She is the current Chair of the Global Health Task Force of the American Board of Pediatrics and is on the Education Committee for the American Academy of Pediatrics Section on International Child Health. She is the co-creator of Simulation Use for Global Away Rotations (SUGAR), a simulation-based curriculum to prepare those engaging in global health experiences. As a faculty member, she has worked primarily in Tanzania and Ethiopia.

  • Laura Houser, MD

    Laura Houser, MD

    Dr. Houser has been the Associate Director of the Pediatric Global Health Track since its inception in 2010. She is a general pediatrician at the UW Health East Clinic and also directs the General Pediatrics and Advocacy Experience (CPAX) rotation. As a young faculty member, she completed the Global Health Capstone Certificate program through the UW Global Health Institute. Her focus within global health is on implementation of neonatal resuscitation and improving newborn care. She is a trainer the Helping Babies Survive suite of newborn care courses. Her primary countries of focus are Haiti and Uganda.

  • Nikki St. Clair, MD

    Nikki St. Clair, MD

    Dr. St Clair joined the UW-Madison Department of Pediatrics hospital medicine and global health education teams in 2017. Her primary global health areas of interest are to equip US-based medical trainees to provide clinical care in areas with resource limitations, develop sustainable global academic partnerships, and utilize educational and clinical services to address health disparities. Prior to moving to Madison, she founded and directed the Global Child Health Training Program at the Medical College of Wisconsin. She serves in leadership roles with the American Academy of Pediatrics Section on International Child Health, the American Board of Pediatrics Global Health Task Force, the Association of Pediatric Program Directors Global Health Educators Group, and the Midwest Consortium of Global Child Health Educators to develop and promote best practices in global health education. She is the principal investigator for a multi-institutional research collaboration, Project PRIME (Psychosocial Response to International Medical Electives), a longitudinal survey-based study to measure the process of psychosocial adaptation to short-term electives for medical trainees in an effort to improve pre-departure preparation and on-site support.

  • Sarah Webber, MD
    Sarah Webber, MD
    Dr. Webber is a pediatric hospitalist, with a specific focus on procedural sedation. Her primary global health focus is local global populations. Dr. Webber coordinates the partnership with Centro Hispano and is currently working with Centro to develop a promotora-led support group for local Latina women. During residency, she helped to develop a pediatric simulation based education course for family medicine residents through a partnership with Andean Health & Development in Ecuador.
  • Ande Jones, MD

    Ande Jones, MD

    Dr. Jones is a general outpatient pediatrician at UW Health's Union Corners Clinics. During residency and her chief year, she participated in the global health track and developed a particular interest in bridging the local-global gap. She continues to serve low-income and under-insured patients in addition to teaching medical students and residents. Ande has an interest in local-global health with the Indian Health Services, and has spent time at the Gallup Indian Medical Center in New Mexico.

  • Chelsea Schaack

    Chelsea Schaack,
    Global Health
    Administrative Assistant

    Chelsea Schaack is the Coordinator for the Pediatric Global Health Track. She supports the Pediatric Hospitalist team as a Medical Program Assistant-Senior and coordinates the logistics for the global health track. Chelsea is a member of the Association of Pediatric Program Directors Coordinators’ Section. In order to help promote lifelong learning opportunities for all, she has chosen to champion the sustainable developmental goal of quality education; she looks forward to collaborating with multiple organizations to reach this common goal. In her free time, she enjoys participating in the Dogs On Call Read with Me program and volunteering with her beagle through the Pet Pals program at the American Family Children’s Hospital.

  • Ann Behrmann, MD
    Ann Behrmann, MD
    Dr. Behrmann is a general pediatrician at Group Health Cooperative. She has decades of experience in the field of global health and serves on the Executive Committee of the American Academy of Pediatrics Section on International Child Health. She has been actively involved in the University of Wisconsin Global Health Institute and served in an advisory role for the Center for Global Health’s Steering Committee.
  • Ryan Coller, MD, MPH
    Ryan Coller, MD, MPH
    Dr. Coller is a pediatric hospitalist, with global health experience in South America, Asia and Africa on USAID-funded projects looking at community health and HIV prevention among youth at the population level. He has interests in program monitoring and evaluation, international medical education, quality improvement and inpatient-outpatient-community transitions both globally and domestically.
  • James Conway, MD
    James Conway, MD
    Dr. Conway is a pediatric infectious disease specialist. His primary work within global health centers on vaccine-preventable diseases and community-based public health programs aimed at improving vaccine delivery. His region of concentration in his vaccine work has been East Africa. Dr. Conway is the Associate Director for Health Sciences for the University of Wisconsin Global Health Institute.
  • Gregory DeMuri, MD
    Gregory DeMuri, MD
    Dr. Demuri is a pediatric infectious disease specialist and general pediatrician. He practices general pediatrics at Access Community Health Clinic, a clinic that serves an under-served population in Madison. He has combined his expertise in infectious disease and general pediatrics globally in both Kazakstan and Cuba.
  • Scott Hagen, MD
    Scott Hagen, MD
    Dr. Hagen is a pediatric intensivist. He has worked with cardiac critical care teams and in pediatric intensive care settings providing education and patient care in Uganda, Ethiopia, Nicaragua and Peru.
  • Ryan McAdams, MD
    Ryan McAdams, MD
    Dr. McAdams is a neonatologist who loves caring for newborn babies. He believes every child everywhere is valuable and deserves the best opportunities to thrive.  Dr. McAdams is currently the Division Chief and Fellowship Director of Neonatology and at the University of Wisconsin School of Medicine and Public Health.  He has worked in Mongolia, Cambodia, Zambia, and Uganda doing volunteer medical work and promoting educational development.  He is interested in developing global collaborative relationships focused on education to improve newborn outcomes.
  • Olachi Mezu-Ndubuisi, MD, OD
    Olachi Mezu-Ndubuisi, MD, OD
    Dr. Olachi Mezu-Ndubuisi is a neonatologist and vision scientist in the UW Department of Pediatrics. She is also a member of the UW Global Health Institute, and is actively involved in international global health activities. Dr. Mezu-Ndubuisi leads an annual medical outreach to a rural community in Imo State, South-East Nigeria that provides medical and surgical services, training of local health care professionals, and education on preventive health and local sustainable solutions in their resource-limited community through needs assessment research.
  • Tigist Bacha

    Tigist Bacha
    Addis Ababa University

  • David Gaus MD, MPH&TM

    David Gaus MD, MPH&TM
    Andean Health & Development

  • Meretu Temesgen

    Meretu Temesgen
    Addis Ababa University

  • Muluwork Tefera

    Muluwork Tefera
    Addis Ababa University

  • Lisa Umphrey, MD

    Lisa Umphrey, MD
    ATLAS (Associação de Trabalho Liberal de Assistnêcia a Saúde)
    Médecins Sans Frontières (Doctors without Borders)

  • Rachel Cooper, MD

    Rachel Cooper, MD

  • Christopher Cardona-Correa, MD

    Christopher Cardona-Correa, MD

  • Lindsey Cox, MD

    Lindsey Cox, MD

  • Alexandra Erdmann, MD

    Alexandra Erdmann, MD

  • Jennie Godwin, MD

    Jennie Godwin, MD

  • Rachel Harris, MD

    Rachel Harris, MD

  • Rachel Heinze, MD

    Rachel Heinze, MD

  • Whitney Horsley, MD

    Whitney Horsley, MD

  • Emma Huang, MD

    Emma Huang, MD

  • Kristen Marten, MD

    Kristen Marten, MD

  • Ellen McCormack, MD

    Ellen McCormack, MD

  • Katherine Omernick, MD

    Katherine Omernick, MD

  • Kevin Pettit, MD

    Kevin Pettit, MD

  • Anisha Rimal, MD

    Anisha Rimal, MD

  • Natalie Tedford, MD

    Natalie Tedford, MD

  • Brandon Tomlin, MD

    Brandon Tomlin, MD

Faculty Expertise and Research

Below is a sampling of research and academic work by Pediatric Global Health Track faculty leaders on the role of global health in pediatric residency education. Residents have the opportunity to participate in scholarly projects with a global health focus through the track.

Curricula

SUGAR (Simulation Use for Global Away Rotations): SUGAR is a simulation-based curriculum used to prepare medical providers for common challenges (both practical and emotional) faced when working in resource-limited settings.  SUGAR was co-created by two pediatric global health educators, Sabrina Butteris and Mike Pitt, and initially piloted at the seven institutions that make up the Midwest Consortium of Global Child Health Educators. The curriculum was rolled out nationally in 2014 and is now being used by dozens of residency programs.

SUGAR PEARLS (Procedural Education for Adaptation to Resource Limited Settings):  SUGAR PEARLS is a SUGAR spin-off curriculum that organizes and disseminates strategies to help providers working in resource-limited settings modify the way they perform procedures using available supplies and creative problem solving.

Publications and Academic Work

Bensman RS, Slusher TM, Butteris SM, Pitt MB.  Creating Online Training for Procedures in Global Health with Procedural Education for Adaptation to Resource-Limited Settings.  Am J Trop Med Hyg. 2017 Jul 31. doi: 10.4269/ajtmh.16-0936.  PubMed PMID: 28820680

Arora G, Russ G, Batra M, Butteris SM, Watts J, Pitt MB.  Bidirectional Exchange in Global Health: Moving Toward True Global Health Partnership.  Am J Trop Med Hyg. 2017 Jul;97(1):6-9. doi: 10.4269/ajtmh.16-0982.  PMID:  28719333

Walker JL1Conway JH2, Svenson JE3.  Zika: information in the nick of time. J Glob Health. 2017 Jun;7(1):010305. doi: 10.7189/jogh.07.010305.  PubMed PMID: 28400948

Pitt MB, Moore MA, John CC, Batra M, Butteris SM, Airewele GE, Suchdev PS, Steinhoff MC; American Board of Pediatrics GlobalHealth Task Force.  Supporting Global Health at the Pediatric Department Level: Why and How.  Pediatrics. 2017 Jun;139(6). pii: e20163939. doi: 10.1542/peds.2016-3939. Epub 2017 May 3. Review.  PMID: 28562273

Arora G, Condurache T, Batra M, Butteris SM, Downs T, Garfunkel L, Newcomer CA, Perkins KL, Schubert C, St Clair NE.  Miles Away Milestones: A Framework for Assessment of Pediatric Residents During Global Health Rotations. Acad Pediatr. 2017 Jul;17(5):577-579. doi: 10.1016/j.acap.2016.12.018. Epub 2017 Jan 12. PubMed PMID: 28088525

Rolnick K, Buck S, Mezu-Nnabue K, Eickhoff J,vEsenwah E & Mezu-Ndubuisi OJ.  Influence of socio-economic status and educational achievement on cataract formation in a rural community in Imo State, South-Eastern Nigeria, Cogent Medicine (2017), 4: 1326212.

Pitt MB, Gladding SP, Butteris SM.  Using Simulation for Global Health Preparation.  Pediatrics. 2016 May;137(5). pii: e20154500. doi: 10.1542/peds.2015-4500. Epub 2016 Apr 13. PMID: 27244823

Butteris SM, Schubert CJ, Batra M, Coller RJ, Garfunkel LC, Monticalvo D, Moore M, Arora G, Moore MA, Condurache T, Sweet LR, Hoyos C, Suchdev PS. Global Health Education in US pediatric residency programs. Pediatrics. 2015 Sep;136(3):458-65. doi: 10.1542/peds.2015-0792. Epub 2015 Aug 10. PubMed PMID: 26260713.

St Clair NE, Batra M, Kuzminski J, Lee AC, O'Callahan C.  Global challenges, efforts, and controversies in neonatal care.  Clin Perinatol. 2014 Dec;41(4):749-72. doi: 10.1016/j.clp.2014.08.002. Epub 2014 Nov 19. Review.  PMID:  25459772

 

Applying for the Global Health Track

Following Match Day, all incoming residents will have the opportunity to apply for the Global Health Track.  Selected residents will begin participating in the track during their intern year.
 
For questions about the Global Health Track, please email the Global Health Chief at chiefresidents [at] pediatrics.wisc.edu.