Internal Medicine Residency

University of Pittsburgh

Training Program: Global Health and Underserved Populations Track

Thuy Bui, MD
Director, Global Health and Underserved Populations Track;
Director, Program for Health Care to Underserved Populations

  • The Global Health and Underserved Populations Track is a unique program designed to train physician leaders in clinical medicine, teaching, health policy, and research in global health.
  • At its foundation is a core internal medicine competency with a strong generalist perspective, cost-conscious practice, and back-to-basics diagnosis. Clinical training provides exposure to local and international sites, coupled with a curriculum and scholarly work designed to address health policy, public health issues, and social factors influencing health and disease in the global context.
  • Clinical experiences are available in Pittsburgh, other areas of the United States, and international sites such as the following:
  • The Global Health Equity Lecture Series takes place weekly on Mondays at noon to advance core competencies in HIV/AIDS, tropical diseases, public health, policy and advocacy, human rights, bioethics, and health services research. It also serves as a forum for health professionals, residents, and students from medicine and other disciplines to share ideas and opportunities to advance the global health agenda. Residents in their second and third year of residency actively contribute to this conference series by exploring the social, economic, and political issues of country and region of interest through preparatory seminars before departure and through debriefing seminars after the completion of the international experience. For a schedule of lectures, click here.
  • Each resident in this track is assigned a mentor who is a faculty member from the University of Pittsburgh and the Center for Global Health and has ongoing activities in the resident's country of interest. One of the Global Health Track's key faculty members will serve as the resident's program and career mentor to ensure that each resident achieves all the goals of the residency track and receives the appropriate guidance and resources to pursue additional training or a position after residency.
  • An integral component of the Global Health and Underserved Populations Track is a longitudinal project on a relevant global health issue. The Scholarly Project is designed to complement the international clinical experience. The project itself can focus on underserved populations in the United States but should have global perspectives based on the international experience. Typically, up to 4 months at an international site is split up between the second and third years of residency. Categories of Scholarly Project include:
    • Systematic description and documentation of a specific health problem
    • Service-based quality improvement study
    • Program development and evaluation
    • Community needs assessment and population surveys
    • Health policy and advocacy paper
    • Humanism in medicine paper with concentration on global and international issues
  • Residents who are interested in pursuing health services research in Pittsburgh with potential global health implications will be matched with funded researchers in the Division of General Internal Medicine.
  • Global Health Preparatory Seminar - A month-long global health preparatory seminar is offered for global health residents and interested categorical residents. This seminar covers public policy, health systems, financing, human rights/ethics, and clinical skills relevant to resource-poor settings (parasitology, procedural skills, portable ultrasound, etc.). Guest lecturers and faculty discussants are from the Graduate School of Public Health, the Graduate School of Public and International Affairs, and other institutes and disciplines. For more information on our seminar and examples of work being done by Global Health Track residents, please click on below:

  • Residents in the Global Health and Underserved Populations Track participate in the Evidence-Based Medicine (EBM) for Developing Countries Project by:
    • Creating a compendium of answerable clinical questions
    • Disseminating and implementing EBM in a resource-poor setting
    • Embarking on a systematic review with instruction and resources provided through the EBM Resident Journal Club. For more information, click here.
  • The Graduate School of Public Health offers a Certificate in Global Health as part of the MPH degree program. Other master's degree programs are also available through the Graduate School of Public and International Affairs at GSPIA. In addition, the Institute for Clinical Research Education offers several degree programs in clinical research and medical education.
  • The Department of Medicine offers up to 4 positions in the Global Health and Underserved Populations Track each year. For additional information about this track, please contact Dr. Thuy Bui. For more information on general application procedures, visit our How to Apply page. For a printable pdf outline of the Global Health Track, please click here.
Global Health and Underserved Populations Track
PGY1 5 Months of Inpatient Floors
  • 4 Months General Medicine
  • 1 Month Hematology/Oncology
2 Months ICU (Medical ICU or CCU)
1 Month Indian Health Services in Chinle, Arizona, Comprehensive Health Care Facility (Jan. or Feb.)
1 Month Ambulatory Block
2 Months Subspecialty Elective
2 Weeks at Pittsburgh AIDS Center for Treatment (PACT)
2 Weeks Night Float
Continuity clinic 1 full day per week every other month (elective month). Salud Free Clinic, Saturdays on non-call month.
PGY2 4 Months of Inpatient Floors
  • 2 Months General Medicine
  • 1 Month Cardiology
  • 1 Month Hematology/Oncology
*1 Month Global Health Prep Course
1 ECC/Night Float
2 Months Subspecialty Elective
1 Month Outpatient Geriatrics
1 Month ICU
2 Months Global Health Clinical Experience (travel to resident's country/region of academic/scholarly interest)
Continuity clinic 1 full day per week every other month (elective month). Salud Free Clinic, Saturdays on non-call month.
PGY3 3 Months of Inpatient Floors
  • 2 Months General Medicine
  • 1 Month Cardiology or Hematology/Oncology
2 Months ICU (Medical ICU or CCU)
1 Month ECC/Night Float
2 Months Subspecialty Elective
1 month ED
**1 Month at Pittsburgh AIDS Center for Treatment (PACT)
*2 Months Global Health Clinical Experience (travel to resident's country/region of academic/scholarly interest)
Continuity clinic 1 full day per week every other month (elective month). Salud Free Clinic, Saturdays on non-call month.
*If you took the global health prep course already in your first year, you will have an extra month elective in the second year.
**You may elect to take PACT in the second or third year, depending on your interest.

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