Global Health Training Experience

Process & Requirements

REQUEST PROCESS

In order to participate in an elective global health training experience, trainees must complete this request form and receive approval by the Program Director. Confirmation of approval of the training experience as a new rotation may also be required by the GME Office, according to the terms of the New Rotation/Site Policy. Further, if the trainee will be participating in a longitudinal training experience during which the proposed global health training experience will occur, the trainee’s absence must be approved by the service chief of the training site/rotation.

In some cases, ACGME and/or ABMS approval of the experience must also be obtained in order to receive credit for the training experience. This may be required well in advance of the rotation start date (e.g., 4 months).

The Program Director must approve the training experiencebefore making any travel arrangements.

PROFESSIONAL LIABILITY COVERAGE

UW provides professional liability coverage to trainees for approved activities that are within the scope of the training program, regardless of location and including overseas activities. However, other countries’ insurance regulations may require local insurance coverage as well as impose temporary licensure requirements. The trainee’s department may be required to purchase local professional liability insurance and pay licensure fees to cover a training experience at a foreign site before GME Office approval is granted.

The UW Office of Risk Management has identified severalcountries for which the insurance requirements are known, and can provide clarification on whether or not UW professional liability coverage will apply. In some cases,the best source of information regarding local coverage requirements is the host medical facility or the organization sponsoring the visit. These entitiesmay also be able to provide local professional liability coverage or assist in working with the host country government to obtain coverage during the training experience. FINAL APPROVAL FOR ALL GLOBAL HEALTH TRAINING EXPERIENCES REQUIRES CONFIRMATION OF PROFESSIONAL LIABILITY COVERAGE.

For questions about liability coverage, contact:

Becky BullockCindy Jacobs

Director, Risk FinancingDirector of Business Projects

Office of Risk Management Dean's Office, School of Medicine

(206) 543‐2033(206)543‐3510

MEDICAL, SECURITY, PERSONAL, TRAVEL AND LEGAL EMERGENCIES

UW trainees are provided university travel emergency services while traveling abroad for approved global health training experiences. "Abroad" is defined as any location outside the United States, its territories or possessions, or Puerto Rico. In addition, coverage extends to personal travel for up to two weeks when it is connected with university business. Assistance for medical, security, personal, travel and legal emergencies is available through the travel assistance company, On Call International. See the chart, UW Insurance While Traveling Abroad, for more information.

UW TRAVEL CLINIC

Before trainees travel abroad it is important to understand possible health risks in the location of their global health training experience. Trainees must take appropriate precautions specific to their destination overseas.The UW Travel Clinic provides comprehensive pre-travel consultations (including malaria prevention), all travel-related immunizations (including yellow fever, Japanese encephalitis and rabies), and a CDC-designated Yellow Fever Vaccination Clinic. All providers are certified by the International Society of Travel medicine (ISTM).

Global Health Training Experience

Request Form

Name: ______Training Year: ______

Participating Site Name: ______

Location: ______Dates (from/to): ______

Name of sponsoring organization (if applicable): ______

Faculty Mentor: ______

Will this Faculty Mentor be accompanying you during this global health training experience?Yes/No

Name and title of on-site supervisor: ______

Provide Goals and Objectives for the training experience:

(These are suggestions; edit as appropriate.)

My learning goals are to:

1.Learn more about the educational needs of health care providers in the developing world.

2.Gain a deeper understanding of the challenges facing health care providers in resource-constrained settings

3.Learn more about the delivery of medical and surgical care in the developing world.

4.Improve my skills as a lecturer in my specialty.

Will the UW-provided professional liability coverage be recognized by local regulators for this training experience? Yes/No

If no, will the host medical facility or the organization sponsoring the visit, if applicable, provide local professional liability coverage insurance? Yes/No

Ifno, please describe your provisions for local professional liability coverage: ______

______

Have you received appropriate health precautions, including immunizations: Yes/No

Are there any recent indications of any political or civil unrest in the country you are visiting that may place you at risk? Yes/No

Are you requesting travel costs to be covered from your academic allowance, if available? Yes/No

______

Trainee NameTrainee SignatureDate

______

Faculty Mentor NameFaculty Mentor SignatureDate

______

Program Director NameProgram Director SignatureDate

Revised 2/13/2014

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