Table 2.
Global health competencies survey
Part 1: Knowledge and Interest in Global Health and Health Equity (Self-Assessment) | |||
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For each of the following topics, please indicate how knowledgeable you are in the topic and the level of relevance it has to your education. | |||
Confidence Level | Not at all confident | Somewhat confident | Very confident |
1.1 language barriers and their adverse impact on health and health care. | |||
1.2 Access to health care for low income nations. | |||
1.3 The relationship between ethnicity and access to health care in Canada. | |||
1.4 Health care models that may enhance access to care. | |||
1.5 The relationship between income and health. | |||
1.6 The relationship between health literacy (the degree to which individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions) and health. | |||
1.7 The relationship between work and health. | |||
1.8 Mechanisms of how socioeconomic position could impact health. | |||
1.9 Environmental health and socioeconomic position. | |||
1.10 Housing and health status. | |||
1.11 The relation between Food security, socioeconomic position and health. | |||
1.12 Health outcome discrepancies among different ethnicity, language, religion and cultural beliefs in Canada. | |||
1.13 Mechanisms for explaining why racial and ethnic disparities exist. | |||
1.14 Racial stereotyping and clinical decision making. | |||
1.15 Health equity (a health inequity is an avoidable difference in health between more and less advantaged social groups). | |||
1.16 Gender and access to health care. | |||
1.17 Patients characteristics (eg.gender/sex, language, religion, etc.) and access to health care. |
Part 2: Global health skills self-assessment work with patients with different linguistic, educational, socioeconomic, and cultural backgrounds | |||||
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Please rate how strongly you agree or disagree with each of the following statements by placing a check mark in the appropriate box. | |||||
Strongly disagree | Disagree | Neutral | Agree | Strongly agree | |
2.1 I find it challenging to communicate effectively with my patients with different backgrounds. | |||||
2.2 Listening actively to patients’ concerns were challenging. | |||||
2.3 I am uncomfortable consulting with other health care professionals to address issues of my patients with different backgrounds. | |||||
2.4 Addressing team disagreements related to care for patients with different backgrounds is challenging. | |||||
2.5 It is challenging to provide care to patients with different backgrounds. | |||||
2.6 I am able to understand the perspectives of patients with different backgrounds. | |||||
2.7 It is challenging to discuss sensitive issues (e.g. alcohol, drugs, sexual issues, etc) with my patients with different backgrounds than my own. | |||||
2.8 I find it challenging to identify needs of my patients with different backgrounds. | |||||
2.9 I am aware of the health services available to patients with different Backgrounds. | |||||
2.10 I am effective in completing my clinical responsibilities when working with patients with different backgrounds. | |||||
2.11 Helping patients with different backgrounds to set realistic goals for their health is challenging within the time available. | |||||
2.12 I know how to use the expertise of other health professionals when working with my patients with different backgrounds. | |||||
2.13 I know how to access resources to keep up to date with global health issues. | |||||
2.14 I actively participate in global health activities. |
Part 3:Learners’ Needs about Global Health | ||||||
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Please rate how important with each of the following statements by placing a check mark in the appropriate box | ||||||
Not at all important | Somewhat important | Neutral | Important | Very important | Extremely important | |
3.2 Development and implementation of research and scholar activities related to global health. | ||||||
3.3 Health risks associated with travel and migration, with emphasis on possible risks and appropriate management, including referrals. | ||||||
3.4 Having peer education: student led seminars and journals clubs on global health issues. | ||||||
3.5 Knowledge about how travel and trade contribute to the spread of communicable diseases. | ||||||
3.6 Relationship between health and social determinants of health, and how social determinants vary across world regions. | ||||||
3.7 Cultural competency: understanding how cultural background, socioeconomic status and language barriers can influence access to care and health outcomes. | ||||||
3.8 Relationship between access to clean water, sanitation, and nutrition on individual and population health. | ||||||
3.9 Understand the relationship between health and human rights. | ||||||
3.10 Having a mentor for Global Health training and knowing who are the local global health champions. | ||||||
3.11 Having a family physician and/or nurse, occupational therapist and/or physiotherapists supervision on international electives. | ||||||
3.12 Have frequent feedback during the learning process related to global health competencies. | ||||||
3.13 Have clinical rotations that enable work with disadvantaged or marginalized populations either domestically or internationally. | ||||||
3.14 Have a learning guide to help develop and self-evaluate personal global Health competencies. | ||||||
3.15 Have training in the social determinants of health and the health issues associated with poverty. | ||||||
3.16 Knowledge about how global health institutions (eg. WHO, other United Nations agencies, global institutions) influence health in different world regions through funding and policy. |
Part 4. About you |
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4.1 In which program are you involved in? |
( ) Family medicine residency |
( ) Nursing |
( ) Physiotherapy |
( ) Occupational therapy |
4.2 In which university are you taking your program? |
( ) University of Ottawa |
( ) University of Toronto |
( ) McMaster University |
( ) Western Ontario University |
( ) Queen’s University |
4.3. Are you male or female? |
( ) Male |
( ) Female |
4.4 What is your age? |
_____ years |
4.5 In what country were you born? |
( ) Canada |
( ) United States |
( ) United Kingdom |
( ) Germany |
( ) Italy |
( ) Poland |
( ) Portugal |
( ) China People’s Republic |
( ) Hong Kong |
( ) India |
( ) Philippines |
( ) Vietnam |
( ) Other, Please specify:______ |
4.6 People living in Canada come from many different cultural and racial backgrounds. Are you: (Mark all that apply.) |
( ) White |
( ) Chinese |
( ) South Asian (eg. East Indian, Pakistani, Sri Lankan, etc.) |
( ) Black |
( ) Filipino |
( ) Latin American |
( ) Arab |
( ) Japanese |
( ) Southeast Asian (e.g. Cambodian, Indonesian, Laotian, Vietnamese, etc.) |
( ) West Asian (e.g., Afghan, Iranian, etc.) |
( ) Korean |
( ) Aboriginal Peoples of North America (North American Indian, Métis, Inuit) |
( ) Other, please specify: ___________________ |
4.7 What is the approximate average annual income of your parents/guardians? |
( ) $20,000orless |
( ) $20,001to$30,000 |
( ) $30,001to$40,000 |
( ) $40,001to$50,000 |
( ) $50,001to$60,000 |
( ) $60,001to$70,000 |
( ) $70,001to$80,000 |
( ) $80,001to$90,000 |
( ) $90,001to$100,000 |
( ) $100,001ormore |
( ) Don’t know |