title: How we developed a locally focused Global Health Clinical Preceptorship at Weill Cornell Medical College.
abstract: BACKGROUND
  Global health educational programs within U.S. medical schools have the opportunity to link their "global" focus with local circumstances by examining the challenges underserved communities face in the United States.
  
  
  OBJECTIVE
  Students in Weill Cornell Medical College's Global Health Clinical Preceptorship (GHCP) learn history-taking and physical examination skills while gaining exposure to local health care disparities and building cultural competency.
  
  
  METHODS
  First-year medical students in the program are placed in the office of a physician who works with underserved patient populations in New York City. Students receive an orientation session, shadow their preceptors one afternoon per week for seven weeks, complete weekly readings and assignments on topics specific to underserved populations, attend a reflection session, and write a reflection paper.
  
  
  RESULTS
  In three years, 36% of first-year students (112 of 311) opted into the elective GHCP program. Students reported gaining a better understanding of the needs of underserved patient populations, being exposed to new languages and issues of cultural competency, and having the opportunity to work with role model clinicians.
  
  
  CONCLUSIONS
  The GHCP is a successful example of how global health programs within medical schools can incorporate a domestic learning component into their curricula.
authors.affiliation: The Warren Alpert Medical School at Brown University , USA .
authors.forename: Amita
authors.initials: A
authors.lastname: Kulkarni
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Francis
authors.forename: Taryn
authors.initials: T
authors.lastname: Clark
authors.forename: Nichole
authors.initials: N
authors.lastname: Goodsmith
authors.forename: Oliver
authors.initials: O
authors.lastname: Fein
mesh_terms: D054521:Cultural Competency / Q000193:education*; D004504:Education, Medical, Undergraduate / Q000379:methods / Q000458:organization & administration*; D054242:Emigrants and Immigrants; D014943:Global Health; D054625:Healthcare Disparities / Q000191:economics* / Q000208:ethnology; D006703:Ill-Housed Persons; D006801:Humans; D008507:Medically Underserved Area; D054525:Minority Health; D009519:New York City; D019982:Organizational Case Studies; D011203:Poverty; D011231:Preceptorship / Q000379:methods / Q000458:organization & administration*; D011329:Prisoners; D015397:Program Evaluation; D012036:Refugees; D012647:Self-Assessment; D013337:Students, Medical / Q000523:psychology*