title: Academic affairs and global health: how global health electives can accelerate progress towards ACGME milestones.
abstract: Global health electives (GHEs) have become a standard offering in many residency programs. Residency electives should aid residents in achieving outcomes in the Accreditation Council for Graduate Medical Education (ACGME) competency domains. In this paper, the authors review existing literature and provide expert opinion to highlight how global health electives can complement traditional training programs to assist residents in achieving ACGME milestones, using emergency medicine residency as an example. Recommendations are provided for identifying exemplary global health electives and for the development of institutional global health elective curricula in order to facilitate milestone achievement. Global health electives can advance progress towards ACGME milestones; however, they may vary greatly in terms of potential for learner advancement. Electives should thus be rigorously vetted to ensure they meet standards that will facilitate this process. Given that milestones are a newly introduced tool for assessing resident educational achievement, very little research is available currently to directly determine impacts, and further study will be needed.
authors.affiliation: Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA. alison.hayward@yale.edu.
authors.forename: Alison Schroth
authors.initials: AS
authors.lastname: Hayward
authors.affiliation: Department of Emergency Medicine, Boston Medical Center, Boston, MA, USA.
authors.forename: Gabrielle A
authors.initials: GA
authors.lastname: Jacquet
authors.affiliation: Department of Emergency Medicine, University of South Florida, Tampa, FL, USA.
authors.forename: Tracy
authors.initials: T
authors.lastname: Sanson
authors.affiliation: Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
authors.forename: Hani
authors.initials: H
authors.lastname: Mowafi
authors.affiliation: Department of Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
authors.forename: Bhakti
authors.initials: B
authors.lastname: Hansoti
keywords: Competency-based education; Emergency medicine; Global health; Graduate medical education