title: Time to go global: a consultation on global health competencies for postgraduate doctors.
abstract: Globalisation is having profound impacts on health and healthcare. We solicited the views of a wide range of stakeholders in order to develop core global health competencies for postgraduate doctors.
  
  
  
  Published literature and existing curricula informed writing of seven global health competencies for consultation. A modified policy Delphi involved an online survey and face-to-face and telephone interviews over three rounds.
  
  
  
  Over 250 stakeholders participated, including doctors, other health professionals, policymakers and members of the public from all continents of the world. Participants indicated that global health competence is essential for postgraduate doctors and other health professionals. Concerns were expressed about overburdening curricula and identifying what is 'essential' for whom. Conflicting perspectives emerged about the importance and relevance of different global health topics. Five core competencies were developed: (1) diversity, human rights and ethics; (2) environmental, social and economic determinants of health; (3) global epidemiology; (4) global health governance; and (5) health systems and health professionals.
  
  
  
  Global health can bring important perspectives to postgraduate curricula, enhancing the ability of doctors to provide quality care. These global health competencies require tailoring to meet different trainees' needs and facilitate their incorporation into curricula. Healthcare and global health are ever-changing; therefore, the competencies will need to be regularly reviewed and updated.
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Hull York Medical School, York, UK sarah.walpole@hyms.ac.uk.
authors.forename: Sarah C
authors.initials: SC
authors.lastname: Walpole
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Doctors of the World, London, UK.
authors.forename: Clare
authors.initials: C
authors.lastname: Shortall
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Royal Free Hospital, London, UK.
authors.forename: May Ci
authors.initials: MC
authors.lastname: van Schalkwyk
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
authors.forename: Abi
authors.initials: A
authors.lastname: Merriel
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Malawi Liverpool Wellcome Trust, Malawi.
authors.forename: Jayne
authors.initials: J
authors.lastname: Ellis
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Global and Remote Healthcare, Plymouth University, Plymouth, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Obolensky
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Camden & Islington NHS Foundation Trust, London, UK.
authors.forename: Marisa
authors.initials: M
authors.lastname: Casanova Dias
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Centre for Academic Primary Care, University of Bristol, Bristol, UK.
authors.forename: Jessica
authors.initials: J
authors.lastname: Watson
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Hospital for Tropical Diseases, University College London Hospitals, London, UK.
authors.forename: Colin S
authors.initials: CS
authors.lastname: Brown
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Institute for Global Health, University College London, London, UK.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hall
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Luisa M
authors.initials: LM
authors.lastname: Pettigrew
authors.affiliation: Global Health Curriculum group, Academy of Medical Royal Colleges,10 Dallington Street, London, EC1 V 0DB, UK Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
authors.forename: Steve
authors.initials: S
authors.lastname: Allen
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D054521:Cultural Competency / Q000193:education*; D003479:Curriculum; D003695:Delivery of Health Care / Q000592:standards*; D004502:Education, Medical, Continuing / Q000592:standards*; D005260:Female; D014943:Global Health / Q000193:education*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010820:Physicians / Q000592:standards*; D011795:Surveys and Questionnaires
keywords: Diversity and health; Global health; Health promotion; Medical education; Postgraduate education; Workforce development