Barrow Global Neurology: A Bidirectional Global Neurology Residency Training Program
Alyssa Bowlsby1, Tamara Sleem1, Brad Racette1, Huiam Mubarak1
1Neurology, Barrow Neurological Institute
Objective:

We present a description of a bidirectional global neurology training program aimed at enhancing the training of neurology residents and faculty at two international partnering institutions.

Background:
There is a marked discrepancy in types and prevalence of neurologic diseases in low- to middle-income countries compared to high-income countries. Global residency training programs can provide mutual benefit by providing specialty and subspecialty training, research collaboration, training in cost-effectiveness, and improvement in cultural and interpersonal competencies. Despite globalization of society, neurology training programs have lagged in developing programs to address these important training needs.
Design/Methods:

Residents selected to participate in this comprehensive educational experience undergo preparatory sessions including inclusive cultural training and medical systems orientation. Trainees travel to the host institution (University of the Witwatersrand in Johannesburg, South Africa or Barrow Neurological Institute in Phoenix, Arizona) where they are imbedded within the local neurology residency program and are supervised by local faculty. Trainees are also exposed to community health leaders and participate in collaborative teaching and research initiatives.

Results:

Barrow Global Neurology has profoundly transformed the trajectories of trainees from both institutions. Testimonials from residents revealed a deepening of their diagnostic acumen and clinical decision-making abilities, catalyzed by their engagement with diverse patient populations and varied healthcare systems. This immersive experience not only broadened their perspectives but also challenged them to confront the complexities of neurological care in a global context, fostering a generation of neurologists equipped to navigate and address the multifaceted nature of patient needs.

Conclusions:

Bidirectional exchange programs foster a rich learning environment where participants not only advance their clinical and educational skills but also gain a deeper understanding of global healthcare challenges. This model has the potential to be expanded across other medical disciplines, creating stronger international partnerships, and promoting the exchange of medical knowledge and experience.

10.1212/WNL.0000000000212112
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