The American Thoracic Society Global Scholars Program

The American Thoracic Society (ATS) has started the Global Scholars Program in June of 2015 (1). The program was a presidential initiative of Atul Malhotra, who was ATS president from 2015–2016 (2-4). The program consists of a series of webinar-based lectures in which students in developing countries participate via internet. The program began in Mozambique and Uganda, but now involves 11 different countries and over 170 students in developing countries around the world. Each site has a local champion who helps to facilitate participation and to organize the students at the various sites. The 25 lectures cover a curriculum in respiratory medicine with each student completing a pre- and post-test. The lectures are interactive, allowing live questions from participants, but also the videos are archived to facilitate participation among students who may have issues with time zones, electricity, or internet connectivity. Upon successful completion of the program, the students receive a certificate designating them as Global Scholars of the ATS (5,6). The top students are awarded a free trip to the ATS International Conference in the US. In May of 2016, three students attended the ATS meeting in San Francisco, including Susan Akello, Daniel Muyanga, and Irina Mbanze. Although the program is still in its infancy, we already have data showing statistically significant improvements in knowledge comparing post-test results to the same students on pre-test (see Figure 1). The following is the feedback that we received from Irina, one of the ATS Global Scholars, who traveled from Maputo, Mozambique to San Francisco as a leading student in this program.

Figure 1 Mean score of Global Scholars Students in year 1 of program (pre-test vs. post-test performance).

What is ATS Global Scholars?

The Global Scholars Program was created in 2015 to improve the knowledge of physicians in developing countries about pulmonary diseases.

How helpful were the lectures?

I have to say that the faculties were excellent. In one hour they were able to summarize the basic concepts and objectives for each lesson and at the same time they give us the wide range of clinical presentations of the diseases. They taught us the standard ways of diagnosis and treatment.

But the best thing was the fact that we could ask questions in a chat box and interact. Actually the discussions were very good because there are different capacities in each country and we were able to see what was the best option in our reality.

Many aspects highlighted allow us to improve our daily practice and I hope that with the improvement in the next years we could use better the learning.

As a student of this program I was able to attend the ATS Conference in 2016 and learn from the best in pulmonary diseases, critical care and sleep medicine, something that is not easy to happen in a country like mine.

Who attends the program?

Every resident and fellow interested in lung diseases. But all general practitioners and residents in internal medicine working in the hospital should attend in my humble opinion. I have to confess, as a cardiac fellow my passion is cardiac disease. But I thought that I should attend the lessons because in many ways the lung diseases are related with cardiac diseases. Because I am a physician in a developing country I usually work at the emergency department as general practitioner and I must treat correctly the patients who frequently present with lung diseases.

What’s are the limitations of the ATS Global Scholars Program?

Access to internet, sometimes we have problems.

Different schedules of the GPs, residents and fellows.

For some colleagues of mine the language is a limitation, because our mother language is Portuguese.

Challenges for the future

Increase the number of the countries attending the lectures.

In my city (Maputo), I think we should contact more physicians, in other hospitals. In my city we have two general hospitals and there are people who could be interested in attending. Improve the internet connection.

In a short period discuss some interesting cases of our reality which many times are different of the cases in USA.

In summary, the ATS Global Scholars Program is now well underway with a bright future ahead. In theory, the participants in the program will hopefully gain knowledge over time such that eventually they may be able to teach students locally various aspects of respiratory medicine (7-9). Thus, the vision for the program is to build local capacity such that ultimately a self-sustaining model could emerge (10). We have received excellent feedback thus far and we are optimistic that this program will ultimately have a major impact.

Acknowledgements

None.

Footnote

Conflicts of Interest: Dr. Malhotra is PI on NIH RO1 HL085188, K24 HL132105, and co-investigator on R21 HL121794, RO1 HL119201, RO1 HL081823. As an officer of the ATS, Dr. Malhotra has relinquished all outside personal income since 2012. ResMed, Inc. provided a philanthropic donation to the UC San Diego in support of a sleep center. Drs. Mbanze and Moschovis receives research funding from NIH F32 HL124951 and the Thrasher Research Fund.

References

1. Malhotra A. Looking Back at My American Thoracic Society Presidency. Attracting and Retaining the Next Generation. Am J Respir Crit Care Med 2016;193:946-8. [Crossref] [PubMed]
2. Finn PW, Malhotra A. Health equality for pulmonary, critical care, and sleep medicine: opportunities for professional societies. Glob Heart 2014;9:359-60. [Crossref] [PubMed]
3. Wang C, Li J, Wu S, et al. The Face of the Next Generation in China. Am J Respir Crit Care Med 2016;193:1090-1. [Crossref] [PubMed]
4. Reiss TF, Moss J, Watkins TR, et al. BEAR Cage: Mentoring through Engagement. Am J Respir Crit Care Med 2016;193:714-6. [Crossref] [PubMed]
5. Sherman CB, Carter EJ, Braendli O, et al. The East African Training Initiative. A Model Training Program in Pulmonary and Critical Care Medicine for Low-Income Countries. Ann Am Thorac Soc 2016;13:451-5. [PubMed]
6. Schluger NW, Sherman C. Notes from the field. Training pulmonary specialists in a low-income country. Ann Am Thorac Soc 2015;12:467-8. [Crossref] [PubMed]
7. Fessler HE. Medical Education at the American Thoracic Society. The Wonderful Twos. Ann Am Thorac Soc 2016;13:456-7. [PubMed]
8. Obaseki DO, Lugogo NL, Buist SA. Raising the Profile of Pulmonary Education for Physicians in Low- and Middle-Income Countries. Ann Am Thorac Soc 2016;13:458-9. [PubMed]
9. Siddharthan T, North CM, Attia EF, et al. Global Health Education in Pulmonary and Critical Care Medicine Fellowships. Ann Am Thorac Soc 2016;13:779-83. [Crossref] [PubMed]
10. Mullan F, Kerry VB. The global health service partnership: teaching for the world. Acad Med 2014;89:1146-8. [Crossref] [PubMed]