Key factorprinciple

Develop multidisciplinary centers of excellence, which are catalysts for training and research activities in the developing world.

The magnitude and urgency of the need to build the training capacity for global health will require contributions from many disciplines and backgrounds. In addition to the traditional fields of clinical services, public health, and research, many other fields now have a significant stake in global health. These include the health economists, social scientists, ethicists, ecologists, population demographers, urban planners, and many others. The "silo" approach of individual disciplinary programs is being supplanted by interactive multidisciplinary programs, which approach problems more broadly. For example, addressing the "know-do" gap between ascertaining knowledge and implementation of beneficial action requires that those doing the upstream science connect with those responsible for downstream operations and health services. Basic scientists, clinicians, public health workers, and politicians may all be involved.

Such multidisciplinary activities are most likely to arise in broad-based centers, which are also the logical places to invest in building the information technology and management infrastructure necessary to support centers of excellence. These centers ideally would serve as national and regional hubs for "south-south" training and research, and for "south-north" teaching and research such as HIV/AIDS vaccine trials, and provide training experiences for future generations of global health workers.

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