TABLE 1.

Advantages of a Trainee-Led Twinning Program in Global Health and Trainee Benefits Based on the RAHI–SATHI Experience

Twinning PhaseAdvantages of ProgramBenefits for Trainee
Initiate a partnershipTrainees typically have greater flexibility than faculty to travel and connect with the local community to build trust and act as a bridge between geographically separated investigatorsGain hands-on experience in professionalism and building trust with a new community
Develop a shared work planTrainees facilitate an interdisciplinary approach by coordinating inputs from multiple team members from varied disciplines and maximizing faculty investigators' contribution, in the context of their in-kind supportAcquire consensus-building skills and a multidisciplinary perspective
Implement the programTrainees lead the implementation of the program and reduce the burden on international partners who face competing demands to provide care to their beneficiariesDevelop an understanding of real-world constraints and complications in implementation science
Monitor outcomesTrainees identify potential sources of error early in the program and help sustain communication among the team and with the local communityGain insight into potential pitfalls of programs
Evaluate resultsTrainees provide insight gained by their involvement in the study and help guide evaluation of the resultsEnhance scientific inquisition and analytical skills to interpret and discuss findings with peers
Disseminate informationTrainees disseminate information across a range of platforms including peer-reviewed manuscripts, conference presentations, and departmental or institutional seminars, resulting in greater exposure of the program and increased opportunities for potential collaborators to become involvedDevelop scholarly skills that are critical in medicine and academics
  • Abbreviations: RAHI, Research and Advocacy for Health in India; SATHI, Support and Action Towards Health-Equity in India.