Project Awards Summary 2021-22

Business, Economics, Law, and Policy

China REACH: Improving the Lives and Futures of Children in Poverty

Key Faculty & Collaborators:

  • James Heckman, CEHD Research Director & Henry Schultz Distinguished Service Professor in Economics, University of Chicago
  • Mai LU, CDRF Vice Chairman, China Development Research Foundation
  • Jin FANG, CDRF Secretary General, China Development Research Foundation
  • Jin Zhou, CEHD Research Associate, Center for the Economics of Human Development, University of Chicago

The Center for the Economics of Human Development (CEHD) and the China Development Research Foundation (CDRF) will conduct a collaborative analysis of the Rural Education and Child Health (China REACH) program, a home visit model launched in Gansu Province in 2015 in response to calls to reduce poverty and expand mobility. Eligible families received weekly visitations where they learned to encourage children’s playbased learning through culturally adapted learning materials. Data were collected via a computer-assisted personal interviewing demographic survey and, in conducting an intensive assessment of these data, CEHD has carried out statistical analyses to determine patterns which predict children’s language, self-regulation, and behavioral outcomes. The intervention significantly improved children’s cognitive and language skill development, not only during the treatment period, but beyond it. CDRF scaled the cost-effective China REACH to 11 further sites in high-poverty provinces, including minority areas, which provide unique spaces for studying the impact of minority culture and environment on early development.

Engaging in further collaboration would enable China REACH to crystallize early childhood development policies in China. Its application increases the understanding of development in disadvantaged areas but can also explain skill development more broadly. CEHD and CDRF will partner with computer scientists at the Chinese University of Hong Kong to bring the program to Shenzhen—its first urban site. New methods for measuring caregiver, child, and home visitor interactions will create patterns, enabling CEHD to investigate the microfoundations of child skill production and mechanisms that boost development.

Additionally, CEHD will compare China REACH to three counterparts to evaluate the effectiveness of the Jamaica approach, the foundational curricula for the program, across different environments and levels of disadvantage. These comparisons will further enforce China REACH, clarify the long-term outcomes of the project, and provide general lessons to the field of child development.

Culture, Society, Religion, and the Arts

Bodies of Knowledge: Medicine, Literature, History

Key Faculty & Collaborators:

  • Judith Farquhar, Max Palevsky Professor Emerita, Department of Anthropology, The University of Chicago
  • Michael Rossi, Associate Professor, Department of History, The University of Chicago
  • Lili Lai, Associate Professor, School of Health Humanities, Peking University

Judith Farquhar, Michael Rossi and Lili Lai seek to convene a conference at the Beijing Center in the Spring of 2022. Called "Bodies of Knowledge: Medicine, Literature, History," this conference will build on conversations in the humanities that concern themselves with the lived body. We will explore the relevance of interpretive approaches—of readings, soundings, hearings, traversals, explorations (etc.) of the body, as it were—to medical ethics and person-centered medical care. And we will consider how a comparative focus on embodiment, in and beyond medicine and the sciences, can make the humanities more attentive to our many forms of material life. This conference will bring together an exciting group of scholars writing in Chinese about bodies and medicine (both traditional medicine and modern biomedicine) with Chicago scholars who have been doing similarly innovative research. The Chinese group reads US scholarship that considers bodily life and practical knowledge (like medicine), and they have fascinating field sites and cases that can challenge our “Western” assumptions about how bodies work. But thus far there has been little international communication on these issues in the other direction; American scholars do not yet have the advantage of knowing “Chinese embodiments.” Our list of participants includes anthropologists, historians, art scholars, and medical  humanities professors concerned with literature and film. With the right approach to translation built in to the conference, we expect scholarly cross-fertilization and new knowledge to emerge.

City of Coiled Dragons: Joint Archaeological Field Project at Panlongcheng

Key Faculty & Collaborators:

  • Yung-Ti Li, Associate Professor, Department of East Asian Languages and Civilizations, The University of Chicago
  • Changping Zhang, Professor, Department of Archaeology, Wuhan University
  • Sun Zhuo, Associate Research Fellow, Department of History, Wuhan University

The Bronze Age walled settlement of Panlongcheng (City of Coiled Dragon), dating to the 16th and 13th centuries BCE, is in the Middle Yangzi River Valley in Wuhan, Hubei. First discovered in the 1950s, Panlongcheng represents the southern-most settlement of the Erligang civilization based in the Central Plains region of the Yellow River Valley. As the material culture of Panlongcheng resembles that of the northern Erligang civilization, scholars have proposed that Panlongcheng was a colony or an outpost of Erligang. The vast distance between the two sites is seen as the result of the expansion of the Erligang civilization into southern China.

Panlongcheng therefore provides a unique opportunity to examine the formation of a bronze civilization with considerable territorial control over the landscape of ancient China. Panlongcheng was listed as one of the twenty most important archaeological finds in China in the twentieth century. The Chinese government recently approved three-year joint archaeological project at Panlongcheng between the University of Chicago and Wuhan University denotes the first-ever international collaboration at the site.

The project intends to provide new research orientations by adopting a comparative approach, combining archaeological methods and theories from both the Chinese and the North American academic traditions. The joint project therefore continues previous lines of investigation while at the same time introduces new research topics, such as craft production, urban landscape, and household-level archaeology --- topics that have yet to be explored but are crucial to the understanding of the nature of the settlement itself and the role of Panlongcheng in the context of Bronze Age China.

Solidarities of the Global South

Key Faculty & Collaborators:

  • Mark Bradley, Bernadotte E. Schmitt Distinguished Service Professor of History, Social Sciences Division, University of Chicago
  • Leah Feldman, Assistant Professor, Department of Comparative Literature, University of Chicago
  • Wang Hui, Institute for Advanced Studies in Humanities and Social Sciences, Tsinghua University

This project proposes a workshop at the University of Chicago’s Beijing Center that will bring together an interdisciplinary group of scholars to establish regional collaborations that develop conversations around solidarities across the Global South. These initial conversations will shape a proposal for a larger Neubauer Collegium project at the University of Chicago campus. The workshops engage decolonial questions within Global South networks to open up dialogues with scholars in South, Southeast and East Asia aimed at decentering a Euro-American epistemological framework.

The project explores the social and political networks that traversed aligned and non-aligned geopolitics, that is, “third world” and “second world” spaces, while critically challenging the disarticulation of specific, local historical, political and economic conditions and the static geopolitical vision that the term Global South might imply. This project thus explores forms of failed and accidental solidarity, as well as nostalgia for solidarity amidst political and economic collapse. Some of our concerns include expressions of solidarity in the form of transnational delegations, congresses, and festivals that constructed social and political spaces, whether events or textual/digital archives, in an attempt to imagine forms of belonging outside, alongside and in relation to the diffuse forces of late capitalism. We will focus on how informal economies and uneven development striated these uncertain and often faltering forms of transnational solidarity, as well as how they shaped conceptions of race and caste, apartheid, and the history of race sciences more broadly.

The Transpacific: Mapping Artistic Exchanges between Asia and the Americas

Key Faculty & Collaborators:

  • Orianna Cacchione, Curator of Global Contemporary Art, Smart Museum of Art, University of Chicago
  • Hung Wu, Harrie A.Vanderstappen Distinguished Service Professor of Art History and the College, University of Chicago
  • Weiqu Guo, Academic Director, OCAT Institute
  • Qiuxu Liu, Director of Exhibitions, OCAT Institute

The Smart Museum of Art at the University of Chicago is developing a major exhibition, The Transpacific: MappingArtistic Exchanges between Asia and the Americas (working title), opening Fall 2023, as part of its ambitious program to expand the narratives of global contemporary art. Curated by Smart Museum  Curator of Global Contemporary Art, Orianna Cacchione and advised by Professor and Adjunct Curator, Wu Hung with Associate Professor of Art History, Claudia Brittenham, this exhibition uses the Pacific Ocean as a point of departure to explore how different types and moments of exchange produced new artistic forms as artists and intellectuals traversed the Pacific. The Transpacific will mark the end of a multi-year research project, bringing together scholars and objects from around the Pacific Rim to produce the first comprehensive investigation of the circulation of art, artists, and ideas across the Pacific Ocean in the 20th and 21st centuries and will importantly challenge the centering of the Atlantic Ocean in the history of art.

I am writing to respectfully request funding support from the University of Chicago’s Beijing Center for an exploratory trip to establish a partnership and collaborative strategy with the OCAT (Oversees Chinese Art Terminal) Institute in Beijing and conduct comprehensive research for the exhibition in Beijing, Shanghai, Hangzhou, and Shenzhen. Ideally, the OCAT Institute will join the project as an exhibition  partner, host a version of the exhibition in Beijing and contribute equally to the conceptualization of the broader exhibition project.

Science, Energy, Medicine, & Public Health

2021 Annual Sino-American Symposium: Diagnosis and Treatment of Major MentalIllness and Neurological Disorder

Key Faculty & Collaborators:

  • Anthony Reder, Professor, Neurology, University of Chicago
  • Xuan Feng, Research Manager, Neurology, University of Chicago
  • Hongxing Wang, Professor, Neurology, Capital Medical University Xuanwu Hospital
  • Daolong Zhang, Medical Director, Psychiatry, Beijing Huayou Psychiatric Hospital

An inflammatory storm in the brain causes cognitive disorders in many psychiatric and neurologic diseases, such as multiple sclerosis, post-stroke depression, some neurodegeneration, and COVID encephalopathy. Advanced neuroscience research, clinical diagnosis, and treatment are essential and critical for disease management. This symposium will bridge US and Chinese physicians, scientists, and medical students/postdoctoral fellows in neuroscience to promote education,  communication, and collaboration between leading neuroscience institutions and hospitals in US and China.

9th Annual Conf one Advanced Therapies for Solid Tumors and Academic Development

Key Faculty & Collaborators:

  • Yilei Mao, Professor of Surgery, Hepatobiliary Surgery, Peking Union Medical College Hospital
  • Jeffrey Matthews, Dallas Phemister Chair of Surgery and Surgeon-in-Chief, Department of Surgery, University of Chicago
  • Mitchell Posner, Professor and Physician in Chief, Comprehensive Cancer Center, Department of Surgery, University of Chicago
  • J. Michael Millis, Professor and Chair of Global Surgery, Department of Surgery, University of Chicago

There is tremendous discrepancy between the clinical experience in China and its ability to relate that experience to the rest of the scientific world via peer reviewed manuscripts in the English-speaking world. One of the areas in which that gulf is most evident is in in the diagnosis, management, research and surgical treatment of solid tumors. The clinical experience with these tumors is extensive given the population and incidence of disease, but the scientific assessment of the various clinical scenarios continues to lag. In the past several years, the treatment paradigms are shifting with increased use of monoclonal antibodies, cellular therapy, radiation and laparoscopic and surgical robots to treat many solid tumors. In some areas China is advanced ( use of laparoscopic and robotic techniques) while lagging in others – such as cellular therapy. There is a significant amount of basic, clinical research and education surrounding this area, but because of a lack of sophistication in writing these efforts are not recognized. Several faculty members within the University of Chicago Department of Surgery and Peking Union Medical College play key editorial roles at major American and International GI/hepatobiliary journals. The journal that this conference has helped launch, Hepatobiliary Surgery and Nutrition, has an impact factor of 3.91 which is is third only to the Annals of Surgery and Journal of Heart and Lung Transplantation in terms of impact factor for Surgical Journals.

Chicago-PKU Meeting on Earth and Planetary Climate Dynamics

Key Faculty & Collaborators:

  • Dorian Abbot, Associate Professor, Geophysical Sciences, University of Chicago
  • Malte Jansen, Professor, Geophysical Sciences, University of Chicago
  • Yongyun Hu, Professor, Atmospheric and Oceanic Sciences, Peking University
  • Jun Yang, Assistant Professor, Atmospheric and Oceanic Sciences, Peking University
  • Daniel Koll, Assistant Professor(starting January,2021), Atmospheric and Oceanic Sciences, Peking University
  • Yonggang Liu, Assistant Professor, Atmospheric and Oceanic Sciences, Peking University

The purpose of this proposal is to fund a conference at Peking University (PKU) in Beijing, China in June, 2022 that will enhance existing collaboration and spur new research efforts between PKU and the University of Chicago on the subjects of climate dynamics, planetary science, and extrasolar planets. We are proposing a collaboration-oriented conference that will lead to peer-reviewed papers that significantly advance the state of our understanding. The conference will consist of short lectures, various types of brainstorming sessions, and hackathons. We are requesting $30k from the Provost's Global Faculty Awards Program to pay for airfare for 20 members of the University of Chicago to travel to Beijing for a working conference involving about 50 participants. We need to bring faculty and students covering a variety of sub-fields to make this collaborative conference a success, which is why we are requesting airfare for 20 members of the University of Chicago. PKU will provide matching funds to cover accommodations and food for all participants, as well as organize local outings. We expect to produce at least 10 peer-reviewed articles that will explicitly cite the Provost's Global Faculty Awards Program in their acknowledgements section. The conference will also foster the strong PKUChicago relationship in this area and promote the continued exchange of students and ideas between the two universities.

China-US Conference on Clinical Ethics Consultation

Key Faculty & Collaborators:

  • J. Michael Millis, Professor and Chair of Global Surgery, Department of Surgery, University of Chicago
  • Yali Cong, Dean and Professor of Medical Ethics Program, Medical Ethics and Health Law, Peking University
  • Shuyang Zhang, Vice President, Education, Peking Union Medical College Hospital
  • Shen Ning, Vice President, Education, Peking University Third Hospital

Clinical Ethics Consultation is a standard at all US Academic Medical Centers. In China although institutional Review Boards are standard Clinical Medical Ethics consultation and educational case conferences are not standard. The University in cooperation with the China Medical Board has developed a Clinical Leadership Development Fellowship in which the MacLean Clinical Medical Ethics Fellowship is a critical component. As part of that fellowship the fellows are educated and participate in the ethics consults and clinical case conference. We wish to leverage these fellows' knowledge and experience to develop a model clinical Medical Ethics case conference and ethics consultation service.

The workshop aims to let more key representatives from hospital management level know the working model of clinical ethics consultation in University of Chicago: historical perspectives, institution policy level, details of the training program, career paths for the fellows, and importantly how it helps to resolve the ethical issues related to DPR and improve patient experiences.

- The impact on reducing the medical legal impact on the hospitals.
- Demonstrate the Effect of Clinical Medical Ethics Consultation on Healthcare Costs
- The current fellows who will all be back in China ( 4 in Beijing) can present their experience and how it will help them in their career development.
- The educational impact, for medical students in teaching hospitals, and for physicians with continuing education will be additive to the “regular/standard training program” in the hospitals assigned by NHFPC (former Ministry of Health)

Empowering Patient/Family Centered Care Communication in the Setting of Serious Illness in Beijing and Wuhan

Key Faculty & Collaborators:

  • Shellie Williams, Associate Professor of Medicine, MD, FAAHPM, Medicine, University of Chicago
  • Xiaohong Ning, Associate Professor, Geriatrics, Peking Union Medical College
  • Deng Di, Professor of Oncology, Zhongnan Hospital, Wuhan University

China currently has a population of 1.4 billion individuals representing the elderly segment and expected to grow from 17 % to 35% in the next 30 years.1 Serious illness and end-of-life (EOL) care become increasingly common in an aging society and often requires new approaches to care that morph from the focus of disease to whole person focused, such as in palliative medical care. However, in China with the population experiencing limited connections with the health system other than during hospitalizations, many individuals may not have regular opportunities to establish lasting PCP relationships and primary care interactions to establish values based EOL care plans and community-based management of serious illness symptoms. Improving public awareness and education of values as a compass for establishing medical care in serious illness and enhancing health professionals comfort with eliciting values to discuss serious illness medical care are key initiatives for improving serious illness care. This project focus is providing training for the community and health professionals to improve these serious illness communications quantity and quality. The project consists of a 2 hour symposium in Beijing and Wuhan each focused on targeting those patients/families living with serious illness to discuss vehicles for outlining their advance care wishes and discussing myths and realities of palliative care, in addition to a separate 2 hour interactive workshop for health professionals on palliative communication.

Engaging Health Professionals to Create a Pediatric Medical Home for Chinese Children

Key Faculty & Collaborators:

  • Michael Msall, Professor, Department of Pediatrics, University of Chicago
  • Susan (Yingshan) Shi, Clinic Associate, Academic Pediatrics, Comer Children's Hospital, Department of Pediatrics, University of Chicago

The concept of "medical home" is a model for 21th century pediatric care to provide family-centered, coordinated, high quality adult learning system care for children. In China, there is no medical home system for children and pediatrician shortages have made healthcare access more difficult. This study aims to introduce to pediatric health professionals and the child medical home model. The medical home is not a place but a collaboration between families and health professionals in China for engagement quality improvement and adult learning.

Our team has been building online health education platforms. Over the past year100 American and Chinese experts from 33 teaching hospitals (25 in China and 8 in USA) have been providing online pediatric training for 44,04 community pediatric, preventive and family physicians and evidenced health information for 250.000 parents.

With the support of the Center in Beijing, we seek to spread the project to all around China. First, to improve online training platforms through WeChat health information distribution center. Second through 5 social medial actions to provide evidence based health information, including webinar lectures, clinical topic review and case based studies. We will improve dissemination through website , WeChat “bamabaobao” and pediatric news express. In UChicago Developmental and Behavioral Pediatric(DBP) team will collaborate with with Chinese DBP Board and Chinese Association of Pediatrics to train community physicians. We will use "Colorful Future" preventive evaluations , tools for detecting developmental delays, and model best supportive interventions through interactive videos for promoting child functioning and caregiver well being.

Fostering International Collaboration on Antimicrobial Resistance and COVID-19 Therapeutics

Key Faculty & Collaborators:

  • Rick Stevens, Professor, Department of Computer Science, University of Chicago
  • Bin Cao, Director, Department of Pulmonary and Critical Care, Medicine, China-Japan Friendship Hospital
  • James Davis, Staff Scientist, Data Science and Learning, UChicago CASE and Argonne National Laboratory
  • Xiaohui Zou, Research Scientist and Physician, National Clinical Research Centre for Respiratory Diseases, China-Japan Friendship Hospital
  • Thomas Brettin, Strategic Program Manager, Computing and Life Sciences, UChicago CASE and Argonne National Laboratory

Combating novel infectious diseases such as COVID-19 and dealing with antibiotic resistance in existing infectious disease has created an acute problem that challenges the global research community. These challenges can benefit from the recent advances in machine learning and the accumulation of massive amounts of related data. We are in an unprecedented era of new opportunities to improve global health. Building international collaborative efforts focusing on research strategies for combatting these global health concerns can drive a new understanding of disease mechanisms and provide novel approaches for the next generation of analytical tools for the scientific community.

In 2018, the University of Chicago Center in Beijing hosted a symposium between the PATRIC BRC, a large NIHfunded bioinformatics resource center located at the University of Chicago, with clinicians and researchers at the China-Japan Friendship Hospital in Beijing. This vibrant symposium resulted in a mutually beneficial exchange of ideas and research strategies. Consequently, Dr. Xiaohui Zou, a scientist at China-Japan Friendship hospital, spent a year in the United States at the University of Chicago as a visiting scholar developing novel methods for tracking plasmids and plasmid-mediated antimicrobial resistance (AMR) in bacterial pathogens.

In the last three years, whole genome sequencing has reached widespread adoption for pathogen tracking and epidemiology, and artificial intelligence (AI)-based methods have begun to overtake traditional bioinformatic analysis techniques in many areas, including prediction of antibiotic resistance and design of novel compounds for therapeutics. We are proposing a second symposium at the UChicago Center in Beijing for the early spring of 2022, with the goal of establishing new collaborations focusing on AI-based approaches to combat infectious diseases, in particular predicting and tracking resistance and developing new treatment strategies using antimicrobial resistance and antiviral therapeutics as the driving topics.

International Symposium on Amyotrophic Lateral Sclerosis

Key Faculty & Collaborators:

  • Raymond Roos, Marjorie and Robert E.Straus Professor in Neurological Science, Neurology, University of Chicago
  • Dongshen Fan, Head and Professor, Neurological Department, Peking University Third Hospital
  • Liying Cui, Chair, Neurology, Peking Union Medical College
  • Xiangjun Chen, Professor, Neurology, Huashan Hospital, Fudan University

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that has no effective treatment.Of note, ALS - like other neurodegenerative diseases - has increased in frequency because the elderly population has increased, and increasing age is an important risk factor. The University of Chicago has had one of the longest running multidisciplinary ALS clinics in the world, and has been a leading institution in treating patients and investigating ALS pathogenesis. Interestingly, findings in ALS patients in the US differ from those in China, e.g., C9orf72 mutations are the most common cause of inherited ALS in the US, but are not common in China. We propose to organize an international symposium on ALS at the Beijing Center to clarify and better understand these differences and also promote collaborations between US and China. Specific aims of this symposium are to: i) establish a platform for broad exchanges between the University of Chicago with  leading institutes and hospitals studying and treating ALS in China; ii) promote research collaborations by leveraging our combined patient resources, educational strengths, scientific expertise, and trainee interests; iii) promote the visibility of University of Chicago Medicine in China and thereby facilitate international patient consultations and referrals; iv) educate neuromuscular specialists in neurology in China about ALS, including recent advances. This symposium will not only help to improve the standard of care of ALS patients in China, but also foster future interactions between the University of Chicago and China ALS investigators and trainees with respect to research and treatment.

ISG-QSSA Working Group Implementation Meeting

Key Faculty & Collaborators:

  • Jaymie Henry, Physician, Surgery, Florida Atlantic University
  • Peter Nthumba, Clinical Assistant Professor, Surgery, University of Tennessee
  • Mark Ferguson, Professor, Department of Surgery, University of Chicago
  • Larry Hollier, Professor and Surgeon-in-Chief, Plastic Surgery, Baylor College of Medicine
  • Andrew Hill, Professor and Assistant Dean, Surgery, University of Auckland
  • Jianan Ren, Professor and Director, Research Institute of General Surgery, Medical School, Nanjing University

The G4-ISS International Standards and Guidelines for Quality Safe Surgery and Anesthesia (ISG-QSSA) Working Group is striving to provide safe surgical care and anesthesia in austere settings around the world. This group brings together providers, academics, and practitioners in the field Global Surgery, economics, public health, government, and public policy in the emerging field of global surgery for a 2-day working session. The strategy is to foster collaboration among surgical providers, public health practitioners, policymakers, and health economists. The goal is the efficient and sustainable delivery of high quality and safe surgical, obstetric, trauma, and anesthesia care in low-resource environments. The meeting will result in an implementation policy for building cost-effective, practical, scalable, and sustainable high quality and safe surgical systems in developing countries.

The G4 Alliance (Global Alliance for Surgical, Obstetric, Trauma and Anaesthesia Care) is comprised of more than 70 organizations working in over 160 countries, which are united in advocating for the neglected surgical patient. The International Society of Surgery (ISS/SIC) represents 6 integrated societies and surgeons from more than 100 countries, and works for international teaching in surgery in developed and developing countries. Within the G4 Alliance is a committee charged with developing standards and guidelines for surgery and anesthesia (ISG-QSSA Working Group) through review of best available evidence in LMICs. Their project will be completed in the summer of 2020.

Background on ISS: The International Society of Surgery (ISS/SIC), representing surgeons from more than 100 countries, has a goal to work to advance the art and science of surgery throughout the world. The current focus of the society is to expand its activities and expertise to low- and middle- income countries (LMICs) through the Global Surgery Committee of the ISS and the Academy of the ISS.

About the G4 Alliance: The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care Alliance (G4 Alliance) represents over 300 organizations working in more than 160 countries dedicated to supporting surgical service delivery, ontheground training, capacity building, and thought leadership. G4’s collective impact translates to approximately USD 1 billion invested each year in strengthening surgical care quality, accessibility and safety around the world. The Alliance provides a formal and neutral platform for engaging in Global Surgery and is dedicated to advocating for neglected surgical patients and supporting integration of essential surgical care as part of Universal Health Coverage.

The ISG-QSSA has launched an initiative to gather and compile existing evidence-based guidelines and recommendations in the setting up, deployment, and evaluation of quality, safe, surgical systems in developing countries using the WHO guideline development methodology. Since December of 2018, the steering committee of the ISG-QSSA has set up three other groups which comprise the ISG-QSSA working group; namely, the Global Surgery Fellows’ group who were charged with doing an initial informal review of the available published guidelines and literature regarding recommendations on quality safe surgical processes in LMICs, the Guideline Development Group, and the External Review Group. The first meeting, held in Houston, Texas in March of 2019 achieved the goal of setting up the research questions for the guidelines and defining the scope of the project. This meeting was attended by the steering committee and the Guideline Development Group (GDG). Using the outcome of this meeting, the ISG-QSSA Fellows then proceeded to perform the scoping review using key words and expert guidance to come up with existing evidence from the literature. In May of 2019, preliminary feedback was obtained from the Permanent Council members. The External Review Group (ERG) comprised of surgical experts in eleven LMICs received the results of the scoping review and in August of 2019 met in person at the International Society of Surgery meeting in Krakow, Poland to deliberate and provide recommendations. These recommendations were then taken back to the steering committee where the decision was made to continue the WHO guideline development process steps but to restructure the five initial research questions to 4 main areas of focus outlined in this briefing document. Thus, the operational framework guiding our subsequent work includes:

  1. Protocols for optimal resource allocation a compilation of existing guidelines around the delivery of surgical, obstetric, trauma, and anesthesia care and summarizes recommended protocols on optimal surgical resources at every level of a health system
  2. Best practices for quality improvement processes - a formal systematic review that will summarize the best level evidence around best practices for quality improvement processes that have been shown to decrease morbidity or mortality in LMICs
  3. Surveillance for surgical system strength - a systematic review that evaluates the feasibility and applicability of the Lancet Commission on Global Surgery’s recommended six indicators to measure the strength of a health system in LMICs
  4. Scale-up principles and practices - a systematic review of principles and practices of successful surgical scale-up models in LMICs

The result of these research initiatives will be presented and discussed at a meeting which will be hosted by the Fiji Minister of Health in March, 2020 and by the Malaysian Ministry of Health in August, 2020.

Medical & Surgical Decisions in Critically Ill Patients: Cross-Cultural Perspectives

Key Faculty & Collaborators:

  • Mark Siegler, Lindy Bergman Distinguished Service Professor of Medicine, Medicine, University of Chicago
  • J. Michael Millis, Professor and Chair of Global Surgery, Department of Surgery, University of Chicago
  • Peter Angelos, Linda Kohler Anderson Professor, Department of Surgery, University of Chicago

From the historical beginning of medicine through the mid-twentieth century, when faced with a critically ill patient, physicians asked, “What can be done for this patient?” In recent years, this central question has changed. Now physicians are increasingly faced with the question, “What should we do for this patient?” This shift is critical to how decisions are made for critically ill patients. In order to answer what should be done?” physicians must consider many other aspects of the patient’s condition. The values of the patient or the patient’s family are important. The economic implications of the proposed medical interventions to the patient/family and possibly to society may play a role. The values of the treating physicians may also shift the decisions that are made. Exactly how such decisions are made for critically ill patients varies depending on whether this is a newborn infant or an elderly patient with multiple co-morbidities. We propose to explore how decisions are made for such patients who are at the limits of what medicine or surgery can offer in different cultures by convening conferences in Beijing and Hong Kong. By involving physicians, ethicists, and philosophers from the US, China, and Hong Kong, we intend to highlight similarities and differences in how such decisions are made and who makes the decisions. The goal of the conferences will be a deeper awareness of the complexity of these decisions and how culture impacts the decisions that are made.

Professional Development and Student Wellbeing in Medical Education Reform

Key Faculty & Collaborators:

  • Wei Wei Lee, Associate Dean of Professional Development and Engagement, Department of Medicine, University of Chicago
  • Jonathan Lio, Assistant Professor of Medicine, Global Health faculty, Co-Director Wuhan Residency Training Program, Department of Medicine, University of Chicago
  • Renslow Sherer, Director, Wuhan University Medical Education Reform(WUMER) Project; Department of Medicine, University of Chicago
  • James Woodruff, Dean of Students, Department of Medicine, University of Chicago
  • Mark Siegler, Founding Director of MacLean Center for Clinical Medical Ethics, Executive Director BucksbaumInstitute for Clinical Excellence, Department of Medicine, University of Chicago
  • Yali Cong, Dean of Department of Medical Ethics and Health Law, Professor, Medical Ethics Program, Peking University Health Science Center
  • Jingyi Fan, Professor of Pediatrics, Wuhan University Medical School
  • Jinxin Li, Director of Postgraduate Education, Wuhan University School of Medicine
  • Ivy Jiang, Project Manager, WUMER Project, University of Chicago
  • Angela Pace-Moody, Center Director, Bucksbaum Institute for Clinical Excellence, University of Chicago

The Chinese healthcare system and medical education landscape have undergone significant change in the past two decades. Rapid commercialization of the healthcare system has led to a decline in physician accountability and public trust in the profession. In response, medical educators have called for an increased focus on medical professionalism.

Medical education has moved away from conceptualizing professionalism as a list of behaviors to be measured. Instead, the dynamic construct of Professional Identity Formation (PIF), the process of internalizing a profession’s core values and beliefs, has emerged as an explicit goal of medical education. Interestingly, research has shown that physician burnout is associated with the higher likelihood of professionalism lapses. Therefore, addressing burnout and student wellbeing may be a promising way to augment professionalism training in China.

We propose a 1-day symposium at the UChicago Center in Beijing to bring together medical educators and students from across China to discuss the current state of professional development and wellness programming in Chinese medical schools. The aims of the symposium will be to:

  1. Promote professional development, Professional Identity Formation (PIF) and student wellbeing as a priority in medical education reform in China and provide faculty training on these topics.
  2. Convene medical educators and students from across China to discuss the current state of professional development and wellness programming, identify areas of concern, and generate recommendations for next steps.
  3. Promote the exchange of ideas between Chinese and American educators and identify areas for collaboration on professional development and wellness initiatives.

Residency Exchange and Symposiums

Key Faculty & Collaborators:

  • Renslow Sherer, Professor of Medicine, Biological Sciences Division, University of Chicago

Since the launch of the bilateral residency education program in 2014, the partnership of University of Chicago Medicine (UChicago Medicine) and Peking Union Medical College Hospitals (PUMCH) has been continuously strengthened through robust residency exchanges and educational events. As of now, over 50 residents directly benefitted through the exchange program where they experienced and learned firsthand from their clinical observation, adding to the growing community of medical professionals who engage in the important dialogues in the areas of residency training standards, clinical competency building, evaluation methods, clinical ethics and faculty development, etc. These academic and cultural exchanges have enabled ideas for innovations and forces for change.

There is an enormous interest in China to learn from the West as they have embarked on residency standardization, a national mandate to standardize training organization, implementation and evaluation to ensure quality of medical graduates. The UChicago Medicine is well-positioned to make a lasting impact, contributing to the formulation of the standards, contents, methods and the overall development of this initiative.

We propose to continue the residency exchange program and envision two conferences - one in residency education and another in palliative medicine education - in the 2020-2021 academic year. We are confident these efforts will help further the shared mission of global engagement, and bridging the mutual understanding of medical education and health systems in the U.S. and China.

Symposium on Clinical Leadership and Medical Education in China

Key Faculty & Collaborators:

  • Renslow Sherer, Professor, Medicine, Biological Sciences Division, University of Chicago
  • J. Michael Millis, Professor, Surgery, Biological Sciences Division, University of Chicago
  • Jonathan Lio, Assistant Professor, Department of Medicine, University of Chicago

In the past few years, the University of Chicago has developed two training programs focused on addressing quality of healthcare and education in China – the Clinical Leadership Development Fellowship (CLDF) and the International Medical Educators Program (IMEP). Both target current and future leaders in clinical medicine and education, respectively, from influential hospitals across China. A critical component of both training programs is to develop a concrete hospital management or education reform project while in Chicago to be implemented back at their home institutions.

We propose a 1-day symposium in Beijing during the centennial celebration of key partner Peking Union Medical College Hospital, inviting former fellows of CLDF and IMEP to discuss progress and barriers in implementing educational and clinical leadership reforms in China.

The China-Chicago Workshop on Accelerator Education and Research

Key Faculty & Collaborators:

  • Young-Kee Kim, Louis Block Distinguished Service Professor of Physics, Department of Physic, University of Chicago

This proposal is for U.Chicago and the IHEP to co-host a two-day Accelerator Education and Research Workshop, prior to the CEPC workshop, to educate undergraduate and graduate students about basics of accelerator science and technology and to exchange our ideas and share our plans for accelerator research areas at U.Chicago and in China. This will provide a natural approach to attract, train and educate a new generation of accelerator scientists and engineers and will help to identify research areas that U.Chicago and Chinese institutions can work together.

Update on Diagnostic Pathology: an International Symposium

Key Faculty & Collaborators:

  • Shu-Yuan Xiao, Professor, Department of Pathology, University of Chicago
  • Xiangting Yu, Vice Dean, School of Medicine, Wuhan University

This symposium is a platform for UChicago Pathology faculty leaders to showcase our expertise in diagnostic pathology and teaching, and to interact with our colleagues in Wuhan University as well as other local hospitals. We will discuss diagnosis, treatment, as well as research related to each speaker’s expertise. The topics will be emphasized on recent advancement in surgical pathology research and new practice paradigm, as well as international standard in tumor classification, including gynecological, CNS, gastrointestinal and lymphoid and hematopoietic tumors. This symposium will be a continuation of our previous symposium series on pathologic diagnosis and clinicopathological correlation of inflammatory bowel disease (IBD), which had been held annually since 2015 (interrupted in 2020 and 2021 due to the pandemic). Upon the completion of the symposium, we hope to further strengthen the collaboration between UChicago Pathology and Wuhan University, and to facilitate continuing exchange in ideas, training, and international consultations through telepathology.

Upper Extremity Nerve Compression & Injury: How to Recognize and Treat (ACombined Didactic/Cadaveric Course)

Key Faculty & Collaborators:

  • Jennifer Wolf, Professor and Division Chief of Hand Surgery, Orthopaedic Surgery, University of Chicago
  • Amy Moore, Professor and Chair, Plastic Surgery, The Ohio State University Medical Center
  • Jeffrey Stepan, Assistant Professor, Orthopaedic Surgery, University of Chicago

This course will focus on atypical nerve compression as well as acute nerve injury, with surgical strategy for treatment with decompression, repair and nerve transfers. We will also address brachial plexus injury and the newest evidence for treatment. We plan on presenting on the diagnosis and treatment of acute and chronic nerve injuries. Our object is to discuss the anatomy and pathophysiology of acute and delayed treatment of these nerve injuries. We will use fresh frozen cadaveric arms for demonstrating atypical nerve decompression, surgical repairs of acute injuries, how to perform nerve transfers, and the anatomy of brachial plexus and treatment.