To the Editor: To improve international health equity, residency programs can build sustainable partnerships beyond global health rotations.1 Heeding this goal, the University of Pennsylvania (Penn) department of dermatology and the Instituto de Dermatología y Cirugia de Piel (INDERMA), a dermatology residency training program near Guatemala City, Guatemala, founded a partnership in 2013. The Penn-INDERMA dermatology educational exchange program was built upon relationships between Penn and Guatemala established by other university departments.
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