Global health training during neonatal fellowship: fellow and program director perspectives.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
24
07
2019
accepted:
25
02
2020
revised:
15
02
2020
pubmed:
11
3
2020
medline:
1
9
2021
entrez:
11
3
2020
Statut:
ppublish
Résumé
This study explored the availability and perception of Global Health (GH) training opportunities in US-based Neonatal-Perinatal Medicine (NPM) fellowship programs. Electronic surveys, containing discrete choice and open-ended questions, were distributed to current and recent fellows and to Program Directors (PDs). Fifty-eight PDs and ninety-eight fellows completed the survey. Fellows reported declining GH participation from 48% in medical school to 21% in fellowship. Among the 42% of fellows reporting GH opportunities at their programs, 30% personally participated. Fewer than 30% of these programs offer structured classroom or online learning; 10% offer research opportunities. 72% of fellows stated that GH availability is moderately to extremely important, compared with 58% of PDs. PDs cited cost, scheduling, mentorship, and lack of suitable global partners as barriers to supporting fellows in GH. NPM fellows place high importance on GH opportunities during fellowship, but only a minority engage in GH work.
Identifiants
pubmed: 32152489
doi: 10.1038/s41372-020-0639-8
pii: 10.1038/s41372-020-0639-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1253-1261Références
Organization WH. World Health Statistics 2018: monitoring health for the SDGs. WHO [database]. Geneva, Switzerland: World Health Organization. https://www.who.int/gho/publications/world_health_statistics/2018/en/ .
Unicef. Global under-five, infant and neonatal mortality rates, 1990-2017. Unicef [database]. New York, NY: United Nations Children’s Fund. https://data.unicef.org/topic/child-survival/under-five-mortality/ .
Organization WH. World Health Statistics data visualizations dashboard, 2017. WHO [database]. Geneva, Switzerland: World Health Organization. http://apps.who.int/gho/data/view.sdg.3-2-data-reg?lang=en .
Enweronu-Laryea C, Dickson KE, Moxon SG, Simen-Kapeu A, Nyange C, Niermeyer S, et al. Basic newborn care and neonatal resuscitation: a multi-country analysis of health system bottlenecks and potential solutions. BMC Pregnancy Childbirth. 2015;15(Suppl 2):S4.
doi: 10.1186/1471-2393-15-S2-S4
Pitt MB, Slusher TM, Howard CR, Cole VB, Gladding SP. Pediatric resident academic projects while on global health electives: ten years of experience at the University of Minnesota. Acad Med. 2017;92:998–1005.
doi: 10.1097/ACM.0000000000001727
Drain PK, Primack A, Hunt DD, Fawzi WW, Holmes KK, Gardner P. Global health in medical education: a call for more training and opportunities. Acad Med. 2007;82:226–30.
doi: 10.1097/ACM.0b013e3180305cf9
Haq C, Baumann L, Olsen CW, Brown LD, Kraus C, Bousquet G, et al. Creating a center for global health at the University of Wisconsin-Madison. Acad Med. 2008;83:148–53.
doi: 10.1097/ACM.0b013e318160af6b
Da Dalt L, Putoto G, Carraro D, Gatta A, Baraldi E, Perilongo G. International child health elective for pediatric residents. Ital J Pediatr. 2014;40:13.
doi: 10.1186/1824-7288-40-13
Suchdev PS, Shah A, Derby KS, Hall L, Schubert C, Pak-Gorstein S, et al. A proposed model curriculum in global child health for pediatric residents. Acad Pediatr. 2012;12:229–37.
doi: 10.1016/j.acap.2012.02.003
Einterz RM, Kelley CR, Mamlin JJ, Van Reken DE. Partnerships in international health. The Indiana University-Moi University experience. Infect Dis Clin North Am. 1995;9:453–5.
pubmed: 7673682
Hau DK, Dipace JI, Peck RN, Johnson WD Jr. Global health training during residency: the weill cornell Tanzania experience. J Grad Med Educ. 2011;3:421–4.
doi: 10.4300/JGME-D-10-00204.1
Colleges AAoM. Medical school graduation questionnaire: 2018 all schools summary report. AAMC [database]. Washington DC, USA: American Association of Medical Colleges. https://www.aamc.org/data/gq/ .
Pak-Gorstein S, Frintner MP, O’Callahan C, Spector J, St Clair NE, Howard C, et al. Global health education for pediatric residents: trends, training experiences, and career choices. Pediatrics. 2019;143:e20181559.
doi: 10.1542/peds.2018-1559
Watts J, Russ C, St Clair NE, Uwemedimo OT. Landscape analysis of global health tracks in united states pediatric residencies: moving toward standards. Acad Pediatr. 2018;18:705–13.
doi: 10.1016/j.acap.2018.03.009
Nelson B, Izadnegahdar R, Hall L, Lee PT. Global health fellowships: a national, cross-disciplinary survey of US training opportunities. J Grad Med Educ. 2012;4:184–9.
doi: 10.4300/JGME-D-11-00214.1
Program NRM. Match results statistics: pediatric specialties fall match - 2017. NRPM [database]. Washtinton DC, USA: National Resident Matching Program. http://www.nrmp.org/wp-content/uploads/2017/12/Pediatric-Specialties-Fall-Match-Results-Statistics-AY2018.pdf .
Education ACfGM. ACGME data resource book, 2018. ACGME [database]. Chicago, IL: Accreditation Council for Graduate Medical Education. https://www.acgme.org/About-Us/Publications-and-Resources/Graduate-Medical-Education-Data-Resource-Book .
Hau DK, Smart LR, DiPace JI, Peck RN. Global health training among U.S. residency specialties: a systematic literature review. Med Educ Online. 2017;22:1270020.
doi: 10.1080/10872981.2016.1270020
Eneriz-Wiemer M, Nelson BD, Bruce J, Chamberlain LJ. Global health training in pediatric residency: a qualitative analysis of faculty director insights. Acad Pediatr. 2012;12:238–44.
doi: 10.1016/j.acap.2012.02.005
Cheung M, Healy JM, Hall MR, Ozgediz D. Assessing interest and barriers for resident and faculty involvement in global surgery. J Surg Educ. 2018;75:49–57.
doi: 10.1016/j.jsurg.2017.06.031
Crump JA, Sugarman J. Working group on ethics guidelines for Global Health T. Ethics and best practice guidelines for training experiences in global health. Am J Trop Med Hyg. 2010;83:1178–82.
doi: 10.4269/ajtmh.2010.10-0527
Nelson BD, Lee AC, Newby PK, Chamberlin MR, Huang CC. Global health training in pediatric residency programs. Pediatrics. 2008;122:28–33.
doi: 10.1542/peds.2007-2178
Dey CC, Grabowski JG, Gebreyes K, Hsu E, VanRooyen MJ. Influence of international emergency medicine opportunities on residency program selection. Acad Emerg Med. 2002;9:679–83.
doi: 10.1197/aemj.9.7.679
Bazemore AW, Henein M, Goldenhar LM, Szaflarski M, Lindsell CJ, Diller P. The effect of offering international health training opportunities on family medicine residency recruiting. Fam Med. 2007;39:255–60.
pubmed: 17401769
Gladding S, Zink T, Howard C, Campagna A, Slusher T, John C. International electives at the university of Minnesota global pediatric residency program: opportunities for education in all Accreditation Council for Graduate Medical Education competencies. Acad Pediatr. 2012;12:245–50.
doi: 10.1016/j.acap.2012.02.009
Frintner MP, Mendoza FS, Dreyer BP, Cull WL, Laraque D. Resident cross-cultural training, satisfaction, and preparedness. Acad Pediatr. 2013;13:65–71.
doi: 10.1016/j.acap.2012.10.005
Haq C, Rothenberg D, Gjerde C, Bobula J, Wilson C, Bickley L, et al. New world views: preparing physicians in training for global health work. Fam Med. 2000;32:566–72.
pubmed: 11002868
Thompson MJ, Huntington MK, Hunt DD, Pinsky LE, Brodie JJ. Educational effects of international health electives on U.S. and Canadian medical students and residents: a literature review. Acad Med. 2003;78:342–7.
doi: 10.1097/00001888-200303000-00023
Gupta AR, Wells CK, Horwitz RI, Bia FJ, Barry M. The International Health Program: the fifteen-year experience with Yale University’s Internal Medicine Residency Program. Am J Trop Med Hyg. 1999;61:1019–23.
doi: 10.4269/ajtmh.1999.61.1019
Pitt MB, Moore MA, John CC, Batra M, Butteris SM, Airewele GE, et al. Supporting global health at the pediatric department level: why and how. Pediatrics. 2017;139:e20163939.
doi: 10.1542/peds.2016-3939
Kerry VB, Walensky RP, Tsai AC, Bergmark RW, Bergmark BA, Rouse C, et al. US medical specialty global health training and the global burden of disease. J Glob Health. 2013;3:020406.
doi: 10.7189/jogh.03.020406
Ehret DY, Patterson JK, Bose CL. Improving neonatal care: a global perspective. Clin Perinatol. 2017;44:567–82.
doi: 10.1016/j.clp.2017.05.002
Kamath-Rayne BD, Berkelhamer SK, Kc A, Ersdal HL, Niermeyer S. Neonatal resuscitation in global health settings: an examination of the past to prepare for the future. Pediatr Res. 2017;82:194–200.
doi: 10.1038/pr.2017.48