A Novel Approach to Combining Pediatric Emergency Medicine and Global Health Fellowships

Crouse, Heather L.; Mullan, Paul C.; Macias, Charles G.; Hsu, Deborah; Shook, Joan E.; Sirbaugh, Paul E.; Schutze, Gordon E.; Torrey, Susan

doi:10.1097/pec.0000000000000247

Cited by 8 publications

(4 citation statements)

References 23 publications

(27 reference statements)

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“…17,22 GH fellowships, which usually involve clinical work, research, and didactics such as certificates or diplomas in tropical medicine, now exist across all major clinical specialties, including emergency medicine, family medicine, obstetrics and gynecology, internal medicine, pediatrics, surgery, anesthesia, infectious disease, psychiatry, and nursing. [22][23][24][25][26][27][28][29] Postresidency GH training for physicians in North America was first established in the field of emergency medicine in the 1990s. 30 Since the first GH fellowships were created, there has been steady growth in these advanced training programs.…”

Section: Introductionmentioning

confidence: 99%

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

Frange

Duffy

Al‐Rousan

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Postgraduate clinical global health (GH) training is a rapidly evolving field. To understand and improve training opportunities, we sought the perspectives of current and former trainees related to their advanced clinical training or global health fellowships and the anticipated impact on their careers. Clinical GH fellowships across North America were identified through websites and previous studies. An e-mail was sent to program directors to invite all current and former GH fellows to complete a web-based questionnaire. We contacted 100 GH fellowship programs. Fifty-two fellows from 10 different specialties completed the survey. The median fellowship length was 23.3 months, with an annual median of 4.8 months spent in low-income and middle-income countries, which was less than their reported ideal of 6 months. The majority reported satisfaction, the anticipation of career benefits, and that they would recommend fellowship training to others. Challenges included insufficient funding, mentorship, and formal curricula. Conducting research in high-income countries was a significant negative predictor of fellowship satisfaction. Most fellows (73.1%) were not at all or only a little concerned about the absence of fellowship accreditation, with only 17.3% desiring accreditation. Survey respondents were largely satisfied with their training and valued program flexibility and educational opportunities, including advanced tropical medicine certificates or diplomas. However, to improve fellowship training, improvements are needed in mentorship, standardized curricula, institutional support, and funding. For GH fellowship training to be effective and sustainable, institutions will need to balance the needs of fellows, training programs, and the communities (low-, middle-, and high-income countries) where the fellows serve.

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Section: Introductionmentioning

confidence: 99%

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

Frange

Duffy

Al‐Rousan

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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“…Due to the small number of applicants pursuing joint adult and pediatric fellowships, many fellowship directors may have limited experience with dual-fellowships. Currently, publications on combined fellowships include perspective pieces on specific subspecialty experiences [1][2][3][4][5], descriptions of site-specific programs [6], and a single survey of graduate outcomes [7]. This summary was developed jointly by residents, fellows, MedPeds program directors, and fellowship directors in Pediatrics and Internal Medicine subspecialties, and approved by their respective leadership councils to offer some key points on common questions, suggest additional resources, and share best practices.…”

Section: Introductionmentioning

confidence: 99%

Combined Medicine-Pediatrics Fellowships: A Guide for Fellowship Directors and Residents

Shen

Vakharia

Topor

et al. 2021

Cureus

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Dual training in Internal Medicine-Pediatrics (MedPeds) was recognized by the American Board of Medical Specialties in 1967. Residents complete 24 months each in Internal Medicine and Pediatrics and are boardeligible for both at the conclusion of training. Graduates are eligible for fellowships in either or both fields. Many graduates pursue fellowship training. A small absolute number of graduates apply for dual training in adult and pediatric subspecialties, but those that do bring direct, in-depth clinical experience across the lifespan, and familiarity with care in both pediatric and adult settings. As such, they contribute unique perspectives and capabilities to their fellowship and future practice. This includes the ability to provide subspecialty care in settings with limited resources, where they are able to address needs without age restrictions, and in the transition of subspecialty care for emerging adults with childhood-onset conditions.Due to the small number of applicants pursuing joint adult and pediatric fellowships, many fellowship directors may have limited experience with dual fellowships but may want to create opportunities for these unique trainees. This summary was developed jointly by residents, fellows, MedPeds program directors, and fellowship directors in Pediatrics and Internal Medicine subspecialties, and approved by their respective leadership councils to offer some key points on common questions, suggest additional resources, and share best practices, with a goal of facilitating this process for fellowship programs and residents alike.

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“…The first survey of U.S. GH fellowships documented the growing number and variety of GH fellowship opportunities available in 2010 and described program characteristics such as size, duration, specialty, and educational activities. 5 Subsequently, profiles of individual GH fellowships [6][7][8][9][10] and reviews of GH opportunities within subspecialty fellowships [11][12][13][14][15][16] have been published.…”

Section: Introductionmentioning

confidence: 99%

Status of global health fellowship training in the United States and Canada

Evensen¹,

Duffy

Dawe

et al. 2019

Can. Med. Ed. J

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Background: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear. Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges. Methods: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics. Results: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support. Conclusions: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. Programs reported lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.

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A Novel Approach to Combining Pediatric Emergency Medicine and Global Health Fellowships

Cited by 8 publications

References 23 publications

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

Combined Medicine-Pediatrics Fellowships: A Guide for Fellowship Directors and Residents

Status of global health fellowship training in the United States and Canada

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