Global health outreach during anesthesiology residency in the United States: a survey of interest, barriers to participation, and proposed solutions

McCunn, Maureen; Speck, Rebecca M.; Chung, In-Sung; Atkins, Joshua H.; Raiten, Jesse; Fleisher, Lee A.

doi:10.1016/j.jclinane.2011.06.007

Cited by 22 publications

(20 citation statements)

References 35 publications

(47 reference statements)

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“…Median importance ratings for factors assessed by the survey for their impact on residency selection are shown in the Figure. Overall, respondents assessed all factors as being at least moderately important (median C 5 on the 1-10 scale). Global health, specifically, was rated as moderately important (median [IQR], 6 [3][4][5][6][7]) and was statistically significantly different from the 11 other factors with higher median importance ratings ((Bonferroni-Dunn post-hoc test: P \ 0.001 to P = 0.004) (Figure). We also asked respondents to pick the seven factors that most influenced their program ranking list and the three factors that least influenced it.…”

Section: Resultsmentioning

confidence: 99%

“…Completed surveys were obtained from 582 of 1,092 (53%) polled participants. All factors assessed were rated between 5 and 9 and the global health median [interquartile range] rating was 6 [3][4][5][6][7]. Nearly half of the survey respondents were interested in incorporating global health into future careers.…”

Section: Introductionmentioning

confidence: 99%

“…Résultats Sur les 117 programmes d'anesthésiologie contactés aux É tats-Unis, 87 (74 %) ont distribué l'enquête et sur les 1092 participants interrogés, 582 (53 %) ont répondu à la totalité de l'enquête. Tous les facteurs évalués ont été cotés entre 5 et 9 et la notation médiane de la santé globale [intervalle interquartile] était de 6 [3][4][5][6][7]. Presque la moitié des personnes interrogées étaient intéressées à l'inclusion de la santé globale dans leur carrière future.…”

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“…B Numerous residency programs, including pediatrics, general surgery, emergency medicine, internal medicine, family medicine, and anesthesiology, now offer international electives or global health tracks in their curricula. [3][4][5][6][7][8] Research in family medicine, emergency medicine, and pediatrics suggests that interest in global health has started to influence medical students' selection of residency programs. [9][10][11][12] A 2012 survey of resident members of the American Society of Anesthesiologists suggested that anesthesia residents have an interest in global health outreach, and the availability of a global health outreach residency track may influence residency ranking lists.…”

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confidence: 99%

“…[9][10][11][12] A 2012 survey of resident members of the American Society of Anesthesiologists suggested that anesthesia residents have an interest in global health outreach, and the availability of a global health outreach residency track may influence residency ranking lists. 3 The results of the 2012 study were limited by self-selection bias as it was labelled a ''Global Health Survey.'' Thus, possibly only those individuals interested in global health may have chosen to participate in the survey.…”

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confidence: 99%

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Factors influencing anesthesia residency selection: impact of global health opportunities

Evans

Mallepally

Dubowitz

et al. 2016

Can J Anesth/J Can Anesth

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Purpose There is growing evidence to suggest that the current generation of medical students and young physicians is interested in global health. However, there are few data on the interest in global health by students pursuing a career in anesthesiology. The objective of this survey was to evaluate the importance of global health opportunities in regard to applicants' choice of anesthesiology residency programs. Methods Anesthesiology residency program directors in the United States were invited to distribute an online survey to recently matched residents. To reduce study bias, the survey included a wide selection of reasons for program choices in addition to global health.Participants were asked to rate independently, on a scale of 1 to 10 (1 = least important, 10 = most important), the importance that each factor had on their selection of an anesthesiology residency program. Results Of the 117 U.S. anesthesiology programs contacted, 87 (74%) distributed the survey. Completed surveys were obtained from 582 of 1,092 (53%) polled participants. All factors assessed were rated between 5 and 9 and the global health median [interquartile range] rating was 6 [3][4][5][6][7]. Nearly half of the survey respondents were interested in incorporating global health into future careers. More than three-quarters reported being interested in participating in, or reading about, global health activities during their residency. Responders with previous global health experience, or who were interested in an ''in-country'' experience, were more likely to choose programs that had global health opportunities available during residency. Conclusions Anesthesia residency program applicants are interested in global health. Having a global health opportunity was an important reason for choosing a residency program, comparable to some more traditional factors. Regardless of previous global health experience, the majority of future anesthesia residents are either planning or considering participation in global health activities during or after training. RésuméObjectif Il existe de plus en plus de données probantes suggérant que la génération actuelle des étudiants en médecine et des jeunes médecins s'intéresse à la « santé globale ». Il y a cependant peu de données sur l'intérêt des étudiants poursuivant une carrière en anesthésiologie pour la santé globale. L'objectif de cette enquête était d'évaluer

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Factors influencing anesthesia residency selection: impact of global health opportunities

Evans

Mallepally

Dubowitz

et al. 2016

Can J Anesth/J Can Anesth

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Evolving State of Global Health Education for Anesthesiology Trainees

Tabaie

Kaur

Lilaonitkul

et al. 2017

Curr Anesthesiol Rep

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What Is the Current Status of Global Health Training for US Postgraduate Trainees in Anesthesiology? What Are Possible Visions for the Future?

Sanghvi

Songolo

2023

Curr Anesthesiol Rep

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Purpose of Review There is a great deal of interest in global health at all levels of educational attainment. Many residency programs wish to offer a global health opportunity (GHO) but lack the resources to create one de novo. This review will look at the prevalence of global health education in residency and consider the fellowships available. It will summarize the existing recommendations about a curriculum in global health and how best to prepare trainees for a GHO. Recent Findings While approximately 45% of residency programs make GHOs available to their residents, there is a lack of standardization of curriculum. Logistical and ethical challenges, funding, and the lack of international partners are all barriers to offering a GHO. Residents and fellows can benefit from a GHO as it helps achieve their ACGME core competencies, among other benefits. Summary We make the recommendation for more robust training and education with the investment of fewer resources by aligning with existing global health participation opportunities. We also recommend the use of the Consortium of Universities for Global Health (CUGH) which provided curriculum for creating a context in global health for trainees regardless of discipline.

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Global health outreach during anesthesiology residency in the United States: a survey of interest, barriers to participation, and proposed solutions

Cited by 22 publications

References 35 publications

Factors influencing anesthesia residency selection: impact of global health opportunities

Factors influencing anesthesia residency selection: impact of global health opportunities

Evolving State of Global Health Education for Anesthesiology Trainees

What Is the Current Status of Global Health Training for US Postgraduate Trainees in Anesthesiology? What Are Possible Visions for the Future?

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