“…There are several differences between the study by Wackerbarth et al ( 2015 ) and our current study. Although their study covered the majority of the general surgery residency programs, the information was obtained only through perusal of the websites for a limited period of time (10 min) which may not always be accurate or updated.…”
Section: Discussioncontrasting
confidence: 90%
“…One recent study did review the availability of international experiences and the ease of finding this information on the websites of US general surgery residency programs. The study by Wackerbarth et al ( 2015 ) reviewed the websites of 239 general surgery programs for an arbitrarily set time limit of 10 min. They noted that only a small number of programs (24 = 10 %) mentioned international experiences and a minority of programs (42 = 18 %) contained information about global surgery.…”
BackgroundThe aim of this study is to identify, quantify, and characterize the international experiences available for general surgery residents in the general surgery residency programs in the United States (US).MethodsThe Fellowship and Residency Electronic Interactive Database (FREIDA) database was used to identify all the general surgery residency programs in the US. Each institution was contacted by both e-mail and telephone. Respondents were asked if an international experience was available for residents within their program and, if available, details of the experience were obtained.ResultsA total of 253 general surgery residency programs were identified using the FREIDA database. Eighty-six (34 %) programs were noted to offer an international experience for their residents. A majority are incorporated into the PGY 3 and PGY 4 level of training with a duration of 1–4 weeks. Common locations are evenly distributed among the Americas and Africa and are usually funded through a combination of resident and department funding.ConclusionsUS resident interest in global health is growing along with an increasing demand for surgical care worldwide. This is one of the first studies to identify, quantify, and characterize in detail the international experiences currently available to general surgery residents within the general surgery training programs in the US. These results can help general surgery residency applicants with an interest in global health and also pave the path for residency programs to develop future international experiences.
“…There are several differences between the study by Wackerbarth et al ( 2015 ) and our current study. Although their study covered the majority of the general surgery residency programs, the information was obtained only through perusal of the websites for a limited period of time (10 min) which may not always be accurate or updated.…”
Section: Discussioncontrasting
confidence: 90%
“…One recent study did review the availability of international experiences and the ease of finding this information on the websites of US general surgery residency programs. The study by Wackerbarth et al ( 2015 ) reviewed the websites of 239 general surgery programs for an arbitrarily set time limit of 10 min. They noted that only a small number of programs (24 = 10 %) mentioned international experiences and a minority of programs (42 = 18 %) contained information about global surgery.…”
BackgroundThe aim of this study is to identify, quantify, and characterize the international experiences available for general surgery residents in the general surgery residency programs in the United States (US).MethodsThe Fellowship and Residency Electronic Interactive Database (FREIDA) database was used to identify all the general surgery residency programs in the US. Each institution was contacted by both e-mail and telephone. Respondents were asked if an international experience was available for residents within their program and, if available, details of the experience were obtained.ResultsA total of 253 general surgery residency programs were identified using the FREIDA database. Eighty-six (34 %) programs were noted to offer an international experience for their residents. A majority are incorporated into the PGY 3 and PGY 4 level of training with a duration of 1–4 weeks. Common locations are evenly distributed among the Americas and Africa and are usually funded through a combination of resident and department funding.ConclusionsUS resident interest in global health is growing along with an increasing demand for surgical care worldwide. This is one of the first studies to identify, quantify, and characterize in detail the international experiences currently available to general surgery residents within the general surgery training programs in the US. These results can help general surgery residency applicants with an interest in global health and also pave the path for residency programs to develop future international experiences.
“…Recent surveys show that only 10-24% of general surgery residency programs offer international electives. 3,15 Our results demonstrate that the proportion of Anesthesia residency programs offering international electives is higher than general surgery but still smaller than other subspecialty fields. National surveys of orthopedic surgery, ophthalmology, and plastic surgery residency programs demonstrated that 61%, 55%, and 41% of programs offered global health electives, respectively.…”
“…2015 [ 23 ] E-mail Survey Does not mention 48 /253 (19%) 71% (34/48) Lack of funding Intensive service requirements Cultural differences Gaining support from chair, dean, CMO Meeting the needs of the host Logistics: housing/certification Local issues such as strikes Wackerbarth et al . 2015 [ 24 ] Web-based search 2014–15 239 programs searched 18% (42/239) Administrative constraints Lack of funding Accreditation Abbreviations: ACGME = Accreditation Council for Graduate Medical Education; RRC = Residency Review Committee * 156 ACGME-accredited & 36 non ACGME-accredited ┼ Only U.S. residency programs in a survey of U.S. and Canadian programs ¶ Percentages of challenges were not available for all articles Figure 1. Flow diagram for identification, screening, eligibility, and inclusion of records.…”
Background: Interest in global health training during residency is increasing. Global health knowledge is also becoming essential for health-care delivery today. Many U.S. residency programs have been incorporating global health training opportunities for their residents. We performed a systematic literature review to evaluate global health training opportunities and challenges among U.S. residency specialties.
Methods: We searched PubMed from its earliest dates until October 2015. Articles included were survey results of U.S. program directors on global health training opportunities, and web-based searches of U.S. residency program websites on global health training opportunities. Data extracted included percentage of residency programs offering global health training within a specialty and challenges encountered.
Results: Studies were found for twelve U.S. residency specialties. Of the survey based studies, the specialties with the highest percentage of their residency programs offering global health training were preventive medicine (83%), emergency medicine (74%), and surgery (71%); and the lowest were orthopaedic surgery (26%), obstetrics and gynecology (28%), and plastic surgery (41%). Of the web-based studies, the specialties with the highest percentage of their residency programs offering global health training were emergency medicine (41%), pediatrics (33%), and family medicine (22%); and the lowest were psychiatry (9%), obstetrics and gynecology (17%), and surgery (18%). The most common challenges were lack of funding, lack of international partnerships, lack of supervision, and scheduling.
Conclusion: Among U.S. residency specialties, there are wide disparities for global health training. In general, there are few opportunities in psychiatry and surgical residency specialties, and greater opportunities among medical residency specialties. Further emphasis should be made to scale-up opportunities for psychiatry and surgical residency specialties.
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