Global health opportunities within pediatric subspecialty fellowship training programs: surveying the virtual landscape

BMC Medical Education

Charles Schubert²  Katherine A Hom³  Heidi Castillo¹  Jonathan Castillo¹  Cinnamon A Dixon² 

[1] Meyer Center for Developmental Pediatrics, Baylor College of Medicine, Texas Children’s Hospital, Houston, USA;Center for Global Health, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, USA;School of Medicine, University of California – Irvine, Irvine, USA

关键词: Fellowship training;    Subspecialty;    Graduate medical education;    Pediatrics;    Global health;   

Others  :  1138876
DOI  :  10.1186/1472-6920-13-88

 received in 2012-12-12, accepted in 2013-06-17,  发布年份 2013

【 摘 要 】

Background

There is growing interest in global health among medical trainees. Medical schools and residencies are responding to this trend by offering global health opportunities within their programs. Among United States (US) graduating pediatric residents, 40% choose to subspecialize after residency training. There is limited data, however, regarding global health opportunities within traditional post-residency, subspecialty fellowship training programs. The objectives of this study were to explore the availability and type of global health opportunities within Accreditation Council for Graduate Medical Education (ACGME)-accredited pediatric subspecialty fellowship training programs, as noted by their online report, and to document change in these opportunities over time.

Methods

The authors performed a systematic online review of ACGME-accredited fellowship training programs within a convenience sample of six US pediatric subspecialties. Utilizing two data sources, the American Medical Association-Fellowship and Residency Electronic Interactive Database Access (AMA-FREIDA) and individual program websites, all programs were coded for global health opportunities and opportunity types were stratified into predefined categories. Comparisons were made between 2008 and 2011 using Fisher exact test. All analyses were conducted using SAS Software v. 9.3 (SAS Institute Inc., Cary, NC).

Results

Of the 355 and 360 programs reviewed in 2008 and 2011 respectively, there was an increase in total number of programs listing global health opportunities on AMA-FREIDA (16% to 23%, p=0.02) and on individual program websites (8% to 16%, p=0.004). Nearly all subspecialties had an increased percentage of programs offering global health opportunities on both data sources; although only critical care experienced a significant increase (p=0.04, AMA-FREIDA). The types of opportunities differed across all subspecialties.

Conclusions

Global health opportunities among ACGME-accredited pediatric subspecialty fellowship programs are limited, but increasing as noted by their online report. The availability and types of these opportunities differ by pediatric subspecialty.

【 授权许可】

   
2013 Dixon et al.; licensee BioMed Central Ltd.

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