Barriers to Global Health Training in Obstetrics and Gynecology

<p>Background</p><p>The Lancet Commission on Global Surgery includes obstetrics and <a title="Learn more about Gynecology" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gynecology">gynecology</a> as an area needing international s...

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Autores principales:	Rachel Pope, Maria Shaker, Prakash Ganesh, Margaret Larkins-Pettigrew, Stephanie Deter Pickett
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2016
Materias:	global health training residency obstetrics gynecology Lancet Commission on Global Surgery Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bbbcc64892874a7e9b82d7d1b2ca36ee
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spelling	oai:doaj.org-article:bbbcc64892874a7e9b82d7d1b2ca36ee2021-12-02T09:32:35ZBarriers to Global Health Training in Obstetrics and Gynecology2214-999610.1016/j.aogh.2016.09.004https://doaj.org/article/bbbcc64892874a7e9b82d7d1b2ca36ee2016-12-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/731https://doaj.org/toc/2214-9996<p>Background</p><p>The Lancet Commission on Global Surgery includes obstetrics and <a title="Learn more about Gynecology" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gynecology">gynecology</a> as an area needing international strengthening in low- and middle-income countries. Despite interest, a majority of participants in US residency programs graduate with little exposure to <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> or preparation to work abroad.</p><p>Objective</p><p>The aim of this study was to determine the level of interest of obstetrics and gynecology (Ob/Gyn) residents in gaining global health training and to identify perceived barriers to receiving training.</p><p>Methods</p><p>Residents in accredited Ob/Gyn programs were identified using a national residency database. The survey was online and anonymous.</p><p>Findings</p><p>A total of 278 residents completed the survey. A high level of motivation to participate in a global health elective was associated with interests in preparation for future global work, desire for activism in maternal health and social determinants of health, and becoming better informed on global health policy. Eighty-two percent of respondents stated they would participate in a global health curriculum if it were offered, and 54.8% would use their vacation time. There were associations between personal safety, family, lack of resources, and lack of interest from faculty and motivational level as perceived barriers. Eighty-one percent strongly agreed that scheduling conflicts and time constraints pose barriers; more than 80% either agreed or strongly agreed that funding such endeavors and a lack of mentorship are major deterrents to pursuing global health.</p><p>Conclusions</p><p>Because resident motivation is clearly high and international need persists, we determined that most barriers to training abroad are related to the structure and budget of residency programs.Rachel PopeMaria ShakerPrakash GaneshMargaret Larkins-PettigrewStephanie Deter PickettUbiquity Pressarticleglobal health trainingresidencyobstetricsgynecologyLancet Commission on Global SurgeryInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 82, Iss 4, Pp 625-629 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	global health training residency obstetrics gynecology Lancet Commission on Global Surgery Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	global health training residency obstetrics gynecology Lancet Commission on Global Surgery Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Rachel Pope Maria Shaker Prakash Ganesh Margaret Larkins-Pettigrew Stephanie Deter Pickett Barriers to Global Health Training in Obstetrics and Gynecology
description	<p>Background</p><p>The Lancet Commission on Global Surgery includes obstetrics and <a title="Learn more about Gynecology" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/gynecology">gynecology</a> as an area needing international strengthening in low- and middle-income countries. Despite interest, a majority of participants in US residency programs graduate with little exposure to <a title="Learn more about Global Health" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/global-health">global health</a> or preparation to work abroad.</p><p>Objective</p><p>The aim of this study was to determine the level of interest of obstetrics and gynecology (Ob/Gyn) residents in gaining global health training and to identify perceived barriers to receiving training.</p><p>Methods</p><p>Residents in accredited Ob/Gyn programs were identified using a national residency database. The survey was online and anonymous.</p><p>Findings</p><p>A total of 278 residents completed the survey. A high level of motivation to participate in a global health elective was associated with interests in preparation for future global work, desire for activism in maternal health and social determinants of health, and becoming better informed on global health policy. Eighty-two percent of respondents stated they would participate in a global health curriculum if it were offered, and 54.8% would use their vacation time. There were associations between personal safety, family, lack of resources, and lack of interest from faculty and motivational level as perceived barriers. Eighty-one percent strongly agreed that scheduling conflicts and time constraints pose barriers; more than 80% either agreed or strongly agreed that funding such endeavors and a lack of mentorship are major deterrents to pursuing global health.</p><p>Conclusions</p><p>Because resident motivation is clearly high and international need persists, we determined that most barriers to training abroad are related to the structure and budget of residency programs.
format	article
author	Rachel Pope Maria Shaker Prakash Ganesh Margaret Larkins-Pettigrew Stephanie Deter Pickett
author_facet	Rachel Pope Maria Shaker Prakash Ganesh Margaret Larkins-Pettigrew Stephanie Deter Pickett
author_sort	Rachel Pope
title	Barriers to Global Health Training in Obstetrics and Gynecology
title_short	Barriers to Global Health Training in Obstetrics and Gynecology
title_full	Barriers to Global Health Training in Obstetrics and Gynecology
title_fullStr	Barriers to Global Health Training in Obstetrics and Gynecology
title_full_unstemmed	Barriers to Global Health Training in Obstetrics and Gynecology
title_sort	barriers to global health training in obstetrics and gynecology
publisher	Ubiquity Press
publishDate	2016
url	https://doaj.org/article/bbbcc64892874a7e9b82d7d1b2ca36ee
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Barriers to Global Health Training in Obstetrics and Gynecology

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