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

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...

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Autores principales: Ann Evensen, Sean Duffy, Russell Dawe, Andrea Pike, Brett Nelson
Formato: article
Lenguaje:EN
Publicado: Canadian Medical Education Journal 2019
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Acceso en línea:https://doaj.org/article/d534a9b6b933480fa3031f7fd9bb62d6
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spelling oai:doaj.org-article:d534a9b6b933480fa3031f7fd9bb62d62021-12-01T22:41:46ZStatus of global health fellowship training in the United States and Canada10.36834/cmej.569531923-1202https://doaj.org/article/d534a9b6b933480fa3031f7fd9bb62d62019-11-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/56953https://doaj.org/toc/1923-1202 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. Ann EvensenSean DuffyRussell DaweAndrea PikeBrett NelsonCanadian Medical Education JournalarticleGlobal healthfellowshippostgraduate trainingEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 10, Iss 4 (2019)
institution DOAJ
collection DOAJ
language EN
topic Global health
fellowship
postgraduate training
Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle Global health
fellowship
postgraduate training
Education (General)
L7-991
Medicine (General)
R5-920
Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
Status of global health fellowship training in the United States and Canada
description 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.
format article
author Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
author_facet Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
author_sort Ann Evensen
title Status of global health fellowship training in the United States and Canada
title_short Status of global health fellowship training in the United States and Canada
title_full Status of global health fellowship training in the United States and Canada
title_fullStr Status of global health fellowship training in the United States and Canada
title_full_unstemmed Status of global health fellowship training in the United States and Canada
title_sort status of global health fellowship training in the united states and canada
publisher Canadian Medical Education Journal
publishDate 2019
url https://doaj.org/article/d534a9b6b933480fa3031f7fd9bb62d6
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AT andreapike statusofglobalhealthfellowshiptrainingintheunitedstatesandcanada
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