TY - JOUR
T1 - Global health-related training opportunities a national survey of pulmonary and critical care medicine fellowship programs
AU - North, Crystal M.
AU - Attia, Engi F.
AU - Rudd, Kristina E.
AU - Siddharthan, Trishul
AU - Papali, Alfred
AU - Çoruh, Basak
AU - Carter, E. Jane
AU - Christiani, David C.
AU - Richards, Jeremy B.
AU - Huang, Laurence
AU - Engelberg, Ruth
AU - Checkley, William
AU - West, T. Eoin
N1 - Funding Information:
We conducted a targeted needs assessment via an online survey of program directors (PDs) and associate program directors (APDs) at U.S.-based Accreditation Council for Graduate Medical Education (ACGME)-accredited adult PCCM fellowship programs from August through December 2017. We used purposive sampling to identify PDs and APDs in collaboration with the Association for Pulmonary and Critical Care Medicine Program Directors. PDs and APDs were eligible for participation in the survey if they were employed in an ACGME-accredited fellowship program and their contact information was available through the Association for Pulmonary and Critical Care Medicine Program Directors; they were contacted by e-mail up to four times to invite them to complete the survey. The e-mail invitation included a brief introduction to the purpose of the survey, offer of entry into a drawing for one of two $250 Amazon gift cards on survey completion, and information regarding confidentiality, privacy, and informed consent. Interested participants accessed the online survey through a hyperlink provided in the email. We collected respondent names and e-mail addresses to prevent duplicate program representation but did not link survey responses with individual names or programs. Survey methods were deemed exempt from review by the Partners Healthcare Institutional Review Board, and all survey respondents provided informed consent.
Funding Information:
Gift cards for survey participation were funded by the University of Washington International Respiratory and Severe Illness Center. The views expressed in this article do not communicate an official position of the University of Washington International Respiratory and Severe Illness Center or any of the authors’ aff iliated institutions.
Publisher Copyright:
Copyright © 2019 by the American Thoracic Society.
PY - 2019
Y1 - 2019
N2 - Rationale: Clinical and research training opportunities in global health are of increasing interest to medical trainees, but little is known about such opportunities in U.S.-based pulmonary and pulmonary/critical care medicine (PCCM) fellowship programs. Objectives: Summarize currently available global health-related training opportunities and identify potential barriers to implementing global health curricula among U.S.-based PCCM fellowship programs. Methods: We sent a confidential, online, targeted needs assessment to PCCM fellowship program directors and associate program directors. Data collected included program demographics, currently available global health-related clinical and research training opportunities, potential barriers to the implementation of global health-related programmatic content, and perceived interest in global health-related training opportunities by current and/or prospective trainees. To evaluate for nonresponse bias, we performed an online search to identify global health-related training opportunities offered by nonresponding programs. Results: Out of 171 surveyed programs, 63 PCCM fellowship programs (37%) provided survey responses. Most responses (n=56, 89%) were from combined PCCM training programs; 66% (n=40) of programs offered at least one component of global health-related clinical or research training. Overall, 27% (n =17) had a Ruth L. Kirschstein National Research Service Award Institutional Research Training Grant (National Institutes of Health T32), 73% (n=46) had fewer than 35 faculty members, and 51% (n =32) had at least one faculty member conducting global health-focused research. Most responding programs (66%, n= 40) offered at least one global health-related educational component. Among programs that would like to offer global health- related training components, the most common barriers included competing priorities for lecture content and a lack of in-divisionmentors with global health experience, a champion for global health-related activities, and established partnerships outside the United States. Conclusions: PCCM program leaders are interested in offering global health-related training opportunities, but important barriers include lack of mentorship, dedicated fellowship time, and established global partnerships. Future research is needed to better understand global health-related interests and training needs of incoming fellows and to design creative solutions for providing global health-related training across academic institutions with variable global health-related training capacities.
AB - Rationale: Clinical and research training opportunities in global health are of increasing interest to medical trainees, but little is known about such opportunities in U.S.-based pulmonary and pulmonary/critical care medicine (PCCM) fellowship programs. Objectives: Summarize currently available global health-related training opportunities and identify potential barriers to implementing global health curricula among U.S.-based PCCM fellowship programs. Methods: We sent a confidential, online, targeted needs assessment to PCCM fellowship program directors and associate program directors. Data collected included program demographics, currently available global health-related clinical and research training opportunities, potential barriers to the implementation of global health-related programmatic content, and perceived interest in global health-related training opportunities by current and/or prospective trainees. To evaluate for nonresponse bias, we performed an online search to identify global health-related training opportunities offered by nonresponding programs. Results: Out of 171 surveyed programs, 63 PCCM fellowship programs (37%) provided survey responses. Most responses (n=56, 89%) were from combined PCCM training programs; 66% (n=40) of programs offered at least one component of global health-related clinical or research training. Overall, 27% (n =17) had a Ruth L. Kirschstein National Research Service Award Institutional Research Training Grant (National Institutes of Health T32), 73% (n=46) had fewer than 35 faculty members, and 51% (n =32) had at least one faculty member conducting global health-focused research. Most responding programs (66%, n= 40) offered at least one global health-related educational component. Among programs that would like to offer global health- related training components, the most common barriers included competing priorities for lecture content and a lack of in-divisionmentors with global health experience, a champion for global health-related activities, and established partnerships outside the United States. Conclusions: PCCM program leaders are interested in offering global health-related training opportunities, but important barriers include lack of mentorship, dedicated fellowship time, and established global partnerships. Future research is needed to better understand global health-related interests and training needs of incoming fellows and to design creative solutions for providing global health-related training across academic institutions with variable global health-related training capacities.
KW - Curriculum
KW - Global health
KW - Medical education
KW - Needs assessment
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U2 - 10.1513/AnnalsATS.201812-856OC
DO - 10.1513/AnnalsATS.201812-856OC
M3 - Article
C2 - 31199665
AN - SCOPUS:85071785708
SN - 2325-6621
VL - 16
SP - 1171
EP - 1178
JO - Annals of the American Thoracic Society
JF - Annals of the American Thoracic Society
IS - 9
ER -