140 lines
4.5 KiB
YAML
140 lines
4.5 KiB
YAML
|
abstract: 'Background: Interest and participation in global health activities among
|
||
|
|
|
||
|
|
U.S. medical trainees has increased sharply in recent decades, yet the
|
||
|
|
|
||
|
|
global health activities of physicians who have completed residency
|
||
|
|
|
||
|
|
training remain understudied. Our objectives were to assess associations
|
||
|
|
|
||
|
|
between individual characteristics and patterns of post-residency global
|
||
|
|
|
||
|
|
health activities across the domains of health policy, education, and
|
||
|
|
|
||
|
|
research.
|
||
|
|
|
||
|
|
Methods: Cross-sectional, mixed methods national survey of 521
|
||
|
|
|
||
|
|
physicians with formal training in clinical and health services research
|
||
|
|
|
||
|
|
and policy leadership. Main measures were post-residency global health
|
||
|
|
|
||
|
|
activity and characteristics of this activity (location, funding,
|
||
|
|
|
||
|
|
products, and perceived synergy with domestic activities).
|
||
|
|
|
||
|
|
Results: Most respondents (73\%) hold faculty appointments across 84
|
||
|
|
|
||
|
|
U.S. medical schools and a strong plurality (46\%) are trained in
|
||
|
|
|
||
|
|
internal medicine. Nearly half of all respondents (44\%) reported some
|
||
|
|
|
||
|
|
global health activity after residency; however, the majority of this
|
||
|
|
|
||
|
|
group (73\%) reported spending <= 10\% of professional time on global
|
||
|
|
|
||
|
|
health in the past year. Among those active in global health, the
|
||
|
|
|
||
|
|
majority (78\%) reported receiving some funding for their global health
|
||
|
|
|
||
|
|
activities, and most (83\%) reported at least one scholarly,
|
||
|
|
|
||
|
|
educational, or other product resulting from this work. Many respondents
|
||
|
|
|
||
|
|
perceived synergies between domestic and global health activities, with
|
||
|
|
|
||
|
|
85\% agreeing with the statement that their global health activities had
|
||
|
|
|
||
|
|
enhanced the quality of their domestic work and increased their level of
|
||
|
|
|
||
|
|
involvement with vulnerable populations, health policy advocacy, or
|
||
|
|
|
||
|
|
research on the social determinants of health. Despite these perceived
|
||
|
|
|
||
|
|
synergies, qualitative data from in-depth interviews revealed personal
|
||
|
|
|
||
|
|
and institutional barriers to sustained global health involvement,
|
||
|
|
|
||
|
|
including work-family balance and a lack of specific avenues for career
|
||
|
|
|
||
|
|
development in global health.
|
||
|
|
|
||
|
|
Conclusions: Post-residency global health activity is common in this
|
||
|
|
|
||
|
|
diverse, multi-specialty group of physicians. Although those with global
|
||
|
|
|
||
|
|
health experience describe synergies with their domestic work, the lack
|
||
|
|
|
||
|
|
of established career development pathways may limit the benefits of
|
||
|
|
|
||
|
|
this synergy for individuals and their institutions.'
|
||
|
|
affiliation: 'Greysen, SR (Corresponding Author), Univ Calif San Francisco, Div Hosp
|
||
|
|
Med, 533 Parnassus Ave,Suite U112,Box 0131, San Francisco, CA 94143 USA.
|
||
|
|
|
||
|
|
Greysen, S. Ryan, Univ Calif San Francisco, Div Hosp Med, San Francisco, CA 94143
|
||
|
|
USA.
|
||
|
|
|
||
|
|
Richards, Adam K., Univ Calif Los Angeles, Dept Gen Internal Med \& Hlth Serv Res,
|
||
|
|
Los Angeles, CA USA.
|
||
|
|
|
||
|
|
Coupet, Sidney, Univ Michigan, Robert Wood Johnson Fdn, Clin Scholars Program, Ann
|
||
|
|
Arbor, MI 48109 USA.
|
||
|
|
|
||
|
|
Desai, Mayur M., Yale Univ, Robert Wood Johnson Fdn, Clin Scholars Program, New
|
||
|
|
Haven, CT USA.
|
||
|
|
|
||
|
|
Desai, Mayur M., Yale Univ, Sch Publ Hlth, Div Chron Dis Epidemiol, New Haven, CT
|
||
|
|
USA.
|
||
|
|
|
||
|
|
Padela, Aasim I., Univ Chicago, Dept Med, Sect Emergency Med, Chicago, IL 60637
|
||
|
|
USA.
|
||
|
|
|
||
|
|
Padela, Aasim I., Univ Chicago, Dept Med, Gen Internal Med Sect, Chicago, IL 60637
|
||
|
|
USA.'
|
||
|
|
article-number: '19'
|
||
|
|
author: Greysen, S. Ryan and Richards, Adam K. and Coupet, Sidney and Desai, Mayur
|
||
|
|
M. and Padela, Aasim I.
|
||
|
|
author-email: Ryan.Greysen@ucsf.edu
|
||
|
|
author_list:
|
||
|
|
- family: Greysen
|
||
|
|
given: S. Ryan
|
||
|
|
- family: Richards
|
||
|
|
given: Adam K.
|
||
|
|
- family: Coupet
|
||
|
|
given: Sidney
|
||
|
|
- family: Desai
|
||
|
|
given: Mayur M.
|
||
|
|
- family: Padela
|
||
|
|
given: Aasim I.
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.1186/1744-8603-9-19
|
||
|
|
files: []
|
||
|
|
issn: 1744-8603
|
||
|
|
journal: GLOBALIZATION AND HEALTH
|
||
|
|
keywords: Global health; International medicine; Health policy; Career development
|
||
|
|
keywords-plus: 'INTERNATIONAL HEALTH; MEDICAL-EDUCATION; EMERGENCY-MEDICINE;
|
||
|
|
|
||
|
|
OPPORTUNITIES; SCHOLARS; PROGRAM; PROFESSIONALS; PERSPECTIVE; ELECTIVES;
|
||
|
|
|
||
|
|
CORPS'
|
||
|
|
language: English
|
||
|
|
month: MAY 11
|
||
|
|
number-of-cited-references: '38'
|
||
|
|
orcid-numbers: 'richards, adam/0000-0002-7098-0513
|
||
|
|
|
||
|
|
Desai, Mayur/0000-0001-6616-0945'
|
||
|
|
papis_id: 79c9a7072536fdc5f98adc8fd8ac9fa2
|
||
|
|
ref: Greysen2013globalhealth
|
||
|
|
researcherid-numbers: 'richards, adam/ABF-8189-2021
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '17'
|
||
|
|
title: 'Global health experiences of U.S. Physicians: a mixed methods survey of clinician-researchers
|
||
|
|
and health policy leaders'
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000319071100001
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '13'
|
||
|
|
volume: '9'
|
||
|
|
web-of-science-categories: Public, Environmental \& Occupational Health
|
||
|
|
year: '2013'
|