2023-09-28 14:46:10 +00:00
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abstract: 'Background: Interest and participation in global health activities among
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U.S. medical trainees has increased sharply in recent decades, yet the
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global health activities of physicians who have completed residency
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training remain understudied. Our objectives were to assess associations
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between individual characteristics and patterns of post-residency global
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health activities across the domains of health policy, education, and
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research.
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Methods: Cross-sectional, mixed methods national survey of 521
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physicians with formal training in clinical and health services research
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and policy leadership. Main measures were post-residency global health
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activity and characteristics of this activity (location, funding,
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products, and perceived synergy with domestic activities).
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Results: Most respondents (73\%) hold faculty appointments across 84
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U.S. medical schools and a strong plurality (46\%) are trained in
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internal medicine. Nearly half of all respondents (44\%) reported some
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global health activity after residency; however, the majority of this
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group (73\%) reported spending <= 10\% of professional time on global
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health in the past year. Among those active in global health, the
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majority (78\%) reported receiving some funding for their global health
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activities, and most (83\%) reported at least one scholarly,
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educational, or other product resulting from this work. Many respondents
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perceived synergies between domestic and global health activities, with
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85\% agreeing with the statement that their global health activities had
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enhanced the quality of their domestic work and increased their level of
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involvement with vulnerable populations, health policy advocacy, or
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research on the social determinants of health. Despite these perceived
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synergies, qualitative data from in-depth interviews revealed personal
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and institutional barriers to sustained global health involvement,
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including work-family balance and a lack of specific avenues for career
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development in global health.
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Conclusions: Post-residency global health activity is common in this
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diverse, multi-specialty group of physicians. Although those with global
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health experience describe synergies with their domestic work, the lack
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of established career development pathways may limit the benefits of
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this synergy for individuals and their institutions.'
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affiliation: 'Greysen, SR (Corresponding Author), Univ Calif San Francisco, Div Hosp
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Med, 533 Parnassus Ave,Suite U112,Box 0131, San Francisco, CA 94143 USA.
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Greysen, S. Ryan, Univ Calif San Francisco, Div Hosp Med, San Francisco, CA 94143
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USA.
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Richards, Adam K., Univ Calif Los Angeles, Dept Gen Internal Med \& Hlth Serv Res,
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Los Angeles, CA USA.
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Coupet, Sidney, Univ Michigan, Robert Wood Johnson Fdn, Clin Scholars Program, Ann
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Arbor, MI 48109 USA.
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Desai, Mayur M., Yale Univ, Robert Wood Johnson Fdn, Clin Scholars Program, New
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Haven, CT USA.
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Desai, Mayur M., Yale Univ, Sch Publ Hlth, Div Chron Dis Epidemiol, New Haven, CT
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USA.
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Padela, Aasim I., Univ Chicago, Dept Med, Sect Emergency Med, Chicago, IL 60637
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USA.
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Padela, Aasim I., Univ Chicago, Dept Med, Gen Internal Med Sect, Chicago, IL 60637
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USA.'
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article-number: '19'
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author: Greysen, S. Ryan and Richards, Adam K. and Coupet, Sidney and Desai, Mayur
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M. and Padela, Aasim I.
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author-email: Ryan.Greysen@ucsf.edu
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author_list:
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- family: Greysen
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given: S. Ryan
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- family: Richards
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given: Adam K.
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- family: Coupet
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given: Sidney
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- family: Desai
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given: Mayur M.
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- family: Padela
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given: Aasim I.
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da: '2023-09-28'
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doi: 10.1186/1744-8603-9-19
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files: []
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issn: 1744-8603
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journal: GLOBALIZATION AND HEALTH
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keywords: Global health; International medicine; Health policy; Career development
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keywords-plus: 'INTERNATIONAL HEALTH; MEDICAL-EDUCATION; EMERGENCY-MEDICINE;
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OPPORTUNITIES; SCHOLARS; PROGRAM; PROFESSIONALS; PERSPECTIVE; ELECTIVES;
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CORPS'
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language: English
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month: MAY 11
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number-of-cited-references: '38'
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orcid-numbers: 'richards, adam/0000-0002-7098-0513
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Desai, Mayur/0000-0001-6616-0945'
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papis_id: 79c9a7072536fdc5f98adc8fd8ac9fa2
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ref: Greysen2013globalhealth
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researcherid-numbers: 'richards, adam/ABF-8189-2021
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'
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times-cited: '17'
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title: 'Global health experiences of U.S. Physicians: a mixed methods survey of clinician-researchers
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and health policy leaders'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000319071100001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '9'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2013'
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