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'