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Global Health Education in Gastroenterology Fellowship: A National Survey
- Source :
- Digestive diseases and sciences. 61(12)
- Publication Year :
- 2016
-
Abstract
- Interest in global health (GH) education is increasing across disciplines. To assess exposure to and perception of GH training among gastroenterology fellows and program directors across the USA. Design: Electronic survey study. Setting: The questionnaire was circulated to accredited US gastroenterology fellowship programs, with the assistance of the American Gastroenterological Association. Participants: Gastroenterology program directors and fellows. The questionnaire was returned by 127 respondents (47 program directors, 78 fellows) from 55 training programs (36 % of all training programs). 61 % of respondents had prior experience in GH. 17 % of programs offered GH curriculum with international elective (13 %), didactic (9 %), and research activity (7 %) being the most common. Fellows had adequate experience managing hepatitis B (93 %), cholangiocarcinoma (84 %), and intrahepatic duct stones (84 %). 74, 69 and 68 % reported having little to no experience managing hepatitis E, tuberculosis mesenteritis, or epidemic infectious enteritis, respectively. Most fellows would participate in an elective in an underserved area locally (81 %) or a 4-week elective abroad (71 %), if available. 44 % of fellows planned on working or volunteering abroad after fellowship. Barriers to establishing GH curriculum included funding (94 %), scheduling (88 %), and a lack of standardized objectives (78 %). Lack of interest, however, was not a concern. Fellows (49 %), more than faculty (29 %) (χ 2 = 21.9; p = 0.03), believed that GH education should be included in fellowship curriculum. Program directors and trainees recognize the importance of GH education. However, only 17 % of ACGME-approved fellowship programs offer the opportunity. Global health curriculum may enhance gastroenterology training.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Physiology
Intrahepatic duct
Global Health
Gastroenterology
Infectious enteritis
Cholangiocarcinoma
03 medical and health sciences
0302 clinical medicine
Transplant surgery
Cholelithiasis
Internal medicine
Surveys and Questionnaires
Global health
medicine
Humans
Tuberculosis
Mesentery
030212 general & internal medicine
Fellowships and Scholarships
Curriculum
Accreditation
business.industry
Survey research
Middle Aged
Training Support
Hepatitis B
Enteritis
Hepatitis E
Bile Ducts, Intrahepatic
Bile Duct Neoplasms
Family medicine
030211 gastroenterology & hepatology
Female
business
Subjects
Details
- ISSN :
- 15732568
- Volume :
- 61
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Digestive diseases and sciences
- Accession number :
- edsair.doi.dedup.....7a787bbfe36c87493f086f56b3e17d2f