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Global Health Outreach by United States Ophthalmology Residency Programs: Understanding of Host Country Systems-Based Practice
- Source :
- Military medicine. 184(11-12)
- Publication Year :
- 2019
-
Abstract
- IntroductionFor medical residents, global health outreach is the first experience of learning how to develop partnerships with foreign medical systems. The overall objective of this project was to develop an overview of global health programs in U.S. ophthalmology residencies. The investigation focused on characterizing the goals and services offered, the didactics taught to residents, and the program director’s understanding of systems-based practice gained in the host country.Materials and MethodsAn online survey was sent to all U.S. ophthalmology residency program directors. The two outcome measures of the study were characterization of global health outreach and didactics completed by U.S. ophthalmology residency programs and review of program director understanding of host country systems of care.ResultsTwelve program directors of 117 (10.26%) answered the survey. 100% of programs from the Department of Defense responded. Countries served included Ecuador, Panama, Honduras, Dominican Republic, India, Tanzania, Nepal, Bhutan, Guatemala, Micronesia, Haiti, Mongolia, Bolivia. Sixty five percent worked at a free-standing public hospital. Many programs offered resident participation with only 41.87% giving residents ACGME credit. Most programs (91.67%) offered fewer than 5 hours of global health didactics. When program directors were asked about their knowledge of host country systems of care, most noted understanding of the hospital functions like the referral system, transitions of care, hospital funding, and medical supply chain, but not of the perception of patients with chronic or congenital ophthalmic diseases, host country general or ophthalmic medical education, patient research safeguards and host country malpractice system.ConclusionFrom the small sample of program directors, Ophthalmology residency program global health outreach varies in faculty and resident participation, and in goals and services offered. In addition, there was a wide variation in ophthalmology program director understanding of host country systems of care.
- Subjects :
- medicine.medical_specialty
education
0211 other engineering and technologies
02 engineering and technology
Global Health
03 medical and health sciences
0302 clinical medicine
Malpractice
Ophthalmology
Political science
Surveys and Questionnaires
medicine
Global health
Humans
030212 general & internal medicine
021110 strategic, defence & security studies
biology
Public Health, Environmental and Occupational Health
Internship and Residency
Small sample
General Medicine
Residency program
biology.organism_classification
Altruism
United States
Outreach
Tanzania
Host country
Education, Medical, Graduate
Public hospital
Subjects
Details
- ISSN :
- 1930613X
- Volume :
- 184
- Issue :
- 11-12
- Database :
- OpenAIRE
- Journal :
- Military medicine
- Accession number :
- edsair.doi.dedup.....9fc9a653f78a6d8709eb74e770e0e80e