Status of global health fellowship training in the United States and Canada

Background: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear.   Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative...

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Main Authors: Ann Evensen, Sean Duffy, Russell Dawe, Andrea Pike, Brett Nelson
Format: Article
Language:English
Published: Canadian Medical Education Journal 2019-11-01
Series:Canadian Medical Education Journal
Subjects:
Online Access:https://journalhosting.ucalgary.ca/index.php/cmej/article/view/56953
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author Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
author_facet Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
author_sort Ann Evensen
collection DOAJ
description Background: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear.   Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges.   Methods: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics.   Results: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support.     Conclusions: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. Programs reported lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.
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spelling doaj.art-d534a9b6b933480fa3031f7fd9bb62d62022-12-21T20:10:57ZengCanadian Medical Education JournalCanadian Medical Education Journal1923-12022019-11-0110410.36834/cmej.56953Status of global health fellowship training in the United States and CanadaAnn Evensen0Sean Duffy1Russell Dawe2Andrea Pike3Brett Nelson4University of Wisconsin School of Medicine and Public Health, Department of Family Medicine and Community HealthUniversity of Wisconsin School of Medicine and Public HealthMemorial University of NewfoundlandMemorial University of NewfoundlandHarvard Medical SchoolBackground: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear.   Objective: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges.   Methods: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics.   Results: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support.     Conclusions: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. Programs reported lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.https://journalhosting.ucalgary.ca/index.php/cmej/article/view/56953Global healthfellowshippostgraduate training
spellingShingle Ann Evensen
Sean Duffy
Russell Dawe
Andrea Pike
Brett Nelson
Status of global health fellowship training in the United States and Canada
Canadian Medical Education Journal
Global health
fellowship
postgraduate training
title Status of global health fellowship training in the United States and Canada
title_full Status of global health fellowship training in the United States and Canada
title_fullStr Status of global health fellowship training in the United States and Canada
title_full_unstemmed Status of global health fellowship training in the United States and Canada
title_short Status of global health fellowship training in the United States and Canada
title_sort status of global health fellowship training in the united states and canada
topic Global health
fellowship
postgraduate training
url https://journalhosting.ucalgary.ca/index.php/cmej/article/view/56953
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