Global Health Education in Pediatric Hospital Medicine Fellowships in the United States.

Autor:	Lenzen C; Department of Pediatrics, Division of Hospital Medicine, University of California-San Diego, San Diego, California., Coria AL; Division of Pediatric Hospital Medicine, Icahn School of Medicine at Mount Sinai, Arnhold Institute for Global Health and Mount Sinai Kravis Children's Hospital, New York, New York., Hofto ME; Department of Pediatrics, Division of Hospital Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama., Pitt MB; Department of Pediatrics, Division of Pediatric Hospital Medicine, University of Minnesota, Minneapolis, Minnesota., Cheng FY; Department of Pediatrics, Section of Hospital Medicine, Yale University School of Medicine, New Haven, Connecticut., Mediratta RP; Department of Pediatrics, Division of Pediatric Hospital Medicine, Stanford University School of Medicine, Stanford, California.
Jazyk:	angličtina
Zdroj:	Hospital pediatrics [Hosp Pediatr] 2024 Jun 01; Vol. 14 (6), pp. 499-506.
DOI:	10.1542/hpeds.2023-007575
Abstrakt:	Background and Objectives: Pediatric fellows across all subspecialties are interested in global health (GH). Little is known about how GH is incorporated into Pediatric Hospital Medicine (PHM) fellowships. Our objective was to examine the current landscape of GH education in PHM fellowships. Methods: In 2022, we conducted a cross-sectional electronic survey of PHM fellowship directors (FDs), current fellows, and recently graduated fellows (alumni) via e-mail and listservs. Surveys asked about GH education (curriculum, electives, and research) in PHM fellowships, barriers to GH training, and fellow interest in GH. Results: Response rates were 56% (34/61) among PHM FDs, 57% (102/178) among fellows, and 29% (59/206) among alumni. Most fellows (73%) and alumni (59%) were interested in GH electives. Although 53% of FDs reported offering GH electives, a minority of fellows (21%) and alumni (19%) reported being offered GH electives (P <.001). Few FDs reported offering a GH curriculum (9%), although most fellows (63%) and alumni (50%) expressed interest. Of the 16 FDs without GH electives, 81% planned to offer them. Cited barriers included a lack of GH curricula, insufficient funding, competing educational demands, and a lack of international partnerships. More FDs (82%) than fellows (64%) and alumni (45%) agreed that GH education improves overall fellow education (P = .01). Similarly, more FDs (75%) than fellows (56%) and alumni (38%) agreed that offering GH education improves recruitment (P = .002). Conclusions: There is an unmet demand for GH education in PHM fellowships, and fellows may not be aware of GH opportunities. (Copyright © 2024 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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