Development of a Global Health Teaching Fellowship for Global Health Care
                        Capacity Building

Mimno, Kathryn; Anandaraja, Natasha; Hahn, Sigrid A.

doi:10.1016/j.aogh.2015.04.002

Cited by 5 publications

(4 citation statements)

References 13 publications

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“…Events such as these have highlighted the importance of strong healthcare infrastructure throughout the world and the need for enhanced training and collaboration (2). Academic institutions in the Global North have responded with a wide expanse of global health opportunities for U.S. Graduate Medical Trainees, including an increasing number of global health fellowships (3)(4)(5)(6)(7)(8)(9)(10)(11). Global health fellowships are formally organized training opportunities in the field of global medicine for physicians post-residency (5)(6).…”

Section: Introductionmentioning

confidence: 99%

“…MJGH Overall, global health fellowships in the U.S. have nearly doubled since 2010 (15)(16)(17). Other global health programs, hosted in a range of departments from Anesthesiology to Pediatrics, allow for additional training in research, diseases prevalent in low-and middleincome countries (LMICs), point of care ultrasound use, faculty development and other realms that pertain to global health and clinical medicine (6,9,15,18). Many have vision and mission statements that focus on health equity, and inclusion, and many comment on the ultimate aim of sustainability of health care processes in LMICs (19).…”

Section: Introductionmentioning

confidence: 99%

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Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Fujimara,

Jabbarpour

2023

mjgh

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There is significant support for decolonization in global health medical education, yet there is little documented on the inclusion of physicians from low- and middle-income countries (LMICs) into U.S.- based training. This paper aims to explore the options that are available to physicians from LMICs to receive academic training in global health at U.S.-based institutions and contemplate solutions that align with the ideals of sustainability and decolonization. A narrative review conducted through library databases and a web-based search of academic websites were carried out in 2022 to find programs that discussed inclusion of physicians from LMICs into U.S.-based global health fellowships. Fifteen articles were found that discussed the inclusion of physicians from LMICs into a U.S.-based program. From the web-based search, five programs plainly stated the acceptance of physicians from LMICs. Therefore, there are limitedcurrent U.S.-based academic programs accepting physicians from LMICs, based on a literature search and applicant requirements published online. This shows an important gap in training that is meant to focus on health equity and decolonization, particularly in the realm of knowledge sharing. However, this study was limited by what data was formally published through journal articles or online. Programs that have bidirectional aspects may exist but have no publication or formal website.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Fujimara,

Jabbarpour

2023

mjgh

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“…17,22 GH fellowships, which usually involve clinical work, research, and didactics such as certificates or diplomas in tropical medicine, now exist across all major clinical specialties, including emergency medicine, family medicine, obstetrics and gynecology, internal medicine, pediatrics, surgery, anesthesia, infectious disease, psychiatry, and nursing. [22][23][24][25][26][27][28][29] Postresidency GH training for physicians in North America was first established in the field of emergency medicine in the 1990s. 30 Since the first GH fellowships were created, there has been steady growth in these advanced training programs.…”

Section: Introductionmentioning

confidence: 99%

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

Frange

Duffy

Al‐Rousan

et al. 2021

The American Journal of Tropical Medicine and Hygiene

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Postgraduate clinical global health (GH) training is a rapidly evolving field. To understand and improve training opportunities, we sought the perspectives of current and former trainees related to their advanced clinical training or global health fellowships and the anticipated impact on their careers. Clinical GH fellowships across North America were identified through websites and previous studies. An e-mail was sent to program directors to invite all current and former GH fellows to complete a web-based questionnaire. We contacted 100 GH fellowship programs. Fifty-two fellows from 10 different specialties completed the survey. The median fellowship length was 23.3 months, with an annual median of 4.8 months spent in low-income and middle-income countries, which was less than their reported ideal of 6 months. The majority reported satisfaction, the anticipation of career benefits, and that they would recommend fellowship training to others. Challenges included insufficient funding, mentorship, and formal curricula. Conducting research in high-income countries was a significant negative predictor of fellowship satisfaction. Most fellows (73.1%) were not at all or only a little concerned about the absence of fellowship accreditation, with only 17.3% desiring accreditation. Survey respondents were largely satisfied with their training and valued program flexibility and educational opportunities, including advanced tropical medicine certificates or diplomas. However, to improve fellowship training, improvements are needed in mentorship, standardized curricula, institutional support, and funding. For GH fellowship training to be effective and sustainable, institutions will need to balance the needs of fellows, training programs, and the communities (low-, middle-, and high-income countries) where the fellows serve.

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“…The first survey of U.S. GH fellowships documented the growing number and variety of GH fellowship opportunities available in 2010 and described program characteristics such as size, duration, specialty, and educational activities. 5 Subsequently, profiles of individual GH fellowships [6][7][8][9][10] and reviews of GH opportunities within subspecialty fellowships [11][12][13][14][15][16] have been published.…”

Section: Introductionmentioning

confidence: 99%

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

Evensen¹,

Duffy

Dawe

et al. 2019

Can. Med. Ed. J

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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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Development of a Global Health Teaching Fellowship for Global Health Care Capacity Building

Cited by 5 publications

References 13 publications

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Knowledge is Power: Assessing Academic Decolonization through Bidirectionality of Training in Global Health Fellowships

Trainee Perspectives Regarding Advanced Clinical Global Health Fellowships in North America

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

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