Development of an International Elective in an Emergency Medicine Residency

Hayden, Stephen R.; Valderrama, Chad M.; Xu, Marian; Curran, Maureen A.; Mazondo, Roberto; Soliman, Mounir A.

doi:10.1016/j.jemermed.2015.06.015

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…Other specialties have begun to develop standards to ensure residents are gaining specific core competencies as part of their international experience. 21 This need for well-defined objectives provides great opportunity for the academic ophthalmology community to thoughtfully create structured curricula based on core competencies with realistic goals and expectations.…”

Section: Opportunities To Shape International Ophthalmology Educationmentioning

confidence: 99%

Applicants' Interest in International Ophthalmology during Residency Training: Influence in Selecting U.S. Residency Programs

et al. 2018

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Background In recent years, the Accreditation Council for Graduate Medical Education (ACGME) Residency Committee for Ophthalmology formally recognized international health electives for credit. By engaging in international health experiences, ophthalmology residents achieve the anchors essential to the core competencies set forth by the ACGME. Objective To explore how the availability of international ophthalmology opportunities may influence applicants' selection of U.S. ophthalmology residency programs and to identify applicants' perceived goals and barriers of participation in international ophthalmology experiences. Methods For this cross-sectional study, an electronic invitation to a 22-item questionnaire was sent to all 413 applicants to the ophthalmology residency program at the Penn State Eye Center during the 2017 Match. Results Responses were received from 261 applicants, yielding a response rate of 63.2%. Nearly all respondents (95.4%) reported interest in participating in an international ophthalmology experience during residency training, with 52.1% of respondents reporting being “extremely interested.” More than half of respondents (53.6%) had previously participated in a healthcare-related experience in an international setting. The availability of international opportunities increased the interest of 67.4% of respondents when choosing which residency programs to apply to, and influenced 65.2% of respondents to rank a residency program higher, with the respondents with previous international experience more likely to be favorably influenced (p < 0.001, p = 0.04, respectively). The goal identified by the largest number of respondents as “most important” was to “offer service to the underserved” (59.0%). The most commonly identified anticipated barriers to participating in an international experience during residency training included concern about scheduling conflicts and call coverage (81.7%), followed by lack of funding (71.4%). Conclusion There is significant interest in international ophthalmology among ophthalmology residency applicants, and the availability of international opportunities during training may influence the applicants' selection of programs. Statistically significant differences were found among respondents with and without previous international healthcare-related experience. These findings warrant further investigation into how residency programs can best address this interest and integrate international ophthalmology experiences into the residency curriculum.

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Section: Opportunities To Shape International Ophthalmology Educationmentioning

confidence: 99%

Applicants' Interest in International Ophthalmology during Residency Training: Influence in Selecting U.S. Residency Programs

et al. 2018

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“…Several international rotation programs of medical doctors offer support in clinical training in LICs and also aim to build experience by participating in such programs. In a previous international rotation program, 3 EM residents from the United States were sent to Argentina with structured goals and settings, and they practiced and focused on the EM setting in different pre-hospital systems, gaining experience that they would not be able to learn in the United States. Another program developed a global EM course in Rwanda 4 to enable EM residents to observe the global settings of emergency care in LICs.…”

Section: Introductionmentioning

confidence: 99%

“…Other previous rotation programs have been based on the global programs that include the training course and research of EM residents. 3,4 We focused on the support and enhancement of human resources at HCQ, particularly in terms of medical knowledge and management skills of medical equipment. Medical topics were selected based on the needs of the medical topics that the doctors at HCQ wanted to learn.…”

Section: Introductionmentioning

confidence: 99%

<p>International Rotational Program of Emergency Medicine Residents to Mozambique: Introducing a Medical Education Program to a Single Hospital</p>

Sung¹,

Kim²,

Shin³

et al. 2020

OAEM

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Introduction: There are several medical elective programs for low-income countries especially in medically vulnerable places. The Hospital Central de Quelimane (HCQ) is a regional hospital in Quelimane, capital city of the province of Zambezia in Mozambique. The HCQ serves as a regional base hospital for urgent and severe patients. Methods: Four emergency medicine (EM) residents participated in our 2017-2018 rotational program for HCQ, to share medical knowledge with the local medical doctors and support the demands of medical equipment skills and educational programs. We determined the current capabilities of HCQ and designed a rotational program in accordance with the demands in the following areas: resuscitation, trauma, critical care, and radiology. We also introduced continuous education programs and administrative methods for future development of education. Results: Throughout the four rotations of our EM residents, we conducted daily education and several practical lessons based on the demands of the local doctors and equipment operation. The educational program was administered by an educational administrator who was responsible for updating the medical and technical knowledge of doctors. With our programs, the doctors of HCQ were able to perform resuscitation and critical protocols, including manipulating equipment such as mechanical ventilator and defibrillator. Conclusion: The rotation program by the four residents was successful, in terms of sharing medical knowledge and equipment management, and filling gaps identified in the operation of a modern hospital.

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“…Elective rotations allow trainees to personalize their educational experience, focus on areas of weakness, and provide opportunities for personal and professional development. 1,2 Increased interest in domestic and international away rotations has placed more pressure on residency programs to offer a wide variety of elective opportunities. 3 International rotations have been previously shown to be a source of resident satisfaction and a strong recruitment tool for EM residency programs; however, significant barriers remain to expand these opportunities.…”

Section: Introductionmentioning

confidence: 99%

Establishing an Elective Rotation Director and Its Effect on Elective Opportunities and Satisfaction

Janicki

Dorfsman

2019

WestJEM

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Elective rotations are valuable, allowing trainees to personalize their educational experience, focus on areas of weakness, and offer personal and professional development. Emergency medicine (EM) residency program elective rotations may be limited due to the absence of awareness of opportunities and administrative support. We sought to increase the breadth of elective rotation opportunities, improve residents’ satisfaction with their elective rotations, and enhance the opportunities for clinical training. To increase the breadth of our elective rotation opportunities, we established an elective rotation director—a dedicated faculty member to aid in elective planning and provide administrative support. This faculty member met with all residents during their second year, coordinated new electives with the graduate medical education office, and assisted with administrative tasks. Ten new rotations (two local, five domestic away, three international away) were established during the position’s first two years, increasing available rotations from nine to 19. A survey was sent to graduates of the program two years before and two years after the position was established to inquire about their elective experience. Of 64 graduates, 49 (76.6%) participated in the survey. Graduates exposed to the dedicated faculty member reported increased exposure to novel learning environments (p<0.001), improved wellness (p<0.001), and were more likely than pre-director graduates to choose the same elective rotation (p=0.006). Programs with multiple elective rotations may benefit more from this position, but additional resources may be needed given the associated increase in administrative time.

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Development of an International Elective in an Emergency Medicine Residency

Cited by 5 publications

References 5 publications

Applicants' Interest in International Ophthalmology during Residency Training: Influence in Selecting U.S. Residency Programs

Applicants' Interest in International Ophthalmology during Residency Training: Influence in Selecting U.S. Residency Programs

<p>International Rotational Program of Emergency Medicine Residents to Mozambique: Introducing a Medical Education Program to a Single Hospital</p>

Establishing an Elective Rotation Director and Its Effect on Elective Opportunities and Satisfaction

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