Global health hospitalists: The fastest growing specialty's newest niche

Shoeb, Marwa; Le, Phuoc; Greysen, S. Ryan

doi:10.1002/jhm.2017

Cited by 7 publications

(5 citation statements)

References 3 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They found that within the framework of global health, hospitalists are uniquely "positioned to contribute to this growing field, particularly in areas such as quality improvement, safety, systems thinking, and medical education, all strengths of the hospital medicine model that could be translated to resource-limited settings." 10 We believe that hospitalists, with their unique positions and skills, are natural and necessary agents of action in this time of need. Our ultimate aim is for hospitalists to become actively engaged in addressing not only the current Ebola outbreak, but also the extreme inequity of healthcare globally-an inequity that lies at the heart of the current devastation in West Africa.…”

Section: Global Health Hospitalistsmentioning

confidence: 99%

“…Shoeb et al recently conducted a survey of global health hospitalists. They found that within the framework of global health, hospitalists are uniquely “positioned to contribute to this growing field, particularly in areas such as quality improvement, safety, systems thinking, and medical education, all strengths of the hospital medicine model that could be translated to resource‐limited settings.”…”

Section: Global Health Hospitalistsmentioning

confidence: 99%

See 1 more Smart Citation

The role of hospitalists in the ebola response in the United States and abroad

Waters

Shamasunder

et al. 2014

J. Hosp. Med.

Self Cite

View full text Add to dashboard Cite

Concern and fear over an infection and how best to contain its spread is a well-known storyline dating back centuries before the germ theory was hypothesized. During the Plague of Athens in the fourth century BC, upon noticing that physicians and caregivers of the sick were most at risk of dying, the Greek historian and philosopher Thucydides wrote that thwarting the disease likely required more practical measures than simple prayer to the gods. 1 To this day, the fears of contracting disease often outstrip-or worse, override-our practical or scientific understanding.Ebola has rekindled past concerns about disease transmission, whether real or imagined. In this article we will describe the history of Ebola outside the United States as well as recent events in US hospitals. We will review guidelines for how to prepare hospitals to treat potential Ebola patients and highlight the key role that hospitalists can have in ensuring the safety of their patients and coworkers. We will also describe the emerging role of "global health hospitalists," whose numbers are growing and whose expertise is ideally suited to improving hospital care in developing countries.

show abstract

Section: Global Health Hospitalistsmentioning

confidence: 99%

Section: Global Health Hospitalistsmentioning

confidence: 99%

The role of hospitalists in the ebola response in the United States and abroad

Waters

Shamasunder

et al. 2014

J. Hosp. Med.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Fee-for-service payment plans cause difficulties for surgeons and POHCPs, because time spent abroad for GSACs generally means lost income. 32 Possibilities could include institutions providing partial income coverage or practice partners helping cover for their colleagues who are abroad doing global surgery work.…”

Section: Addressing Individual Barriersmentioning

confidence: 99%

Barriers to participation in global surgery academic collaborations, and possible solutions: a qualitative study

Fallah

Bernstein

2019

Journal of Neurosurgery

View full text Add to dashboard Cite

OBJECTIVEThere is a global lack of access to surgical care, and this issue disproportionately affects those in low- and middle-income countries. Global surgery academic collaborations (GSACs) between surgeons in high-income countries and those in low- and middle-income countries are one possible sustainable way to address the global surgical need. The objective of this study was to examine the barriers to participation in GSACs and to suggest ways to increase involvement.METHODSA convenience sample of 86 surgeons, anesthesiologists, other physicians, residents, fellows, and nurses from the US, Canada, and Norway was used. Participants were all health care providers from multiple specialties and multiple academic centers with varied involvement in GSACs. More than half of the participants were neurosurgeons. Participants were interviewed in person or over Skype in Toronto over the course of 2 months by using a predetermined set of open-ended questions. Thematic content analysis was used to evaluate the participants’ responses.RESULTSBased on the data, 3 main themes arose that pointed to individual, community, and system barriers for involvement in GSACs. Individual barriers included loss of income, family commitments, young career, responsibility to local patients, skepticism of global surgery efforts, ethical concerns, and safety concerns. Community barriers included insufficient mentorship and lack of support from colleagues. System barriers included lack of time, minimal academic recognition, insufficient awareness, insufficient administrative support and organization, and low political and funding support.CONCLUSIONSSteps can be taken to address some of these barriers and to increase the involvement of surgeons from high-income countries in GSACs. This could lead to a necessary scale-up of global surgery efforts that may help increase worldwide access to surgical care.

show abstract

“…For example, one survey of hospitalists found that 78% of those doing global health work received no funding for these efforts. 29 Some expat physicians rely on their clinical time in the United States to subsidize their efforts, which compels them either to pick up additional clinical work, thereby reducing their global health time abroad, or to take a deliberate pay cut and accept that their work abroad will be de facto pro bono. We term this pay cut the “global health tax,” not because it is onerous but because this income reduction may go toward creating the kinds of social public goods usually financed by taxes.…”

Section: The Global Health Taxmentioning

confidence: 99%

Addressing the “Global Health Tax” and “Wild Cards”

Palazuelos

Dhillon

2016

Academic Medicine

View full text Add to dashboard Cite

Among many possible benefits, global health efforts can expand the skills and experience of U.S. clinicians, improve health for communities in need, and generate innovations in care delivery with relevance everywhere. Yet, despite high rates of interest among students and medical trainees to include global health opportunities in their training, there is still no clear understanding of how this interest will translate into viable and sustained global health careers after graduation. Building on a growing conversation about how to support careers in academic global health, this Perspective describes the practical challenges faced by physicians pursuing these careers after they complete training. Writing from their perspective as junior faculty at one U.S. academic health center with a dedicated focus on global health training, the authors describe a number of practical issues they have found to be critical both for their own career development and for the advice they provide their mentees. With a particular emphasis on the financial, personal, professional, and logistical challenges that young “expat” global health physicians in academic institutions face, they underscore the importance of finding ways to support these career paths, and propose possible solutions. Such investments would not only respond to the rational and moral imperatives of global health work and advance the mission of improving human health but also help to fully leverage the potential of what is already an unprecedented movement within academic medicine.

show abstract

Global health hospitalists: The fastest growing specialty's newest niche

Cited by 7 publications

References 3 publications

The role of hospitalists in the ebola response in the United States and abroad

The role of hospitalists in the ebola response in the United States and abroad

Barriers to participation in global surgery academic collaborations, and possible solutions: a qualitative study

Addressing the “Global Health Tax” and “Wild Cards”

Contact Info

Product

Resources

About