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Asombang AW, Mohamed MF, Egboh SMC, Omede M, Tazinkeng N, Ibrahim AA. The Importance of Global Health Training in US-Based Gastroenterology and Hepatology Fellowship Programs. Clin Gastroenterol Hepatol 2024; 22:1757-1762. [PMID: 39179344 DOI: 10.1016/j.cgh.2024.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/26/2024]
Affiliation(s)
- Akwi W Asombang
- Division of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts; Pan-African Organization for Health, Education and Research, St. Louis, Missouri
| | - Mouhand F Mohamed
- Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota
| | | | - Mmeyeneabasi Omede
- Division of Pediatric Gastroenterology and Nutrition, Massachussetts General Hospital for Children, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts
| | - Nkengeh Tazinkeng
- Department of Internal Medicine, Newark Beth Israel Medical Center, Newark, New Jersey; Pan-African Organization for Health, Education and Research, St. Louis, Missouri
| | - Awab Ali Ibrahim
- Division of Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital for Children, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts
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Lenzen C, Coria AL, Hofto ME, Pitt MB, Cheng FY, Mediratta RP. Global Health Education in Pediatric Hospital Medicine Fellowships in the United States. Hosp Pediatr 2024; 14:499-506. [PMID: 38779785 DOI: 10.1542/hpeds.2023-007575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 12/13/2023] [Accepted: 01/15/2024] [Indexed: 05/25/2024]
Abstract
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.
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Affiliation(s)
- Christiane Lenzen
- Department of Pediatrics, Division of Hospital Medicine, University of California-San Diego, San Diego, California
| | - Alexandra L Coria
- 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
| | - Meghan E Hofto
- Department of Pediatrics, Division of Hospital Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama
| | - Michael B Pitt
- Department of Pediatrics, Division of Pediatric Hospital Medicine, University of Minnesota, Minneapolis, Minnesota
| | - Frances Y Cheng
- Department of Pediatrics, Section of Hospital Medicine, Yale University School of Medicine, New Haven, Connecticut
| | - Rishi P Mediratta
- Department of Pediatrics, Division of Pediatric Hospital Medicine, Stanford University School of Medicine, Stanford, California
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Forbes VE, Chamberlin MD, Dusabejambo V, Walker T, Bensen SP, Haynes N, Nunes K, Saint-Joy V, Makrauer FL. Education and Training Models for Remote Learning. Hematol Oncol Clin North Am 2024; 38:185-197. [PMID: 37635048 DOI: 10.1016/j.hoc.2023.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Our international partnerships have fostered longstanding collaborative relationships leading to the development of unique, locally-designed, and sustainable training programs that serve as models for global health education and cooperation.
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Affiliation(s)
- Victoria E Forbes
- University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030, USA.
| | - Mary D Chamberlin
- Dartmouth-Hitchcock Medical Center, One Medical Center Drive Lebanon, NH 03756, USA
| | - Vincent Dusabejambo
- University of Rwanda College of Medicine and Health Sciences, KG 11 Avenue, Kigali, Rwanda
| | - Tim Walker
- Calvary Mater Newcastle, 20 Edith Street, Waratah NSW 2298, Australia
| | - Steve P Bensen
- Dartmouth-Hitchcock Medical Center, One Medical Center Drive Lebanon, NH 03756, USA
| | - Norrisa Haynes
- Yale School of Medicine, 333 Cedar Street, New Haven, CT 06510, USA
| | - Kathryn Nunes
- Sidney Kimmel Medical College, 1025 Walnut Street, #100, Philadelphia, PA 19107, USA
| | - Veauthyelau Saint-Joy
- Centre Hospitalier de la Basse-Terre, 97100 Avenue, Gaston Feuillard, Basse-Terre 97109, Guadeloupe, France
| | - Frederick L Makrauer
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA
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Mercedes R, Van Buren K, Shneider BL, Crouse H. Integrating Global Health Education and Research in Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship Training. J Pediatr Gastroenterol Nutr 2023; 77:579-582. [PMID: 37587558 DOI: 10.1097/mpg.0000000000003917] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/18/2023]
Affiliation(s)
- Rebecca Mercedes
- From the Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX
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Luft S, Makrauer F. How (and Why) to Get Involved with Global Health as a GI Fellow. Dig Dis Sci 2022; 67:3485-3486. [PMID: 35687220 DOI: 10.1007/s10620-022-07577-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/02/2022] [Indexed: 12/09/2022]
Affiliation(s)
| | - Frederick Makrauer
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham & Women's Hospital, Boston, MA, USA
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Chudy-Onwugaje K, von Rosenvinge EC. Improving global digestive health: the gastroenterologists' role. Lancet Gastroenterol Hepatol 2020; 5:882-883. [PMID: 32941831 DOI: 10.1016/s2468-1253(20)30206-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 06/19/2020] [Accepted: 06/20/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Kenechukwu Chudy-Onwugaje
- Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
| | - Erik C von Rosenvinge
- Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD 21201, USA; VA Maryland Health Care System, Baltimore, MD, USA; Division of Gastroenterology and Hepatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA
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Dusabejambo V, Walker T, Makrauer FL. Reply. Gastroenterology 2020; 158:1844-1845. [PMID: 31953066 DOI: 10.1053/j.gastro.2019.12.049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2019] [Accepted: 12/31/2019] [Indexed: 12/02/2022]
Affiliation(s)
- Vincent Dusabejambo
- University Teaching Hospital Rwanda and University of Rwanda, Butare, Rwanda
| | | | - Frederick L Makrauer
- Brigham and Women's Hospital, Division of Gastroenterology, Hepatology and Endoscopy and Harvard Medical School, Cambridge, Massachusetts
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Carr TA, Okello S, Some FF, Corey KE. Lessons Learned From and Future Opportunities for Global Health Endeavors by 2 Academic Gastroenterology Units. Gastroenterology 2019; 157:1177-1179. [PMID: 31356806 PMCID: PMC6815679 DOI: 10.1053/j.gastro.2019.07.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Revised: 06/24/2019] [Accepted: 07/03/2019] [Indexed: 12/31/2022]
Affiliation(s)
- Thomas A. Carr
- Indiana University School of Medicine, Indianapolis, Indiana, USA,School of Medicine Moi University, Eldoret, Kenya,¶ Co-corresponding authors. They may be contacted at , or
| | - Samson Okello
- Mbarara University of Science and Technology, Mbarara, Uganda
| | | | - Kathleen E. Corey
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA,¶ Co-corresponding authors. They may be contacted at , or
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Affiliation(s)
- Deborah D Proctor
- Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
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Kumar NL, Perencevich ML, Trier JS. Perceptions of the Inpatient Training Experience: A Nationwide Survey of Gastroenterology Program Directors and Fellows. Dig Dis Sci 2017; 62:2631-2647. [PMID: 28815353 DOI: 10.1007/s10620-017-4711-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Accepted: 08/07/2017] [Indexed: 12/09/2022]
Abstract
BACKGROUND Inpatient training is a key component of gastroenterology (GI) fellowship programs nationwide, yet little is known about perceptions of the inpatient training experience. AIM To compare the content, objectives and quality of the inpatient training experience as perceived by program directors (PD) and fellows in US ACGME-accredited GI fellowship programs. METHODS We conducted a nationwide, online-based survey of GI PDs and fellows at the conclusion of the 2016 academic year. We queried participants about (1) the current models of inpatient training, (2) the content, objectives, and quality of the inpatient training experience, and (3) the frequency and quality of educational activities on the inpatient service. We analyzed five-point Likert items and rank assessments as continuous variables by an independent t test and compared proportions using the Chi-square test. RESULTS Survey response rate was 48.4% (75/155) for PDs and a total of 194 fellows completed the survey, with both groups reporting the general GI consult team (>90%) as the primary model of inpatient training. PDs and fellows agreed on the ranking of all queried responsibilities of the inpatient fellow to develop during the inpatient service. However, fellows indicated that attendings spent less time teaching and provided less formal feedback than that perceived by PDs (p < 0.0001). PDs rated the overall quality of the inpatient training experience (p < 0.0001) and education on the wards (p = 0.0003) as better than overall ratings by fellows. CONCLUSION Although GI fellows and PDs agree on the importance of specific fellow responsibilities on the inpatient service, fellows report experiencing less teaching and feedback from attendings than that perceived by PDs. Committing more time to education and assessment may improve fellows' perceptions of the inpatient training experience.
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Affiliation(s)
- Navin L Kumar
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. .,Harvard Medical School, Boston, MA, USA.
| | - Molly L Perencevich
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.,Harvard Medical School, Boston, MA, USA
| | - Jerry S Trier
- Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.,Harvard Medical School, Boston, MA, USA
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Global Health Education for Gastroenterologists in the USA: Where to from Here? Dig Dis Sci 2016; 61:3375-3377. [PMID: 27770377 DOI: 10.1007/s10620-016-4347-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/09/2022]
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