Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Laryngoscope. 2012 Nov;122(11):2422-7. doi: 10.1002/lary.23533. Epub 2012 Sep 10.
OBJECTIVES/HYPOTHESIS: The objectives of this work were to quantify the involvement of US otolaryngology residency programs in global health endeavors, identify goals and services provided, and determine the participation of residents and fellows.
Cross-sectional survey of US otolaryngology faculty.
A 10-point online questionnaire was distributed to 103 US otolaryngology residency program directors; all faculty involved in global health volunteerism were invited to participate.
Twenty-nine global health initiatives were represented. Most of the 24 residency programs involved (66%) had organized global health offices at their institutions; only 4% actually cooperated with these offices. Most often, only one attending (55%) was involved at each institution. Residents/fellows participated 65% of the time. Abroad, US otolaryngologists worked with freestanding hospitals or clinics (24%), American nongovernmental organizations (17%), academic centers (14%), and remote locations (14%). Most (96%) provided specialty surgical services, but some provided primary care (28%) and general surgical services (14%); 72% trained foreign surgeons. Most respondents (79%) reported that the clinical work done abroad was substantial enough for Accreditation Council for Graduate Medical Education (ACGME) standards. Only one fifth of respondents knew the name of the nearest otolaryngology training institution. Humanitarian aid was the most prevalent goal (100%), followed by resident/fellow exchange (45%) and faculty exchange (21%).
At least a quarter of US otolaryngology residency programs engage in global health volunteerism. Most do not utilize institutional global health resources and are unaware of otolaryngology training programs abroad. There may be a role for global health education within the ACGME competency of systems-based practice.
目的/假设：本研究旨在量化美国耳鼻喉科住院医师培训计划在全球健康事业中的参与程度，确定其目标和服务内容，并确定住院医师和研究员的参与情况。
对美国耳鼻喉科教师进行横断面调查。
向 103 名美国耳鼻喉科住院医师培训计划主任发放了一份 10 分制的在线问卷；邀请所有参与全球健康志愿服务的教职员工参与。
共代表 29 项全球健康倡议。24 个参与的住院医师培训计划中有 66%（19 个）在其机构内设立了全球健康办公室；但只有 4%实际上与这些办公室合作。每个机构通常只有一名主治医生（55%）参与。住院医师/研究员的参与率为 65%。在美国境外，耳鼻喉科医生与独立医院或诊所（24%）、美国非政府组织（17%）、学术中心（14%）和偏远地区（14%）合作。大多数（96%）提供专业外科服务，但有些提供初级保健（28%）和普通外科服务（14%）；72%的人培训外国外科医生。大多数受访者（79%）报告称，在国外进行的临床工作足以达到研究生医学教育认证委员会（ACGME）的标准。只有五分之一的受访者知道最近的耳鼻喉科培训机构的名称。人道主义援助是最普遍的目标（100%），其次是住院医师/研究员交流（45%）和教师交流（21%）。
至少四分之一的美国耳鼻喉科住院医师培训计划参与全球健康志愿服务。大多数计划没有利用机构的全球健康资源，也不了解国外的耳鼻喉科培训项目。全球健康教育在 ACGME 的以系统为基础的实践能力中可能发挥作用。
