Department of International Health, Center for American Indian Health, Johns Hopkins University, Baltimore, MD.
J Pediatr. 2013 Dec;163(6):1764-8. doi: 10.1016/j.jpeds.2013.07.005. Epub 2013 Aug 20.
Web sites describing residency programs are initial sources of information for applicants. The correlation of global health content on pediatric residency program Web sites with reported curricula is unknown. To determine the accuracy of global health education, information on program Web sites was compared with queried program content responses.
The Fellowship and Residency Electronic Interactive Database was used to assess pediatric residency programs' Web sites for global health education, applying American Academy of Pediatrics consensus guidelines. The authors developed a questionnaire using these consensus guidelines and contacted each program to assess Web site findings, and χ(2) tests were used to compare data from these 2 sources.
Of 194 programs, 177 had operational Web sites, of which 98 participated in the questionnaire (55%). Ninety-three of 177 programs (53%) reported global health education on Web sites, whereas 80 of 98 programs (82%) reported global health education through direct questioning (P < .001). Results include provision of resident salaries during global health elective (Web site 5% vs questionnaire 98%, P < .001), mandatory training before global health elective (8% vs 20%, P = .02), presence of global health elective curriculum (24% vs 75%, P < .001), postexperience debriefing (16% vs 29%, P = .05), and bidirectional resident exchange (2% vs 13%, P = .01).
Results indicate continued expansion of pediatric global health education, but significant differences exist between information on Web sites and data obtained through direct questioning. Accurate representation of global health opportunities would allow for more informed decision-making among prospective applicants. Findings also suggest substantial variability in global health curricula that needs to be addressed through improved planning and cooperation among training programs.
描述住院医师培训计划的网站是申请人获取信息的初始来源。儿科住院医师培训计划网站上的全球卫生内容与报告课程之间的相关性尚不清楚。为了确定全球卫生教育的准确性，将网站上的信息与查询的课程内容进行了比较。
使用研究员和住院医师电子互动数据库评估儿科住院医师培训计划网站上的全球卫生教育，应用美国儿科学会共识指南。作者使用这些共识指南制定了一份问卷，并联系了每个项目来评估网站调查结果，采用卡方检验比较这 2 个来源的数据。
在 194 个项目中，有 177 个有运作中的网站，其中 98 个参与了问卷调查（55%）。在网站上报告全球卫生教育的 177 个项目中有 93 个（53%），而通过直接提问报告全球卫生教育的 98 个项目中有 80 个（82%）（P<0.001）。结果包括提供全球卫生选修期间居民的工资（网站 5%，问卷 98%，P<0.001）、全球卫生选修前的强制性培训（8%，20%，P=0.02）、全球卫生选修课程的存在（24%，75%，P<0.001）、经验后汇报（16%，29%，P=0.05）和双向居民交流（2%，13%，P=0.01）。
结果表明儿科全球卫生教育持续扩大，但网站上的信息和直接提问获得的数据之间存在显著差异。准确反映全球卫生机会将使潜在申请人能够做出更明智的决策。调查结果还表明，全球卫生课程存在显著差异，需要通过培训计划之间的改进规划和合作来解决。
