University of Michigan, Ann Arbor, MI, USA.
Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.
J Perinatol. 2020 Aug;40(8):1253-1261. doi: 10.1038/s41372-020-0639-8. Epub 2020 Mar 9.
This study explored the availability and perception of Global Health (GH) training opportunities in US-based Neonatal-Perinatal Medicine (NPM) fellowship programs.
Electronic surveys, containing discrete choice and open-ended questions, were distributed to current and recent fellows and to Program Directors (PDs).
Fifty-eight PDs and ninety-eight fellows completed the survey. Fellows reported declining GH participation from 48% in medical school to 21% in fellowship. Among the 42% of fellows reporting GH opportunities at their programs, 30% personally participated. Fewer than 30% of these programs offer structured classroom or online learning; 10% offer research opportunities. 72% of fellows stated that GH availability is moderately to extremely important, compared with 58% of PDs. PDs cited cost, scheduling, mentorship, and lack of suitable global partners as barriers to supporting fellows in GH.
NPM fellows place high importance on GH opportunities during fellowship, but only a minority engage in GH work.
本研究探讨了美国新生儿围产期医学（NPM） fellowship 项目中全球卫生（GH）培训机会的可及性和感知情况。
向现任和近期研究员以及项目主任（PD）分发了包含离散选择和开放式问题的电子调查。
58 名 PD 和 98 名研究员完成了调查。研究员报告称，GH 的参与度从医学院的 48%下降到 fellowship 的 21%。在报告其项目中有 GH 机会的 42%的研究员中，有 30%的人亲自参与。这些项目中，不到 30%提供结构化的课堂或在线学习；10%提供研究机会。72%的研究员表示，与 58%的 PD 相比，GH 的可用性在中等至非常重要。PD 们认为成本、时间安排、指导和缺乏合适的全球合作伙伴是支持研究员从事 GH 工作的障碍。
NPM 研究员在 fellowship 期间非常重视 GH 机会，但只有少数人从事 GH 工作。
