美国全球卫生公平居住培训项目毕业生的全球卫生职业特征。

Characteristics of Global Health Careers among Graduates of a Global Health Equity Residency Training Program in the United States.

机构信息

Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, US.

Division of Infectious Diseases, Massachusetts General Hospital, Harvard Medical School, Boston, MA, US.

出版信息

Ann Glob Health. 2023 Jun 21;89(1):44. doi: 10.5334/aogh.4074. eCollection 2023.

DOI:10.5334/aogh.4074

PMID:37362826

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10289043/

Abstract

BACKGROUND

The number of global health (GH) physician training programs in the United States has increased in the past decade. Few studies have explored the demographics of individuals in these programs, the impact of global health training on career development, and specific factors associated with whether graduates achieve a career in global health.

OBJECTIVES

We aimed to describe characteristics of program graduates and quantify which previously identified factors were associated with achieving a self-defined career in GH among a cohort of graduates from one GH post-graduate training program in a highly resourced academic medical center in the United States between 2003 and 2018.

METHODS

We conducted a cross-sectional survey and analyzed differences between participants who self-identified as having a career in GH compared to those who did not.

FINDINGS

Among 59 individuals invited to participate, 53 (89.9%) responded to the survey. Having a GH mentor was associated with having a career in GH (OR 10.3; p = 0.004). Those who had a GH career were more likely to have a clearly-defined career path (p = 0.03), have institutional support in their current job (p = 0.00006), be able to manage the split between their GH and non-GH work (p = 0.0001), find funding to achieve their objectives in GH (p = 0.01), invest in their personal and family life (p = 0.05), and split work abroad and domestically with few challenges (p = 0.01).

CONCLUSIONS

We present sociodemographic and career characteristics for graduates from a GH training program in a highly resourced academic medical center in the United States. Mentorship, institutional support, funding, ability to balance GH with non-GH work, and time spent domestically or abroad are key factors associated with successful careers in GH. If institutional funding is allocated to strengthen these aspects of GH training, we anticipate more sustained GH career development.

摘要

背景

过去十年，美国的全球卫生（GH）医师培训项目数量有所增加。很少有研究探讨这些项目中个人的人口统计学特征、全球卫生培训对职业发展的影响，以及与毕业生是否能从事全球卫生工作相关的具体因素。

目的

我们旨在描述一个 GH 研究生培训项目的毕业生特征，并量化在 2003 年至 2018 年期间，在美国一个资源丰富的学术医疗中心的一个 GH 研究生培训项目的毕业生中，哪些先前确定的因素与实现 GH 职业目标相关。

方法

我们进行了一项横断面调查，并分析了在自我定义的 GH 职业和非 GH 职业之间参与者的差异。

发现

在受邀参加的 59 人中，有 53 人（89.9%）对调查做出了回应。拥有 GH 导师与从事 GH 职业相关（OR 10.3；p = 0.004）。有 GH 职业的人更有可能有明确的职业道路（p = 0.03），在当前工作中得到机构支持（p = 0.00006），能够平衡 GH 和非 GH 工作（p = 0.0001），获得实现 GH 目标的资金（p = 0.01），投资于个人和家庭生活（p = 0.05），并且在国内外工作分配方面几乎没有挑战（p = 0.01）。