Department of Pediatrics, Division of Hospital Medicine, University of California-San Diego, San Diego, California.
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.
Hosp Pediatr. 2024 Jun 1;14(6):499-506. doi: 10.1542/hpeds.2023-007575.
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.
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.
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).
There is an unmet demand for GH education in PHM fellowships, and fellows may not be aware of GH opportunities.
儿科各专业的住院医师都对全球健康（GH）感兴趣。对于 GH 如何融入儿科医院医学（PHM）住院医师培训，我们知之甚少。我们的目标是研究 GH 教育在 PHM 住院医师培训中的现状。
2022 年，我们通过电子邮件和列表服务向 PHM 住院医师培训主任（FD）、现任住院医师和最近毕业的住院医师（校友）进行了横断面电子调查。调查询问了 PHM 住院医师培训中的 GH 教育（课程、选修课程和研究）、GH 培训的障碍以及住院医师对 GH 的兴趣。
PHM FD 的回应率为 56%（34/61），住院医师为 57%（102/178），校友为 29%（59/206）。大多数住院医师（73%）和校友（59%）对 GH 选修课程感兴趣。尽管 53%的 FD 报告提供 GH 选修课程，但只有少数住院医师（21%）和校友（19%）表示被提供 GH 选修课程（P<.001）。很少有 FD 报告提供 GH 课程（9%），尽管大多数住院医师（63%）和校友（50%）表示感兴趣。在没有 GH 选修课程的 16 名 FD 中，有 81%计划提供此类课程。引用的障碍包括缺乏 GH 课程、资金不足、教育需求竞争以及缺乏国际合作。更多的 FD（82%）比住院医师（64%）和校友（45%）更同意 GH 教育可以提高整体住院医师教育水平（P=.01）。同样，更多的 FD（75%）比住院医师（56%）和校友（38%）更同意提供 GH 教育可以改善招生情况（P=.002）。
PHM 住院医师培训中对 GH 教育的需求未得到满足，住院医师可能不知道 GH 的机会。
