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

IF 2.6 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Annals of Global Health Pub Date : 2023-06-21 eCollection Date: 2023-01-01 DOI:10.5334/aogh.4074

Wilfredo R Matias, C Nicholas Cuneo, Aaron Richterman, Anne G Beckett, Alison E Farrar, Joseph J Rhatigan, Daniel Palazuelos

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引用次数: 0

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.

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美国全球健康公平住院医师培训项目毕业生的全球健康职业特征。

背景：在过去十年中，美国的全球健康（GH）医生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数据、全球健康培训对职业发展的影响，以及与毕业生是否在全球健康领域取得职业成就相关的具体因素。目的：我们旨在描述该项目毕业生的特征，并量化2003年至2018年间，在美国一家资源充足的学术医疗中心的一个GH研究生培训项目的毕业生队列中，哪些先前确定的因素与实现自己定义的GH职业相关。方法：我们进行了一项横断面调查自我认定有GH职业的参与者与没有GH职业的人之间的差异。调查结果：在59名受邀参加调查的人中，53人（89.9%）对调查做出了回应。有GH导师与GH职业生涯相关（OR 10.3；p=0.004）。那些有GH职业生涯的人更有可能有明确的职业道路（p=0.003），在当前工作中有机构支持（p=0.00006），能够管理GH和非GH工作之间的分配（p=0.0001），找到实现GH目标的资金（p=0.001），投资于他们的个人和家庭生活（p=0.05），并在几乎没有挑战的情况下在国外和国内分开工作（p=0.01）。结论：我们为美国一个资源丰富的学术医疗中心的GH培训项目的毕业生提供了社会人口和职业特征。导师制、机构支持、资金、平衡GH与非GH工作的能力以及在国内外度过的时间是GH成功职业生涯的关键因素。如果机构资金用于加强GH培训的这些方面，我们预计GH职业生涯将得到更持久的发展。

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来源期刊

Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.30

自引率

3.40%

发文量

审稿时长

11 weeks

期刊介绍： ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.