Global health experiences of U.S. Physicians: a mixed methods survey of clinician-researchers and health policy leaders. Global Health 2013 May 11;9:19
Date
05/15/2013Pubmed ID
23663501Pubmed Central ID
PMC3655883DOI
10.1186/1744-8603-9-19Scopus ID
2-s2.0-84877305624 (requires institutional sign-in at Scopus site) 20 CitationsAbstract
BACKGROUND: Interest and participation in global health activities among U.S. medical trainees has increased sharply in recent decades, yet the global health activities of physicians who have completed residency training remain understudied. Our objectives were to assess associations between individual characteristics and patterns of post-residency global health activities across the domains of health policy, education, and research.
METHODS: Cross-sectional, mixed methods national survey of 521 physicians with formal training in clinical and health services research and policy leadership. Main measures were post-residency global health activity and characteristics of this activity (location, funding, products, and perceived synergy with domestic activities).
RESULTS: Most respondents (73%) hold faculty appointments across 84 U.S. medical schools and a strong plurality (46%) are trained in internal medicine. Nearly half of all respondents (44%) reported some global health activity after residency; however, the majority of this group (73%) reported spending ≤10% of professional time on global health in the past year. Among those active in global health, the majority (78%) reported receiving some funding for their global health activities, and most (83%) reported at least one scholarly, educational, or other product resulting from this work. Many respondents perceived synergies between domestic and global health activities, with 85% agreeing with the statement that their global health activities had enhanced the quality of their domestic work and increased their level of involvement with vulnerable populations, health policy advocacy, or research on the social determinants of health. Despite these perceived synergies, qualitative data from in-depth interviews revealed personal and institutional barriers to sustained global health involvement, including work-family balance and a lack of specific avenues for career development in global health.
CONCLUSIONS: Post-residency global health activity is common in this diverse, multi-specialty group of physicians. Although those with global health experience describe synergies with their domestic work, the lack of established career development pathways may limit the benefits of this synergy for individuals and their institutions.
Author List
Greysen SR, Richards AK, Coupet S, Desai MM, Padela AIAuthor
Aasim Padela MD Vice Chair, Professor in the Emergency Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cross-Sectional StudiesEducation, Medical
Female
Global Health
Health Policy
Health Services Research
Humans
Individuality
Leadership
Male
Physicians
Qualitative Research
United States
