Global Health in General Surgery Residency: A National Survey

Sudha P. Jayaraman, Alexander L. Ayzengart, Laura H. Goetz, Doruk Ozgediz, Diana L Farmer

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Background: Interest in global health during postgraduate training is increasing across disciplines. There are limited data from surgery residency programs on their attitudes and scope of activities in this area. This study aims to understand how global health education fits into postgraduate surgical training in the US. Study Design: In 2007 to 2008, we conducted a nationwide survey of program directors at all 253 US general surgery residencies using a Web-based questionnaire modified from a previously published survey. The goals of global health activities, type of activity (ie, clinical versus research), and challenges to establishing these programs were analyzed. Results: Seventy-three programs responded to the survey (29%). Of the respondents, 23 (33%) offered educational activities in global health and 86% (n = 18) of these offered clinical rotations abroad. The primary goals of these activities were to prepare residents for a career in global health and to improve resident recruitment. The greatest barriers to establishing these activities were time constraints for faculty and residents, lack of approval from the Accreditation Council for Graduate Medical Education and Residency Review Committee, and funding concerns. Lack of interest at the institution level was listed by only 5% of program directors. Of the 47 programs not offering such activities, 57% (n = 27) were interested in establishing them. Conclusions: Few general surgery residency programs currently offer clinical or other educational opportunities in global health. Most residencies that responded to our survey are interested in such activities but face many barriers, including time constraints, Residency Review Committee restrictions, and funding.

Original languageEnglish (US)
Pages (from-to)426-433
Number of pages8
JournalJournal of the American College of Surgeons
Volume208
Issue number3
DOIs
StatePublished - Mar 2009

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Internship and Residency
Advisory Committees
Graduate Medical Education
Accreditation
Health Education
Global Health
Surveys and Questionnaires
Education
Research

ASJC Scopus subject areas

  • Surgery

Cite this

Global Health in General Surgery Residency : A National Survey. / Jayaraman, Sudha P.; Ayzengart, Alexander L.; Goetz, Laura H.; Ozgediz, Doruk; Farmer, Diana L.

In: Journal of the American College of Surgeons, Vol. 208, No. 3, 03.2009, p. 426-433.

Research output: Contribution to journalArticle

Jayaraman, Sudha P. ; Ayzengart, Alexander L. ; Goetz, Laura H. ; Ozgediz, Doruk ; Farmer, Diana L. / Global Health in General Surgery Residency : A National Survey. In: Journal of the American College of Surgeons. 2009 ; Vol. 208, No. 3. pp. 426-433.
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