TY - JOUR AU - Evensen, Ann AU - Duffy, Sean AU - Dawe, Russell AU - Pike, Andrea AU - Nelson, Brett PY - 2019/11/28 Y2 - 2024/03/29 TI - Status of global health fellowship training in the United States and Canada JF - Canadian Medical Education Journal JA - Can. Med. Ed. J VL - 10 IS - 4 SE - Brief Reports DO - 10.36834/cmej.56953 UR - https://journalhosting.ucalgary.ca/index.php/cmej/article/view/56953 SP - e80-e95 AB - <p><span style="font-size: medium;"><span style="font-family: Times New Roman;"><em>Background</em>: Increasing numbers of residency graduates desire global health (GH) fellowship training. However, the full extent of training options is not clear.</span></span></p><p><span style="font-family: Times New Roman; font-size: medium;"> </span></p><p><span style="font-size: medium;"><span style="font-family: Times New Roman;"><em>Objective</em>: To identify clinical GH fellowships in all specialties in the U.S. and Canada and to describe their demographics, innovative features, and challenges.</span></span></p><p><span style="font-family: Times New Roman; font-size: medium;"> </span></p><p><span style="font-size: medium;"><span style="font-family: Times New Roman;"><em>Methods</em>: The authors surveyed program directors or designees from GH fellowships with a web-based tool in 2017. Program directors reported demographics and program characteristics.</span></span></p><p><span style="font-family: Times New Roman; font-size: medium;"> </span></p><p><span style="font-size: medium;"><span style="font-family: Times New Roman;"><em>Results</em>: The authors identified 85 potential programs. Fifty-four programs (63.5%) responded confirming 50 fellowships. The number of U.S. GH fellowship programs increased by 89.7% since 2010. One-third of fellowships accepted graduates from more than one specialty. The most common single-specialty programs were Emergency Medicine or Family Medicine. Fellowship duration was most commonly 24 months. Median size was one fellow per year. Funding and lack of qualified applicants were significant challenges. Most programs were funded through fellow billing for patient care or other means of self-support.  </span></span></p><p><span style="font-family: Times New Roman; font-size: medium;"> </span></p><p><span style="font-family: Times New Roman;"><span style="font-size: medium;"><em>Conclusions</em>: The number of U.S. and Canadian GH fellowship programs has nearly doubled since 2010. </span><span style="font-size: medium;">Programs reported </span><span style="font-size: medium;">lack of funding and qualified applicants as their most significant challenges. Consensus amongst stakeholders regarding training requirements may improve outcomes for future fellows, their employers, and the patients they serve.</span></span></p> ER -