Scope of global health training in U.S. obstetrics and gynecology residency programs

Kristin J. Hung, Alexander C. Tsai, Timothy R B Johnson, Rochelle P. Walensky, David Bangsberg, Vanessa B. Kerry

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

OBJECTIVE:: To enumerate global health training activities in U.S. obstetrics and gynecology residency programs and to examine the worldwide distribution of programmatic activity relative to the maternal and perinatal disease burden. METHODS:: Using a systematic, web-based protocol, we searched for global health training opportunities at all U.S. obstetrics and gynecology residency programs. Country-level data on disability-adjusted life-years resulting from maternal and perinatal conditions were obtained from the Global Burden of Disease study. We calculated Spearman's rank correlation coefficients to estimate the cross-country association between programmatic activity and disease burden. RESULTS:: Of the 243 accredited U.S. obstetrics and gynecology residency programs, we identified 41 (17%) with one of several possible predefined categories of programmatic activity. Thirty-three residency programs offered their residents opportunities to participate in one or more elective-based rotations, eight offered extended field-based training, and 18 offered research activities. A total of 128 programmatic activities were dispersed across 64 different countries. At the country level, the number of programmatic activities had a statistically significant association with the total disease burden resulting from maternal (Spearman's ρ=0.37, 95% confidence interval [CI] 0.14-0.57) and perinatal conditions (ρ=0.34, 95% CI 0.10-0.54) but not gynecologic cancers (ρ=-0.24, 95% CI -0.46 to 0.01). CONCLUSIONS:: There are few global health training opportunities for U.S. obstetrics and gynecology residents. These activities are disproportionately distributed among countries with greater burdens of disease.

Original languageEnglish (US)
Pages (from-to)1101-1109
Number of pages9
JournalObstetrics and Gynecology
Volume122
Issue number5
DOIs
StatePublished - Nov 2013
Externally publishedYes

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Internship and Residency
Gynecology
Obstetrics
Mothers
Confidence Intervals
Quality-Adjusted Life Years
Nonparametric Statistics
Teaching
Global Health
Research
Neoplasms

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Scope of global health training in U.S. obstetrics and gynecology residency programs. / Hung, Kristin J.; Tsai, Alexander C.; Johnson, Timothy R B; Walensky, Rochelle P.; Bangsberg, David; Kerry, Vanessa B.

In: Obstetrics and Gynecology, Vol. 122, No. 5, 11.2013, p. 1101-1109.

Research output: Contribution to journalArticle

Hung, Kristin J. ; Tsai, Alexander C. ; Johnson, Timothy R B ; Walensky, Rochelle P. ; Bangsberg, David ; Kerry, Vanessa B. / Scope of global health training in U.S. obstetrics and gynecology residency programs. In: Obstetrics and Gynecology. 2013 ; Vol. 122, No. 5. pp. 1101-1109.
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abstract = "OBJECTIVE:: To enumerate global health training activities in U.S. obstetrics and gynecology residency programs and to examine the worldwide distribution of programmatic activity relative to the maternal and perinatal disease burden. METHODS:: Using a systematic, web-based protocol, we searched for global health training opportunities at all U.S. obstetrics and gynecology residency programs. Country-level data on disability-adjusted life-years resulting from maternal and perinatal conditions were obtained from the Global Burden of Disease study. We calculated Spearman's rank correlation coefficients to estimate the cross-country association between programmatic activity and disease burden. RESULTS:: Of the 243 accredited U.S. obstetrics and gynecology residency programs, we identified 41 (17{\%}) with one of several possible predefined categories of programmatic activity. Thirty-three residency programs offered their residents opportunities to participate in one or more elective-based rotations, eight offered extended field-based training, and 18 offered research activities. A total of 128 programmatic activities were dispersed across 64 different countries. At the country level, the number of programmatic activities had a statistically significant association with the total disease burden resulting from maternal (Spearman's ρ=0.37, 95{\%} confidence interval [CI] 0.14-0.57) and perinatal conditions (ρ=0.34, 95{\%} CI 0.10-0.54) but not gynecologic cancers (ρ=-0.24, 95{\%} CI -0.46 to 0.01). CONCLUSIONS:: There are few global health training opportunities for U.S. obstetrics and gynecology residents. These activities are disproportionately distributed among countries with greater burdens of disease.",
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