Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May 11:9:23821205221083755.
doi: 10.1177/23821205221083755. eCollection 2022 Jan-Dec.

The Impact of Global Health Experiences on the Emergency Medicine Residency Milestones

Alison Schroth Hayward  1 , Sean S Lee  1 , Katherine Douglass  2 , Gabrielle A Jacquet  3 , James Hudspeth  3 , Jessica Walrath  4 , Bradley A Dreifuss  5 , Janette Baird  1 , Janis P Tupesis  6
Affiliations

The Impact of Global Health Experiences on the Emergency Medicine Residency Milestones

Alison Schroth Hayward et al. J Med Educ Curric Dev. .

Abstract

Objectives: Identify the impact of experiences in global health (GH) on the Accreditation Council for Graduate Medical Education (ACGME) competencies in emergency medicine (EM) residents and describe the individual characteristics of EM residents with global health experience compared to those without.

Methods: From 2015 to 2018, 117 residents from 13 nationally accredited United States EM residency training programs were surveyed. Specifically, the survey gathered demographic data and information regarding timing, type, location and duration of short term experiences in global health (STEGH). The survey collected both qualitative and quantitative data regarding resident experiences, including number of procedures performed and self-assessment of the impact on their residency milestones. ACGME milestone data from survey respondents was collected from each resident's training program coordinators. Chi-squared analysis and t-tests were conducted to assess differences between residents with STEGH and those without. A generalized linear model (GLM) was utilized to assess the effects of time and experience with interaction on achieving milestones in each of the competency domains, to compare milestone achievement over time between residents with STEGH and those without.

Results: Out of 117 EM residents, 60 were female (44%), the mean age was 30 years (standard deviation = 3.1), and 84 (71.8%) reported STEGH in general, including prior to residency (64.5%). 33 (28.2%) reported having completed STEGH during residency. The results of the GLM analysis showed that residents with STEGH during residency had significantly higher scores compared to those without the experience or STEGH pre-residency across all six competencies.

Conclusions: STEGH in EM residents was associated with higher milestone achievement in certain ACGME competency domains including medical knowledge, practice-based learning and improvement, and professionalism. Participation in STEGH during residency appeared to show the strongest effect, with higher scores across all six competencies.

Keywords: competency-based education; emergency medicine; global health; graduate medical education; milestones.

PubMed Disclaimer

Conflict of interest statement

DECLARATION OF CONFLICTING INTERESTS :The authors declare that there is no conflict of interest.

Figures

Figure 1.
Figure 1.
Change in mean patient care competency over time by global health experience.
See this image and copyright information in PMC

References

    1. Jacquet GA, Umoren RA, Hayward AS, et al. The practitioner’s guide to global health: an interactive, online, open-access curriculum preparing medical learners for global health experiences. Med Educ Online. 2018;23(1):1503914. - PMC - PubMed
    1. Loh LC, Cherniak W, Dreifuss BA, Dacso MM, Lin HC, Evert J. Short term global health experiences and local partnership models: a framework. Global Health. 2015;11:50. Published 2015 Dec 18. - PMC - PubMed
    1. Shah S, Lin HC, Loh LC. A comprehensive framework to optimize Short-Term Experiences in Global Health (STEGH). Global Health. 2019;15(1):27. Published 2019 Apr 2. - PMC - PubMed
    1. Rowthorn V, Loh L, Evert J, Chung E, Lasker J. Not above the Law: a legal and ethical analysis of short-term experiences in global health. Ann Glob Health. 2019;85(1):79. Published 2019 Jun 17. - PMC - PubMed
    1. Medical School Graduation Questionnaire. 2010. Accessed October 13, 2013. https://www.aamc.org/download/140716/data/2010_gq_all_schools.pdf.

LinkOut - more resources