title: Global Health Education in Gastroenterology Fellowship: A National Survey.
abstract: Interest in global health (GH) education is increasing across disciplines.
  
  
  
  To assess exposure to and perception of GH training among gastroenterology fellows and program directors across the USA.
  
  
  
  Design: Electronic survey study.
  
  
  
  The questionnaire was circulated to accredited US gastroenterology fellowship programs, with the assistance of the American Gastroenterological Association.
  
  
  
  Gastroenterology program directors and fellows.
  
  
  
  The questionnaire was returned by 127 respondents (47 program directors, 78 fellows) from 55 training programs (36 % of all training programs). 61 % of respondents had prior experience in GH. 17 % of programs offered GH curriculum with international elective (13 %), didactic (9 %), and research activity (7 %) being the most common. Fellows had adequate experience managing hepatitis B (93 %), cholangiocarcinoma (84 %), and intrahepatic duct stones (84 %). 74, 69 and 68 % reported having little to no experience managing hepatitis E, tuberculosis mesenteritis, or epidemic infectious enteritis, respectively. Most fellows would participate in an elective in an underserved area locally (81 %) or a 4-week elective abroad (71 %), if available. 44 % of fellows planned on working or volunteering abroad after fellowship. Barriers to establishing GH curriculum included funding (94 %), scheduling (88 %), and a lack of standardized objectives (78 %). Lack of interest, however, was not a concern. Fellows (49 %), more than faculty (29 %) (χ2= 21.9; p = 0.03), believed that GH education should be included in fellowship curriculum.
  
  
  
  Program directors and trainees recognize the importance of GH education. However, only 17 % of ACGME-approved fellowship programs offer the opportunity. Global health curriculum may enhance gastroenterology training.
authors: Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.|Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
authors: Pichamol
authors: P
authors: Jirapinyo
authors: Duke University, Durham, NC, USA.
authors: Rachel S
authors: RS
authors: Hunt
authors: Clinical Research, CareFusion-BD, San Diego, CA, USA.
authors: Ying P
authors: YP
authors: Tabak
authors: Section of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
authors: Deborah D
authors: DD
authors: Proctor
authors: Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. fmakrauer@partners.org.
authors: Frederick L
authors: FL
authors: Makrauer
mesh_terms: D000328:Adult; D001650:Bile Duct Neoplasms / Q000628:therapy; D001653:Bile Ducts, Intrahepatic; D018281:Cholangiocarcinoma / Q000628:therapy; D002769:Cholelithiasis / Q000628:therapy; D003479:Curriculum; D004751:Enteritis / Q000628:therapy; D005257:Fellowships and Scholarships; D005260:Female; D005762:Gastroenterology / Q000193:education*; D014943:Global Health / Q000193:education*; D006509:Hepatitis B / Q000628:therapy; D016751:Hepatitis E / Q000628:therapy; D006801:Humans; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D011795:Surveys and Questionnaires; D013997:Time Factors; D014146:Training Support; D014376:Tuberculosis / Q000628:therapy
keywords: Curriculum; Gastroenterology fellowship; Global health; Training