Subscribe to RSS
DOI: 10.1055/s-0038-1641610
Applicants' Interest in International Ophthalmology during Residency Training: Influence in Selecting U.S. Residency Programs
Funding This study was funded by the Department of Ophthalmology, Penn State College of Medicine, Hershey Pennsylvania; the Penn State Clinical and Translational Research Institute, Pennsylvania State University CTSA, NIH/NCATS grant numbers UL1 TR000127 and UL1 TR002014.Publication History
26 January 2018
06 March 2018
Publication Date:
11 April 2018 (online)
Abstract
Background In recent years, the Accreditation Council for Graduate Medical Education (ACGME) Residency Committee for Ophthalmology formally recognized international health electives for credit. By engaging in international health experiences, ophthalmology residents achieve the anchors essential to the core competencies set forth by the ACGME.
Objective To explore how the availability of international ophthalmology opportunities may influence applicants' selection of U.S. ophthalmology residency programs and to identify applicants' perceived goals and barriers of participation in international ophthalmology experiences.
Methods For this cross-sectional study, an electronic invitation to a 22-item questionnaire was sent to all 413 applicants to the ophthalmology residency program at the Penn State Eye Center during the 2017 Match.
Results Responses were received from 261 applicants, yielding a response rate of 63.2%. Nearly all respondents (95.4%) reported interest in participating in an international ophthalmology experience during residency training, with 52.1% of respondents reporting being “extremely interested.” More than half of respondents (53.6%) had previously participated in a healthcare-related experience in an international setting. The availability of international opportunities increased the interest of 67.4% of respondents when choosing which residency programs to apply to, and influenced 65.2% of respondents to rank a residency program higher, with the respondents with previous international experience more likely to be favorably influenced (p < 0.001, p = 0.04, respectively). The goal identified by the largest number of respondents as “most important” was to “offer service to the underserved” (59.0%). The most commonly identified anticipated barriers to participating in an international experience during residency training included concern about scheduling conflicts and call coverage (81.7%), followed by lack of funding (71.4%).
Conclusion There is significant interest in international ophthalmology among ophthalmology residency applicants, and the availability of international opportunities during training may influence the applicants' selection of programs. Statistically significant differences were found among respondents with and without previous international healthcare-related experience. These findings warrant further investigation into how residency programs can best address this interest and integrate international ophthalmology experiences into the residency curriculum.
Keywords
residency program - ophthalmology education - ophthalmology - international ophthalmology - global health - international health electives-
References
- 1 Houpt ER, Pearson RD, Hall TL. Three domains of competency in global health education: recommendations for all medical students. Acad Med 2007; 82 (03) 222-225
- 2 Battat R, Seidman G, Chadi N. , et al. Global health competencies and approaches in medical education: a literature review. BMC Med Educ 2010; 10 (01) 94
- 3 Drain PK, Holmes KK, Skeff KM, Hall TL, Gardner P. Global health training and international clinical rotations during residency: current status, needs, and opportunities. Acad Med 2009; 84 (03) 320-325
- 4 Association of American Medical Colleges. Medical School Graduation Questionnaire 2017 All Schools Summary Report; 2017
- 5 Dey CC, Grabowski JG, Gebreyes K, Hsu E, VanRooyen MJ. Influence of international emergency medicine opportunities on residency program selection. Acad Emerg Med 2002; 9 (07) 679-683
- 6 Powell AC, Mueller C, Kingham P, Berman R, Pachter HL, Hopkins MA. International experience, electives, and volunteerism in surgical training: a survey of resident interest. J Am Coll Surg 2007; 205 (01) 162-168
- 7 Federico SG, Zachar PA, Oravec CM, Mandler T, Goldson E, Brown J. A successful international child health elective: the University of Colorado Department of Pediatrics' experience. Arch Pediatr Adolesc Med 2006; 160 (02) 191-196
- 8 Sawatsky AP, Rosenman DJ, Merry SP, McDonald FS. Eight years of the Mayo International Health Program: what an international elective adds to resident education. Mayo Clinic Proc 2010; 85 (08) 734-741
- 9 Hau DK, Dipace JI, Peck RN, Johnson Jr WD. Global health training during residency: the Weill Cornell Tanzania experience. J Grad Med Educ 2011; 3 (03) 421-424
- 10 Volsky PG, Sinacori JT. Global health initiatives of US otolaryngology residency programs: 2011 global health initiatives survey results. Laryngoscope 2012; 122 (11) 2422-2427
- 11 Anspacher M, Frintner MP, Denno D. , et al. Global health education for pediatric residents: a national survey. Pediatrics 2011; 128 (04) e959-e965
- 12 Haq C, Rothenberg D, Gjerde C. , et al. New world views: preparing physicians in training for global health work. Fam Med 2000; 32 (08) 566-572
- 13 Evert J, Stewart C, Chan K, Rosenberg M, Hall T. Developing Residency Training in Global Health: A Guidebook. San Francisco, CA: Global Health Education Consortium; 2008
- 14 Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol 2012; 96 (05) 614-618
- 15 Bourne RR, Stevens GA, White RA. , et al; Vision Loss Expert Group. Causes of vision loss worldwide, 1990-2010: a systematic analysis. Lancet Glob Health 2013; 1 (06) e339-e349
- 16 Tabin G, Chen M, Espandar L. Cataract surgery for the developing world. Curr Opin Ophthalmol 2008; 19 (01) 55-59
- 17 Khairallah M, Kahloun R, Bourne R. , et al; Vision Loss Expert Group of the Global Burden of Disease Study. Number of people blind or visually impaired by cataract worldwide and in world regions, 1990 to 2010. Invest Ophthalmol Vis Sci 2015; 56 (11) 6762-6769
- 18 Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Ophthalmology; 2017. Available at: https://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/240_ophthalmology_2017-07-01.pdf . Accesssed January 26, 2018
- 19 Coombs PG, Feldman BH, Lauer AK, Paul Chan RV, Sun G. Global health training in ophthalmology residency programs. J Surg Educ 2015; 72 (04) e52-e59
- 20 Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap): a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 2009; 42 (02) 377-381
- 21 Hayden SR, Valderrama CM, Xu M, Curran MA, Mazondo R, Soliman MA. Development of an international elective in an emergency medicine residency. J Emerg Med 2016; 50 (01) 153-158
- 22 Yousuf SJ, Kwagyan J, Jones LS. Applicants' choice of an ophthalmology residency program. Ophthalmology 2013; 120 (02) 423-427
- 23 Davydow D, Bienvenu OJ, Lipsey J, Swartz K. Factors influencing the choice of a psychiatric residency program: a survey of applicants to the Johns Hopkins Residency Program in Psychiatry. Acad Psychiatry 2008; 32 (02) 143-146