Evidence map›Paper›PMID 24104785›Full record

ArticleObstetrics and gynecology2013

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 R Bangsberg, Vanessa B Kerry

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obstetrics and gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Global health training in US graduate psychiatric education.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2014
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Kristin J HungDepartment of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, the Chester M. Pierce, MD Division of Global Psychiatry, Department of Psychiatry, the Center for Global Health, and the Divisions of Pulmonary and Critical Care, General Medicine, and Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, the Division of Infectious Disease, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, and the Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts; the Department of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor, Michigan; and Mbarara University of Science and Technology, Mbarara, Uganda.
Alexander C Tsai
Timothy R B Johnson
Rochelle P Walensky
David R Bangsberg
Vanessa B Kerry

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Daniel Lingwood · 2004 to 2026
$94.4M
Optimizing HIV Care in Less Developed CountriesR01AI058736 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Kenneth Alan Freedberg, Emily Parker Hyle · 2004 to 2026
$21.5M
Microenterprise to empower and improve health of HIV+ women in UgandaK23MH096620 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI TSAI, ALEXANDER C · 2012 to 2016
$922k
Mentoring Patient Oriented Adherence Research in UgandaK24MH087227 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BANGSBERG, DAVID ROY · 2009 to 2013
$776k
NIAID NIH HHS P30 AI060354NIAID NIH HHS P30AI060354NIAID NIH HHS R01 AI058736NIAID NIH HHS R01AI058736NIMH NIH HHS K23 MH096620NIMH NIH HHS K23MH096620NIMH NIH HHS K24 MH087227NIMH NIH HHS K24MH087227
6 · The paper itself

Abstract

objectiveTo 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.

methodsUsing 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.

resultsOf 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).

conclusionsThere 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. LEVEL OF EVIDENCE: II.

Indexed as

Cost of IllnessGlobal HealthGynecologyHumansInternship and ResidencyObstetricsUnited States

Identifiers

PMID24104785
PMCPMC3856319

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.