Evidence map›Paper›PMID 30398990›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2019

Reconfiguring a One-Way Street: A Position Paper on Why and How to Improve Equity in Global Physician Training.

James C Hudspeth, Tracy L Rabin, Bradley A Dreifuss, Mylo Schaaf, Michael S Lipnick, Christiana M Russ, Amy Meg Autry, Michael B Pitt, Virginia Rowthorn

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
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

19 citing papers in PubMed, 35 citations in OpenAlex.

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  14. Orthopaedic trauma observerships in North America for international surgeons: the visitors' perspective.OTA international : the open access journal of orthopaedic trauma · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

James C HudspethJ.C. Hudspeth is assistant professor and director, Residency Global Health, Department of Internal Medicine, Boston University School of Medicine, Boston, Massachusetts. T.L. Rabin is assistant professor of internal medicine and associate program director, Global and Community Health, Yale Primary Care Internal Medicine Residency Program, and associate director, Office of Global Health, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut. B.A. Dreifuss is assistant professor of emergency medicine and public health and director, Rural, Border, and Global Programs in Emergency Medicine, Colleges of Medicine and Public Health, University of Arizona, Tucson, Arizona. M. Schaaf is professor and associate director, Global Health Pathway, School of Medicine, and director, Global Outreach, University of California, San Francisco, San Francisco, California. M.S. Lipnick is assistant professor and program director, Anesthesia Global Health Fellowships, Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California. C.M. Russ is assistant professor, Department of Pediatrics, Harvard University, and associate director, Global Health Program, Boston Children's Hospital, Boston, Massachusetts. A. Autry is professor and director, Graduate Medical Education, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California. M.B. Pitt is associate professor and director, Global Health Education, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota. V. Rowthorn is executive director, University of Maryland-Baltimore Center for Global Education Initiatives, Baltimore, Maryland.
Tracy L Rabin
Bradley A Dreifuss
Mylo Schaaf
Michael S Lipnick
Christiana M Russ
Amy Meg Autry
Michael B Pitt
Virginia Rowthorn
Boston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large numbers of U.S. physicians and medical trainees engage in hands-on clinical global health experiences abroad, where they gain skills working across cultures with limited resources. Increasingly, these experiences are becoming bidirectional, with providers from low- and middle-income countries traveling to experience health care in the United States, yet the same hands-on experiences afforded stateside physicians are rarely available for foreign medical graduates or postgraduate trainees when they arrive. These physicians are typically limited to observership experiences where they cannot interact with patients in most U.S. institutions. In this article, the authors discuss this inequity in global medical education, highlighting the shortcomings of the observership training model and the legal and regulatory barriers prohibiting foreign physicians from engaging in short-term clinical training experiences. They provide concrete recommendations on regulatory modifications that would allow meaningful short-term clinical training experiences for foreign medical graduates, including the creation of a new visa category, the designation of a specific temporary licensure category by state medical boards, and guidance for U.S. host institutions supporting such experiences. By proposing this framework, the authors hope to improve equity in global health partnerships via improved access to meaningful and productive educational experiences, particularly for foreign medical graduates with commitment to using their new knowledge and training upon return to their home countries.

Indexed as

Education, MedicalEmigrants and ImmigrantsForeign Medical GraduatesGlobal HealthHealth EquityHumansLicensureUnited States

Identifiers

PMID30398990
PMCPMC6445611
OpenAlexW2913448282

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.