Dr. Volsky is a member of the American Academy of Otolaryngology Humanitarian Efforts Committee. The authors have no funding, financial relationships, or conflicts of interest to disclose.
Version of Record online: 10 SEP 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 11, pages 2422–2427, November 2012
How to Cite
Volsky, P. G. and Sinacori, J. T. (2012), Global health initiatives of US otolaryngology residency programs: 2011 global health initiatives survey results. The Laryngoscope, 122: 2422–2427. doi: 10.1002/lary.23533
Podium presentation at the Triological Society Annual Meeting at COSM, General Otolaryngology Section, San Diego, California, U.S.A., April 21, 2012.
All work was performed at Eastern Virginia Medical School.
- Issue online: 25 OCT 2012
- Version of Record online: 10 SEP 2012
- Manuscript Accepted: 30 MAY 2012
- Manuscript Revised: 24 MAY 2012
- Manuscript Received: 26 MAR 2012
- World health;
- health-care disparities;
- developing countries;
- international cooperation;
- internship and residency;
- health policy;
The objectives of this work were to quantify the involvement of US otolaryngology residency programs in global health endeavors, identify goals and services provided, and determine the participation of residents and fellows.
Cross-sectional survey of US otolaryngology faculty.
A 10-point online questionnaire was distributed to 103 US otolaryngology residency program directors; all faculty involved in global health volunteerism were invited to participate.
Twenty-nine global health initiatives were represented. Most of the 24 residency programs involved (66%) had organized global health offices at their institutions; only 4% actually cooperated with these offices. Most often, only one attending (55%) was involved at each institution. Residents/fellows participated 65% of the time. Abroad, US otolaryngologists worked with freestanding hospitals or clinics (24%), American nongovernmental organizations (17%), academic centers (14%), and remote locations (14%). Most (96%) provided specialty surgical services, but some provided primary care (28%) and general surgical services (14%); 72% trained foreign surgeons. Most respondents (79%) reported that the clinical work done abroad was substantial enough for Accreditation Council for Graduate Medical Education (ACGME) standards. Only one fifth of respondents knew the name of the nearest otolaryngology training institution. Humanitarian aid was the most prevalent goal (100%), followed by resident/fellow exchange (45%) and faculty exchange (21%).
At least a quarter of US otolaryngology residency programs engage in global health volunteerism. Most do not utilize institutional global health resources and are unaware of otolaryngology training programs abroad. There may be a role for global health education within the ACGME competency of systems-based practice. Laryngoscope, 2012