Global Health Experiences by Neurology Trainees Survey

1.  Does your program currently allow residents to pursue global health-related electives (defined as rotations outside of the United States, Canada, Australia, New Zealand, and Western Europe, regardless of the focus of the rotation)?

Yes – skip to question 3 No – go to question 2 Uncertain – go to question 2

2.  If your program does not allow global health electives, what are the reasons? Mark all that apply. Skip to question 9 after responding.

Lack of funding for such initiatives

No available elective time

No partnerships or formal programs with available international sites

No perceived interest by faculty

No perceived interest by residents

No provisions for offsite electives in our program

Past issue with international elective (please specify): ______

Other (please specify): ______

3.  Does your program, department, hospital, or university have an agreement or relationship with one or more partner institutions overseas?

Yes – Please specify: Total number of overseas faculty: ____

Total number of overseas sites: ____ Locations of overseas sites: _____

No

Uncertain

4.  On average, how many residents complete global health electives before graduating?

91-100%

81-90%

71-80%

61-70%

51-60%

41-50%

31-40%

21-30%

11-20%

0-10%

Uncertain

5.  Does your program or academic institution provide any financial support for global health electives (e.g., scholarships, funding opportunities)

Yes – go to question 5a

No – skip to question 6

Uncertain – skip to question 6

5a. What type of financial support is available? Mark all that apply.

Financial support through the international site

Financial support from some other organization (please specify: ______)

Formal programs through the university

Formal programs through the department

Formal programs through the hospital (e.g. free vaccinations, travel medicine counseling)

Financial support is available but no formal programs are in place

6.  Does your institution solicit philanthropic donationsor have an affiliation with a philanthropic organization that would fund global health initiatives?

Yes – go to question 7 No – skip to question 8 Uncertain – skip to question 8

7.  If funding support exists (regardless of source), how many residents who request funding are fully funded to participate in global health initiatives?

100%

90-99%

80-89%

70-79%

60-69%

50-59%

40-49%

30-39%

20-29%

10-19%

0-9%

Uncertain

8.  If funding were not an issue, would your residents have time to participate in global health electives?

Yes

No

Uncertain

9.  Does your institution have a centralized global health office that you work with for global health electives (for project ideas, funding, personal support, etc.)?

Yes, there is a global health office that works with all residents rotating abroad

Yes, there is a global health office, but residents do not necessarily work with them if rotating abroad

No, there is no global health office

No, there is no global health office, but there is another office that we work with (please specify:______)

10.  Have any of your residents participated in disaster relief efforts (e.g. Hurricane Katrina, earthquake in Haiti, etc.)?

Yes – go to question 10a

No – skip to question 11

Uncertain – skip to question 11

10a. How did the residents participate in the disaster relief efforts? Mark all that apply.

Formal institutional support

Informally, residents set up their own effort

Uncertain

11.  Do you have a support program in place for trainees who participate in humanitarian emergencies (such as providing information for pre-departure training, contacts for psychosocial support, post-exposure prophylaxis drug provision, and/or debriefing)?

Yes – Please specify______

No

Uncertain

N/A

12.  Would you like more information on global health electives for residents?

Yes

No

13.  How many residents are currently in your program?

PGY1 ______

PGY2 ______

PGY3 ______

PGY4 ______

14.  Please share any comments on the topic of this survey:

______

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