Global Health Initiatives and Electives: A Survey of Interest among Canadian Otolaryngology Residents

Objective: To determine the level of interest among Canadian otolaryngology residents in global health initiatives (GHIs) and international health electives (IHEs) and the barriers to participation in such initiatives. Methods: A Web-based survey was developed and sent to all Canadian otolaryngology residents. Questions were posed on demographics, the level of interest in GHIs and IHEs, past experiences in this field, real and perceived barriers in pursuing GHIs and IHEs, previous global health experience, and, finally, the current infrastructure that exists in Canadian postsecondary institutions and otolaryngology programs to encourage participation. Results: The level of interest among Canadian otolaryngology residents in GHIs and IHEs is at least 32%. The greatest barriers to pursuing this interest are cost, lack of infrastructure, lack of mentors, and lack of elective time. To contribute to an important cause was the top reason (79%) cited by respondents for their interest in global health. This was followed by personal growth and to learn about medicine in low-and middle-income countries, respectively. Conclusion: At least 32% of Canadian otolaryngology residents showed interest in participating in a GHI or IHE. We must devise means of overcoming barriers to participation in GHIs and IHEs and facilitate the clear and substantial resident interest in GHIs and IHEs. By supporting these endeavours, we will expose a cross section of physicians to global issues and give them an important and meaningful context in our increasingly interconnected world.