The infectious disease subspecialty (ID) accounted for 47% and 38% of opportunity types in 2008 and 2011, respectively.
Additionally, the total number of opportunity types within global health (elective + research + other + track) listed among all programs increased nearly two-fold within the three year period.
Hand hygiene compliance was actually highest after glove removal of all the hand hygiene opportunity types, and of the three "after" opportunity types hand hygiene was most frequently attempted in the same room (compared to the other room/area) after glove removal.
The largest of these increases were seen in research and elective opportunities (61% and 50%, respectively); other opportunity types and official global health tracks had minimal to no reported growth.
Utilizing two data sources, the American Medical Association-Fellowship and Residency Electronic Interactive Database Access (AMA-FREIDA) and individual program websites, all programs were coded for global health opportunities and opportunity types were stratified into predefined categories.
The total number of global health opportunity types (elective + research + track + "other") posted on individual program websites across all specialties increased from 36 in 2008 to 67 in 2011 (see Additional file 3: Table S3).
Certain subspecialties, such as critical care (CC), had more significant increases in the overall number of opportunities in the three year span (p=0.04, AMA-FREIDA) while subspecialties such as infectious disease (ID) and emergency medicine (EM) had more expansive opportunity types both years.
According to the three-dimensional prediction results of the cooperative neural network, an opportunity-type Markov chain model was defined.
Use of an interaction term for hand hygiene opportunity type and role resulted in the model failing to converge.
The final model for hand hygiene compliance included terms for presence of posters (not significant, but forced in), recording day, room, role, gender, and opportunity type, and interaction terms for room*role, gender*opportunity type, and room*opportunity type (Table 5).
