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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.
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 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.
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).
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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).
The lowest compliance by opportunity type was for before "clean" procedures, including all types of injections (e.g. vaccinations), which were a common occurrence.
The final contact time model included terms for role, gender, ABHR readily available in clinic, presence of posters, species, hand hygiene product, and opportunity type, and interaction terms for role*ABHR readily available in clinic, presence of posters*ABHR readily available in clinic, and presence of posters*opportunity type (Table 6).
This study reveals the reported availability and growth of such global health opportunities among a sample of pediatric subspecialty training fellowships, and to the best of our knowledge, is the first of its kind to evaluate these opportunities types among subspecialty training programs over time.
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