To the Editor
We thank Drs. Marienfeld and Rohrbaugh [1] for highlighting the unique aspects of the Yale Global Mental Health Program. We agree that the web-based search strategy we used has important limitations. It is possible that a study design with multiple, potentially redundant streams of data collection (e.g., similar to that which has been employed to measure HIV treatment adherence [2]) might have greater sensitivity for detecting the range of opportunities available to psychiatry residents interested in global mental health. Such a study might include a web-based search protocol, a survey of program directors, and a survey of graduating residents, with prespecified algorithms to consistently reconcile the conflicting data we might get from different sources in a single program. To our knowledge, such a study design, although appealing, has not yet been attempted.
Footnotes
Disclosures On behalf of all authors, the corresponding author states that there is no conflict of interest.
References
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