A mixed-methods evaluation of the CHESA Fellowship — an 18-month, virtual, non-ACGME program launched in 2021 to train clinicians globally in perioperative health equity — assessing career development outcomes, scholarly output, and satisfaction among alumni across multiple cohorts through 2026.
80 fellows trained across 18 countries and 12 specialties (71.3% from LMICs, 48.8% female); 76.5% of alumni advanced into new leadership or clinical roles; 75.0% integrated fellowship learning into clinical practice; 364 manuscripts published during or after the fellowship, with 58.8% focused on health equity.
No control group or comparison cohort limits causal attribution of outcomes to the fellowship; self-reported survey data are subject to response and recall bias; early-stage program evaluation may not capture long-term career trajectory changes.
Virtual, part-time fellowship models with mentored research and seed grants can build global perioperative equity leadership — particularly for LMIC clinicians — without requiring them to leave clinical practice. Programs prioritizing cross-border collaboration and geographic/specialty diversity appear to generate substantial scholarly and advocacy output.
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