Footnotes

• Twitter @A_Y_0_9

• Contributors AY conceived of the presented idea, developed the survey and obtained face value of the survey. AY piloted the survey with different fellowship classes as part of an educational curriculum improvement prior to submitting request for IRB exemption to administer to HPM trainees outside of the institution. HC assisted in obtaining all the emails and contact information for all the HPM programmes in the USA. Both authors discussed the results and contributed to the final manuscript.

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests None declared.

• Provenance and peer review Not commissioned; internally peer reviewed.