Barriers to starting the tracks included finding time for residents to attend track meetings; to address this, each track meets the first Friday of the month at noon and all residents choose which track to attend. Finding time to dedicate specifically to the research track was particularly challenging requiring chief resident buy in to design schedules, so the resident could have months of uninterrupted elective time. Mentors for each track were needed so faculty buy in was also crucial. Residents can only be in one track formally. Funding for these tracks remains a barrier, especially for travel to global sites or conferences; a fund for alumni to donate was created to help meet this need.

Residency tracks are appealing to many residents to help with career goals and assist in choosing career paths. Further evaluation of the tracks in this program are planned to include resident feedback and evaluative assessment. These tracks are feasible to design and implement, though are time intensive, require scheduling in resident curriculum, and can be challenging to find funding support.