Global Health Training and International Clinical Rotations During Residency: Current Status, Needs, and Opportunities
Global Health Training and International Clinical Rotations During Residency: Current Status, Needs, and Opportunities
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DOI：
10.1097/acm.0b013e3181970a37
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发表时间：
2009-03-01
影响因子：
7.4
通讯作者：
Gardner, Pierce
中科院分区：
文献类型：
--
作者：
Drain, Paul K.;Holmes, King K.;Gardner, Pierce
越来越多的国际旅行和移徙促成了疾病的全球化。今天的医生必须了解疾病的全球负担和流行病学，全球卫生系统中的差异和不平等，以及跨文化敏感性的重要性。为了满足这些需求，所有专业的住院医师都对全球健康培训和国际临床轮换表示出越来越大的兴趣。尽管大多数认证机构和居留计划的指导和支持不足，但越来越多的居民正在获得国际经验。对全球卫生培训，包括国际临床轮换的调查，突出了全球卫生培训的好处以及采取更协调办法的必要性。特别是，国际轮换扩大了居民的医学知识，加强体检技能，并鼓励在服务不足和多元文化人口中行医。由于居民认识到这些个人和专业的好处，他们中的绝大多数寻求获得国际临床经验。总之，通过可行和适当的行政步骤，所有居民都可以接受全球卫生培训，并获得参加安全国际轮换的认证和方案支助。接下来的步骤应该解决国际轮换的认证和住院医师认证机构在连续性诊所之外进行培训的津贴，以及住院医师项目六周或更长时间的免打电话选修时间的津贴和旅行支持。
Increasing international travel and migration have contributed to globalization of diseases. Physicians today must understand the global burden and epidemiology of diseases, the disparities and inequities in global health systems, and the importance of cross-cultural sensitivity. To meet these needs, resident physicians across all specialties have expressed growing interest in global health training and international clinical rotations. More residents are acquiring international experience, despite inadequate guidance and support from most accreditation organizations and residency programs. Surveys of global health training, including international clinical rotations, highlight the benefits of global health training as well as the need for a more coordinated approach. In particular, international rotations broaden a resident's medical knowledge, reinforce physical examination skills, and encourage practicing medicine among underserved and multicultural populations. As residents recognize these personal and professional benefits, a strong majority of them seek to gain international clinical experience. In conclusion, with feasible and appropriate administrative steps, all residents can receive global health training and be afforded the accreditation and programmatic support to participate in safe international rotations. The next steps should address accreditation for international rotations and allowance for training away from continuity clinics by residency accreditation bodies, and stipend and travel support for six or more weeks of call-free elective time from residency programs.